100 Questions of Pharmacology A postpartum client with deep vein thrombosis is being treated with anticoagulant therapy. The nurse teaches the client that
... [Show More] the health care provider (HCP) should be c ontacted for which noted side and adverse effects? Select all that apply. Vertigo Dysuria *Epistaxis *Hematuria *Ecchymosis A client is on enalapril for the treatment of hypertension. The nurse teaches the client to seek emergent care if which is experienced? Nausea Insomnia Dry cough *Swelling of the tongue The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines that the client needs further instruction if the client makes which statement? *"I will take the medication on an empty stomach." "I won't drink alcohol while taking this medication." "I won't do activities that require mental alertness while taking this medication." "I will use sugarless gum, candy, or oral rinses to decrease dryness in my mouth." An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine 1% to use as a topical agent. The nurse determines that the medication was effective if which finding was noted? Nighttime sedation *Decrease in urticaria Absence of ecchymosis Healing of burned tissue A nurse is providing teaching regarding nateglinide. A portion of the teaching involves time of administration, and the nurse should tell the client to take the medication at which time? Bedtime During lunch During breakfast *Before each meal The nurse has administered a dose of docusate. The nurse evaluates that the medication has been effective if the client experiences which finding? Decreased heartburn Decrease in fatty stools Relief of sharp abdominal pain *Bowel movement with soft, formed stool A home health nurse is visiting a client who has been started on therapy with clotrimazole. The nurse determines the effectiveness of the medication by noting a decrease in which problem? Pain *Rash Fever Sneezing The nurse is teaching a client with hyperthyroidism about the prescribed medication, propylthiouracil. The nurse determines that teaching has been successful if the client states to report which symptom to the health care provider (HCP)? *Fever Fatigue Excitability Nervousness A client with chronic atrial fibrillation is being started on quinidine sulfate as maintenance therapy for dysrhythmia suppression, and the nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction? "I will avoid chewing the tablets." "I will take the dose at the same time each day." "I will take the medication with food if my stomach becomes upset." *"I will stop taking the prescribed anticoagulant after starting this new medication." A client is taking ticlopidine hydrochloride. The nurse should tell the client to avoid which substance while taking this medication? Vitamin C Vitamin D Acetaminophen *Acetylsalicylic acid The health care provider (HCP) writes a prescription for capecitabine for a client who was admitted to the hospital. The nurse should contact the HCP to verify the prescription if which condition is noted in the assessment data? Myalgia Psoriasis Rheumatoid arthritis *Chronic kidney disease A client received 20 units of Humulin N insulin subcutaneously at 08:00. At what time should the nurse plan to assess the client for a hypoglycemic reaction? 10:00 11:00 *17:00 24:00 The nurse is preparing to administer an intravenous (IV) insulin injection. The vial of regular insulin has been refrigerated. On inspection of the vial, the nurse finds that the medication is frozen. Which should the nurse do? *Discard the insulin and obtain another vial. Wait for the insulin to thaw at room temperature. Check the temperature settings of the refrigerator. Rotate the vial between the hands until the medication becomes liquid. A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication? Diarrhea Hair loss Chest pain *Peripheral neuropathy The adult client with hepatic encephalopathy has a serum ammonia level of 200 mcg/dL (120 mcmol/L) and receives treatment with lactulose. The nurse determines that the client had the best and most realistic response if the serum ammonia level changed to which value after medication administration? 5 mcg/dL (3 mcmol/L) 10 mcg/dL (6 mcmol/L) 15 mcg/dL (9 mcmol/L) *90 mcg/dL (54 mcmol/L) A health care provider prescribed ticlopidine to the client with thrombotic stroke. The nurse provides instructions to the client and spouse regarding the medication. Which statement made by the client indicates that education was effective? *"I'll take the medicine with meals." "If I do not feel well, I should skip the medication." "I won't have another stroke if I take this medicine faithfully." "If I have any gastrointestinal side effects, I should call the health care provider (HCP)." The nurse transcribes a medication prescription for ifosfamide for a client with a diagnosis of germ cell cancer of the testes. The nurse reviews the client's history and looks for