pharm final exam

pharm second semester

a nurse is caring for a client who has active pulmonary tuberculosis (TB) an a new prescription for IV rifamin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

red-colored urine

a nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

heparin does not dissolve clots. It stops new clots from forming

a nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

rinse the mouth after administration

a nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose?

shake the container vigorously

a hospice nurse is caring for a client who has terminal cancer and takes 💊👍 morphine for pain relief. The client reports that he had to increase the done of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

the client developed a tolerance to the medication

a nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

decrease the infusion rate

a nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medications?

BUN 55 mg/dL

a nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effects of the medication?

decreased blood pressure

a nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

decreased in level of thyroid stimulating hormone (TSH)

a nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

i feel nauseated and have no appetite

a nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?

glipizide stimulates your pancreas to release insulin

a nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

“i will be sure to take the albuterol before taking the cromolyn”

a nurse is teaching a client who has a urinary tract infection and is taking ciprofloxacin. Which of the following instruction should the nurse give to the client?

you should report any tendon discomfort you experience while taking this medication

a nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

hypotension

a nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hours. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose

a nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

the medication should be applied on a regular schedule for the rest of the client’s life

a nurse is taking a health history of a client who reports occasionally taking several OTC meds, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic?

relief of heartburn

a nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

ive been taking an antacid to help with indigestion

a nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

i will store the medication at room temperature

a nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

prothrombin time (PT)

a nurse in a coronary care unit is admitting a client who has had CPR following cardiac arrest. The client is receiving lidocaine IV at 2 mg/min, When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?

prevents dysrhythmias

a nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following sttements by the client indicates an understanding of the teaching?

vomiting is an indication of toxicity

a nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

discard regular insulin that appears cloudy

a nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following statements by the client indicates an understanding of the teaching?

i’ll take this medication first thing in the morning

a nurse is assessing a client who is receiving a unit of packed RBCs. The client appears flushed and reports low-back pain. Which of the following actions is the nurse’s priority?

stop the transfusion

a nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

systolic blood pressure increased

a nurse is caring for a female client who has rheumatoid arthritis and asks the nurse is it is safe for her to take aspirin. The nurse should recognize which of the following findingds in the client’s history is a contraindication to this medication?

history of gastric ulcers

a nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

decreased sodium level

a nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?

hyperuricemia

a nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?

diazepam can cause drowsiness

a nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

take one tablet at the first indication of chest pain

a nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?

potassium

a nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instruction should the nurse provide?

take the medication early in the day

a nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate, Which of the following adverse effects should the nurse instruct the client to report to the provider?

jaw pain, blurred vision, dysphagia

a nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrxate. Which of the following instructions should the nurse include

do not drink alcohol while taking this medication, report unexplained bruising to the provider, avoid people who have infections