NUR 138 PHARMACOLOGY WEEK 1 QUESTIONS WITH
VERIFIED ANSWERS
A nurse is assessing a client who reports acute pain. The nurse should anticipate which
of the following findings? - Answers - Increased heart rate
A nurse is caring for a client who is taking lisinopril. Which of the following outcomes
indicates therapeutic effect of the medication? - Answers - Decreased blood pressure
A nurse is caring for a client who has a fungal infection and has a new prescription for
amphotericin Which of the following laboratory values should the nurse report to the
provider before initiating the medication? - Answers - Bun 55mg/dl
A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a
new prescription for an ophthalmic ointment. Which of the following instructions should
the nurse provide? - Answers - "Apply the ointment in a thin line into the conjunctival
sac."
A nurse is providing discharge teaching to a client who has asthma and new
prescriptions for cromolyn and albuterol, both by nebulizer. of the following statements
by the client indicates an understanding of the teaching? - Answers - The client should
always use the bronchodilator (albuterol) prior to using the leukotriene modifier
(cromolyn). Using the bronchodilator first allows the airways to be opened, ensuring that
the maximum dose of medication will get to the client's lungs.
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding of
the teaching? - Answers - I will use my electric razor for shaving
Because this medication prolongs clotting times, the client should avoid situations that
put him at high risk for bleeding, such as shaving with a straight razor or razor blade
A nurse educating a group of clients about the contraindications of warfarin therapy.
Which of the following statements should the nurse include in the teaching? - Answers -
"Clients who are pregnant should not take warfarin."
Warfarin therapy is contraindicated in the pregnant client because it crosses the
placenta and places the fetus at risk for
A nurse is completing a medication history for a client who reports using over-the-
counter calcium carbonate antacid. Which of the following recommendations should the
, nurse make about taking this medication? - Answers - calcium Drink a glass of water
after taking the medication,
Calcium carbonate is a dietary supplement used when the amount of calcium taken in
the diet is not enough. Calcium carbonate may also be used as an antacid to relieve
heartburn, acid indigestion, and stomach upset. The client should drink a full glass of
water after taking an antacid to enhance its effectiveness.
A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking
warfarin. For which of the following results should the nurse notify the provider? -
Answers - PT 45 seconds
The expected reference range for PT is 11 to 12.5 seconds. During therapy, the nurse
should expect to see the values increase 1.5 to 2.5 times the baseline: Therefore, the
nurse should withhold the warfarin and notify the provider.
A nurse is teaching a client who has been taking prednisone to treat asthma and has a
new prescription to discontinue the medication. The nurse should explain to the client to
reduce the dose gradually to prevent which of the following adverse effects? - Answers -
Adrenocortical insufficiency Prednisone, a corticosteroid, is similar to cortisol, the
glucocorticoid hormone produced by the adrenal glands. It relieves inflammation and is
used to treat certain forms of arthritis, severe allergies, autoimmune disorders, and
asthma. Administration of glucocorticoids can suppress production of glucocorticoids,
and an abrupt withdrawal of the drug can lead to a syndrome of adrenal insufficiency.
A nurse is providing teaching to a client who has emphysema and a new prescription for
theophylline. Which of the following instructions shpuld the nurse provide ? - Answers -
Avoid caffeine while taking this medication.
The nurse should instruct the client that caffeine should be avoided while taking
theophylline, as it can increase central nervous system stimulation.
A nurse is providing teaching for a client who has anemia and a new prescription for
ferrous sulfate liquid. Which of the following instructions should the nurse provide? -
Answers - Take the medication with orange juice to enhance absorption.
Ascorbic acid (vitamin C), which is found in orange juice, will enhance the absorption of
iron and increase its bioavailability. This will also help to decrease the gastrointestinal
side effects of iron.