another prescription for which medication, which usually is administered with the antineoplastic medication? *Mesna Melphalan Prednisone Bleomycin sulfate A client receives a dose of scopolamine. The nurse determines that which sign or symptom later displayed by the client is a result of medication side and adverse effects? *Dry mouth Diaphoresis Excessive urination Pupillary constriction The nurse has given a client information about the use of nitroglycerin sublingual tablets. The client has a prescription for PRN (as needed) use if chest pain occurs. Which client statement indicates an understanding of this medication? "It's best to keep this medication in a shirt pocket close to the body." *"I need to discard unused tablets 6 to 9 months after the bottle is opened." "I will avoid using the medication until the chest pain actually begins and gets worse." "I can take aspirin for any headache that occurs when I first start taking the nitroglycerin." The nurse provides education to the client with hyperthyroidism about potassium iodide before medication administration. The client is scheduled for a subtotal thyroidectomy. Which response by the client indicates understanding? "It replaces thyroid hormone." "It prevents iodine absorption." "It increases thyroid hormone." *"It suppresses thyroid hormone." The nurse is reviewing the laboratory test results for a client who is receiving filgrastim. Which reported value would indicate an effective response to this medication? Hematocrit of 42% (0.42) Blood glucose level of 110 mg/dL (6 mmol/L) Platelet count of 150,000 mm3 (150 × 109/L) *Neutrophil count of 10,000 mm3 (10 × 109/L) The nurse is reviewing the record of a client who arrives at the health care clinic. The nurse notes that irbesartan has been prescribed for the client. The nurse should suspect that the client has which condition? *Hypertension Hypothyroidism Diabetes mellitus Renal transplant rejection The nurse is applying a topical glucocorticoid as prescribed for a client with psoriasis. The nurse would be concerned about the potential for systemic absorption of the medication if it were being applied in which situation? Applied for 2 days until the irritation has resolved Applied to a small area on the arm underneath a gauze dressing *Applied to a reddened, itchy area underneath an occlusive dressing Applied to a small area on the neck and another small area on the back Tetracycline is prescribed for a client with severe acne. The nurse instructs the client regarding the importance of reporting which finding if it occurs? Sunburn *Persistent diarrhea Epigastric burning Abdominal cramping A client taking an oral laxative wants to obtain a rapid effect from the medication. How should the nurse instruct the client to take the medication? At bedtime With breakfast With the noon meal *On an empty stomach A client who is scheduled to have warfarin sodium therapy has a prothrombin time (PT) of 28 seconds (28 seconds). What is the most appropriate nursing intervention at this time? Give double the dose. Administer the next dose. Give half of the next dose. *Call the health care provider (HCP). A health care provider (HCP) prescribes warfarin sodium for a client. The home care nurse visits the client at home and teaches the client about the medication and its administration. Which statement by the client indicates a need for further teaching? *"The urine normally changes to orange." "This medicine will still be working 4 to 5 days after it is discontinued." "This medication will require frequent blood work to monitor its effects." "I cannot take aspirin or any aspirin-containing medications while I'm on this medication." A client has been given a prescription for benzonatate. Which observation should the nurse look for to evaluate the effectiveness of the medication? Increasing the client's comfort level Decreasing the client's anxiety level *Calming the client's persistent cough Eliminating the client's nausea and vomiting A client is admitted to the hospital with a diagnosis of myocardial infarction (MI). The client is started on alteplase therapy. The nurse determines that teaching has been effective when the client's significant other states that the purpose of the medication is to perform which action? Thin the blood. Slow the clotting of the blood. *Dissolve any clots in the coronary arteries. Prevent further clots from forming in the coronary arteries. A client with peptic ulcer disease asks the nurse what medications they might be prescribed for this problem. The nurse tells the client that which medications will be prescribed? Select all that apply. *Antacids *Antibiotics *Proton pump inhibitors *Cytoprotective therapy *Histamine H2-receptor blockers Nonsteroidal antiinflammatory drugs (NSAIDs) The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all that apply. "I should take this medication with food." "I should take this medication at bedtime." *"I should sit up for at least 30 minutes after taking this medication." *"I should take this medication first thing in the morning on an empty stomach." "I can pick a time to take this medication that best fits my lifestyle as long as I take it at the same time each day." The nurse monitors the blood glucose level of the client who received NPH insulin at 7 a.m. with an understanding that the client may experience a hypoglycemic reaction during which time frame? 