Pharm ati

Question 1

A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication was effective if the:

Answer 1

Thyroid stimulating hormone (TSH) level is 2 microunits/mL

Question 2

A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates understanding of teaching:

Answer 2

I will move slowly from sitting to standing to prevent falls

Question 3

A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the patient indicates further teaching:

Answer 3

I should expect a rash to develop

Question 4

A nurse is receiving a telephone prescription for an antibiotic from a client’s provider. Which of the following is the nurse required to do:

Answer 4

Read the prescription back to the provider after transcribing

Question 5

A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the understanding of the teaching:

Answer 5

I will keep a seizure frequency chart

Question 6

A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the following actions should the nurse take first:

Answer 6

Apply a cardiac monitor

Question 7

A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the following client findings requires an incident report:

Answer 7

The client reports shortness of breath

Question 8

A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the effectiveness of which of the following:

Answer 8

Ethunyl estradiol/desogestrel (Cyclessa)

Question 9

A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions:

Answer 9

Take 1SL tablet at onset of migrane

Question 10

A nurse is reviewing a client’s daily laboratory findings before administering 0.125 mg of digoxin (Lanoxin). The client’s serum digoxin level is 0.7 ng/mL. Which of the following actions should the nurse take:

Answer 10

Give the medication

Question 11

A nurse is planning to provide medication education for a client who will begin a course of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid during the course of therapy:

Answer 11

Beer

Question 12

A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten). Which of the following statements by the client indicates a need for further teaching:

Answer 12

I will use a salt substitute with my meals

Question 13

A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed. Which of the following client findings should the nurse recognize as being the best indication that the medication is achieving it’s therapeutic effect:

Answer 13

decrease in intraocular pressure

Question 14

A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following instructions should the nurse include in the teaching plan: (Select all that apply):

Answer 14

report muscle pain to provider
do not take the medication with grapefruit juice
minimize intake of alcoholic beverages
expect therapy with this medication to be life long

Question 15

A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the normal value and his INR is 2. Which of the following actions should the nurse plan to take:

Answer 15

decrease the heparin

Question 16

The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first:

Answer 16

discontinue the clients IV meds

Question 17

A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client:

Answer 17

insomnia

Question 18

A nurse is teaching a client about the use of resedronate (Actonel) to treat osteoporasis. Which of the following client statements indicates a need for further teaching:

Answer 18

I need to take the risdronate with food

Question 19

A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the following adverse effects should the nurse be observing:

Answer 19

Akathesia

Question 20

A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse document to indicate the effectiveness of the therapy:

Answer 20

Increased platelet count

Question 21

A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome:

Answer 21

Decrease flexor and extension spasticity

Question 22

A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For which should the nurse monitor related to this medication:

Answer 22

Increased BP

Question 23

A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine (Parnate). Which should be included in teaching:

Answer 23

Move slowly when changing it a standing position

Question 24

Provide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should the

Answer 24

abdominal pain

Question 25

A nurse is reveiwing lab results, for a patient who has chronic asthma and is taking prednisone (Deltasome) every other day. Which of the following lab values should the nurse report to the doctor:

Answer 25

blood glucose 200mg/dL

Question 26

A nurse is caring for a client receiving zidovudine (Retrovir) for which of the following lab results should the nurse prepare to monitor:

Answer 26

hemoglobin

Question 27

A client informs the nurse at the primary care providers office that he received a prescription for timolol (timoptic) to treat glaucoma. Which of the following in the client’s history should concern you:

Answer 27

the client has a history of bradycardia

Question 28

A mom of a newborn asks the nurse when her newborn should receive his 1st diptheria, tetanus, and pertusis vaccine (DTAP). Which of the following should the nurse say:

Answer 28

2 months

Question 29

A nurse is preparing to administer warfarin (coumadin) to a client diagnosed with atrial fibrillation. Which action should the nurse take before administering warfarin:

Answer 29

Check INR results

Question 30

A nurse caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea (Droxia). Which findings should the nurse report- select all that apply:

Answer 30

hemoglobin 4.2 g/dL
Platelets 75,000/mm3
Neutrophils 1,400/mm3

Question 31

A nurse assesses a patient with chronic back pain who is receving 650 mg acetaminophen (Tylenol) every 4 hours for pain. PCP has prescribed oxycodone/acetaminophen (Percocet) every 4 to 6 hours PRN for breakthrough pain. Which action should the nurse take:

