Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
PARM 315
HESI
| Question | Answer |
|---|---|
| The nurse should instruct a client to avoid which product while taking carisoprodol (Soma) for muscle spasms? | Alcoholic beverages |
| The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client with chronic pain. When monitoring the client an hour later, which assessment is most important for the nurse to obtain? | numeric pain scale |
| A client asks the nurse to explain the meaning of a narrow therapeutic index of a medication. What information should the nurse use to answer the question? | a small margin exits between safe and toxic plasma levels |
| A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in the evening. The client asks the nurse, "When should I begin to feel better?" How should the nurse respond? | within 24 hrs |
| A client with depression receives a prescription for amitriptyline (Elavil). Which instruction should the nurse include in the client's teaching? | avoid consumption of alcohol |
| A client with pneumonia receives a prescription for tetracycline (Sumycin). What precaution should the nurse include in this client's teaching? | avoid diary products for 2 hours after taking the medication |
| The nurse is providing medication teaching for a client who has recently received a prescription for clozapine (Clozaril). Which instruction should be included in this client's teaching plan | rise slowly from a lying position |
| A client receives a new prescription for pentazocine (Talwin), a mixed opioid agonist-antagonist, after an opioid agonist is discontinued. What is the advantage for the client when the new prescription is implemented? | respiratory depression is less |
| A client with chronic gouty arthritis takes allopurinol (Zyloprim) and experiences an acute attack of gouty arthritis. HCP prescribes colchicine. What information should the nurse provide the client that best explains the action of the colchicine? | reduces inflammation at the affected site |
| A female client receives a prescription for cefadroxil (Duricef) for a urinary tract infection. The client informs the nurse that she is currently taking oral contraceptives (OCP). What information is important for the nurse to share with the client? | use additional form of contraception until your menstrual cycle |
| A pediatric client who has been diagnosed with partial seizures receives a prescription for topiramate (Topamax). What information should the nurse provide to the child's parents? | Do not crush the tablet prior to admin |
| The healthcare provider prescribes oral antifungal therapy for a client with onychomycosis. What information should the nurse tell the client? | the infection is difficult to eradicate and requires prolonged thearpy for 3-6 months a fungal infection of the fingernails and toenails, is difficult to treat and requires prolonged therapy of 3 to 6 months |
| child is taking methylphenidate hydrochloride (Ritalin, Biphentin) for (ADHD). The mother gives the medication at bedtime so it is "working" during morning. What modification to the administration plan should the nurse recommend to this mother? | Admin at least 6 hrs before bed |
| Which common side effect should the nurse alert a female client about when medroxyprogesterone (Depo-Provera) is prescribed? | vaginal bleeding after discounting the medication |
| The therapeutic effect of insulin in treating Type 1 diabetes mellitus is based on which physiologic action? | facilitates transport of glucose into the cells Insulin acts as the carrier of glucose and is the only hormone that decreases blood glucose levels by facilitating transport of glucose into the cells. |
| A client who is receiving chemotherapy is prescribed ondansetron (Zofran). What side effect should the nurse include in the teaching plan? | headache |
| The healthcare provider has prescribed digoxin for a client who has been taking furosemide (Lasix) for six months. What laboratory serum levels should the nurse review before administering the digoxin? | Potassium Lasix is can cause hypokalemia which increases the risk of digoxin toxicity and cardiac arrhythmias. |
| A client is admitted for atrial fibrillation, and the healthcare provider prescribes disopyramide (Norpace). After explaining the action of this antidysrhythmic agent, which complaint should the nurse instruct the client to report? | Daily weight gain of 2 lbs |
| The mother of a newborn asks the nurse why her infant needs the vitamin K (AquaMEPHYTON) injection. What information should the nurse provide? | Bacteria that synthesize vit K are not present in the newborn intestinal tract |
| A client who is recently diagnosed with myasthenia gravis receives a prescription for pyridostigmine (Mestinon), a cholinergic agent. Which information should the nurse instruct the client to implement when taking this medication? | take medication at least 30 min before eating meals |
| When assessing a client prior to the administration of digoxin (Lanoxin, APO-Digoxin), which data is most important for the nurse to consider? | irregular apical pulse a rate 87 |
| A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months postpartum. A prescription is written for metronidazole (Flagyl). Which information is most important for the nurse to obtain from the client before initiating treatment? | method of breast feeding |
| A male client who is in the terminal stage of cancer is cared for at home. hospice nurse visits, the client awakens, moans in severe pain,fter determining the client's respirations are 10 per minute, what is the best action for the nurse to implement? | titrate the morphine dose upward until the clients has adequate pain relief |