9 a.m. to 11 a.m. *11 a.m. to 7 p.m. 7 p.m. to 11 p.m. Midnight to 6 a.m. The nurse is caring for a client who was just admitted to the hospital for the treatment of iron overload. The nurse anticipates that the health care provider will prescribe which medication to treat the iron overload? Terbinafine Granisetron Ketoconazole *Deferoxamine Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication? *Tinnitus Diarrhea Constipation Decreased respirations A client with a subarachnoid hemorrhage needs to have surgery delayed until a stable clinical condition is achieved. The nurse prepares to administer which medication as prescribed to prevent clot breakdown and dissolution? Alteplase Heparin sodium Warfarin sodium *Aminocaproic acid A client rings the call bell and asks for medication to relieve postoperative gas pains. The nurse selects which medication to be given as prescribed on the medication sheet? Droperidol *Simethicone Acetaminophen Magnesium hydroxide Fenofibrate is prescribed for a client with hyperlipidemia. The nurse reviews the client's medical history for the presence of what condition that contraindicates the use of this medication? Angina Mitral valve stenosis *Cirrhosis of the liver Coronary artery disease A client who began medication therapy with prazosin hydrochloride 1 week earlier arrives at the health care clinic for follow-up evaluation and care. The nurse interprets that the client is experiencing the expected benefit of therapy if which is noted? Increased pulse Increased platelet count *Decreased blood pressure Decreased blood glucose level A female client with carcinoma of the breast is admitted to the hospital for treatment with intravenously administered doxorubicin. The client tells the nurse that she has been told by her friends that she is going to lose all her hair. What is the most appropriate nursing response? "Your friends are correct." "You will not lose your hair." "Hair loss may occur, but it will grow back just as it is now." *"Hair loss may occur, and it will grow back, but it may have a different color or texture." A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed? Echocardiography Electrocardiography Cervical radiography *Pulmonary function studies Minoxidil is prescribed for a client to treat hair loss. The client asks the nurse if the hair will continue to grow when the medication is stopped. What is the appropriate nursing response? "The hair will continue to grow." *"Newly gained hair is lost in 3 to 4 months." "I'm not sure—you need to ask your health care provider." "It depends on how long you have been taking the medication." Capecitabine has been prescribed for a client. The nurse should tell the client that which blood test will be done periodically while the client is taking this medication? Liver function tests Bilirubin level assay Triglyceride level determination *Complete blood count (CBC) The clinic nurse is caring for a client with a diagnosis of scabies who has just been prescribed crotamiton. The nurse instructs the client to perform which action when applying this medication? Apply the medication to the entire body, washing it off after 2 hours. Apply the application to the entire body, leave it on for 24 hours, and then take a cleansing bath. Apply the medication to the entire body, avoiding the skin folds and creases, and wash it off in 12 hours. *Massage the medication into the skin from the chin downward. Apply a second application in 24 hours, followed by a cleansing bath 48 hours after the second application. The nurse instructs a client taking aluminum hydroxide that a common side or adverse effect associated with administration of this medication is which effect? Cramping Headache *Constipation Muscle weakness Hydrochlorothiazide has been prescribed for a client. The nurse contacts the health care provider (HCP) to verify the prescription if which condition is noted in the assessment data? Hypertension Allergy to eggs Nephrotic syndrome *Allergy to sulfonamides The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL (10 mmol/L). The client is taking cholestyramine and the nurse teaches the client about the medication. Which statement, by the client, indicates the need for further teaching? "Constipation and bloating might be a problem." "I'll continue to watch my diet and reduce my fats." "Walking a mile each day will help the whole process." *"I'll continue my nicotinic