Pharmacology Final Exam: Questions & Answers: Latest Updated

A patient has been admitted to the ED and is taking Promethazine for vomiting and motion sickness. The nurse is closely monitoring the patient for side effects. What side effects should the nurse look for in the patient while taking this medication? Select All That Apply. a. Chronic Kidney Injury b. Tissue Damage c. Respiratory Depression d. Tardive Dyskinesia (Ans- b. Tissue Damage c. Respiratory Depression d. Tardive Dyskinesia A client is taking Bisacodyl to treat constipation. Which of the following statements by the client show they need further education from the nurse when taking this drug? a. "I take this drug before bedtime." b. "I will crush the tablet and add it to my applesauce since I have a hard time swallowing pills." c. "I take this medication infrequently, only for acute periods of constipation." d. "It's normal to experience abdominal discomfort on this medication." (Ans- b. "I will crush the tablet and add it to my applesauce since I have a hard time swallowing pills." A client taking Rasagiline to treat their recently diagnosed Parkinson's Disease presented to the emergency department with symptoms of delirium, sweating, fever, and restlessness. You're the nurse looking in the patient's medication list. Which of the following medications could have precipitated this reaction in the client? a. Pepcid b. Acetaminophen c. Ondansetron d. Dextromethorphan (Ans- d. Dextromethorphan A client has been prescribed lisinopril to help treat hypertension. Which of the following adverse effects should the nurse educate the client on reporting first to the provider ? a. orthostatic hypotension b. developing a non productive cough c. developing angioedema d. anxiety (Ans- c. developing angioedema 2. A client taking spironolactone may experience hyperkalemia. Which of the following lab values will alert the nurse ? a. 3.7 mEq/L b. 4.2 mEq/L c. 6.8 mEq/L d. 3.0 mEq/L (Ans- c. 6.8 mEq/L When teaching a client about their prescription phenytoin, which statement made by the client indicates proper understanding? a. "I can continue to to take my blood thinner warfarin, while on this drug." b. "I can stop taking this drug after 4 weeks, if my seizures have subsided." c. "When brushing my teeth, I will use a soft-bristled toothbrush to maintain gum hygiene." d. I can expect to have a rash when taking this drug." (Ans- c. "When brushing my teeth, I will use a soft-bristled toothbrush to maintain gum hygiene." A client comes to the emergency room with indications of overdosing on alprazolam. The nurse knows to administer which drug as the antidote? a. nalaxone b. digibind c. atropine d. flumazenil (Ans- d. flumazenil A nurse is reviewing a clients labs prior to administering their next dose of famotidine. Which lab values would require the nurse to hold the dose? a. K+ 3.8 mEq/L b. BUN 8 mg/dL c. AST 38 units/L d. Creatinine 1.0 mg/dL (Ans- c. AST 38 units/L A client reports having mild joint pain. The nurse reviews the MAR and notices the client has a sulfonamide allergy. Which NSAID would the nurse know not to give? a. ketorolac b. aspirin c. diclofenac d. celecoxib (Ans- d. celecoxib A client on gemfibrozil to treat their high cholesterol reports pain and cramping in their upper left quadrant. The nurse suspects that this could be an indication of what? a. gallstones b. appendicitis c. heart burn d. peptic ulcer disease (Ans- a. gallstones When educating a client on the proper use of calcium carbonate which saying by the patient indicates proper understanding? A. " I can take this medication at the same time as my other medication" B. " I should not take this medication with milk" C. " I can take this to treat peptic ulcer disease" D. " This medication may cause me to have diarrhea" (Ans- B. " I should not take this medication with milk" You are working in the emergency room when a client with asthma presents in severe respiratory distress and wheezing. Which medication would you prepare to administer first? A. Loratidine B. Salmeterol C. Theophylline D. Albuterol (Ans- D. Albuterol