Advanced Pharm Practice Questions exam 3 question and answers

The nurse is teaching a client who is taking metoprolol (Lopressor). Which should the nurse consider the highest priority in teaching side effects/adverse effects? - Answer: Instruct the client how to take a pulse. Rationale: It is most important for the client to learn how to monitor the heart rate because of the side effect of bradycardia with metoprolol. Which drug should the nurse realize may interact with propranolol (Inderal)? - Answer: Phenytoin Rationale: Drug that interact with metoprolol include phenytoin, isoproterenol, NSAIDs, barbiturates, caffeine, and theophylline, which decrease propranolol's effects. The other choices (A, C, and D) are not drugs that interact with metoprolol. A nurse is caring for a client who has had atropine. Which problem would the nurse rate as the highest priority for this client? - Answer: Urinary retention Rationale: Urinary retention is the highest priority because it is more serious to systemic homeostasis than anxiety, constipation, or a dry mouth. Which action should the nurse consider appropriate for the client who is taking atropine? - Answer: Monitor the client's vital signs. Rationale: It is most important to monitor the heart rate for tachycardia after atropine is given. Atropine may be given without regard to meals. Rales would not be expected because atropine dries secretions rather than increases them. Hypertension is a more likely response than orthostatic hypotension. Which would indicate to the nurse that the child taking methylphenidate requires more teaching? - Answer: The child drinking a carbonated beverage Rationale: The nurse should teach the child to avoid caffeine because of its potentiation of methylphenidate. The child should be checked twice a week for weight loss. The drug should be taken 30 to 45 minutes before a meal to promote absorption. The drug should be taken before breakfast and lunch and not within 6 hours of sleeping. The nurse would expect the physician to order which drug for the treatment of attention deficit hyperactivity disorder (ADHD) in children? - Answer: Methylphenidate HCl (Ritalin) Rationale: Methylphenidate is most commonly used to treat ADHD. Zolmitriptan is used to treat migraines, doxapram is used as a respiratory stimulant; and benzphetamine is an anorexiant.