Pharmacology Practice B Exam - Questions with Verified Answers A nurse is planning to administer IV midazolam for a client who is receiving moderate
... [Show More] sedation. Which of the following actions should the nurse plan to take? Expect the client to respond to simple commands The nurse is caring for a client in a mental health clinic. Provider Prescription 1230: Bupropion XR 150 mg daily once daily in AM for three days then increase to 150 mg twice daily. Assessment: 1200: Client here for scheduled visit to discuss mood. Client reports they were previously prescribed sertraline for depression, however tapered off that medication 6 months ago. Client states “It made me gain weight and it completely took away my sex drive, so I stopped taking it.” The client reports “My depression has just gotten so bad. I have been seeing a counselor and they encouraged me to see a provider about trying a different medication.” 1230: Provider Prescriptions received. Visit summary reviewed with client to discuss the newly prescribed medication. Client has a follow-up visit with provider in 3 weeks and continues with weekly counseling. Genitourinary- Changes in libido GI- Constipation Metabolic- weight loss A nurse is monitoring a client after administering their prescribed medications. Nurses Notes: 2000:Client is alert to person, place, time, and situation. Client reports headache and occasional anxiety. Client reports nausea. Abdomen soft and rounded, non-distended. Bowel sounds are normoactive in all 4 quadrants. Bladder non-distended; continent. Urine output of 25 mL/hr. Skin cool, dry and intact. Small pinpoint petechiae is present on bilateral extremities. Vital Signs: 1600: Temperature 37.7° C (99.9° F) Heart rate 100/min Respiratory rate 20/min Blood pressure 134/64 mm Hg Oxygen Saturation 96% on room air 2000: Temperature 38.4° C (101.2° F) Heart rate 106/min Respiratory rate 20/min Blood pressure 140/64 mm Hg Oxygen Saturation 97% on room air Medication Administration Record: Enoxaparin 40 mg Subcutaneous Daily Client reports headache Client reports nausea. Small pinpoint petechiae is present on bilateral extremities A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? Sexual Dysfunction A nurse in an outpatient clinic is caring for a client. Nurses Notes Follow-up visit: Client presents with report of a severe headache for the past four days that is unrelieved by rest and over the counter analgesics. The client states that they have been nauseated and had 2 episodes of vomiting. Also reports that lights worsen the pain and have had several episodes of dizziness since headache began. Client currently rates pain on left side of head as a 7 on a 0 to 10 pain scale. Lights turned off in room, cool washcloth provided. Provider Prescriptions Sumatriptan 50mg PO PRN migraine (not exceed 200mg in 24hr) This medication can cause a feeling of pressure in your chest. This medication may cause you to feel tired. This medication will start to alleviate the headache within one hour after taking a dose. You can take a second dose of this medication at least two hours after the initial dose if headache persists. A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that they are allergic to penicillin. Which of the following actions should the nurse take first? Withhold the medication A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a client. The drop factor of the manual IV tubing is 15 gtt/mL. How many gtt/min should the nurse set the manual IV infusion to deliver? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 31 gtt/min A nurse is caring for a client in a clinic and is reviewing their electronic medical record (EMR). Nurses' Notes 3 months ago: Client was prescribed atorvastatin by provider. Client was educated to continue eating a diet low in saturated fats and to participate in regular exercise. Client is to return to the office in 3 months for a follow-up visit. Today: Client here for a follow-up visit. Client reports last bowel movement was 1 day ago, increased appetite, and dark urine upon urination. Client reports having some muscle weakness when working outside. Skin is warm, dry, and intact. Color consistent with genetic background. Client states, "I am sleeping so much better and seem to have increased energy, but I sometimes get lightheaded." Client denies headache. Will report assessment findings to the provider. Provider Prescriptions: 3 months ago: Atorvastatin 40 mg once daily by mouth GI/Genti- Urine Characteristics Musk/Integ- Muscle Weakness Neuro- dizziness A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with lansoprazole. The nurse should monitor the client for which of the following manifestations? Disorientation A nurse is caring for a client in a clinic. Nurses Notes: Today: Blood pressure is still elevated. Provider notified and prescription given to the client. The client was educated on the medication. Vital Signs: Today: Temperature 36.4° C (97.5° F) Pulse 77/min Respiratory Rate 16/min Blood Pressure 148/90 mm Hg Oxygen Saturation 98% on room air Provider Prescription: Today: Captopril 12.5 mg twice a day by mouth [Show Less]