acid from the health food store." A client seen in the health care clinic for follow-up care is taking atorvastatin. The nurse should assess the client for which adverse effect of the medication? Earache Hearing loss *Photosensitivity Lung congestion The nurse is preparing a dose of 10 units of regular insulin and 35 units of NPH insulin for a client with type 1 diabetes mellitus. The nurse obtains an insulin syringe, gently rotates the insulin solutions, cleans the tops of the vials of insulin, and injects an amount of air equal to the dose prescribed into each vial. What is the next nursing action? *Draws up 10 units of regular insulin and checks the syringe contents with another nurse before drawing up the NPH insulin Draws up 10 units of regular insulin, draws up 35 units of NPH insulin, and checks the syringe contents with another nurse Draws up 35 units of NPH insulin and checks the syringe contents with another nurse before drawing up the regular insulin Draws up 35 units of NPH insulin, draws up 10 units of regular insulin, and checks the syringe contents with another nurse A client with cancer has received a course of chemotherapy with fluorouracil. The nurse should tell the client to report which finding immediately? Alopecia Headache *Stomatitis and diarrhea Changes in color vision A client diagnosed with active tuberculosis has been prescribed a combination of isoniazid and rifampin for treatment. The nurse teaches the client to perform which action? Report any change in urine color. Take both medications with food. *Take both medications together once a day. Expect to take the medications for 2 to 3 weeks. The nurse has a prescription to administer a dose of iron by the intramuscular route to the client. What are the most appropriate nursing actions? Select all that apply. *Use a Z-track method. Administer the medication only in the deltoid. Aspirate for blood after the needle is inserted. *Use an air lock when drawing up the medication. *Change the needle after drawing up the dose and before injection. Massage the injection site well after injection to hasten absorption. An outbreak of head lice infestation has occurred at a local school. The school nurse is providing instructions to the mothers of the children attending the school regarding the application of malathion. The nurse should tell the mothers to take which action? Apply the lotion immediately after washing the hair. Pour the lotion onto the hair and then rinse immediately. Allow the lotion to remain on the hair for 10 minutes and then rinse with water. *Leave the lotion on for 8 to 12 hours, and then wash the hair with no medicated shampoo. A topical corticosteroid is prescribed for a client with dermatitis. The nurse provides instructions to the client regarding the use of the medication. Which statement by the client would indicate a need for further instruction? "I need to apply the medication in a thin film." "I should gently rub the medication into the skin." "The medication will help relieve the inflammation and itching." *"I should place a bandage over the site after applying the medication." The health care provider has prescribed coal tar treatments for a client with psoriasis, and the nurse provides information to the client about the treatments. Which statement made by the client indicates a need for further education about the treatments? "The medication has an unpleasant odor." "The medication can cause phototoxicity." "The medication can stain the skin and hair." *"The medication always causes systemic toxicity." A home care nurse is visiting a client who was discharged to home with a prescription for continued administration of enoxaparin subcutaneously. What is the nurse's priority assessment for this client? Constipation Fear of needles Nausea or vomiting *Bleeding gums or bruising A client is prescribed nicotinic acid for hyperlipidemia and the nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions? "It is not necessary to avoid the use of alcohol." "The medication should be taken with meals to decrease flushing." "Clay-colored stools are a common side effect and should not be of concern." *"Ibuprofen IB taken 30 minutes before the nicotinic acid should decrease the flushing." The nurse provides discharge instructions to a client who is taking warfarin sodium. Which statement, by the client, reflects the need for further teaching? "I will avoid alcohol consumption." "I will take my pills every day at the same time." "I have already called my family to pick up a MedicAlert bracelet." *"I will take coated aspirin for my headaches because it will coat my stomach." A client in the hospital emergency department who received nitroglycerin for chest pain has obtained relief but now complains of a headache. The nurse should interpret that this client is most likely experiencing which condition? An allergic reaction to nitroglycerin *An expected