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following actions is appropriate? - Answers - Evaluating the client for nausea, vomiting,
and anorexia
Loss of appetite, nausea, vomiting, and blurred or yellow vision may be signs of digoxin
VERIFIED ANSWERS
A nurse is assessing a client who reports acute pain. The nurse should anticipate which
of the following findings? - Answers - Increased heart rate
A nurse is caring for a client who is taking lisinopril. Which of the following outcomes
indicates therapeutic effect of the medication? - Answers - Decreased blood pressure
A nurse is caring for a client who has a fungal infection and has a new prescription for
amphotericin Which of the following laboratory values should the nurse report to the
provider before initiating the medication? - Answers - Bun 55mg/dl
A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a
new prescription for an ophthalmic ointment. Which of the following instructions should
the nurse provide? - Answers - "Apply the ointment in a thin line into the conjunctival
sac."
A nurse is providing discharge teaching to a client who has asthma and new
prescriptions for cromolyn and albuterol, both by nebulizer. of the following statements
by the client indicates an understanding of the teaching? - Answers - The client should
always use the bronchodilator (albuterol) prior to using the leukotriene modifier
(cromolyn). Using the bronchodilator first allows the airways to be opened, ensuring that
the maximum dose of medication will get to the client's lungs.
A nurse is providing discharge teaching to a client who has a new prescription for
warfarin. Which of the following statements by the client indicates an understanding of
the teaching? - Answers - I will use my electric razor for shaving
Because this medication prolongs clotting times, the client should avoid situations that
put him at high risk for bleeding, such as shaving with a straight razor or razor blade
A nurse educating a group of clients about the contraindications of warfarin therapy.
Which of the following statements should the nurse include in the teaching? - Answers -
"Clients who are pregnant should not take warfarin."
Warfarin therapy is contraindicated in the pregnant client because it crosses the
placenta and places the fetus at risk for
A nurse is completing a medication history for a client who reports using over-the-
counter calcium carbonate antacid. Which of the following recommendations should the
, nurse make about taking this medication? - Answers - calcium Drink a glass of water
after taking the medication,
Calcium carbonate is a dietary supplement used when the amount of calcium taken in
the diet is not enough. Calcium carbonate may also be used as an antacid to relieve
heartburn, acid indigestion, and stomach upset. The client should drink a full glass of
water after taking an antacid to enhance its effectiveness.
A nurse is reviewing laboratory results of a client who has atrial fibrillation and is taking
warfarin. For which of the following results should the nurse notify the provider? -
Answers - PT 45 seconds
The expected reference range for PT is 11 to 12.5 seconds. During therapy, the nurse
should expect to see the values increase 1.5 to 2.5 times the baseline: Therefore, the
nurse should withhold the warfarin and notify the provider.
A nurse is teaching a client who has been taking prednisone to treat asthma and has a
new prescription to discontinue the medication. The nurse should explain to the client to
reduce the dose gradually to prevent which of the following adverse effects? - Answers -
Adrenocortical insufficiency Prednisone, a corticosteroid, is similar to cortisol, the
glucocorticoid hormone produced by the adrenal glands. It relieves inflammation and is
used to treat certain forms of arthritis, severe allergies, autoimmune disorders, and
asthma. Administration of glucocorticoids can suppress production of glucocorticoids,
and an abrupt withdrawal of the drug can lead to a syndrome of adrenal insufficiency.
A nurse is providing teaching to a client who has emphysema and a new prescription for
theophylline. Which of the following instructions shpuld the nurse provide ? - Answers -
Avoid caffeine while taking this medication.
The nurse should instruct the client that caffeine should be avoided while taking
theophylline, as it can increase central nervous system stimulation.
A nurse is providing teaching for a client who has anemia and a new prescription for
ferrous sulfate liquid. Which of the following instructions should the nurse provide? -
Answers - Take the medication with orange juice to enhance absorption.
Ascorbic acid (vitamin C), which is found in orange juice, will enhance the absorption of
iron and increase its bioavailability. This will also help to decrease the gastrointestinal
side effects of iron.
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following actions is appropriate? - Answers - Evaluating the client for nausea, vomiting,
and anorexia
Loss of appetite, nausea, vomiting, and blurred or yellow vision may be signs of digoxin
