AT1 PHARMACOLOGY PRACTICE A AND B A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that
... [Show More] the medication is effective? A) The clien t has an increase in urinary output. B) The client reports an improvement in memory. C) The client has a decrease in blood pressure. D) The client reports having an increase in libido. A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? A) Acetaminophen B) Ipratropium C) Benzonatate D) Doxycycline A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5 mL. How many mL should the nurse administer per dose? 6.3 A nurse is providing teaching to a client who is to start taking lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider? A) Hair loss B) Ringing in the ears C) Facial flushing D) Dry cough A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption? A) Vitamin E B) Orange juice C) Milk D) Antacid A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? A) Tingling of the fingers B) Constipation C) Weight gain D) Oliguria A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? A) Schedule the client for the last surgery of the day. B) Place monitoring cords and tubes in a stockinet. C) Choose rubber injection ports for fluid administration. D) Ensure phenytoin IV is readily available. A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider? A) Orange urine B) Watery diarrhea C) Weight gain D) Headache A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages? A) Birth B) 2 months C) 6 months D) 15 months A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? A) Chest pressure B) White patches on the tongue C) Bruising D) Insomnia 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 notify the provider immediately? A) Hyperventilation B) Heartburn C) Anorexia D) Swollen ankles A nurse is caring for a client who has cancer and is taking oral morphine and decussate sodium. The nurse should instruct the client that taking the decussate sodium on a daily basis can minimize which of the following adverse effects of morphine? A) Constipation B) Drowsiness C) Facial flushing D) Itching A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective. A) Decreased blood pressure B) Increased heart rate C) Increased cardiac output D) decreased serum potassium A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used to treat tuberculosis? (select all that apply) A) Rifampin B) Mirtazapine C) Temazepam D) Infliximab E) Isoniazid A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome? A) Increase in seizure threshold B) Decrease in flexor and extensor spasticity C) Increase in cognitive function D) Decrease in paralysis of the extremities A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? A) "I will need to get laboratory testing prior to a refill of this medication." B) "I will use this medication for a short period of time." C) "I will need to take this medication for 1 week before results are seen." D) "I will need to change the medications to prevent building up a tolerance." A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching? A) "Check for bruising while taking this medication." B) "Take the medication on an empty stomach." C) "The medication can cause anxiety." D) "Increase iron intake with this medication." A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions? A) Observe for hypoglycemia when the insulin peaks. B) Administer the insulin immediately before meals. C) Do not mix this medication in a syringe with other insulin. D) Rotate the bottle gently prior to drawing up the insulin. A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? A) Diarrhea B) Cough C) Urinary retention D) Increased libido A nurse is caring for a client who is receiving end of life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family? A) The provider will prescribe naloxone at home for respiratory depression. B) Remove the patch to reverse the adverse effects immediately. C) Expect an increase in urinary output. D) Take a stool softener on a daily basis. A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first? A) Administer epinephrine 0.5 mL via IV bolus. B) Discontinue the medication IV fusion. C) Elevate the client's legs above the level of the heart. D) Collect a blood specimen for ABGs. A nurse is assessing a client who has myasthenia graves and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? A) Tachycardia B) Oliguria C) Xerostomia D) Miosis A nurse is teaching a client who is to start taking temazepan. Which of the following instructions should the nurse include? A) Limit continuous use to 7 to 10 weeks. B) Schedule doses for early morning before breakfast. C) Expect that it will take 4 nights before benefits are noticed. D) Plan to withdraw from the medication gradually. A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? A) "I will have increased saliva production." B) "I will continue taking the medication until the rash disappears." C) "I will taper off the medication before discontinuing it." D) "I will report any urinary incontinence." A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication? A) Tachycardia B) Oliguria C) Hyperkalemia D) Weight gain A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? A) "I should take my medication with antacids to minimize gastric upset." B) "This type of medication does not require blood monitoring." C) "I should let my dentist know I'm taking this medication." D) "I should expect to experience some unusual eye movement when taking this medication." A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication? A) Smoked sausage B) Cottage cheese C) Green beans D) Apple pie A nurse is providing teaching to a client about the use of ethanol estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A) "I will apply the patch once a week for 2 weeks." B) "I will leave the existing patch on for 4 hours after applying the new patch." C) "I will fold the sticky sides of the old patch together before disposing it." D) "I will apply the patch within 14 days of menses." A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? A) Troponin B) Total cholesterol C) Creatinine D) Thyroid stimulating hormone A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A) "I can apply the patch to a chest area that has hair." B) " I can take this medication if using an erectile dysfunction product." C) "I will remove the patch after 14 hours." D) "I need to apply a new patch to the same area every day." A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A) Methadone B) Naloxone C) Diazepam D) Bupropion A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? A) Ondansetron B) Magnesium sulfate C) Flumazenil D) Protamine sulfate 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? A)"Rinse your mouth after inhaling the beclomethasone" B) "Take beclomethasone to avoid an acute attack." C) "Use beclomethasone 5 minutes before using albuterol." D) "Limit your calcium and vitamin D intake when taking beclomethasone." A nurse is providing discharge instruction to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective? A) "I should avoid getting rid of the air bubble in the syringe." B) "I should inject the insulin into my thigh for the fastest absorption." C) "I will store my unopened bottles of insulin in the refrigerator." D) "I need to shake the insulin before using it to make sure it is well mixed." A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? A) Hypertension B) Low INR C) Constipation D) Bleeding gums A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take? A) Infuse 0.9% sodium chloride 1,000 mL IV fluid bolus. B) Schedule the client for an electroencephalogram. C) Obtain WBC with absolute neutrophil count. D) Place the client on a tyramine-free diet. A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? A) Pulmonary function tests B) Electrocardiograms C) Liver function studies D) Bone density scans A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? (select all that apply) Hemoglobin 7.0 g/dL Platelets 75000/mm3 Potassium 5.2 mEq/L 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 adverse effect of the medication? blurred vision A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first? turn the client to a side-lying position 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 within a 5-cm radius of the umbilicus A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in teaching? Drink a glass of milk with each dose of medication A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include int he teaching plan? (select all that apply) Report muscle pain to the provider Avoid taking the medication with grapefruit juice Expect therapy with this medication to be lifelong 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 administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report? The client reports shortness of breath A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescriptions 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 caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first? Perform a capillary blood glucose test A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? Drink 8 to 10 glasses of water daily a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? Carbamazepine A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? [Show Less]