PHARMACOLOGY PREP EXAM (TOP TAKEN PREMIUM ) A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should recognize which of the f ollowing is a contraindication to receiving celecoxib? a. Hyperglycaemia b. Allergy to penicillin c. History of myocardial infarction d. Peptic ulcer disease - CORRECT ANSWER - c. History of myocardial infarction A nurse is reinforcing teaching with a cl ient who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching? a. Take the medication on empty stomach b. Monitor for signs of hyperthyroidism c. Watch for signs of urinary r etention d. maintain a consistent sodium intake - CORRECT ANSWER - d. maintain a consistent sodium intake A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counter act the adverse effects of this medication? a. Suggest that the client supply anti -perspirant more frequently. b. help the client apply sunblock before going outside. c. give the client a list of over -the-counter antidiarrheal medication. d. Recommend that the client take the medication on an empty stomach. - CORRECT ANSWER - b. help the client apply su nblock before going outside. A nurse is collecting data from a client who has been taking levodopa/ carbidopa. Which of the following findings should indicate to the nurse that the medication is effective? a. The client is able to wash his face. b. the c lient experiences fewer seizures. c. the client reports decreased heartburn. d. the client is able to sleep through the night. - CORRECT ANSWER - a. The client is able to wash his face. A nurse is caring for a client who is receiving methylprednisolone so dium succinate. Which of the following laboratory values should the nurse plan to monitor? (select all that apply) a. White blood cell count b. Serum potassium c. Creatine phosphokinase d. Blood glucose - CORRECT ANSWER - a. White blood cell countb. Serum potassium d. Blood glucose A nurse is reinforcing teaching with a client who has a new prescription for ciprofloxacin. Which of the following instructions should the nurse including the teaching? a. The client should drink 8 full glasses of water per d ay. b. The client should increase her exposure to sunlight. c. The client should take the medication with an antacid. d. The client should take this medication with 1 cup milk - CORRECT ANSWER - a. The client should drink 8 full glasses of water per day. hey nurse is collecting data from A client who has a prescription for tobramycin. Which of the following findings shou ld the nurse immediately report to the provider? a. Report of nausea b. Fever c. Oliguria d. Report of headache. - CORRECT ANSWER - c. Oliguria A nurses caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first? a. Beclomethasone b. Albuterol c. Cromolyn d. Prednisone - CORRECT ANSWER - b. Albuterol A nurse is reinforcing teaching with A client who has a new prescription for theophylline. The nurse should instruct the client that wh ich of the following is an expected outcome of this medication? a. dilate bronchioles b. reduces inflammation c. loosens secretions d blocks leukotrienes. - CORRECT ANSWER - a. dilate bronchioles A nurse is reinforcing teaching with a client who is to s tart therapy with nitroglycerin transdermal patch. Which of the following statements by the client indicates understanding of the teaching? a. "while using the patch, I will be careful when rising from a chair." b. "I should leave the patch in place for 24 hours." c. "I should apply the patch to the same location with each application." d. "I will apply a new patch if I have chest pain." - CORRECT ANSWER - a. "while using the patch, I will be careful when rising f rom a chair." A nurses caring for a client who has chronic renal failure and has been receiving epoetin alfa for two weeks. Which of the following indicates to the nurse that the medication is having the desired therapeutic effect? a. albumin is within e xpected reference range. b. urine output increases to 60 mL/hr. c. hemoglobin rises 0.5 g/dL. d. blood urea nitrogen level is within expected reference range. - CORRECT ANSWER - c. hemoglobin rises 0.5 g/dL. The nurse is reviewing the medical administrati on record of a client who has a history of Stevens -
Johnson syndrome when taking sulfamethoxazole -trimethoprim. Which of the following medications should the nurse withhold to prevent an allergic reaction? a. Prednisone b. Furosemide c. Lansoprazole d. Dig oxin - CORRECT ANSWER - b. Furosemide A client is visiting her provider to follow up on routine laboratory work related to warfarin therapy for mitral valve replacement. The clients current INR is 5.0. Which of the following questions should the nurse ask ed based on the clients INR result? a. "have you been taking a vitamin K supplement?" b. "have you skipped the dose of your medication?" c. "did you have your partial thromboplastin Time levels drawn last week?" d. "have you noticed any bruising?" - CORRE CT ANSWER - d. "have you noticed any bruising?" A nurse is monitoring A client who is to start therapy with spironolactone. Which of the following serum lab results should the nurse report to the provider? a. sodium 140 mEq/L b. potassium 5.3 mEq/L c. chloride 99 mEq/L d. magnesium 1.9 mEq/L - CORRECT ANSWER - b. potassium 5.3 mEq/L a nurse is preparing to instill antibiotic eardrops for a client who has otitis extrerna. Which of the following actions should the nurse take? a. chilled medication b efore instilling it. b. use a cotton swab to remove any debris before instilling the eardrops. c. Pack the auditory canal with a cotton ball after instilling the drops. d. wiggle the earlobe after instilling the eardrops - CORRECT ANSWER - d. wiggle the ea rlobe after instilling the eardrops
Johnson syndrome when taking sulfamethoxazole -trimethoprim. Which of the following medications should the nurse withhold to prevent an allergic reaction? a. Prednisone b. Furosemide c. Lansoprazole d. Dig oxin - CORRECT ANSWER - b. Furosemide A client is visiting her provider to follow up on routine laboratory work related to warfarin therapy for mitral valve replacement. The clients current INR is 5.0. Which of the following questions should the nurse ask ed based on the clients INR result? a. "have you been taking a vitamin K supplement?" b. "have you skipped the dose of your medication?" c. "did you have your partial thromboplastin Time levels drawn last week?" d. "have you noticed any bruising?" - CORRE CT ANSWER - d. "have you noticed any bruising?" A nurse is monitoring A client who is to start therapy with spironolactone. Which of the following serum lab results should the nurse report to the provider? a. sodium 140 mEq/L b. potassium 5.3 mEq/L c. chloride 99 mEq/L d. magnesium 1.9 mEq/L - CORRECT ANSWER - b. potassium 5.3 mEq/L a nurse is preparing to instill antibiotic eardrops for a client who has otitis extrerna. Which of the following actions should the nurse take? a. chilled medication b efore instilling it. b. use a cotton swab to remove any debris before instilling the eardrops. c. Pack the auditory canal with a cotton ball after instilling the drops. d. wiggle the earlobe after instilling the eardrops - CORRECT ANSWER - d. wiggle the ea rlobe after instilling the eardrops