| What teaching should the nurse provide a client who has received a new prescription for sildenafil (Viagra)? (Select all that apply.) | take within 30-60 min of sexual stimulation, report rebound priapism that occurs for 4 hrs , can cause facial flushing and headache |
| A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which instruction should the nurse include in this client's teaching? | place under the tongue as needed every 5 min up to 3 times |
| Which drug of choice is indicated for acute ventricular dysrhythmias associated with myocardial infarction? | Amiodarone |
| The healthcare provider discontinues prednisone, a glucocorticoid, for a client with chronic obstructive pulmonary disease. What instructions should the nurse give the client about the regimen to follow? | the dose must be tapered over the course of 7-10 days |
| What pathophysiological action supports the expected outcome for a client with chronic cancer pain who is treated with imipramine (Tofranil), a tricyclic antidepressant? | decrease transmission of pain impulses by altering serotonin norepinephrine activity at the nerve synapses |
| Which findings should the nurse identify in an adult client with possible chronic salicylate intoxication? | tinnitus and hearing loss |
| A resident of a long-term care facility is taking lithium carbonate (Eskalith) to treat bipolar disorder. Which instruction should the nurse provide to this client's caregivers? | report symptoms of hypothyroidism such as fatigue and constipation |
| A client receives a new prescription for an angiotensin-converting enzyme (ACE) inhibitor. What client history contraindicates its use? | renal artery stenosis |
| A client who is diagnosed with methillicin-resistant Staphylococcus aureus receives a prescription for vancomycin (Vancocin). Which assessment should the nurse perform to identify a potential adverse effect? | whisper test |
| When prescribed for a client with hepatic encephalopathy, what is the therapeutic action of lactulose (Portalac)? | lower the pH of colon |
| A client is taking sulfisoxazole (Gantrisin) for a urinary tract infection (UTI) and complains of nausea and gastric upset since starting the medication. Which additional adverse reaction should the nurse instruct the client to report? | rash |
| What action should the nurse implement to provide analgesic titration for a client in pain? | determine the optimal analgesic dosage required that causes the least side effects |
| A client with Paget's disease is started on calcitonin (Calcimar) 500 mcg subcutaneously daily. During the initial treatment, what is the priority nursing action? | observe the client for signs of hypersensitivity |
| A male client with meningitis is prescribed cefotaxime (Claforan) IV such as cefaclor (Ceclor) or cefadroxil (Duricef), that he has taken before for infections.How should the nurse respond when considering the actions of cephalosporins? | cefotaxime (claforan) provides therapeutic CNS concentrations |
| Which side effects should the nurse monitor for a client who is receiving dexamethasone (Decadron) following neurosurgery? (Select all that apply.) | mood swings, increased weight gain, delayed incisonal wound healing , serum hemoglobin level of 9 mg/dl |
| A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of contrast media. What pharmacologic agent is of greatest use in this situation? | Epinephrine (adrenalin) |
| Miotic drug therapy for the treatment of glaucoma is based chiefly upon which physiologic action? | enhancing aqueous humor outflow |
| Which heparin concentration should the nurse use to convert an intravenous site to a heparin lock? | 100 units/ml |
| A client who has Trichomonas vaginalis receives a prescription for metronidazole (Flagyl). Which instruction should the nurse provide during client education? | avoid over the counter antitussives |
| A client calls the clinic and states that she forgot to take her oral contraceptives for the past two days. Which instruction is best for the nurse to provide to this client? | take 2 pills a day for 2 days and use an alterante method of contraception for 7 days |
| A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction? | take at same time each day one hour before eating a meal |
| A client with rheumatoid arthritis is receiving a prescription for minocycline (Minocin). Which side effect is most important for the nurse to instruct the client to report? | loss of balance and dizziness |
| A client who takes a statin and gemfibrozil (Lopid) for hyperlipidemia reports onset of muscle pain and weakness. What additional assessment is most important for the nurse to obtain? | serum liver enzymes |
| A client receives a prescription for sulfamethoxazole-trimethoprim (Septra) for a urinary tract infection (UTI). What instruction should the nurse provide the client? | drinks at least 8 glasses of water a day |
| The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea? | colchicine (colchicine) |
| An emergency department triage nurse is interviewing a female client who has a history of epilepsy with tonic-clonic seizures controlled by phenytoin (Dilantin). Which information is most significant in planning this client's care? | she ran out of her meds 4 days ago |
| blood culture and sensitivity results, the healthcare provider prescribes an IV aminoglycoside antibiotic d/c. indicates that the client received the broad spectrum antibiotic two hours ago. Which action should the nurse implement? | Admin the initial dose of the aminoglycoside antibiotic asap Blood culture sensitivity- the prescribed aminoglycoside antibiotic is the most effective in treating the client's infection, so it should be administered as soon as possible. |