medication side effect An early sign of tolerance to the medication A warning that the medication should not be used again A hospitalized client is diagnosed with scabies. The health care provider (HCP) recommended that the client and the client's roommate be treated with lindane. Which finding, if noted on this client's chart, would alert the nurse to notify the HCP before the treatment with lindane? Client history of diabetes Client history of hypertension *Client history of seizure disorders Client history of coronary artery disease The diabetes nurse specialist conducts a teaching session to a group of nursing students regarding sulfonylureas, oral hypoglycemic medications used for type 2 diabetes mellitus. Which statement, describing the primary action of these medications, should the nurse include in the teaching session? "Sulfonylureas decrease insulin resistance." "Sulfonylureas inhibit carbohydrate digestion." "Sulfonylureas decrease glucose production by the liver." *"Sulfonylureas promote insulin secretion by the pancreas." A client has been given lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse instructs the client to take which product for pain while taking this medication? Ibuprofen *Acetaminophen Naproxen sodium Acetylsalicylic acid The nurse is providing discharge teaching for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. Which client statement indicates the need for further teaching? "It is okay if I skip meals now and then." *"I need to constantly watch for signs of low blood sugar." "I need to let my health care provider know if I get unusually tired." "I will be sure to not drink alcohol excessively while on this medication." A client is prescribed a liquid iron preparation that has the potential to stain the teeth. The nurse should instruct the client to take which action to prevent staining of the teeth? Brush the teeth before drinking the iron. Drink the iron undiluted for maximal effect. Dilute more than the amount prescribed to obtain the correct dosage. *Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward. The client with gastroesophageal reflux disease (GERD) has a new prescription for pantoprazole. Which instruction should the nurse provide to the client? Chew the pill thoroughly. *Swallow the tablet whole. Headache is expected to occur. Crush the pill if it is difficult to swallow. The nurse is providing education to a client with type 2 diabetes about starting insulin glargine to help with improved glycemic control. Which statement made by the client indicates understanding? "It has a distinct peak." "It can be given intravenously." *"It has a decreased risk for hypoglycemia." "I don't have to perform fingerstick glucose monitoring." The clinic nurse prepares instructions for a client who developed stomatitis after the administration of a course of antineoplastic medications. The nurse should provide the client with which instruction? Avoid foods and fluids for the next 12 to 24 hours. Swab the mouth with lemon and glycerin 4 times a day. *Rinse the mouth with a diluted solution of baking soda or saline. Brush the teeth with a stiff-bristled toothbrush, and use dental floss 3 times a day. The nurse is monitoring a client who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication? The development of complaints of insomnia *The development of audible expiratory wheezes A baseline blood pressure of 150/80 mm Hg followed by a blood pressure of 138/72 mm Hg after 2 doses of the medication A baseline resting heart rate of 88 beats/minute followed by a resting heart rate of 72 beats/minute after 2 doses of the medication Ribavirin is prescribed for a hospitalized child with severe respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which route? Oral *Oxygen tent Intramuscular Subcutaneous The nurse is preparing to administer albuterol to a client. Which parameters should the nurse assess before and during therapy? Nausea and vomiting Headache and level of consciousness *Lung sounds and presence of dyspnea Urine output and blood urea nitrogen level A client with constipation has been directed to take oral bisacodyl. The nurse instructs the client on how to receive the most rapid effect from the medication. The client demonstrates understanding of use of this medication by stating that which method will produce the most rapid effect? "I should take it at bedtime." "I will take it with a large meal." *"I will take it on an empty stomach." "I will drink 2 glasses of milk when I take it." The home care nurse visits a client with a diagnosis of unstable angina. The client is taking acetylsalicylic acid (aspirin) on a daily basis to reduce the risk of myocardial infarction (MI). Which medication dose would the nurse expect the client to be taking? *300 to 325 mg daily 650 to 700 mg daily 1.3 g daily 3 g daily A client diagnosed with peptic ulcer disease is prescribed an over-the