GENERAL PHARMACOLOGY – STUDY GUIDE -with 100% verified solutions-2024-2025 .docx, Exams of Nursing

Download GENERAL PHARMACOLOGY – STUDY GUIDE -with 100% verified solutions-2024-2025 .docx and more Exams Nursing in PDF only on Docsity! GENERAL PHARMACOLOGY – STUDY GUIDE -with 100% verified solutions-2024-2025 A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to treat high cholesterol levels. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider immediately? Muscle weakness A nurse is reinforcing teaching with a client who is starting to take amitriptyline. Which of the following client statements indicates an understanding of the teaching? "I should take this medication at bedtime." A nurse is collecting data from a client who received amiodarone 2 hr ago. The nurse suspects that the client received an extra dose of the medication. For which of the following adverse effects should the nurse monitor? Bradycardia A nurse is reviewing the medical record of a client who has a new prescription for lisinopril. The nurse should identify that which of the following medications interacts with lisinopril? Potassium supplements A nurse is collecting data from a client who is receiving morphine to relieve postoperative pain. The client's respiratory rate is 9/min. The nurse should notify the provider and expect a stat prescription for which of the following medications? Naloxone A nurse is reinforcing teaching with an adult female client who has been prescribed isoniazid. Which of the following statements by the client indicates an understanding of the teaching? "I should notify my provider if I develop numbness in my feet." A nurse is collecting data from a client who is receiving furosemide. Which of the following findings should the nurse identify as an adverse effect of this medication? Dry mouth A nurse is caring for a client who has bipolar disorder and a new prescription for lithium. Which of the following laboratory values should the nurse plan to monitor for potential adverse effects? Serum sodium A nurse is administering prescribed ear drops into an adult client's right ear. Which of the following actions should the nurse take? Instill drops holding the dropper 1 cm (0.4 in) above the ear canal. A nurse is assisting in the care of a client who has overdosed on an oral benzodiazepine medication. The client has an IV infusing and is nonresponsive. Which of the following actions should the nurse take first? Administer flumazenil. A nurse is collecting data from a client who has heart failure and is scheduled to receive a dose of digoxin. For which of the following findings should the nurse withhold the dose and notify the provider? Heart rate 50/min A nurse is collecting data from a client who is taking prednisone for rheumatoid arthritis. Which of the following findings should the nurse identify as adverse effects of this medication? - Weight gain - Susceptibility to infection - Gastrointestinal ulceration A nurse is collecting data from a client who has intestinal amebiasis and is taking metronidazole. For which of the following findings should the nurse withhold the metronidazole? Motor ataxia A nurse is receiving change-of-shift report about four clients. Which of the following clients should the nurse see first? A client who has diabetes mellitus, is taking propranolol, and reports difficulty concentrating A nurse is collecting data from a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.4 mEq/L. The nurse should identify which of the following findings as indicating lithium toxicity? Slurred speech Ginger root A nurse is assisting in the care of a client who is experiencing abrupt withdrawal from chronic use of alcohol. Which of the following manifestations should the nurse expect? Hallucinations A nurse is reviewing a young adult client's medical history before administering the varicella vaccine. For which of the following findings in the client's medical history should the nurse withhold the immunization and notify the provider? Allergy to gelatin A nurse is reviewing the medical history of a client who requires ophthalmic medication to treat glaucoma. Which of the following factors in the client's history is a contraindication for using beta-adrenergic blocking eye drops to treat this disorder? Sinus bradycardia A nurse is collecting data from a client who is scheduled to receive an initial dose of tobramycin. Which of the following findings should the nurse report to the provider? The client's creatinine level is 2.2 mg/dL. A nurse is teaching about transdermal nicotine patches with a client who is attempting to quit smoking. Which of the following statements by the client indicates an understanding of the teaching? "I might develop a local skin reaction when I begin wearing the patch." A nurse is reinforcing teaching with a client who is starting phenytoin therapy to help manage a seizure disorder. Which if the following instructions should the nurse include? "Brush and floss your teeth after each meal." A nurse is reinforcing teaching with a client who has a new prescription for zolpidem. Which of the following statements by the client indicates the teaching was effective? "This medication might make me dizzy." A nurse is reinforcing teaching with a client who has a new prescription for spironolactone. Which of the following information should the nurse include in the teaching? "Avoid salt substitutes containing potassium while taking this medication." A nurse is reinforcing discharge teaching with a client who has a new prescription for warfarin. The nurse should instruct the client that which of the following medications is contraindicated with warfarin therapy? Cimetidine A nurse in a clinic is planning to administer an immunization to a client who just turned 60 years old. Which of the following immunizations should the nurse plan to administer? Herpes zoster vaccine A nurse is reinforcing teaching with a client who is prescribed disulfiram to treat alcohol use disorder. Which of the following information should the nurse include in the teaching? "Avoid using aftershave or cologne while taking this medication." A nurse is administering a varicella immunization to a young adult client who did not receive the immunization as a child. The client asks the nurse if she will need additional doses of the vaccine. Which of the following responses should the nurse make? "You should return for a second dose in 4 to 8 weeks." A nurse is reinforcing teaching with a client who has a prescription for levothyroxine to treat hypothyroidism. Which of the following instructions should the nurse include? "Take your iron supplement at least 4 hr from taking levothyroxine." Hemoglobin 4.2 g/dL Platelets 75,000/mm Neutrophils 1,400/mm A nurse is caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea. Which of the following findings should the nurse report to the provider? (select all apply) Increased blood pressure A nurse is assessing a client who is experiencing cardiogenic shock and is receiving a continuous IV infusion of dopamine. Which of the following findings indicates the medication