| What is the expected outcome of esomeprazole (Nexium) when prescribed for a client with gastroesophageal reflux disease (GERD)? | promotion of rapid tissue healing Rationale Proton pump inhibitors, such as esomeprazole (Nexium), act to inhibit gastric acid secretion and promote rapid healing of esophageal tissue. |
| A client at 30-weeks gestation is in preterm labor. HCP prescribes two 12-mg doses of betamethasone (Celestone) intramuscularly every 12 hours. The client asks the nurse why she is receiving the Celestone. Nurse explain- | Stimulates fetal surfactant production Antenatal glucocorticoids,(Celestone), given stimulate surfactant production in the fetus and accelerate fetal lung maturity, in the event the fetus is delivered prematurely to minimize ARDS premature infants |
| The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the X-ray department. What action should the nurse implement? | return the blood to the blood bank for refrideration within 30 min |
| A client receives a prescription for esomeprazole (Nexium) for heartburn. Which finding in the client's history should the nurse report to the healthcare provider before administering the prescription? | history of DVT Rationale Esomeprazole (Nexium), a proton pump inhibitor (PPI), may increase the chance of bleeding in a client who is taking both a PPI and warfarin (Coumadin), which is used in the treatment of deep vein thrombosis (DVT). |
| The nurse should expect the healthcare provider to prescribed what treatment regimen for a client with peptic ulcer caused by Helicobacter pylori ? (Select all that apply.) | Clarithromycin , Omerprazole, Flagyl Rationale Recommended medical treatment for Helicobacter pylori includes the use of at least 2 different antibiotics and a proton pump inhibitor to decrease the incidence of antibiotic resistance. |
| A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone. When teaching about this drug, which information in the client's history requires special emphasis by the nurse? | Work 20 hrs a week as a lifeguard at a local pool Rationale Cipro can cause both dizziness and photosensitivity. Since the client works as a lifeguard outdoors, measures related to these adverse effects should be addressed. |
| A client is taking cyclosporine for renal allograft rejection prevention. After 9 months of drug therapy, the nurse reviews laboratory data and notes that the blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse identify | Creatinine 28 mg/dl Rationale Acute organ rejection usually occurs in the first 3 months after transplantation or at any time if an infection develops. |
| Which route should the nurse clarify with the healthcare provider prior to administering a drug with a high first-pass effect? | oral The first-pass effect occurs when hepatic metabolism decreases the bioavailability of a drug. Oral forms of medications are processed through the GI tract, |
| hronic schizophrenia illness is admitted after taking risperidone (Risperdal) 10 mg/day for three months. The nurse implements a daily assessment using the Abnormal Involuntary Movement Scale (AIMS). findings to report | tremors and muscle twitching he AIMS criteria measures tardive dyskinesia movements, such as facial, oral, tongue, teeth, and other akinesias of the trunk and extremity, such as tremors and muscle twitching, which should be reported. |
| A client is receiving fentanyl via an epidural infusion. Which side effect should the nurse anticipate in the first 24 hours of epidural analgesia | urinary retention Rationale Anticipated common side effects of epidural opioids include nausea, itching, and urinary retention which may require urinary catheterization. |
| A client with chronic pancreatitis receives a new prescription for pancrelipase (Pancrease). Which instruction is most important for the nurse to include in this client's teaching? | take medication when consuming food Rationale With the loss of exocrine function for a client with chronic pancreatitis, replacement of pancreatic enzymes using pancrelipase (Pancrease) becomes necessary |
| A client is taking danazol (Danocrine) for endometriosis and calls the clinic nurse to complain of a dark, swollen, and painful leg. What instructions should the nurse provide the client? | proceed to the closest ED Rationale A dark, swollen, and painful leg is consistent with deep vein thrombosis (DVT), |
| Which statement by a client warrants further instruction by the nurse about the changing insulin needs of a diabetic client during pregnancy? | I will increased my insulin dosage by 5 units each month during my first trimester Insulin needs in the first trimester may actually decrease |
| The healthcare provider prescribes a medication for an older adult client who is complaining of insomnia, and instructs the client to return in two weeks. The nurse should question which prescription? | Eszopiclone (lunesta) 10 mg oral @ bedtime is to high |
| What is the effect of beta-blocking agents when used for treatment of glaucoma? | inhibiting aqueous humor production Rationale Beta-blockers are used to inhibit aqueous humor production, with the goal is to reduce intraocular pressure. |
| The healthcare provider prescribes pyridostigmine bromide (Mestinon) tablets for a client with myasthenia gravis (MG). What instruction should the nurse provide this client? | to take medication 30-45 min before eating Mestinon, an acetylcholinesterase inhibitor, increases the amount of neuromuscular transmitters to promote muscular strength and swallowing |
| An older client is taking warfarin sodium (Coumadin) PO 2.5 mg twice a day. Which laboratory value should the nurse identify as a therapeutic response of the medication? | INR of 2-3 Therapeutic anticoagulation using Coumadin should prolong the prothrombin time (PT) by 1.5 to 2 times the control value |
Created by:
shelby.eldredge