Answer 31

Notify PCP

Question 32

A nurse is teaching a patient who has a peptic ulcer disease and is to start a new prescription for sucralfate (Carafate). The nurse explains to the patient this medication:

Answer 32

forms a protective barriers over ulcers

Question 33

Which of the following statements made by a client after a teaching session about Warfarin (Coumadin) indicates a need for further teaching:

Answer 33

I need may need to take aspirin as needed for pain

Question 34

A nurse is caring for a patient who has pneumonia. The patient tells the nurse that she is pregnant, but has not told her provider. Which of the following medication orders should the nurse question:

Answer 34

doxycycline

Question 35

A nurse is providing teaching to a patient who has hypertension and is to start a new prescription for lisinopril (Zestril). For which of the following should the nurse instruct the client to monitor and report to the PCP:

Answer 35

Dry cough

Question 36

A nurse caring for the following patient with acute ST elevation myocardinal infarction. The patient is receiving nitroglycerin (Nitro-bid IV) by continuous IV infusion to maintain a systolic blood pressure between 130-10 mmHg:

Answer 36

Increase the does when the systolic is 160mmHg

Question 37

Older adult taking procainamide (Pronestyl) is admitted to ER with an acute myocardinal infarction and ventricular premature beats. Which finding should indicate to the nurse to withold medication and notify PCP:

Answer 37

A QRS widening increase than 50%

Question 38

A nurse is caring for a client who is taking tamoxifen (Nolvadex) for treatment of breast cancer. The nurse should inform the client that which of the side effects can develop:(Slect all that apply)

Answer 38

Menstrual irregularities
Hot flashes
Vaginal discharge

Question 39

A nurse is providing teaching to a patient with chronic asthma, is prescribed beclomethsdone (QVAR). What instructions should be included in the nursing care plan:

Answer 39

Use inhaler as soon as asthma attack begins

Question 40

A client with history of hypertension tells the nurse that he uses over-the counter oral decongestant for nasal congestion. The nurse should advise client that decongestions?

Answer 40

can constrict blood vessels

Question 41

A nurse is providing teaching for a patient with acute cystitus and is prescribed phenazopyridine HCL (Pyridium). Which side effect will be normal for the patient to see:

Answer 41

urine will turn a red-orange color

Question 42

A patient has been prescribed trimethoprim/sulfamethoxazole (Bactrum DS). Which of the following should the nurse reort:

Answer 42

vascular, crusty rash

Question 43

A client has been taking propylthiouracil (PTU) for 4 weeks- what should an outcome be:

Answer 43

decrease heart rate

Question 44

A nurse instructing on appropriate placement of the client’s nitroglycerin transdermal patch (Minitran) understands teaching with this statement:

Answer 44

I will take the patch off right after my evening meals.

Question 45

A nurse is to administer a new prescription for amoxicillin/clavulanic acid (Augmentin) IV bolus. The client tells the nurse allergy to penicillin. Which should be done first:

Answer 45

withhold the medication

Question 46

A nurse providing discharge teaching for patient has a prescription for morphine. The nurse should:

Answer 46

increase fiber intake

Question 47

A nurse is monitoring a patient who has been prescribed amphoterian B (Fungizone) intermittent IV bolus for histoplasmosis. What adverse effects should you notify PCP:

Answer 47

fever

Question 48

A patient has been receiving aspirin for treatment of arthritis. Which symptom should indicate the client beginning to exhibit salicylism:

Answer 48

tinnitus

Question 49

A nurse is caring for a patient who has cancer and is experiencing breakthrough pain every 6 to 8 hours. The client report pain level of 8 on a scale of 0 to 10. Which of the following analgesics should the nurse anticipate administering:

Answer 49

hydromorphine (dilaudid)

Question 50

A nurse is caring for a school age child prescribed methylphenidate (Ritalin) for ADHD. The nurse has initiated interventions to minimize adverse effects. Which of the following indicates a successful intervention:

Answer 50

Maintains age - appropriate weight

Question 51

A nurse is instructing a client who experiences migranes and is starting oral sumatriptan (Imitrex) therapy. Which of the following should the nurse include in teaching

