RN Pharmacology Practice 2019 B

Questions and Answers

Which of the following statements should the nurse identify as an indication that the client understands the teaching about diltiazem?

I will eat a high-fat diet.

I should stop the medication if I feel dizzy.

I will check my heart rate before I take the medication. (correct)

I can take this medication any time of day.

Which laboratory value should the nurse monitor for a client taking atorvastatin for hyperlipidemia?

Creatinine kinase (correct)

Platelets

Hemoglobin

Bilirubin

Which laboratory test should the nurse review before administering clozapine?

Total cholesterol (correct)

Liver function tests

Thyroid levels

Potassium levels

Which statement by the client taking fluoxetine indicates an understanding of the teaching?

I should take acetaminophen instead of ibuprofen for my headaches while taking this medication. Signup and view all the answers

What adverse effect should the nurse identify for a client receiving haloperidol?

Akathisia Signup and view all the answers

Which statement indicates the client understands the teaching about ciprofloxacin?

I will report any signs of tendon pain or swelling. Signup and view all the answers

What adverse effect should the nurse instruct clients taking sumatriptan to monitor for?

Chest pressure Signup and view all the answers

What should the nurse do first for a client who reports confusion and anxiety while taking glyburide?

Perform a capillary blood glucose test Signup and view all the answers

Which statement indicates that the client understands how to dispose of an old patch of ethinyl estradiol/norelgestromin?

I will fold the sticky sides of the old patch together before disposing of it. Signup and view all the answers

What should the nurse identify as an adverse effect of amitriptyline?

Dry mouth Signup and view all the answers

What action should the nurse take first if a client is allergic to penicillin and has a new prescription for amoxicillin/clavulanic?

Withhold the medication Signup and view all the answers

Which laboratory finding is a priority for the nurse to report before administering ceftazidime?

Creatinine 2.6 mg/dL Signup and view all the answers

What finding is the priority for the nurse to report when assessing a client who is taking tamoxifen?

Leg tenderness Signup and view all the answers

Which medication should the nurse instruct a client to use prior to physical activity for exercise-induced asthma?

Cromolyn Signup and view all the answers

For which finding should the nurse monitor as an adverse effect of warfarin?

Bleeding gums Signup and view all the answers

What finding should the nurse immediately notify the provider for a client taking aspirin?

Hyperventilation Signup and view all the answers

What mechanism of action should the nurse include when teaching about docusate sodium?

It reduces the surface tension of the stools to change their consistency. Signup and view all the answers

What should the nurse say to a client who is refusing to take their furosemide?

By not taking your furosemide, you might retain fluid and develop swelling. Signup and view all the answers

Which information should the nurse include for a client taking allopurinol for gout?

Drink 2 L of water daily. Signup and view all the answers

What finding should the nurse monitor as an adverse effect of enalapril in a client with heart failure?

Hyperkalemia Signup and view all the answers

For which effect related to digoxin should the nurse instruct the client to monitor and report?

Yellow-tinged vision Signup and view all the answers

What action should the nurse plan for a client with a latex allergy scheduled for surgery?

Plan for latex-free equipment. Signup and view all the answers

Which statement indicates understanding for self-administration of nitroglycerin transdermal medication?

I will remove the patch after 14 hours. Signup and view all the answers

What medication should the nurse expect to administer for a client with a magnesium level of 3.1 mEq/L?

Calcium gluconate Signup and view all the answers

What should the nurse do for a client reporting lethargy and myalgia after taking clozapine for 6 months?

Obtain WBC with absolute neutrophil count. Signup and view all the answers

Which finding should the nurse identify as indicating the onset of salicylism in a client taking aspirin?

Tinnitus Signup and view all the answers

What should the nurse include in discharge teaching for a client starting furosemide?

Monitor for muscle weakness. Signup and view all the answers

What should the nurse do if a client has a severe penicillin allergy and is administering ceftazidime?

Identify any signs of an allergic reaction. Signup and view all the answers

What action should the nurse take before administering hydrochlorothiazide?

Obtain the client's blood pressure. Signup and view all the answers

Which therapeutic outcome should be documented for a client receiving baclofen?

Decrease in flexor and extensor spasticity. Signup and view all the answers

What should the nurse do first for a client who suddenly develops dyspnea and hives after receiving cefotetan?

Discontinue the medication IV infusion. Signup and view all the answers

What action should the nurse take when contacting a client's provider to obtain a prescription for pain medication?

Have the provider spell out the unfamiliar medication names. Signup and view all the answers

What instruction should the nurse provide for a client starting a prescription for extended-release verapamil?

Change positions slowly. Signup and view all the answers

What information regarding fentanyl patches should the nurse communicate to a client receiving end-of-life care?

Take a stool softener on a daily basis. Signup and view all the answers

Calculate the delivery rate in gtt/min for a client receiving 0.9% sodium chloride 1,000 ml IV over 8 hr with a drop factor of 15 gtt/mL.

31 Signup and view all the answers

Calculate the mL/hr for a client receiving 0.9% sodium chloride 1500 mL over 8 hr.

188 Signup and view all the answers

What should the nurse instruct a client to take with ferrous sulfate to promote absorption?

Orange juice Signup and view all the answers

What action by a newly licensed nurse should prompt an incident report?

Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg. Signup and view all the answers

What finding should the nurse monitor for a client receiving epoetin alfa?

Increased blood pressure Signup and view all the answers

What statement indicates that the teaching was effective for a client who is to self-administer insulin at home?

