PHARMACOLOGY ASSESSMENT, Exercises of Nursing

Download PHARMACOLOGY ASSESSMENT and more Exercises Nursing in PDF only on Docsity! 1 1. The first action the nurse should take is to assess the client for injury due to medication error. Assess the client 2. A nurse is reviewing the medical record of a client who received medications 1 hr ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medication? Albuterol Furosemide Digoxin Atenolol 3. A nurse is providing teaching to a client who has a new prescription for ranitidine for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions? It decreases stomach motility It reduces gastric acid production It forms a protective barrier in the stomach lining. It neutralizes gastric acid. 4. A nurse is caring for a client who has open-angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose, the nurse should ask the client if they have allergy to which of the following medication classifications? Nitrates Sulfa-based medications Antilipemic agents Proton pump inhibitors 5. A nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. The client asks why they must take both medications. Which of the following response should the nurse make? If you take the two medications together, it will shorten the duration of you…. 2 Taking the two medications together keeps you from becoming resistant to either of them. Taking the two medication together keeps you from developing toxicity from either of them Zidovudine will help protect you from the possible adverse effects of ritonavir 6. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate release exenatide. Which of the following client statements indicates an understanding of the teaching? 5 Respiratory rate 20/min Oral temperature 37.8 Blood pressure 118/78 mm Apical pulse 50 /min 13. A nurse is providing teaching to a client who has neuropathic pain and a new prescription for amitriptyline once per day. Which of the following information should the nurse include in the teaching? Increase fluids while taking the medication Expect an elevation in blood pressure with initial doses of the medication Stop the medication immediately if urine becomes orange in color Take the medication in the morning 14. A nurse is providing teaching to a client who has a new prescription for oral extended-release potassium chloride tablets. Which of the following instructions should the nurse include in the teaching? Do not crush this medication Dissolve the tablet in your mouth Take this medication on an empty stomach Take this medication every other day 15. A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements by the client indications an understanding of the teaching? I should take this medication with food I will take three doses each day I might not realize the full effect of the medication for several weeks I might gain weight while taking this medication if I do not exercise 16. While assessing a client at the beginning of the shift a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the 6 following times should the nurse plan to complete an incident report about the error? After the end of the current shift After contacting risk management As soon as the assessment is complete As soon as the nurse from the previous shift has been informed 17. A nurse is preparing to administer a second unit of packed RBCs to a client who is experiencing hemorrhagic shock. The nurse should monitor the client for which of the following manifestation as an indication of circulatory overload? Chills Wheezing 7 Dyspnea Flushing 18. A nurse is planning care for a client who has neutropenia. Which of the following medication should the nurse expect to administer? Epoetin Filgastrim Enoxaparin Oprelvekin 19. A nurse is teaching a client who has a new prescription for brimonidine to treat open-angle glaucoma. Which of the following client statement indicate an understanding of the teaching? It’s ok to put the drops in my eyes while I’m wearing my contacts I can expect to feel some irritation when I put these drops in my eyes I should expect to stop taking the medication after 3 weeks At least these drops will help clear up the redness I get in my eyes sometimes 20. A nurse is caring for a client who has varicella- zoster virus. Which of the following medications should the nurse expect to administer? Acyclovir Vancomycin Gentamicin Quinine 21. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. Vitamin K Physostigmine Protamine Calcium gluconate 10 Family history of colon cancer Thyroid function Pregnancy status 28. A nurse is providing teaching to a client who has a new prescription for oxybutynin. Which of the following client statements indicate an understanding of the teaching? "I will limit my fluid intake." "I may continue to take my antihistamines." "I should eat less berry." "I need to avoid jogging on warm days." 11 29. A nurse is monitoring a client who received an excessive dose of morphine. Which of the following adverse effects should the nurse identify as the priority? Nausea and vomiting Urinary retention Decreased respirations Increased drowsiness 30. A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the following instructions should the nurse include in the teaching? "Expect to experience a harmless rash while taking this medication." "Increase your fluid intake." "Increase your dietary beer intake to prevent constipation." "Take one dose every hour until the pain subsides." 31. A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler? "You should gargle with water after each use of this inhaler." "There is no need to use a spacer for this inhaler.” “You should use this inhaler for any acute incidents of shortness of breath.” “Use the beclomethasone inhaler before using your albuterol inhaler to increase absorption.” 