Answer 51

use the medication as soon as migraine symptoms appear

Question 52

Nurse caring for postoperative patient with PCA of morphine sulfate. The nurse assesses a respiratory rate of 10/ min and is unable to arouse the patient with verbal or tactile stimulation. Which of the following actions should the nurse first take:

Answer 52

Administer naloxone (narcan) IV to the client

Question 53

A patient diagnosed with acute bronchitis is beginning a short course of prednisone (Deltasone) therapy. The patient asks the nurse to give him the required vaccinations because he is joining the peace corp. The nurse appropriately responds by stating, “You should”:

Answer 53

wait until you have completed your medication therapy before receiving the vaccinations

Question 54

A nurse is providing teaching to a client regarding the administration of ferrous sulfate (Feosol). Which of the following instructions should the nurse include in her teaching:

Answer 54

take the tablet on an empty stomach

Question 55

A nurse is providing teaching to a client who has a new prescription for phenytoin (Dilantin). Which of the following statements by the client indicates an understanding of the teaching:

Answer 55

I should let my dentist know Im taking this medication

Question 56

A nurse is caring for an older adult patient who is taking ranitidine (Zantac) for GERD> For which of the following findings should the client be instructed to monitor and report to provide:

Answer 56

Green sputum

Question 57

A nurse is assessing a patient who is taking oral contraceptives. Which of the following medications will interfere with the effectiveness of the oral contraceptives:

Answer 57

Carbamazepine (tegretol)

Question 58

A nurse is teaching a patient with tuberculosis about the adverse effects of isoniazid (INH). The nurse restricts the client to notify the PCP immediately if which of the following occurs:

Answer 58

Yellowish skin tones

Question 59

A nurse is reinforcing teaching to a 17 year old female patient who has severe acne regarding the use of isotretinoin (Accutane). Which of the following side effects is the priority side effect to report to the PCP:

Answer 59

Feelings of isolation

Question 60

A nurse caring for a client who was admitted to the hospital with congestive heart failure (CHF) and is taking digoxin (Lanoxin) 0.25 mg daily .he patient refused breakfast and is complaining of nausea and generalized weakness. Which of the following actions should the nurse perform 1st:

Answer 60

Check the patients vital signs

Question 61

A nurse is caring for a patient who is hospitalized with active pulmonary tuberculosis and is to be started on ethambutol (myambutol) therapy. The nurse should understand that which of the following should be monitored:

Answer 61

Visual Activity

Question 62

A clinic nurse is giving instructions to a mother on the proper technique of applying ointment to her pre-school-age child. Who has conjunctivitis. Which should the nurse include in the instructions:

Answer 62

Discard the first bead of ointment before each application

Question 63

A nurse enters an older adult patient’s room to insert a saline lock. The client ask the nurse, ‘Why do i need that, I am drinking plenty of fluids?” Which of the following responses by the nurse is appropriate?”

Answer 63

The provider has prescribed antibiotics therapy to be administered IV every 6 hours

Question 64

A nurse is caring for a patient who has erectile dysfunction and is interested in taking sildenafel (Viagra). The nurse informs the patient that sildenfil is contraindicated due to the fact that the client also takes which one of the following medications:

Answer 64

Isosorbide (Isordel)

Question 65

A nurse reported to the nurse manager that another staff member was observed signing out meperidine hydrochloride (Demerol), which was not administered to the patient. The nurse manager should know that potential opiate abuse by the employees may be manifested by which of the following symptoms:

Answer 65

tremors

Question 66

A nurse is caring for a patient who is taking clarithyromycin (Biaxin). The nurse includes a diagnosisof “risk for altered sensory perception” in the client’s plan of care. This is appropriate because many client’s on clarithromycin have an altered sense of which of the following:

Answer 66

taste

Question 67

A nurse is caring for a client who has asthma and is prescribed chewable mortelukast (Singular). The nurse should instruct the child’s parent to administer the medication:

Answer 67

Daily at bedtime

Question 68

A nurse is assessing a client who comes to the clinic for a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. Which of the following is a contradiction for the patient to receiving the live attenuated influenza vaccine (LAIV)?

