RN Pharmacology Final Exam front 1
A nurse is caring for a client who is taking atenolol. Which
... [Show More] of the following findings should indicate to the nurse that the medication is effective?
A. The client 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. back 1
The client has a decrease in blood pressure.
Atenolol, a beta-adrenergic blocking agent, has no direct effect on kidney function.
front 2
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 back 2
Doxycycline
Doxycycline is a tetracycline antibiotic and is contraindicated for a client who is pregnant because the medication is a category D medication of the FDA pregnancy risk categories, which indicates the medication has fetal risks that can cause fetal damage. The client should only take doxycycline for a life-threatening condition.
front 3
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? (Round the answer to the nearest tenth.) back 3
6.3 mL
front 4
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 back 4
Dry cough
A buildup of bradykinin from taking lisinopril can cause a client to have a dry cough and lead to life-threatening consequences. The client should report the finding to the provider.
front 5
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. Antacids back 5
Orange juice
The absorption of ferrous sulfate is enhanced by a vitamin C source, such as orange juice. However, increasing the dosage of ferrous sulfate can provide the same benefit to increase the amount of iron uptake.
front 6
The 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 fingers.
B. Constipation.
C. Weight gain.
D. Oliguria. back 6
Tingling of fingers.
The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide.
front 7
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. back 7
Place monitoring cords and tubes in a stockinet.
The circulating nurse should ensure that latex-free products are used in the care of this client. Rubber injection ports contain latex, which would place the client at risk for a severe allergic reaction.
front 8
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 back 8
Watery diarrhea
The client who takes clindamycin can have an adverse effect of watery diarrhea that can lead to Clostridium difficile-associated diarrhea or pseudomembranous colitis. The client should report these findings immediately to the provider.
front 9
A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first DTaP vaccine. 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 back 9
2 months
The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP immunization at 2 months of age.
front 10
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 back 10
Chest pressure
Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider.
front 11
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 back 11
Hyperventilation
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is hyperventilation. This indicates the client might have acute salicylate poisoning, which causes respiratory alkalosis in the early stages.
front 12
A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium on a daily basis can minimize which of the following adverse effects of morphine?
A. Constipation
B. Drowsiness
C. Facial flushing
D. Itching back 12
Constipation
Constipation is a common adverse effect of morphine that will minimize when the client takes docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine. [Show Less]