Pharmacology
A nurse is reinforcing teaching with a client about a new prescription for oral bisacodyl.
Which of the following instructions should the nurse provide the client?
“Long term use of medication can cause dependency”
● Bisacodyl is a stimulant laxative when used chronically can cause dependence
● Use for temporary relief of acute constipation in the smallest possible dosage
A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to
treat high cholesterol levels. For which of the following adverse effects should the nurse
instruct the client to monitor and report to the provider immediately?
Muscle weakness
● Non urgent vs urgent answering
● Muscle weakness (myalgia) or tenderness because it can manifest of rhabdomyolysis,
● Rhabdomyolysis is a rare but potentially fatal adverse effect of HMG-CoA reductase
inhibitor (statin) therapy
● Rhabdomyolysis is a disintegration of muscle tissue that causes elevation in creatine
kinase potentially impairing renal function
A nurse in a clinic is planning to administer an immunization to a client who just turned
60 years old. Which of the following immunization should the nurse plan to administer?
Herpes zoster vaccine
● 60yr or older should receive immuniztion according to CDC guidelines.
● Vaccine helps prevent herpes zoster, or shingles.
● Shingles which is a serious viral disease that can cause severe pain and postherpetic
neuralgia in older adults
After administering lorazepam to a client, a nurse realizes that she gave the client a 2mg
tablet instead of the 1 mg dosage the provider prescribed. Which of the following actions
should the nurse take first?
Measure the client's vital signs
● Lorazepam can cause respiratory depression, bradycardia, and hypotension
● Lorazepam can also cause multiple CNS effects dizziness confusion and drowsiness
A nurse is collecting data from a client who has intestinal amebiasis and is taking
metronidazole. For which of the following findings should the nurse withhold the
metronidazole?
Motor ataxia
● With hold and contact the provider if the client exhibits manifestations of toxicity such as
ataxia, peripheral neuropathy or seizures.
● Metronidazole is a medication used to treat protozoal infections such as amebiasis,
trichinosis, or giardiasis.
A nurse is caring for a client who is 2days postoperative and is receiving morphine for
acute pain.The nurse should monitor the client for which of the following manifestations
as an adverse effect of this medication?