Pharm Final part 1 1-50 question

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Questions and Answers

You are caring for a patient that has reported a previous allergic reaction to penicillin.You know that this patient may also have a sensitivity to which other classification of antibiotic?

  • Macrolides
  • Sulfonamides
  • Tetracyclines
  • Cephalosporins (correct)

Which of the following is a priority assessment for a client beginning antidepressant therapy?

  • Suicidal ideation (correct)
  • Hyperglycemia
  • Agranulocytosis
  • Orthostatic hypotension

A patient is admitted with a fever of 39°C of unknown origin. The assessment reveals bilateral crackles and a productive cough. The prescriber has ordered sputum and blood cultures and the administration of ampicillin 500mg IV STAT and then Q6H. Which is the correct sequence for the nurse to follow to complete these orders?

  • Ampicillin dose, blood and sputum samples
  • Blood culture, ampicillin dose, sputum culture
  • Blood and sputum cultures, ampicillin dose (correct)
  • Sputum culture, ampicillin dose, blood culture

Which of the following client conditions would the nurse expect to affect the excretion of drugs?

<p>Chronic kidney disease (C)</p> Signup and view all the answers

Before administering a insulin lispro (Humalog) injection, which of the following activities should the nurse perform? (Select all that apply)

<p>Assess for symptoms of hypoglycemia (A), Check the client's blood glucose level using a glucometer (B), Ensure that the breakfast trays are present on the unit and the client can eat (@)</p> Signup and view all the answers

Characteristics of pediatric clients that have a significant effect on dosage calculation include: (Select all that apply)

<p>The liver and kidneys are immature which reduces metabolism and excretion of drugs (B), Muscle content is high and water content is low (C), Body temperature is less well regulated and dehydration occurs easily (D), The skin in thinner and more permeable (@)</p> Signup and view all the answers

Your client is undergoing chemotherapy. When giving antiemetic drugs, the nurse is aware that these drugs are most effective against nausea when given at what time?

<p>Before chemotherapy treatment begins (D)</p> Signup and view all the answers

Which of the following classifications of medication would require special consideration for the older adult?

<p>Sedatives, anticholinergics, NSAIDs, opioids (C)</p> Signup and view all the answers

Your client has been prescribed oxycodone/acetaminophen (Percocet) for chronic moderate to moderately severe pain. Which of the following adverse effects would the nurse expect from this drug?

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

A therapeutic response to drugs that treat the upper respiratory tract may include a reduction in the following symptoms: (Select all that apply)

<p>Congestion (C), Allergic symptoms (D), Bronchitis (@)</p> Signup and view all the answers

A parent calls the clinic to ask about what medication to give a 5-year-old child for a fever during chicken pox. The nurse's best response would be:

<p>You can use children's dosages of acetaminophen or ibuprofen, but acetylsalicylic acid (ASA) is not recommended&quot; (D)</p> Signup and view all the answers

A client has just been started on a calcium channel blocker diltiazem (Cardizem). Which statement by the client reflects the need for additional education?

<p>I can take this drug to stop an angina attack&quot; (B)</p> Signup and view all the answers

A client with asthma asks which of the following prescribed medications should be used in the event of an acute episode of bronchospasm. The nurse will instruct the client to use

<p>Salbutamol (B-2 agonist) (D)</p> Signup and view all the answers

The nurse is providing health teaching to a group of clients with cardiac conditions who are taking diuretic therapy. The nurse explains that individuals prescribed furosemide (Lasix) should:

<p>rise slowly from sitting or lying positions (D)</p> Signup and view all the answers

The health care provider prescribes epinephrine (adrenalin) to a client who is having a reaction to several wasp stings that occurred 30 minutes ago. The nurse knows that the primary purpose of this medication for this client is to:

<p>increase a declining blood pressure and dilate the constricting bronchi associated with anaphylaxis (D)</p> Signup and view all the answers

The nurse is caring for a client that has been ordered fentanyl IV for severe pain. The nurse checks the patient's medical history knowing this medication is contraindicated in which disorder?