Answer 68

Just turned 62

Question 69

A nurse is caring for a client who is receiving chlorpromazine (Thorazine) and is given a pass to attend a family outing on a sunny day. Which of the following is the most important for the nurse to include in the client’s teaching about the side effects of chlorpromazine?

Answer 69

wear a hat and long sleeved shirt

Question 70

A nurse is reviewing a client’s admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognizes is of primary consideration when determining the schedule of administration:

Answer 70

Specific characteristics of the medications

Question 71

A client has a history of myocardinal infarction (MI) is precribed aspirin (Ecotrin) 325 mg. The nurse correctly understands that the aspirin is ordered due to its action as a:

Answer 71

Antiplatelet aggregate

Question 72

A home health nurse is reviewing the medication list of an older adult patient who reports falling a couple of times over the past week. Which of the following meds should the nurse suspect is contributing to the client’s falls:

Answer 72

alprazolam (XANAX)

Question 73

A nurse is caring for an older adult client who is hospitalized. Which of the following medication is likely to put the client at risk for orthostatic hypotension. (Select all that apply):

Answer 73

Furorsemide (lasix)
Telmisartan (micardis)
Phenelzine sulfate (Nardil)

Question 74

A nurse is caring for a client who is receiving nifedipine (Procardia). The nurse checks the client’s blood pressure before administering medication and reports 98/58. Which of the following actions should the nurse first take:

Answer 74

Recheck the clients blood pressure

Question 75

A nurse is caring for an older adult client who has rheumatoid arthritis and is taking aspirin (Bufferin) 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication:

Answer 75

Erythrocyte sedimentationrate (ESR)

Question 76

A nurse is caring for several patients who have bipolar disorder. The nurse should recognize that which of the following medications are appropriate for treating this condition (Select all that apply):

Answer 76

Paraxoetine (Paxil)
Lithium (Lethane)
Valporic acid (depakota)
Carbazepine (tegretol)

Question 77

A nurse is assessing a client who has numerous bruises on his upper extremities. The patient reports that he has taken warfarin (coumadin) daily for the past 3 months. Which of the following statements by the client indicates the client needs further teaching:

Answer 77

I have started taking ginger root to treat my joint stiffness

Question 78

A nurse is caring for a client with nausea. The client is prescribed intravenous metaclopramide (Reglan) as needed. The nurse knows that Reglan is an effective antimetic because it

Answer 78

promotes gastric emptying

Question 79

A nurse is caring for a patient with chronic renal failure and states she has heartburn. Prescribes aluminum hydroxide (Amphojel). The patient asks the nurse why cant i just take the antacide magadrate (Reopan) my husband has at home. The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following:

Answer 79

serum phosphorus levels

Question 80

A nurse is planning teaching for a child who has been prescribed fluticasone propionate (Flovent) for treatment of chronic asthma. The nurse plans to teach the child to use a spacer to minimize the risk for which of the following:

Answer 80

Candidiassis of the mouth

Question 81

A nurse is caring for a client who has hypovolemic shock. The client is being administered mannitol (Osmitrol) by IV bolus. Which of the following findings is the best indicator of the medication’s effectiveness:

Answer 81

Urine output 50 mL/hr

Question 82

A nurse is caring for a client taking atorvastatin (Lipitor). Which of the following should the nurse recognize should be monitored for this client:

Answer 82

CK

Question 83

A client is being treated for heart failure and is receiving digoxin (Lanoxin) and furosemide (Lasix). Based on the chart findings, which of the following actions should the nurse take first:

Answer 83

Obtain an order for serum digoxin level

Question 84

A nurse is teaching a client about the use of risedronate (Actonel) for the treatment of osteoporosis. Which of the following client statements indicates an understanding of the teaching:

Answer 84

I should sit up for 30 minutes after taking the risedonate

Question 85

A nurse is teaching a client who has a prescription for pilocarpine (Pilocar) eye drops. Which of the following client statements should indicate to the nurse a need for additional teaching:

Answer 85

I will stop using the drops as soon as my vision improves

Question 86

A nurse is precepting a newly licensed nurse who us caring for four clients. Which of the following actions should be noted in an incident report? The nurse administers:

