Pharm CH03
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The student nurse is preparing to provide medications to a client scheduled to receive lisinopril(Zestril) 10 mg PO daily and ofloxacin(Floxin)2 drops o.s. three times daily

  • Provide the lisinopril by mouth and the ofloxacin into the right ear.
  • Provide the lisinopril into the right ear and ofloxacin into the right eye
  • Provide the lisinopril into the left ear and the ofloxacin orally
  • Provide the lisinopril orally and the ofloxacin into the left eye (correct)
  • When providing medications from floor stock to a client on the Alzheimer's unit of a long-term-care facility, the nurse demonstrates the principle of right drug by which of the following?

  • Checks the label before taking the medication out of the cabinet, checks the label before poring the medication, checks the label before placing the bottle back in the cabinet (correct)
  • Checks the label before taking the medication out of the cabinet, checks the label before poring the medication, checks the label before leaving the medication room
  • Checks the label after removing the bottle from the cabinet, checks the label after pouring the dose of medication, checks the label before closing the cabinet door
  • Checks the label while removing the bottle from the cabinet, checks the label after the dose of medication, checks the label while replacing the bottle in the cabinet
  • The nurse is preparing to discharge a client originally admitted for community-acquired pneumonia who has a discharge prescription for cefditoren(Spectracef). Which of the following instructions would the nurse include in the discharge teaching

  • "Be sure to take the medication until your cough is gone"
  • "It is important that you take the medication with meals"
  • "Taking the medication at set time intervals will help blood levels stay constant" (correct)
  • "Keeping the medication on the counter top will help you remember to take it"
  • While working in an urgent care center, the nurse assists in the care of a client with allergic rhinitis who has been given a prescription for beclomethasone nasal spray(Beconase), 2 sprays i each nostril 2 to 4 times daily. The nurse would provide further instruction to which of the following client statement?

    <p>&quot;I should spray this in each nostril whenever my nose starts to drip&quot;</p> Signup and view all the answers

    The nurse is conducting a home visit for a 43-year-old client. The client, who has three children under the age of 12, is 3 days post-mastectomy. The nurse would be most concerned by which of the following?

    <p>The client keeps her medications in a daily pill box that sits on the kitchen windowsill</p> Signup and view all the answers

    The nurse on the pediatric unit is preparing to pass medications for a 10-year-old client with exacerbation of asthma. Amphetamine(Adderall) and fluticasone(Advair) are scheduled. The nurse must be aware of which of the following?

    <p>Adderall and Advair each have look-alike/sound-alike medications</p> Signup and view all the answers

    The nurse is providing medications to a client with a gastrostomy tube. Diclofenac(Cambia)has been ordered. Prior to administration, the nurse should take which of the following actions?

    <p>Ensure that the medication comes as a liquid preparation.</p> Signup and view all the answers

    A nurse working in the GI clinic is performing pre-op phone calls. The nurse calls a client who is scheduled for a colonoscopy to inform the client of the following orders, "Begin clear liquid diet 24 hours prior to the exam; take magnesium citrate(Citroma) 1 bottle PO 12 hours prior to the exam and another 8 hours prior to the exam; remain NPO for 6 hours prior to the study." The test is scheduled the next day at 2 p.m. The nurse would instruct the patient to:

    <p>&quot;Start a clear liquid diet today at 2 p.m. Drink a bottle of prep at 2 a.m. and another at 6 a.m., and then don't eat or drink anything after 8 a.m.&quot;</p> Signup and view all the answers

    While working in a surgical clinic, the nurse notes orders that read"25 mg digoxin(Lanoxin) IV now." Which action by the nurse is best?

    <p>Contact the physician for clarification of the order</p> Signup and view all the answers

    A client being seen in the outpatient clinic has been given a new prescription for tetracycline(Doxycycline) orally each day. The client reported current medications include a multivitamin with calcium, St. John's Wort, and omeprazole(Prilosec). The nurse would provide additional teaching for which client statement?

    <p>&quot;I can take this medication with my other morning meds&quot;</p> Signup and view all the answers

    The nurse receives a phone call from an elderly woman who states that her husband has recently started taking atorvastatin(Lipitor) and is complaining of having sore muscles. Which response by the nurse is best?

    <p>&quot;Your husband should be seen in the clinic today for some tests.&quot;</p> Signup and view all the answers

    A nurse from the adult medical unit is pulled to the geriatric unit. The nurse notes many of the common medications provided are in lower doses than typically prescribed. What action by the nurse is the highest priority?

    <p>Evaluate the lab values of each client to determine liver and kidney function</p> Signup and view all the answers

    While working on a geriatric unit, the nurse would be most concerned by which of these findings?

    <p>A 72-year-old client given a sleeping pill the night before seems confused</p> Signup and view all the answers

    The nurse notes that an elderly client admitted with metastatic cancer has a low serum protein level. Which action by the nurse is best?

    <p>Increase awareness and assessment of potential medication side effects</p> Signup and view all the answers

    Shortly after providing a new sleeping pill to a client on the medical unit, the nurse answers the client's call light. Which of the following findings would indicate to the nurse that the client is experiencing an anaphylactic reaction to the medication?

    <p>The client's respiratory rate is 28 and slightly labored</p> Signup and view all the answers

    A nurse working at the poison control center receives a call from a young woman babysitting for a 4-year-old child who reportedly swallowed some of the parent's medication. Which statement by the nurse is best?

    <p>I'm calling emergency personnel for you now.</p> Signup and view all the answers

    The nurse is preparing to provide medications to a client in a double room. The client's roommate has multiple visitors present. Which of the following actions would the nurse take first?

    <p>Pull the client's bedside curtain and talk in subdued tones.</p> Signup and view all the answers

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