I will store my unopened bottles of insulin in the refrigerator. Signup and view all the answers

Which instructions should the nurse include for a client with multiple sclerosis who has a new prescription for methylprednisone? (Select all that apply)

Blood glucose levels will need to be monitored during therapy. Signup and view all the answers

What action should the nurse take when administering diazepam to a client who is having a colonoscopy?

Ensure flumazenil is available to administer for toxicity management. Signup and view all the answers

What finding indicates that dopamine is effective in a client with heart failure?

Increased cardiac output Signup and view all the answers

What medication should the nurse expect to administer for a client being treated for opioid use disorder?

Methadone Signup and view all the answers

Which statement indicates that the nurse identifies the client’s understanding of taking ranitidine for peptic ulcer disease?

I know smoking makes ranitidine less effective. Signup and view all the answers

What information should the nurse include in an incident report for a medication error?

Administered propranolol 80 mg PO at 1800 to the client who did not have a prescription for the medication. Signup and view all the answers

What manifestation should the nurse monitor in a client developing hypomagnesemia due to long-term therapy with lansoprazole?

Disorientation Signup and view all the answers

What adverse effect should the nurse monitor for in an older adult client receiving hydrochlorothiazide for heart failure?

Orthostatic hypotension Signup and view all the answers

What adverse effect should the nurse expect after administering atropine eye drops during an examination?

Blurred vision Signup and view all the answers

What finding indicates that digoxin immune Fab was effective after an incorrect dose of digoxin was given?

Normal sinus rhythm Signup and view all the answers

When is pregnancy a contraindication for receiving which medication?

Doxycycline Signup and view all the answers

What finding should the nurse identify as a contraindication for receiving propranolol?

Asthma Signup and view all the answers

Study Notes

Medication Administration and Client Education

Clients should check heart rate before taking diltiazem.
Monitoring creatinine kinase is essential for clients on atorvastatin.
Review total cholesterol levels before administering clozapine for schizophrenia.
Clients on fluoxetine should use acetaminophen instead of ibuprofen for headaches.
Identify akathisia as an adverse effect of haloperidol.
Clients on ciprofloxacin must report tendon pain or swelling.
Monitor for chest pressure in clients taking sumatriptan.
Perform capillary blood glucose tests for clients with diabetes reporting confusion and anxiety.

Parental and Medication Management

Clients using ethinyl estradiol/norelgestromin should fold patches before disposal.
Dry mouth is a common adverse effect of amitriptyline.
Nurses should withhold amoxicillin/clavulanic for clients with penicillin allergies.
Report elevated creatinine levels before administering ceftazidime.
Leg tenderness in clients taking tamoxifen indicates a need for prompt reporting.
Instruct clients with exercise-induced asthma to use cromolyn prior to activity.

Monitoring Adverse Effects and Therapeutic Outcomes

Monitor for bleeding gums in clients on warfarin.
Hyperventilation should be reported for clients taking aspirin regularly.
Docusate sodium decreases stool surface tension to aid bowel movements.
For furosemide non-compliance, inform clients about potential fluid retention.
Gout patients on allopurinol should drink at least 2 liters of water daily.
Hyperkalemia monitoring is crucial for clients receiving enalapril.

Recognizing Complications and Interventions

Yellow-tinged vision is a sign to watch for in clients taking digoxin.
Clients with latex allergies require special precautions during surgery.
Nitroglycerin patches should be removed after 14 hours.
Administer calcium gluconate for clients with a magnesium level of 3.1 mEq/L.
Follow up with WBC count for clients on clozapine reporting lethargy.
Tinnitus may indicate salicylism in clients taking aspirin.

Teaching and Discharge Planning

Instruct clients on furosemide to consume potassium-rich foods and monitor for muscle weakness.
Reconstitute dantrolene with sterile water without bacteriostatic agents for malignant hyperthermia.
Monitor WBC counts for clients on carbamazepine.
Clients on zolpidem should use the medication short-term.
Encourage hydration (8-10 glasses of water) for clients on trimethoprim/sulfamethoxazole.
Decreased paresthesia indicates therapeutic effects in clients receiving calcium citrate.

Important Precautions and Emergency Protocols

Urinary retention can occur with amitriptyline use.
Significant lab findings for sickle cell anemia patients on hydroxyurea include low hemoglobin.
Ensure the availability of flumazenil when administering diazepam for sedation.
Increased blood pressure should be monitored in clients receiving epoetin alfa.
Store unopened insulin bottles in the refrigerator.
Grapefruit juice may elevate blood levels of methylprednisone; monitor closely.

Medication Interactions and Contraindications

Propranolol is contraindicated in clients with asthma.
Report signs of adverse effects promptly, including dyspnea and hives during IV medication administration.
Blood pressure should be obtained before administering hydrochlorothiazide.
Verify effective outcomes for baclofen by assessing spasticity.
Toxicity from incorrect digoxin doses may improve with digoxin immune Fab therapy.

Understanding Drug Effects and Use

Expect adverse effects like blurred vision from atropine eye drops.
Monitor for orthostatic hypotension after hydrochlorothiazide administration.
Document any errors, such as administering propranolol without a prescription.
Educate about common side effects and necessary precautions for each prescribed medication.

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Test your knowledge on pharmacology concepts relevant to registered nursing with this set of flashcards. Focus on medication management, side effects, and laboratory values necessary for safe nursing practice. Ideal for those preparing for nursing exams or reviewing pharmacological principles.