<p>Severe asthama (D)</p> Signup and view all the answers

Your client has been ordered ibuprofen PRN for mild to moderate pain. Which of the following patient conditions would be a contraindication for this order?

<p>Peptic ulcer disease (B)</p> Signup and view all the answers

Which of the following client's would have a contraindication to acetaminophen (Tylenol)?

<p>Severe liver disease (B)</p> Signup and view all the answers

Your client is suffering from insomnia. Which medication would the nurse expect to administered for this condition?

<p>Zopicione (C)</p> Signup and view all the answers

The nurse receives an order for Bethanechol 25mg TID. Which of the following conditions would the nurse identify as the indication for this order?

<p>Urinary retention (A)</p> Signup and view all the answers

ou are providing health teaching to your patient regarding an antidysrhythmic drug. Which of the following health teaching points should the nurse ensure to communicate to their patient? (Select all that apply)

<p>&quot;Do not chew sustained -release capsules&quot; (B), Report weight gain of 2.5kg or more in one week immediately to provider&quot; (C), Stop taking the medication if you are experiencing severe adverse effects&quot; (A)</p> Signup and view all the answers

Your client has been taking sertraline (Zoloft), a selective serotonin reuptake inhibitor (SSRI) for 4 months. They tell the nurse they are interested in natural health products and want to start taking St. John's wort. Which statement below is an appropriate response for the nurse?

<p>&quot;Taking St. John's wort with Zoloft may cause severe interactions and is not recommended (C)</p> Signup and view all the answers

The nurse is providing health teaching to their client regarding their new medication.Which of the following strategies can the nurse utilize to ensure an effective teaching and learning session? (Select all that apply)

<p>Individualize the teaching session to the client (A), Provide positive reinforcement for accurate return of demonstration of procedure or skill (C), Keep the teaching on a level that is most meaningful to the client (@)</p> Signup and view all the answers

Your client has ingested an entire bottle of Tylenol Extra Strength tablets. What medication would the nurse expect to be ordered at this time?

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

The nurse has committed a medication error and gave their client an excessive dose of warfarin. What should be administered at this time to prevent life threatening bleeding?

<p>Vitamin K (D)</p> Signup and view all the answers

Which of the following are important health teaching principles of acetylsalicylic acid(ASA)? (Select all that apply)

<p>Do not give to children and adolescents (B), May lead to bleeding and ulcers (D), Do not chew extended release tablets (@)</p> Signup and view all the answers

The nurse is teaching a client about the use of an adrenergic agonist nasal spray at home. What health teaching is needed related to this medication? (Select all that apply)

<p>Do not share this medication with another person (A), Only use this drug for 3-5 days unless directed by your health care provider (B), Excessive use of this drug may cause rebound congestion (@)</p> Signup and view all the answers

Which of the following should be avoided when taking benzodiazepines?

<p>CNS depressants (C)</p> Signup and view all the answers

Which of the following would be a contraindication to Lithium therapy?

<p>Dehydration, known sodium imbalance (D)</p> Signup and view all the answers

Your client is prescribed an opioid for pain management. Which of the following would be appropriate health teaching points to share with your client? (Select all that apply)

<p>Opioids are not to be used with alcohol or other CNS depressing drugs (C), Opioids may result in constipation: increase fiber intake and exercise as tolerated (D), Difficulty breathing, low blood pressure and sedation should be reported to the prescriber (@)</p> Signup and view all the answers

What is the antidote for heparin?

<p>Protamine sulfate (A)</p> Signup and view all the answers

Your patient has been prescribed an antianginal medication for frequent chest pain. Which of the following statements best describes the purpose of this drug?

<p>To increase blood flow to ischemic cardiac muscle (A)</p> Signup and view all the answers

Why are carbidopa and levodopa administered together?

<p>Carbidopa inhibits the breakdown of levodopa in the periphery (C)</p> Signup and view all the answers

What happens to the body when administering insulin to a client with diabetes?

