Pharm  Test part 2

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

A client is receiving hydralazine (Apresoline) for elevated blood pressure levels. The nurse's care plan will include monitoring the client for which adverse effect?

  • Photosensitivity
  • Decreased circulation
  • Orthostatic hypotension (correct)
  • Autoimmune rash

The nurse should inform the client who is prescribed a nebulizer treatment with salbutamol (Ventolin) that a common adverse effect is

  • an increased heart rate with palpitations (correct)
  • transient sedation
  • a predisposition to bacterial infections
  • temporary dyspnea

A client takes a dose of salbutamol (Ventolin) prior to bedtime. Which effect would the nurse consider normal for this drug?

  • Lethargy
  • Tinnitus
  • Restlessness (correct)
  • Urticaria

A client is prescribed becomethasone, a glucocorticoid inhaler. Health teaching from the nurse should include which instruction?

<p>&quot;Rinse your mouth out well after each use&quot; (D)</p> Signup and view all the answers

A client with adrenocortical insufficiency has started therapy with fludrocortisone (Florinef). Which important intervention related to this drug therapy should the nurse teach the client?

<p>&quot;Weigh yourself daily, ideally at the same time each day&quot; (A)</p> Signup and view all the answers

Your client is taking phenytoin (Dilantin) for seizure control. What health teaching should be provided to the client/ family?

<p>Do not abruptly stop taking this medication (C)</p> Signup and view all the answers

The nurse is providing health teaching to a patient who has been prescribed atenolol for angina. Which of the following client statements would indicate the health teaching was effective?

<p>&quot;This drug is prescribed for long-term prevention of angina attacks&quot; (D)</p> Signup and view all the answers

Which of the following are priority considerations for the nurse when administeringPRN Lorazepam 1mg (benzodiazepine) for insomnia?(Select all that apply)

<p>The client should be lying in bed attempting to rest (A), The older adult needs to be evaluated for drowsiness that may occur the next morning (@)</p> Signup and view all the answers

Which of the following are correct indications for atropine?

<p>Bradycardia and reduced secretions (A)</p> Signup and view all the answers

The predominant alpha adrenergic agonist response is

<p>Vasoconstriction (B)</p> Signup and view all the answers

Which of the following strategies can the nurse take to decrease their risk of medication errors? (Select all that apply)

<p>Minimize the use of verbal and telephone orders (C), Do not use medical translators if a language barrier is present (D), Listen to and honor any concerns expressed by the client (B), I Use at least two patient identifiers before administering medications (@)</p> Signup and view all the answers

Which of the following adverse effects will the nurse monitor for when administering anticholinergic medication? (Select all that apply)

<p>Dry mouth (B), Urinary retention (C), Constipation (@)</p> Signup and view all the answers

Your patient has a new order tor Kamipril, an angiotensin converting enzyme (ACE) inhibitor. Which of the following adverse effects will the nurse monitor for during the initial phase of treatment? (Select all that apply)

<p>Fatigue (A), Dry cough (C), Headaches (D)</p> Signup and view all the answers

The nurse is caring for a client that has been newly diagnosed with hypertension.Their average blood pressure reading is 154/92mm Hg. Which of the following drug groups would potentially be ordered initially? (Select all that apply)

<p>Thiazide diuretics (A), Calcium channel blockers (D), Angiotensin Il receptor blockers (ARBs) (@)</p> Signup and view all the answers

A nurse is monitoring their client for early lithium (Carbolith) toxicity. Which symptoms would indicate that your client is developing toxicity?(Select all that apply)

<p>Confusion (D), Persistent gastrointestinal upset (B), Polyuria (C), Ataxia (@)</p> Signup and view all the answers

Which of the following are the most common side effects a client may experience when taking an antibiotic? (Select all that apply)

<p>Vommiting (A), Diarrhea (C), Nausea (@)</p> Signup and view all the answers

The nurse is preparing to administer newly ordered Warfarin 5 mg to a client. Which of the following substances may cause an interaction with the new order?(Select all that apply)

<p>Erythromycin (Antibacterial) (B), Large amounts of grapefruit juice (D), acetylsalicylic acid (ASA. Aspirin) (@)</p> Signup and view all the answers

Your client has been taking levothyroxine for the past 6 months. Which of the following would indicate a therapeutic response from this medication?

<p>Improved mental and physical stamina as well as improved energy level (B)</p> Signup and view all the answers

Which of the following would the nurse note as a therapeutic response from Clozapine?

<p>Decreased hallucinations and aggressive behaviour (D)</p> Signup and view all the answers

Which of the following is a therapeutic response from the medication pyridostigmine?

<p>Improved muscle strength and relieves symptoms of myasthenia gravis (D)</p> Signup and view all the answers

A client presents to the emergency room with palpitations, chest heaviness, and shortness of breath. An ECG indicates the patient is in a supraventricular tachycardia (SVT) dysrhythmia, and the health care provider is ordering adenosine (Adenocard). What is the correct way to administer adenosine to a patient in SVT?

