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An older client is taking warfarin sodium PO 2.5 mg twice a day. Which laboratory value should the nurse identify as a therapeutic response of the medication?
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A client who has Trichomonas vaginalis receives a prescription for metronidazole. Which instruction should the nurse provide during client education?
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Pharm Hesi
| Question | Answer |
|---|---|
| An older client is taking warfarin sodium PO 2.5 mg twice a day. Which laboratory value should the nurse identify as a therapeutic response of the medication? | INR of 2 to 3. |
| A client who has Trichomonas vaginalis receives a prescription for metronidazole. Which instruction should the nurse provide during client education? | Avoid over-the-counter antitussives. |
| A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months postpartum. A prescription is written for metronidazole. Which information is most important for the nurse to obtain from the client before initiating treatment? | Method of infant feeding. |
| A client with rheumatoid arthritis is receiving a prescription for minocycline. Which side effect is most important for the nurse to instruct the client to report? | Loss of balance and dizziness. |
| Which side effects should the nurse monitor for a client who is receiving dexamethasone following neurosurgery? | Mood swings and Serum hemoglobin level of 9 mg/dl. |
| While reviewing the client's EMR the nurse assesses a client who is at risk for a possible interaction with an over-the-counter decongestant. Which client health history should the nurse report to the healthcare provider concerning the OTC medication? | Closed angle glaucoma and Chronic hypertension. |
| A pediatric client who has been diagnosed with partial seizures receives a prescription for topiramate. Which information should the nurse provide to the child's parents? | Do not crush the tablet prior to administration. |
| The healthcare provider prescribes oral antifungal therapy for a client with onychomycosis. Which information should the nurse tell the client? | The infection is difficult to eradicate and requires prolonged therapy for 3 to 6 months. |
| A pt. at 30 weeks is in preterm labor. The provider prescribes two 12-mg doses of betamethasone intramuscularly every 12 hours. The client asks the nurse why she is receiving this Which information should you use to explain the action of the medication? | Stimulates fetal surfactant production. |
| The nurse should expect the healthcare provider to prescribe which treatment regimen for a client with a peptic ulcer caused by Helicobacter pylori ? | Omeprazole and Metronidazole. |
| The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects should the nurse assess the client for during the initial dose? | Dystonia. |
| Which 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. |
| The nurse administers the initial dose of a fentanyl 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 who is receiving chemotherapy is prescribed ondansetron. Which side effect should the nurse include in the teaching plan? | Headache. |
| A client with chronic pancreatitis receives a new prescription for pancrelipase. Which instruction is most important for the nurse to include in this client's teaching? | Take the medication when consuming food. |
| When assessing a client prior to the administration of digoxin, which data is most important for the nurse to consider? | Irregular apical pulse with a rate of 87. |
| A pt in terminal stage cancer is cared for at home by his family and receives morphine at a rate to control intractable pain. The client awakens in severe pain, and asks for an increase in medication. However, the pt's R are 10. What should the nurse do? | Titrate the morphine dose upward until the client has adequate pain relief. |
| A client receives a new prescription for pentazocine, a mixed opioid agonist-antagonist after an opioid agonist is discontinued. Which is the advantage for the client when the new prescription is implemented? | Used to decrease substance use disorder. |
| A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and shooting pains in both legs. Which medication is considered the best course of treatment for the nurse to administer? | High dose methylprednisolone intravenously. |
| The healthcare provider has prescribed digoxin for a client who has been taking furosemide for six months. What laboratory serum levels should the nurse review before administering the digoxin? | Potassium. |
| A client who was recently diagnosed with myasthenia gravis receives a prescription for pyridostigmine, a cholinergic agent. Which information should the nurse instruct the client to implement when taking this medication? | To report muscle weakness or bradycardia. |
| A client receives a new prescription for ciprofloxacin, a synthetic quinolone. When teaching about this drug, which information in the client's history requires special emphasis by the nurse? | Works twenty hours a week as a lifeguard at the local pool. |
| A client asks the nurse to explain the meaning of a narrow therapeutic index of a medication. Which information should the nurse use to answer the question? | A small margin exists between safe and toxic plasma levels. |
| Which route should the nurse clarify with the healthcare provider prior to administering a drug with a high first-pass effect? | Oral. |
| A client with meningitis is prescribed cefotaxime IV and asks the nurse why he cannot receive an oral drug, such as cefaclor or cefadroxil, that he has taken before for infections. How should the nurse respond? | Cefotaxime provides therapeutic CNS concentrations. |
| Miotic drug therapy for the treatment of glaucoma is based chiefly upon which physiologic action? | Enhancing aqueous humor outflow. |
| A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole 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. |
| Which statement by a client warrants further instruction by the nurse about the changing insulin needs of a diabetic client during pregnancy? | "I will increase my insulin dosage by 5 units each month during the first trimester." |
| A client is taking sulfisoxazole 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. |
| Which findings should the nurse identify in an adult client with possible chronic salicylate intoxication? | Tinnitus and hearing loss. |
Created by:
jadeyncain