<p>Restores the client's ability to metabolize carbohydrates, fats and proteins: able to store glucose in the liver; convert glycogen to fat stores (D)</p> Signup and view all the answers

Your client recovering from lengthy surgery and has been prescribed morphine for pain. Which of the following assessments are a priority for the nurse to monitor? ( Select all that apply)

<p>Hypertension (A), Respiratory rate (C), Headache (D)</p> Signup and view all the answers

A client taking clopidogrel (Plavix) to prevent another stroke asks the nurse how the medication works. The nurse's response should be based on the knowledge that Plavix:

<p>inhibits platelet aggregation to prevent clot formation (A)</p> Signup and view all the answers

What is the mechanism of action for morphine, an opioid analgesic drug?

<p>Binds to a opioid pain receptor in the CNS and reduces the sensation of pain (A)</p> Signup and view all the answers

A client is receiving an opioid via a PCA pump as part of their post operative pain management plan. During rounds, the nurse finds the client unresponsive with a respiration rate of 8 and blood pressure 108/68. After stopping the infusion, what is the nurse's priority action?

<p>Administer the opioid antagonist naloxone, as per standing orders (D)</p> Signup and view all the answers

Your client has taken an overdose of their anxiolytic clonazepam and is exhibiting somnolence and confusion. What medication should be administered at this time to reverse the effects of this benzodiazepine?

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

The nurse is administering an IV dose of morphine to a post operative client. The dose ordered is 3mg Q4hr PRN for pain. Supply on hand: 4mg/mL vial How many mL will the nurse administer?

<p>0.75 mL</p> Signup and view all the answers

The client has an order for metoprolol (Lopressor) 300mg/day PO in 2 divided doses. The tablets are available in 50mg strength. How many tablets will the client receive per dose?

<p>3 tablets</p> Signup and view all the answers

Your client has an order for nicotinic acid 1g PO QHS. The medication is available in 500mg tablets. How many tablets will the client receive per dose?

<p>2 tablets</p> Signup and view all the answers

A patient who has had an accidental overdose of tricyclic antidepressants is to receive physostigmine 1.5mg STAT. The medication is available in a 2mL vial, with the concentration of 1mg/mL. How much medication will the nurse draw up into the syringe for this dose?

<p>1.5 mL</p> Signup and view all the answers

Lithium has a narrow therapeutic range and requires ongoing monitoring. Which of the following lab values is within the desirable long term therapeutic range?

<p>0.6-1.2mmol/L (D)</p> Signup and view all the answers

A client who has just started on warfarin, an anti-coagulant, is being discharged from hospital. What is the most important teaching the nurse can provide regarding this medication?

<p>Encourage them to have their INR checked with the prescriber (A), Encourage them to take the injection at the same time every day (D)</p> Signup and view all the answers

A client with deep vein thrombosis is being treated with a heparin infusion. The nurse will monitor for therapeutic effectiveness by noting which of the following?

<p>Activated partial thromboplastin time (aPTT) (B)</p> Signup and view all the answers

Which of the following is true regarding the distribution of drugs?

<p>Only drugs that are not bound to plasma proteins can freely move to their site of action (D)</p> Signup and view all the answers

Which trimester of pregnancy is generally the period of greatest danger for drug induced developmental defects?

<p>First trimester (A)</p> Signup and view all the answers

A healthcare provider orders magnesium hydroxide (Milk of Magnesia) for a client with constipation, secondary to post operative opioid use. Before administering the drug, the nurse will assess:

<p>bowel sounds (D)</p> Signup and view all the answers

The nurse is reviewing the history of a newly admitted cardiac client. The nurse would recognize which of the following to be a contraindication to antilipemic therapy?

<p>Chronic liver disease (D)</p> Signup and view all the answers

A client reports abnormal vaginal discharge after completing a prescription of cefotaxime (Claforan), a cephalosporin antibiotic. For which condition is the client most likely exhibiting symptoms?

<p>Superinfection (C)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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