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pharmcurse point 2
| Question | Answer |
|---|---|
| While assessing clients receiving opioid analgesics for pain management, what finding would alert the nurse and require healthcare provider notification? | The client with a pulse of 118, a respiratory rate of 8, and a BP of 80/60 |
| The nurse is working with an 18-year-old client who did not receive childhood immunizations. The client is "catching up" on immunizations and is scheduled to receive a (MMR) What should the nurse teach the client about potential adverse effects? | "You might feel a bit unwell or get a slight fever after receiving your immunization." |
| Aspirin is not recommended for use in children. This is due to its association with which condition? | Reye's syndrome. |
| A man who was working on his outside deck comes to the emergency department after sustaining a puncture wound of his hand from a large nail. Which would the nurse expect to administer? | Tetanus toxoid |
| A client states, “I take acetaminophen four to five times daily when I’m at home..” Which laboratory test is a relevant response to best evaluate the effect of this practice? | liver enzymes |
| When monitoring the efficacy of allopurinol therapy, the nurse should prioritize the results of what diagnostic test | C-reactive protein level (CPR) |
| Which is the antidote for acetaminophen poisoning? | Acetylcysteine |
| A nurse is caring for a patient who has been bitten by a coral snake. Which agent is to be administered to the patient in this condition? | Antivenin |
| A nurse is assigned to care for a patient with arthritis in a health care facility. The patient has been prescribed celecoxib. Celecoxib is contraindicated in clients with: | allergy to sulfonamides. |
| A female client is 12 hours post-appendectomy. Her son asks the nurse to reduce the amount of pain medication He states, “When I had my appendix out, I needed half the pain medication that she does.” What is the nurse’s best response? | “Pain is a subjective experience; we all feel pain differently.” |
| A nurse is caring for a client in the early stage of rheumatoid arthritis. The nurse would expect which medication classification to be used in the treatment of this client? | Nonsteroidal anti-inflammatory drugs (NSAIDs) |
| The nurse is caring for a client with gout that is taking colchicine. In addition to the administration of this medication, what education can the nurse provide to help with the prevention of future episodes of gout? | Follow a low purine diet |
| A male client presents states that he is experiencing pain in his shoulder and chest. The health care provider orders a cardiac diagnostic. The client asks the nurse why the health care provider feels that he has cardiac problems if his shoulder hurts. | “You may have referred pain. Pain of cardiac origin may radiate to the neck, shoulders, chest muscles, and down the arms, often on the left side.” |
| A nurse is assessing a female client who has been taking NSAIDs. What statement by the client indicates a good understanding of the use of NSAID therapy? | “I asked my provider to check for blood in my stool on a regular basis.” |
| A 70-year-old client is seen in the family practice clinic. Which vaccine should be administered to prevent herpes zoster? | Zoster vaccine |
| When describing the actions of various drugs, a nursing instructor defines the drug as a substance that counteracts the action of something else. The instructor is describing which action? | antagonist |
| The elderly client returns from a health care visit and asks the nurse why another flu shot was necessary this year because the client got one last year. The nurse's best response is: | Each year a new vaccine is developed based on the strains most prevalent. |
| A 60-year-old patient with rheumatoid arthritis visits. The patient informs the nurse that the patient has been using an over-the-counter NSAID Why should the nurse caution the patient against the use of NSAIDs on a long-term basis? | Increased risk of GI bleeding |
| Which instruction would the nurse include for a client who is prescribed extended release oxycodone? | Take the tablet as a whole tablet at one time. |
| The client reports to the nurse that the client is having ringing in the ears. The nurse questions the client on use of what medication? | Aspirin |
Created by:
armcneal