32. A nurse is reviewing laboratory results prior to administering ketorolac to a client. Which of the following findings should the nurse report to the provider prior to administration? Sodium 140 mEq/L Creatinine 1.6 mg/dL Aspartate aminotransferase (AST) 33 units/L Lactic acid 6 mg/dL 12 33. A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? "Remove the patch for two to four hours daily." "Cover the patch with plastic wrap." "Apply a new patch each day after waking up." "Replace the existing patch with a new patch as soon as anginal pain begins." 34. A nurse is assessing a client who reports taking spironolactone 50 mg PO twice daily for several months. For which of the following manifestations should the nurse withhold the prescribed dose of spironolactone and notify the provider? Muscle weakness BUN 15 mg/dL 15 39. A nurse is teaching the partner of a client who has diabetes mellitus how to manager episodes of severe hypoglycemia when the clients is unresponsive, which of the following actions should the nurse instruct the partner to take first? Administer glucagon IM to the client Call emergency medical services Check the clients blood glucose level Transport the client to the emergency department 40. A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? (Select all that apply.) Blurred vision Polyuria Productive cough Tachycardia Constipation 41. A nurse is reviewing medical records for a group of clients. Which of the following findings should the nurse report to the provider? A client who is taking citalopram and has a prolonged Q-T interval A client who is taking duloxetine and has alanine transaminase (ALT) of 32 units A client who is taking fluoxetine and has gained 1kg (2.2 lb.) over 12 weeks A client who is taking carbamazepine and has a platelet count of 320,000 mm 16 42. A nurse is preparing to administer verapamil to a client who is 2 days post myocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication? Increased heart rate Increase blood pressure Decreased pulmonary congestion 17 Decreased anginal pain 43. A nurse is discussing adverse effects with a client who has non-Hodgkin’s lymphoma and is starting to take methotrexate. Which of the following information should the nurse provide? Methotrexate can increase the risk for bleeding Methotrexate can cause bradycardia Methotrexate can cause arthritic pain Methotrexate can cause insomnia. 44. A nurse is caring who has a prescription for terazosin. The nurse should identify that this medication is indicated for which of the following disorders. (Selected all that apply) Hypertensio n Heart failure Male pattern baldness Benign prostatic hypertrophy Erectile dysfunction 45. A nurse for a client who has a prescription for vancomycin 1 g Iv intermittent infusion over 30 min every 12 hr. Which of the following actions should the nurse take? Request a serum through level blood draw for 60 min after completion of infusion Change the infusion site after each dose administration Contact the provider for prescription clarification 20 Azithromycin Nitrofurantoin A nurse is caring for a client who has a new prescription for alosetron. Which of the following therapeutic eects should the nurse expect the client to experience? A decrease in the amount of gastric acid production A decrease in the frequency of defecation An increase in gastric motility An increase in the absorption of water into the intestine 21 Pharm Assessment 2 1. A nurse is teaching a client who is to start taking methyldopa for the treatment of hypertension. Witch of the client following information should the nurse include in the teaching. This medication can cause dizziness This medication can cause insomnia Expect to experience depression while taking this medication Expect to have increased salivation while taking this medication 2. A nurse is preparing to administer gentamicin 200 mg infusion over hr to a school-age child. Available is gentamicin 200mg in 100 mL 0.5 % sodium chloride solution. The nurse should set the IV pump to deliver how many mL per hour? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) 100mL/hr 3. A nurse is providing teaching to the parents of a child who is starting to take liquid ferrous sulfate. Which of the following information should the nurse include in the teaching? Monitoring your child for constipation Milk increases the absorption of the medication Administer the medication undiluted Stop the medication immediately if you notice any dark stool 4. A nurse is assessing a client who has been taking hydrochlorothiazide. Which of the following client statements indicates that the medication is effective? 22 The swelling in my feet has decreasing My appetite has increased I no longer feel depressed I am sleeping better 5. A nurse is assessing a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as the priority? 25 11. A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching? Take the medication immediately after a meal Drink 8 ounces of milk when taking the medication Take the medication before bedtime Take one tablet of the medication on the same date each month 12. A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam? Hyperglycemia Stomatitis Fever Constipation 13. A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for treatment of GRED. Which of the following statements by the client indicates an understanding of the teaching? This medication kills the bacteria in my stomach This medication neutralizes stomach acid This medication coasts the lining of my stomach This medication reduces stomach acid 14. A nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? Repeat up to four doses until pain is relieved Store unused tablets at room temperature Take two tablets at the onset of pain Take medication 2 hr prior to exercise 15. A nurse erroneously administered a prescribe medication IV instead of IM to a client. Which of the following actions is the nurse’s priority? 