<p>Given IV slowly over 5 minutes (A)</p> Signup and view all the answers

Drug metabolism involves:

<p>the biochemical alteration of a drug into an inactive metabolite, a more soluble compound, more poten (C)</p> Signup and view all the answers

The nurse identifies which of the following statements to be correct regarding digoxin therapy and potassium levels?

<p>Low potassium levels increase the risk of digoxin toxicity (A)</p> Signup and view all the answers

The nurse is providing demonstration to an 11 year old client regarding the proper use of an inhaler. The client is unable to demonstrate proper technique in using the training inhaler and is becoming frustrated. What is the best action for the nurse to take?

<p>Provide a spacer for use with the inhaler (A)</p> Signup and view all the answers

A client with heart failure has been prescribed transdermal nitroglycerin patches. Which of the following orders by the health care provider would the nurse anticipate for this patient to prevent tolerance?

<p>Remove the patch at night for 8 hours and apply a new patch in the morning (D)</p> Signup and view all the answers

A client has been prescribed oral digoxin. The nurse assesses the client's heart rate to be 55 beats/min. Which of the following would be the most appropriate intervention?

<p>Hold the dose and notify the physician (D)</p> Signup and view all the answers

The client has refused their scheduled medication. What is the nurse's priority action at this time?

<p>Provide health teaching regarding the medication and the consequences of not taking the drug (B)</p> Signup and view all the answers

Which of the following would the nurse identify as a side effect of Risperidone?

<p>Elevated serum prolactin Levels (B)</p> Signup and view all the answers

client on replacement therapy with levothyroxine (Synthroid) reports feeling nervous and is having occasional palpitations and tremors. The nurse recognizes that these symptoms may indicate which effect is occurring?

<p>The client is experiencing symptoms of hyperthyroidism and the drug dosage may need to be decreased (D)</p> Signup and view all the answers

Which of the following would be an appropriate indication for the muscle relaxant baclofen?

<p>Multiple sclerosis (D)</p> Signup and view all the answers

Your client is reporting joint pain due to their arthritis. Which of the following analgesics would be most appropriate to treat this type of pain?

<p>ibuprofen (NSAID) (B)</p> Signup and view all the answers

Which of the following are included in the roles and responsibilities of the RPN in medication administration? (Select all that apply)

<p>Monitoring for adverse/ undesirable effects (B), Providing health teaching regarding drug use (D), Monitoring for therapeutic drug responses (@)</p> Signup and view all the answers

A client who is taking warfarin (Coumadin) states, *I wake up every morning with arthritis pain and I always take aspirin or ibuprofen". The nurse's response would be based on which physiological concepts?

<p>Many substances, such as aspirin and ibuprofen. will increase the risk of bleeding (D)</p> Signup and view all the answers

A client with type 1 diabetes will use a combination insulin that includes NPH and regular insulin. The nurse explains the importance of knowing the peak times for both insulins. Why is this important information for the client to know?

<p>The risk of hypoglycemia is greatest around the peak periods of insulin (B)</p> Signup and view all the answers

oviding education to an older adult regarding their newly prescribed anticholinergic drug. Which of the following statements indicate the client understands the health teaching?

<p>&quot;I will avoid prolonged exposure to high temp (A)</p> Signup and view all the answers

While preparing a client for discharge, which of the following statements should the nurse include in the instruction regarding the client's new prescription of hydrochlorothiazide?

<p>&quot;Report muscle cramps or weakness to the healthcare provider&quot; (D)</p> Signup and view all the answers

A daughter calls a virtual walk in clinic and reports her mother had an insulin overdose and was found unconscious. The daughter gave a glucagon injection 20 minutes ago. Her mother has since woken up, but remains groggy with incoherent I speech. What should the nurse tell the daughter?

<p>&quot;Give her another injection and call 911 for immediate medical assistance (B)</p> Signup and view all the answers

Which of the following is important health teaching to give your client beginning antibiotic treatment with a tetracycline drug?

<p>Avoid excessive sun exposure as these drugs can cause photosensitivity (A)</p> Signup and view all the answers

A persistent cough is an adverse effect of which of the following classes of antihypertensive drugs?

<p>Angiotensin-converting enzyme (ACE) inhibitors (B)</p> Signup and view all the answers

A client with a rapid atrial dysrhythmia is being treated with verapamil (Isoptin). The nurse will monitor for therapeutic effectiveness by noting which of the following in the client?

<p>Changes in cardiac rhythm (D)</p> Signup and view all the answers

The nurse is giving medications to a newly admitted client who is NO (nothing by mouth) with the following order: Digoxin 250 mcg STAT. Which of the following is an appropriate action for the nurse to take?

<p>Clarify the order with the prescribing physician before administering the drug (B)</p> Signup and view all the answers

A client is concerned about the body changes that have resulted from long-term prednisone therapy. Which of the following effects of this drug therapy would be present to support the nursing diagnosis of disturbed body image?

<p>Weight Gain (B)</p> Signup and view all the answers

Which of the following is true regarding drug absorption?

<p>It is the movement of a drug from its site of administration into the bloodstream (A)</p> Signup and view all the answers

A patient taking an antibiotic suddenly develops hives. The hives are an example of which of the following reactions?

<p>An allergic reaction (A)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

More Like This

Use Quizgecko on...
Browser
Browser