Answer 86

Isosorbide mononitrate (immure) to a client who has blood pressure 82/60 mmHG

Question 87

A nurse is caring for a client who has been receiving parenteral morphine sulfate following a thoracic procedure. Which of the following findings should the nurse recognize is the most reliable indicator that the client’s pain is being adequately managed:

Answer 87

The client is able to breathe deeply and cough

Question 88

A nurse is caring for a 20 year old female who has been prescribed isotretinoin (Accutane) for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests will be required:

Answer 88

Pregnancy test

Question 89

A nurse is caring for a client receiving heparin IV at 1,000 units/hr. Which of the following should the nurse recognize as an adverse reaction to this medication:

Answer 89

Pink tinged urine

Question 90

A nurse is assessing a 5 year old child’s need for pain medication. Which of the following actions by the nurse will best determine whether the child needs for pain medication:

Answer 90

Have the child rate the pain using FACES pain rating scale

Question 91

A nurse is providing teaching to a client who is prescribed an MAOI. Which of the following should the nurse instruct the client to avoid while taking this medication:

Answer 91

Red wine

Question 92

A nurse is obtaining a medication history from a client who is prescribed tobramycin sulfate. Which of the following medications should the nurse notify the provider concerning concurrent use:

Answer 92

Ibuprofen (Motrin)

Question 93

A nurse is caring for a client in the PACU. The client is 1 hour postoperative, is difficult to arouse, and is hypotensice. The nurse should administer which of the following:

Answer 93

Naloxone (Narcan)

Question 94

A nurse is providing discharge instructions for a client who has a prescription for colesevelam (WelChol). Which of the following indicates the client needs additional teaching

Answer 94

I will mix the medication with 30 mL of water

Question 95

A nurse is providing teaching about insulin glargine (Lantus) to a client who has Type 1 diabetes mellitus. Which of the following should the nurse include in the instructions:

Answer 95

Do not mix this medication in a syringe with other insulin

Question 96

A client is being started on ferrous sulfate. To enhance absorption, the nurse should advise the client to take the medication with which of the following?

Answer 96

Ascorbic acid

Question 97

A nurse in the PACU is caring for a client who has received midazolam (Versed) IV bolus prior to an endoscopy. Which of the following findings indicate to the nurse to administer flumazenil (Romazicon) IV?

Answer 97

Respiratory depression

Question 98

A nurse is caring for an older adult client. The client received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hour as prescribed. Which of the following entries is the appropriate documentation of this occurrence in the client’s medical record:

Answer 98

0.9% sodium chloride 1 L IV infused over 4 hours. Vital signs stable

Question 99

A nurse is obtaining the medication history of a client who is starting a new prescription for allopurinol (Zyloprim). Which of the following medications should the nurse contact the provider regarding a potential interaction:

Answer 99

Warfarin (Coumadin)

Question 100

A nurse is caring for a client receiving filgrastim (Neupogen) for neutropenia. Which of the following laboratory values indicates that the treatment has been effective:

Answer 100

WBC 8000/mm3

Question 101

A client who has hypothyroidism and is breastfeeding tells the nurse that she is taking levothyroxine (Synthroid) and is concerned that it will be excreted in her breast milk. Which of the following responses by the nurse is appropriate?

Answer 101

You will need to take the medication after breast-feeding the infant each morning

Question 102

At 0900 a nurse is preparing a client’s medications. Based on the chart findings, which of the following medications should the nurse give first:

Answer 102

Sodium polystyrene sulfate (Kayexalte)

Question 103

A nurse administers naloxone (Narcan) as prescribed for a client who is 8 hr. postoperative adverse effects after administration of opioid analgesia. Which of the following interventions should the nurse plan to take following naloxone administration? (Select all that apply)

Answer 103

Observes the client for nausea and bleeding

Assess the client for nausea and vomiting

Question 104

A nurse is planning teaching for a client who has a new diagnosis of exercise-induces asthma. Which of the following medications should the nurse instruct the client to use prior to physical activity:

Answer 104

Cromolyn sodium (Intal)

Question 105

A nurse is providing teaching to a client who has just been prescribed prazosin (Minipress). Which os the following client statements indicates an understanding of the teaching:

Answer 105

I will move slowly from sitting to standing to prevent falls

Question 106

A nurse is providing teaching to a client who is prescribed thrimethoprim/ sulfamethoxazole (Bactrim DS). Which of the following instructions should the nurse include in her teaching:

Answer 106

Drink 8 to 10 glasses of water daily

Question 107

A client is receiving a heparin infusion for deep vein thrombosis. The nurse should discontinue the medication infusion for which client findings:

Answer 107

Platelets 96,000/mm3

Question 108

A client newly diagnosed with hyperthyroidism is prescribed (Synthyroid) o.25 mg PO daily. After 6 weeks of treatment, the nurse determines that the medication was effective if the:

Answer 108

Thyroid stimulating hormone TSH level is 2 microunitts/mL

Question 109

A nurse is caring for a client who has just been transferred from the PACU to the medical surgical unit following a colon resection. The client reports pain of an 8 on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every 2 hr. Which of the following actions should the nurse take first:

Answer 109

Check the clients PACU medication record

Question 110

A client who has diabetes mellitus insulin lispro and is prescribed metoprolol (Lopressor) for hypertension. Which of the following should the nurse observe for in this client as an early indicator of hypoglycemia:

Answer 110

Sweating

Question 111

A nurse is caring for a client who has cancer and is taking oral morphine sulfate and docusate sodium (Colace). Which of the following side effects will be minimized by taking the docusate sodium on a daily basis?

Answer 111

Constipation

Question 112

A nurse caring for a client that has undergone a liver transplant and is taking cyclosporine (Sandimmune). Which of the following laboratory findings indicates an adverse effect of the medication:

Answer 112

Serum creatine 2.5 mg/dL

Question 113

A nurse is providing teaching to a client who has a new pancrelipase (Pancrease). Which of the following should the nurse include in the teaching:

Answer 113

Take the medication with each meal and snack

Question 114

A client who is postoperative has received 2 mg of hydromorphine (Dilaudid) IV bolus every 2 hours. The client continue to rate his pain at a 7 on a scale from 0 to 10. which of the following client findings should the nurse attend to first:

Answer 114

Hypotension

Question 115

A nurse is instructing a client who has asthma. The client is currently taking albuterol (Proventil) every 4 hours PRM for bronchial spasms. He is to start a new prescription for montelukast (Singulair). Which of the following instructions should the nurse include: (Select all that apply)

Answer 115

report any increased need to use albuterol

Take montelukast once a day in the evening

Question 116

A nurse is caring for a client who is experiencing acute alcohol withdrawl. For which of the following is the client prescribed chlordiazpoxide (Librium)

Answer 116

Prevent delirium tremens

Question 117

A child is prescribed amoxicillin-clavulanic acid (Augmentin) for the treatment of an ear infection. The child’s mother asks the nurse why her child is receiving this combination of two medications. The nurse appropriately responds by stating that this medication is:

Answer 117

More effective

Question 118

A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate (Rheumatrex). Which of the following statements by the client indicates an understanding of the teaching:

Answer 118

fI should call my doctor if I develop sores in my mouth

Question 119

A nurse is caring for a client who is starting a new prescription for warfarin (Coumadin). Which of the following medications should the nurse plan to administer if the client experiences bleeding:

Answer 119

vitamin K

Question 120

A nurse is evaluating a client who has been prescribed oral metformin (Glucophage) and glipizide (Glucotrol) 3 months ago to control diabetes mellitus. The nurse should identify which

Answer 120

HbA1c 6.5%

Question 121

An older adult client who has an infection is prescribed gentamicin (Garamycin). Which of the following client statements indicates a side effect of this medication and should be reported to the provider immediately:

Answer 121

I have to turn the volume up on the TV to hear it

Question 122

A client is prescribed amitriptyline (Elavil). Which of the following adverse effects should the nurse instruct the client to report:

Answer 122

urinary retention

Question 123

A nurse is caring for a client who has heart failure and is prescribed enalapril (Vasotec) and spironolactone (Aldactone). For which of the following potential side effects should the nurse plan to monitor:

Answer 123

Hyperkalemia

Question 124

A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following indicates to the nurse that the client is experiencing magnesium toxicity:

Answer 124

Decreased Level of consciousness

Question 125

A nurse is administering donepezil (Aricept) to a client who has Alzheimer’s disease. Which of the following documented findings should the nurse report to the provider immediately:

Answer 125

Dyspnea