26 Assess the client Report the error Document the error Inform the client 16. A nurse is assessing a client who has a prescription for haloperidol 0.5 mg PO three times daily. The medication administration record shows that the client received 5 mg 27 per dose on the previous day. Which of the following manifestations is the nurse’s priority to assess? Muscle stiffness Blurred Vision Constipation Daytime drowsiness 17. A nurse is reviewing the medical record of a client who has asthma and takes albuterol. Which of the following should the nurse identify as an adverse effect of albuterol? Fasting blood glucose 68 mg/dL Heart rate 110/min Respiratory rate 14/min Temperature 38° C (100.4° F) 18. A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching? This medication can cause constipation I will contact the provider if my throat becomes sore I will weigh myself once a week while on this medication This medication should be taken as needed when symptoms occur 19. A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect off this medication? Decreased excretion of urine sodium Increased urinary output Decreased serum glucose Increased blood pressure 20. A nurse is assessing a group of client. Which of the following findings is the priority to report to the provider? A client who is receiving IM betamethasone and has a casual blood glucose of 198mg/dL A client whose heart rate charges from 110min to 75min after receiving IV amiodarone 30 prescription Stat prescription Single prescription 25. A nurse is caring for an older adult client is confirmed positive for HIV and will begin medication therapy. Which of the following instructions should the nurse give the client Select all that apply? 31 You will be prescribed more than one medication to fight the virus Your medication dose will need to be slightly stronger than the recommended range Your medication plan can also include an antibiotic medication You will need to take medication for the rest of your life You can take St John’s wort to minimize medication adverse effects. 26. A nurse is caring for a client a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider? Phenytoin Calcitonin Buspirone Fludrocortisone 27. A nurse is caring for a client who has a systemic fugal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take? Apply a warming blanket prior to administration Infuse the medication over 1 hr Administer diphenhydramine prior to administration Monitor vital signs once per hour following administration 28. A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching? 32 I should not crush this medication before taking it I should discontinue this medication when my symptoms subside I will need to have regular eye exams while taking this medication If I miss a dose of my medication, I can take a double dose the next time 29. A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which of the following client statements indicates an understanding of the teaching? I will expect to have dark urine while taking this medication 35 Bethanechol 35. A nurse is caring for a client who has chemotherapy-induced anemia. The nurse should expect to administer which of the following medications to treat the anemia? Sargramostim Frigastrim Epoetin Romiplostin 36. A nurse is completing an admission assessment for a client who has been taking St Johns wort. The nurse should identify that which of the following medication can interact with St John wort? Rifampin Furosemide Citalopram Alopurinol 37. A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply) Contact the provider Report the error to the charge nurse Place an incident report in the client’s chart Auscultate the client’s lungs Check the client peripheral edema 38. A nurse is assessing a client who started furosemide 2 days go has a potassium level of 3.1 mEq/L. Which of the following findings should the nurse expect? Muscle rigidity of the extremities Bounding radial pulses Depressed deep tendon reflexes 36 39. A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory test should the nurse monitor to detect an adverse effect of the medication? B- type natriurectic peptide(BNP) Creatinine Amylase level 37 40. A nurse is providing teaching to the client who has a duodenal ulcer a starting to take sucralfate. Which of the following instructions should the nurse include in the teaching? Take medications with meals Reduce dietary fiber while take this medication Administered antacids with the medication Increased fluid intake while taken this medication 41. A nurse is providing teaching to a client who has fibromyalgia and a new prescription for pregabalin. Which of the following instruction should the nurse include in the teaching? You should notify your provider if you experience facial swelling. 42. A nurse is transcribing a telephone prescription for acetaminophen 650mg by mouth daily at bedtime. The nurse should identify that which of the following abbreviations are acceptable to use when transcribing the prescription Abbreviate by mouth as PO 43. A nurse is reviewing the medical record of a client who takes lithium. Which of the following findings is the priority to report to use the provider? Sodium 130 44. A nurse is providing teaching to a client who has erectile dysfunction and has a new prescription for tadalafil. Which of the following client statement indicates an understanding of the teaching? This medication can decrease BP 45. a nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse? Infiltration of peripheral IV