counter antacid suspension containing aluminum hydroxide, magnesium hydroxide, and simethicone. What should the nurse include in the client instructions for time of administration of this medication? Just before each meal An hour before breakfast Immediately after each meal *1 and 3 hours after meals Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. *Obtain an intravenous (IV) infusion pump. *Monitor urine output during administration. Prepare the medication for bolus administration. *Monitor the IV site for signs of infiltration or phlebitis. *Ensure that the medication is diluted in the appropriate volume of fluid. *Ensure that the bag is labeled so that it reads the volume of potassium in the solution. Terbutaline is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution? Osteoarthritis Hypothyroidism *Diabetes mellitus Polycystic disease The nurse is assigned to care for a client with metastatic breast cancer who is taking tamoxifen citrate. The nurse plans to monitor for which changes in laboratory values for this client? Select all that apply. Increase in lipase level Increase in blood glucose level *Increase in serum calcium level Increase in serum potassium level *Decrease in low-density lipoprotein levels The nurse is caring for a chemotherapy client with a low platelet aggregation level. Which likely caused this decreased platelet production? Anemia Thrombocytopenia *Bone marrow suppression Low hemoglobin and hematocrit (H&H) counts A client with tuberculosis receiving cycloserine orally twice daily must have blood drawn in 1 week to measure the serum concentration of the medication. The nurse prepares the client for this test by providing which information to the client? Withhold the morning dose on the day of the scheduled blood test. *Take the morning dose and have the blood drawn 2 hours after taking the dose. Withhold the evening dose before the test and the dose scheduled for the morning of the test. Double the dose the evening before the test and withhold the morning dose on the day of the test. The nurse is caring for a client receiving combination chemotherapy. Which nursing intervention is the most appropriate? Give 2 agents from the same medication class. Give 2 agents with like nadirs at the same time. Test the client's knowledge about each agent's nadir. *Avoid giving agents with the same nadirs and toxicities at the same time. A client being treated for heart failure is administered intravenous bumetanide. Which outcome indicates that the medication has achieved the expected effect? Cough becomes productive of frothy pink sputum. *Urine output increases from 10 mL/hour to greater than 50 mL hourly. The serum potassium level changes from 3.8 to 3.1 mEq/L (3.8 to 3.1 mmol/L). B-type natriuretic peptide (BNP) factor increases from 200 to 262 pg/mL (200 to 262 ng/L). A client who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted? Resolved diarrhea *Relief of epigastric pain Decreased platelet count Decreased white blood cell count A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication? Glucose level *Calcium level Potassium level Prothrombin time A postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic administration following cesarean birth. The client develops respiratory depression and requires naloxone administration. Which finding should the nurse anticipate as a result of the naloxone administration? Bradycardia Decrease in sensation *Increase in pain level Sudden onset of itching Lisinopril has been prescribed for a client. What should the nurse instruct the client about this medication? Take the medication with food only. Discontinue the medication if nausea occurs. *Rise slowly from a reclining to a sitting position. Expect to note a full therapeutic effect immediately. Sodium hypochlorite is prescribed for a client with a leg wound that is draining purulent material. The home health nurse teaches a family member how to perform wound treatments. Which statement, if made by the family member, indicates a need for further teaching? "A fresh solution needs to be prepared frequently." "I should rinse the solution off immediately after the irrigation." "The solution should not come in contact with normal skin tissue." *"I will soak a sterile dressing with solution and pack it into the wound." In reviewing the medication records of a group of clients, the nurse determines that which client would be at greatest risk for developing hyperkalemia? Client receiving bumetanide Client receiving furosemide *Client receiving spironolactone Client receiving hydrochlorothiazide An adolescent with severe cystic acne has been prescribed isotretinoin. Which statement by the client would suggest the need for further teaching? "I will return to the clinic for blood tests." "If my lips begin to burn, it is probably because of the medication." "My eyes may become dry and burn as a result of the medication." *"I