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Pharmacology
| Question | Answer |
|---|---|
| The first action the nurse should take is to assess the client for injury due to medication error. | Assess the client |
| A nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medication? | Albuterol |
| A nurse is providing teaching to a client who has a new prescription for ranitidine for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions? | It reduces gastric acid production |
| A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administeri-ng the first dose, the nurse should ask the following medication clasification? | Sulfa-based medications |
| A nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. The client asks why they must take both medications. Which of the following response should the nurse make? | Taking the two medications together keeps you from becoming resistant to either of them. |
| A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate release exenatide. Which of the following client statements indicates an understanding of the teaching? | I will take this medication one hour before morning and evening meals. |
| A nurse is providing teaching to a client who has a new prescription for folic acid. The client states I thought that was only given during pregnancy. Which of the following statements should the nurse make? | Folic acid important for the building of blood cells. |
| A nurse in the PACU is caring for a client who has received general anesthesia and has manifestation of malignant hyperthermia. Which of the following medications should the nurse expect to administer? | Dantrolene |
| A nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following actions should the nurse take first? | Ask the client to describe their concerns |
| A nurse is caring for a client who has a prescription for a hypotonic Iv fluid. Which of the following solution the nurse expects to administer | 0.45% sodium chloride |
| A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following condition should the nurse expect to administer this medication? | Acetaminophen toxicity |
| A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following finding should the nurse identify as an adverse effect of the medication? | Apical pulse 50/min |
| A nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day. Which of the following information should the nurse include in the teaching? | Increase fluids while taking the medication |
| A nurse is providing teaching to a client who has a new prescription for oral extended-release potassium chloride table | Do not cursh this medication |
| A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements by the client indications anderstaind of the teaching? | I might not realize the full effect of the medication for several weeks |
| While assessing a client at the beginning of the shift a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error? | As soon as the assessment is complete |
| A nurse is preparing to administer a second unit of packed RBCs to a client who is experiencing hemorrhagic shock. The nurse should monitor the client for which of the following manifestation as an indication of circulatory overload? | Dyspnea |
| A nurse is planning care for a client who has neutropenia. Which of the following ↑ medication should the nurse expect to administer? | Filgastrim |
| A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statement indicate an understanding of the teaching? | I can expect to feel some irritation when I put these drops in my eyes |
| A nurse is caring for a client who has varicella- zoster virus. Which of the following medications should the nurse expect to administer? | Acyclovir |
| A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. | Protamine |
| A nurse is providing teaching to a client who has Parkinson's disease and has a new prescription for carbidopa/levodopa. Which of the following instructions should the nurse include in the teaching? | "Move slowly when you stand you" |
| A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer. Which of the following information should the nurse include in the teaching? | Increase calcium intake |
| A nurse is reviewing the laboratory findings for a client who is taking zidovudine to treat HIV. Which of the following findings should the nurse report to the provider? | Neutrophil count 650/mm3 |
| A nurse is teaching a group of newly licensed nurses about the prevention of medication errors. Which of the following factors should the nurse identify as the most frequent cause of fatal medication errors? | Name confusion between two medications with similar sounding names |
| A nurse in an intensive care unit is caring for a client who has a sudden onset of sustained supraventricular tachycardia (SVT). Which of the following medications should the nurse plan to administer? | Adenosine |
| A nurse is caring for a client who has osteoporosis and a new prescription for raloxifene. Which of the following should the nurse assess prior to initiating therapy? | Pregnancy status |
| A nurse is providing teaching to a client who has a new prescription for oxybutynin. Which of the following client statement indicate understanding of the teaching> | I need to avoid jogging on warm days." |
| A nurse is monitoring a client who received an excessive dose of morphine. Which of the following adverse effects should the nurse identify as the priority? | Decreased respirations |
| A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the following instructions should the nurse include in the teaching? | " Increae your fluid intake |
| A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler? | "You sholud gargle with water after each use of this inhaler" |
| A nurse is reviewing laboratory results prior to administering ketorolac to a client. Which of the following findings should the nurse report to the provider prior to administration? | Creatininme 1.6 mg/dL |
| A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? | Apply a new patch each day after waking up." |
| A nurse is assessing a client who reports taking spironolactone 50 mg PO twice daily for several months. For which of the following manifestations should the nurse withhold the prescribed dose of spironolactone and notify the provider? | Muscle weakness |
| A nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize that misoprostol is contraindicated for which of the following clients? A client who might be pregnant | A client who might be pregnant |
| A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the following actions should the nurse take? (Select all that apply.) | Educate the client about the possible consequences of not taking the medication. Suggest the client take food with the medication to minimize GI effects. Document the client's refusal in the medication administration record.Recommend the client ask the |
| A nurse is providing teaching to a client who has a new prescription for Montelukast. Which of the following statements by the client indicates an understanding of the teaching? | I will take this medication every day to control my exercise induced asthma |
| A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medication should the nurse expect administer? | Naloxone |
| A nurse is teaching the partner of a client who has diabetes mellitus how to manager episodes of severe hypoglycemia when the clients is unresponsive, which of the following actions should the nurse instruct the partner to take first? | Administer glucagon IM tothe client |
| A nurse is planning a staff education session about adverse effects of medications. Which of the following-information should the nurse include when discussing the adverse effects of anticholinergic medication | Blurred vission Tachycardia Constipation |
| A nurse is reviewing medical records for a group of clients. Which of the following findings should the nurse report to the provider? | A client who is taking citalopram and has a prolonged Q-T interval |
| A nurse is preparing to administer verapamil to a client who is 2 days post myocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication? | Decreased anginal pain |
| A nurse is discussing adverse effects with a client who has non-Hodgkin’s lymphoma and is starting to take methotrexate. Which of the following information should the nurse provide? | Methotrexate can increae the risk for bleeding |
| A nurse is caring who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders. (Selected all that apply) | Hypertension Benign prostatic hypertrophy |
| A nurse for a client who has a prescription for vancomycin 1 g Iv intermittent infusion over 30 min every 12 hr. Which of the following actions should the nurse take? | Contact the provider for prescription clarification |
| A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication? | Reduced incranial pressure |
| A nurse is providing teaching to a client who has a new prescription for ciprofloxacin. Which of the following client statements indicate an understanding of the teaching? | “I should wear protective clothing when I go outdoors.” |
| A nurse is providing teaching for a client who has a new prescription for oral metronidazole. Which of the following teaching points is the priortity of the nurse to include? | " You should report a rash to your provider? |
| A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity? | Vomiting |
| A nurse is caring for a client who has recurrent lower urinary tract infec3ons (UTIs). Which of following medica3ons should the nurse expect to administer? | Nitrofurantioin |
| A nurse is caring for a client who has a new prescrip>on for alosetron. Which of the following therapeu>c eects should the nurse expect the client to experience? | A decrease in the frequency of dfecation |
Created by:
Maguirre1537