PN Pharmacy Practice 2023: Key Terms & Definitions

Which of the following complications is the client at risk for developing? (SATA)

Dry mouth

photophobia

tachycardia

blurred vision

sedation

Ipratropium has anticholinergic effects combined with oxybutynin intensify theses effects

might have added adverse effect of sedation

Drag words from the choices below to fill in each blank in the following sentence. The nurse is evaluating the client's data collection findings at the follow-up visit.

Heart rate

blood pressure

metoprolol is beta blocker use to treat hypertension and angina. Adverse effects is bradycardia or HR less than 60/min. Furosemide is high-ceiling diuretic to treat hypertension and edema. Adverse effect is fluid volume deficient = hypotension

which of the following statements indicate the client understands the reinforcement of teaching? (SATA)

this medication can cause an increase in breast tissue

this medication might cause me to gain weight

if I miss a shot, I can schedule it as soon as I remember

A nurse on a MS unit is assisting in the care of a client who is postoperative following left knee arthroplasty.

complete the following sentence by using the list of options:

administer oxycodone

culture surgical wound

A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. which of the following client statements indicates an understanding of the teaching?

I will look up when putting the medication into my eyes

protect the cornea and minimize blinking

A nurse is reinforcing teaching with a client who has a new prescription for fluticasone inhaler. which of the following client statements indicates an understanding of the teaching?

I will rinse my mouth after i use this inhaler

reduce risk of oral thrush

A nurse is reinforcing teaching with the parent of a preschooler who has otitis media. The child had a low-grade fever and irritability for 2 days. which of the following instructions should the nurse include in the teaching?

Give acetaminophen as needed for discomfort and fever

A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. which of the following statements by the client indicates an understanding of the teaching

I should ensure that the insulin is clear prior to drawing it up.

A nurse is collecting data from the parent of a 11 year old child who has previously recieved all immunizations in accordance with the CDC recommended immunization schedule. which of the following immunizations should the nurse plan to administer to a child at this age?

HPV

A nurse is reinforcing teaching with a client who has a new prescription for theophylline. the nurse should instruct the client that which of the following is an expected outcome of this medication?

Dilated bronchioles

theophylline is a bronchodilator

A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. the nurse should identify which of the following findings as adverse effects of this medication? (SATA)

Blurred vision

nausea

dysrhythmia

A nurse is reinforcing dc teaching for a client who has a new prescription of doxycycline ER capsules for acne. which of the following statements should the nurse include in the teaching?

Take medication with a full glass of water

ensure passing of the meds and prevent esophageal ulceration

A nurse is collecting data from a client who is postoperative and taking morphine for pain. which of the following findings is the priority for the nurse to report to the provider?

O2 87%

ABC approach to client care

A nurse is reinforcing teaching with a client who is to start therapy using nitroglycerin transdermal patch. which of the following instructions should the nurse include?

Place the patch on a different site for each application

prevent skin irritation

A nurse is reinforcing teaching with a client who is newly diagnosed with hyertension and is taking metoprolol. the nurse should instruct the client to report which of the following manifestations for the provider as an adverse effect of this medication.

Peripheral edema

indication of HF

A nurse if preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-age child who weights 44 lb. on hand 20 mg/5ml.

15 ml

A nurse is assisting in the care of a client who has genital herpes. which of the following medications should the nurse expect to administer?

Acyclovir

A nurse is preparing to administer a PRN medication to a group of clients. which of the following clients should the nurse administer medication first?

A client who is attending postoperative PT and requests pain medication

A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. which of the following instructions should the nurse include in the teaching?

Massage your nose gently after medication administration

A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethazole-trimethoprim. which of the following medications should the nurse identify as a contraindicated for this client?

Furosemide

risk for allergic reaction for furosemide because of the two medications are chemically related.

A nurse is collecting data from the parent of a toddler who is about to receive the varicella immunization. the nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization?

Gelatin

hypersensitivity rx to either gelatin or neomycin is contraindication for receiving the varicella vaccine.

A nurse is assisting in care of a client who has hyperthyroidism and has been taking methimazole. which of the following findings should indicate to the nurse the mediation has therapeutic effect?

Decreased T4

inhibits synthesis of thyroid hormone reducing levels.

a nurse is collecting data from a client who has parkinson's disease and is taking levodopa/ carbidopa. the nurse should identify which of the following findings as an adverse effect of this medication?

Dark urine

will darkening of client's urine, sweat, and saliva

A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. the nurse should include in the plan to monitor the client for which of the following adverse effects of this medication?

Agranulocytosis

monitor the client's WBC if value is below 5,000-10,000/mm3

A nurse is assisting with collecting data for a client who is in reterm labor and is receiving magnesium sulfate via continuous IV infusion. which of the following findings should the nurse identify as an indication of mag toxicity?

