RN Pharmacology Online Practice 2023 A (2)

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?

forms a protective barrier over ulcers

A nurse is caring for a female older adult on a med-surge unit. Complete the following sentence by using the lists of options

nephrotoxicity due to kidney function

A nurse is teaching a client who has insomnia about zolpidem. The nurse should identify that which of the following client statements indicates an understanding of the teaching?

I will use this medication for a short period of time

A nurse is preparing to administer a client's prescribed medications. The nurse is preparing to administer the 0900 medications to the client, which of the following actions should the nurse take? SATA

-clean the iv injection port with an antiseptic swab

-flush the IV,

-check for blood return

-apply clean gloves?

-clean area on skin with soap and water

A nurse is administering diazepam to a client who is having a colonoscopy. Which of the following actions should the nurse take?

ensure flumazenil is available to administer for toxicity management

A nurse at a clinic is evaluating a client. Drag and drop

hyperthyroidism

blood thyroxine level

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching?

"rinse your mouth after inhaling the beclomethasone"

A nurse is caring for a client in an inpatient setting. The nurse is preparing to administer the client's 1300 antibiotic doses. highlight the findings that would indicate the nurse should hold the next dose of gentamicin until further direction from the provider.

-BUN

-Cr level

-Urine output

-dark amber urine

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?

administer the medication outside the 5-cm (2-in) radius of the umbilicus

A nurse on a mental health unit is caring for a client. Select 4 actions the nurse should take

-administer dantrolene

-adminsiter bromocriptine

-apply a cooling blanket

-discontinue fluphenazine

A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?

pregnancy test

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching?

"I will take the patch off right after my evening meal"

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurses should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives?

carbamazepine

A nurse is monitoring an older adult client who has heart failure for adverse effects of hydrochlorothiazide after administering the medication. Which of the following findings should the nurse identify as an adverse effect of the medication?

orthostatic hypotension

A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse immediately notify the provider?

Hyperventiliation

A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching?

Drink 2L of water daily

A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the following actions should the nurse take prior to administering this medication?

Obtain the client's BP

A nurse is caring for a client who is taking nitroglycerin for angina and reports feeling faint when standing up. Which of the following actions should the nurse take?

Assist the client into bed, elevate the lower extremities, and check their BP

A nurse is an emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?

atropine

A nurse at an urgent care clinic is collecting a history from a female client who has a UTI. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?

I have tendonitis, so I haven't been able to exercise"

A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)?

temperature of 39.7C (103.5F)

A nurse is completing an incident report for a medication error. Which of the following information should the nurse include in the report?

Administered propranolol 80mg PO at 1800 to the client who did not have a prescription for the medication

A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching?

hot flashes

A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective?

the client rates pain as 3 on a scale from 0 to 10

A nurse is caring for a client who has HF and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective?

Increase in CO

A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an effect of the medication?

Blurred vision

A nurse is providing discharge instruction to a client who is to self-administer insulin at home. Which of the following clients statements should indicate to the nurse that the teaching is effective/

I should store my unopened bottles of insulin in the refridgerator

A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

100 gtt/min

A nurse is teaching about self-administration of transdermal medication with a client who has a new prescription for nitroglycerin. Which of the following client statements indicates an understanding of the teaching

I will remove the patch after 14 hours

A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?

Yellow-tinged vision

A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first/

check the clients blood glucose

A nurse is providing teaching to a client who has depression and a new prescription for fluoxetine. Which of the following statements by the client indicates an understand of the teaching?

I should take acetaminophen instead of ibuprofen for my headaches while taking this medication

A nurse is caring for a client who has a mag level of 3.1 (1.3-2.1). The nurse should expect to administer which of the following medications?

Calcium gluconate

A client is prescribed a second dose of IV ceftriaxone postoperatively. The nurse notes urticaria and dyspnea. Which of the following actions should the nurse prioritize?

discontinue the infusion

A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate?

digoxin

A nurse is caring for a client who is receiving filgrastim. Which of the following findings should the nurse document to indicate the effectiveness of the therapy?

increased neutrophil count

A nurse is caring for a client who has a new prescription for spironolactone. Which of the following lab results should the nurse monitor while the client is taking this medicaiton ?

Potassium level

A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions should the nurse take?

document the refusal and inform the client's provider

A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the following medications should the nurse except to administer?

Methadone

A nurse is preparing to administer amoxicillin 250mg PO to a school age child. The amount available is amoxicillin oral suspension 200mg/5ml. How many ml should the nurse administer per dose?

6.3mL

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include?

"report yellowing of the skin"

A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor?

Increased BP

A nurse contacts a client's provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take?

Have the provider spell out the unfamiliar medication names

A nurse is providing teaching to a client who is begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching? SATA

A. dry mouth

C. blurred vision

E. dry eyes

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?

bibasilar crackles

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will taper off the medication before discontinuing it"

A nurse is preparing medication instructions for a client who is receiving end of life care and their family. The client has a prescription for fentanyl patches. Which of the following information regarding the manifestations and use of fentanyl should the nurse include in the instructions?

Take a tool softener daily will be needed

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide?

prevent delirium tremens

A nurse is caring for a client who is receiving haloperidol. Which of the following findings should the nurse identify as an adverse effect of the medication?

Akathisia

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching?

"I should sit up for 30 minutes after taking the risedronate"

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry - flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?

store unused medication sticks in a storage container

A nurse is planning to teach about inhalant medications to a client who has a recent dx of exercise-induced asthma. which of the following medications should the nurse plan to include in the teaching for the client to use prior to physical activity?

Cromolyn

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report?

0830

A nurse is teaching a client who is starting to take diltiazem. Which of the following astatmetns should the nurse identify as an indication that the client understands the teaching?

I will check my hR before I take this medication

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching?

a transition in care requires the nurse to conduct medication reconciliation

A nurse is reviewing the laboratory results of a client who is taking digoxin for heart failure. Which of the following result should the nurse report to the provider?

decreased potassium level

A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. which of the following information should the nurse include in the teaching?

docusate sodium reduces the surface tension of the stools to change their consistency

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following lab results should the nurse review before administering the medication?

Total cholesterol

A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia?

presence of U-waves

A nurse is caring for a client on a med surge unit. complete the following sentence by using the lists of options

-glucose level

-cvad