is effective? Atropine A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer? Massage the site for 10 seconds after injection A nurse is providing teaching to a client who has a new prescription for a prefilled epinephrine injector. Which of the following should the nurse include in the teaching? INR of 5 A nurse is caring for a client who has a prescription for 5 mg of warfarin. Which of the following findings should the nurse report to the provider prior to administration Urine specific gravity Creatine clearance Serum osmolality A nurse is caring for a client who has a new diagnosis of diabetes insipidus and is to start taking desmopressin. Which of the following should the nurse monitor? (select all apply) "There is a high risk of fetal malformations while on chemotherapy." A client is receiving chemotherapy and tells the nurse that she is trying to get pregnant. Which of the following statements by the nurse is the highest priority? Methadone A nurse is caring for a client who is receiving treatment for opioid addiction. Which of the following medications should the nurse expect to administer? Potassium of 3.1 mEq/L A client has been prescribed furosemide. Which of the following findings should indicate to the nurse to withhold the medication? "This medication can cause muscle pain or tenderness." A nurse is providing teachings for a client who has hypercholesterolemia and has a new prescription for rosuvastatin. Which of the following instructions should the nurse include in the teachings? A stool softener should be taken on a daily basis. A client receiving end-of-life care has been prescribed fentanyl patches topically every 72 hrs. Which of the following instructions regarding adverse effects of fentanyl should the nurse plan to give to the client and family? Increased WBC count A nurse is caring for a client who has cancer and has been receiving pegfilgrastim. which of the following indicates the medication has been effective? The client has a history of bradycardia. A client informs the nurse at the primary care provider's office that he received a prescription for timolol to treat glaucoma. Which of the following in the client's history should concern the nurse? Chest pain A nurse is providing teaching to a client who is to start taking sumatriptan. For which of the following should the nurse instruct the client to monitor and report to the provider? "I will check my blood pressure before applying the patch." A nurse is providing teaching about self-administration of transdermal medication for a client who has a new prescription for nitroglycerin. Which of the following statements made by the client indicates a need for additional teaching? Hyperkalemia A nurse is caring for a client who has heart failure and is prescribed enalapril and spironolactone. For which of the following potential side effects should the nurse plan to monitor? "Repot stools that appear black to the provider." A nurse is providing discharge teaching for a client who developed a deep vein thrombosis and has a new prescription for warfarin. Which of the following should the nurse include in the teaching? Pregnancy test A nurse is caring for a 20 year old female client who has been prescribed isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests will be required? Abdominal distention A nurse is caring for a client who is prescribed diphenoxylate/atropine. For which of the following adverse effects should the nurse monitor? Edema A nurse working in a provider's office is taking a health history from a client who has been taking prednisone on a long-term basis for rheumatoid arthritis. The nurse should assess the client for which of the following adverse effects of this medication? Flumazenil A nurse in the emergency department is caring for a client whose family reports she has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? Bilateral crackles in the lungs A nurse is caring for a client who has had a myocardial infarction and is taking metoprolol. For which of the following should the nurse monitor? "I should call my doctor if I develop sores in my mouth." A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate. Which of the following statements by the client indicates an understanding of the teaching? Drink 8 to 10 glasses of water daily. A nurse is providing teaching to a client who is prescribed trimethoprim/sulfamethoxazole. Which of the following instruction should the nurse include in her teaching? Dry cough A nurse is providing teaching to a client who has hypertension and is to start a new prescription for lisinopril. For which of the following should the nurse instruct the client to monitor and report to the provider? Decreased blood pressure A nurse is caring for a client who is taking atenolol. Which of the following client reports indicates the medication is effective? Sweating A client who has diabetes mellitus is receiving insulin lispro and is prescribed metoprolol for hypertension. Which of the following should the nurse observe for in the client as an early indicator of hypoglycemia? Urinary retention A client is prescribed amitriptyline. Which of the following adverse effects should the nurse instruct the client to report? Administer naloxone A nurse is assessing a client who is receiving morphine for pain via secondary IV infusion. The nurse notes that the client's respirations are 8/min and shallow. After stopping the morphine infusion, what should the nurse plan to do next? Contractions lasting for 2 min each A nurse is caring for a client who is receiving oxytocin IV for a post-term pregnancy. Which of the following findings indicates the oxytocin should be discontinued? Withhold the medication A nurse is to administer a new prescription for amoxicillin/clavulanic acid to a client. The client tells the nurse she is allergic to penicillin. Which of the following actions should the nurse take first? "I will stop using the drops as soon as my vision improves." A nurse is teaching a client who has a prescription for pilocarpine eye drops. Which of the following client statements should indicate to the nurse a need for additional teaching? "I should sit up for 30 min after taking the risedronate." A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. Which of the following client statements indicates an understanding of the teaching? Change position slowly A nurse is planning teaching for a client who is to start a new prescription for captopril. Which of the following instructions should the nurse include? Serum creatinine 2.5 mg/dl A nurse is caring for a client that has undergone a liver transplant and is taking cyclosporine. Which of the following laboratory findings indicates an adverse effect of the medication Warfarin A nurse is obtaining the medication history of a client who is starting a new prescription for allopurinol. Which of the following medications should the nurse contact the provider regarding a potential interaction? Hemoglobin A nurse is caring for a client receiving zidovudine. For which of the following laboratory results should the nurse plan to monitor?