need to take my vitamin A supplement so that the treatment will work." A client who has been diagnosed with cancer is to receive chemotherapy with both cisplatin and vincristine. The client asks the nurse why both medications must be given together. The nurse should explain to the client that the combination of 2 chemotherapeutic medications is used for which reason? *Increase the destruction of tumor cells. Prevent the destruction of normal cells. Decrease the risk of the alopecia and stomatitis. Increase the likelihood of erythrocyte and leukocyte recovery. Atorvastatin has been prescribed for a client, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further teaching? "This medication will lower my cholesterol level." "I will need to have blood tests drawn while I am taking this medication." *"I won't need to adhere to a low-fat diet as long as I take this medication faithfully." "I need to talk to the health care provider before taking any over-the-counter medications." Atenolol has been prescribed for a client, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further teaching? "I need to rise slowly from a lying to a sitting position." *"If I feel that my heart rate is too low, I should stop the medication." "It will take 1 to 2 weeks before my blood pressure becomes controlled." "I should avoid tasks that require alertness until I know how the medication will affect my body." The nurse teaches the client being discharged to home with a prescription for a daily dose of prednisone to take the medication at which best time? Any time of the day *In the early morning In the middle of the day An hour before bedtime A client is seen in the clinic for complaints of thirst, frequent urination, and headaches. After diagnostic studies, diabetes insipidus is diagnosed. Desmopressin is prescribed. The client asks why this medication was prescribed. Which is a correct statement by the nurse? "It relieves the headaches." *"It increases water reabsorption." "It stimulates the production of aldosterone." "It decreases the production of the antidiuretic hormone." Atenolol has been prescribed for a client, and the client asks the nurse about the side effects of the medication. What should the nurse tell the client is an occasional side effect of this medication? Dry skin Flushing *Decreased libido Increased blood pressure Minoxidil is prescribed for a client to treat hair loss. The nurse provides instructions to the client regarding the application of the medication. Which statement by the client indicates that teaching is effective? "I will apply the prescribed amount of solution at bedtime." *"I will apply the prescribed amount of solution twice a day." "I will apply the prescribed amount of solution 4 times a day." "I will apply the prescribed amount of solution 3 times a day." The nurse is preparing to administer furosemide 40 mg by intravenous (IV) injection (IV push) to a client. The nurse should administer the medication over which time period? 10 seconds 30 seconds *2 minutes 5 minutes A client arrives at the clinic complaining of fatigue, lack of energy, constipation, and depression. Following diagnostic studies, hypothyroidism is diagnosed and levothyroxine is prescribed. The nurse informs the client that which is the expected outcome of the medication? Alleviate depression. Increase energy levels. Increase blood glucose levels. *Achieve normal thyroid hormone levels. The nurse is providing instructions to a client with chronic atrial fibrillation who is being started on quinidine sulfate. The nurse should plan to provide which instruction to the client? *Wear a MedicAlert bracelet. Take the medication only on an empty stomach. Stop taking the prescribed digoxin when this medication is started. Open the sustained-release capsules and mix with applesauce if the medication is difficult to swallow. A client is receiving scheduled doses of lovastatin. The nurse determines that the medication is having the intended effect if which is noted? Weight loss Increased pulse rate Lowered blood pressure *Decreased cholesterol level Collagenase is prescribed for a client with a severe burn to the hand. The nurse is providing instructions to the client and spouse regarding wound treatment. Which should the nurse include in the instructions? Apply once a day and leave it open to the air. Apply twice a day and leave it open to the air. Apply twice a day and cover it with a sterile dressing. *Apply once a day and cover it with a sterile dressing. The nurse is caring for a client with a diagnosis of influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions? *"I must take the medication exactly as prescribed." "Once I start the medication, I will no longer be contagious." "I will not get any colds or infections while taking this medication." "This medication has minimal side effects and I can return to normal activities." Show Less [Show Less]