Hyporeflexia

depresses neuromuscular activity, causing muscle weakness and paralysis.

A nurse is caring for client who has a new prescription for sumatriptan. the client takes fluoxetine. the nurse should notify the provider that the combination of these medications will place the client at risk for which of the following adverse effects?

tremors

combination of both lead to excessive stimulation of serotonin receptors placing the client at risk for serotonin syndrome. can experience tremors, confusion, and hallucinations.

A nurse is reinforcing teaching with a client who has type 2 DM about adverse effects of metformin. The nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis? (SATA)

Muscle pain

Hyperventilation

Dizziness

A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. which of the following vaccines should the nurse identify as contraindicated for this client?

MMR

MMR is composed of live viruses and is contraindicated for an infant who is immunocompromised

A nurse is reinforcing teaching about nitroglycerin transdermal patches with a client who has history of angina. which of the following statements by the client indicates understanding of the instructions?

I will take my patch off every evening just before going to bed

client should keep the patch on for 12-14 hrs during the day and take it off for 10-12 hrs medication-free to prevent tolerance.

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's temp increased to 102.4 F which of the following actions should the nurse take first?

Stop the transfusion

due to intravascular hemolysis or anaphylaxis

A nurse if reinforcing teaching with a client following placement of a cast for a fractured ankle. the client is to take oxycodone for pain management. the nurse should instruct the client that which of the following OTC is contraindicated while taking oxycodone?

Diphenhydramine

both can cause CNS depression, which can cause increase risk of sedation, respiratory depression, and injury

A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. the nurse should monitor for which of the following adverse effects of this medication?

Hyperkalemia

increase K levels = K retention

A nurse is assisting in the care of a client who has a 10 year history of alcohol use disorder and is experiencing acute alcohol withdrawal. the nurse should identify which of the following interventions as the priority?

Implement seizure precaution

A nurse is monitoring a client who is 2 hr postoperative and has a prescription for opioid analgesics. which of the following actions provides the nurse with the priority data to determine the client's meed for analgesia?

Ask the client to rate their pain level

A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

Chest tightness

can be a manifestation f vasospastic response

A nurse is caring for a client who ha schizophrenia and is to start therapy with risperidone. for which of the following manifestations should the nurse monitor to determine whether the treatment is effective?

Improved social interactions

A nurse is reinforcing teaching with a client who has type 1 DM and is learning to self-administer NPH insulin. which of the following client actions indicates an understanding of the teaching?

The client wipes the cap with alcohol prior to filling the syringe

A nurse is reinforcing teaching with a client who recently began taking furosemide. which of the following instructions should the nurse include in the teaching?

increase dietary K while taking the medication

A nurse is planning to administer metoprolol to a client who has HF and HR of 48/min. which of the following actions should the nurse take?

withhold the client's medication

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. which of the following instructions should the nurse include in the teaching?

maintain a consistent sodium intake

A nurse is assisting with the care of a client who has MRSA infection and is receiving vancomycin via IV infusion. which of the following changes in the client's condition should the nurse identify as the priority finding to report to the provider?

Hypotension

if client's vancomycin infusion is too rapid it causes vancomycin flushing syndrome. adverse effects that includes tachycardia, hypotension, flushing, and urticaria

A nurse is collecting data from a client who is taking exenatide to treat DM. For whcih fo the following findings should the nurse withhold the exenatide dose and notify the provider immediately?

Abdominal pain

greatest risk to this client is pancreatitis which is the adverse effect of exenatide

A nurse id collecting data from a female client who has been taking PTU for 2 months to treat Graves' disease. which of the following findings should the nurse recognize as an indication that the medication is effective?

Pulse 82/ min

Tachycardia is manifestation of hyperthroidism

A nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. which of the following manifestation should the nurse expect as adverse effect of this medication?

headache

causes vasodilation

A nurse is collecting data from a client who is taking oral amox to treat respiratory infection. the nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Diarrhea

adverse effect of any antibiotics

A nurse is caring for a client who has TB and will begin taking isoniazid. which of the following actions should the nurse take?

Determine the client's daily alcohol intake

reduce or avoid alcohol because isoniazid can cause liver damage

A nurse is monitoring a client who has type 2 Dm and is receiving repaglinide. Which of the following lab test should the nurse plan to review to obtain info about the long-term therapeutic effects of this medication?

Gycosylated HBA1c

A nurse is reinforcing teaching with a client who has HIV and a new prescription for zifovudine. which of the following client statements should indicate to the nurse an understanding of the teaching?

I will be sure to have my blood tested for anemia

A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should

the nurse take?

Document the notification of the client's provider

A nurse is reinforcing teaching to the client about adverse effects of their discharge medications. The nurse should reinforce with the client that they are at risk of developing.

Osteoporosis

Anti-reflux