Pharm CMS Practice Questions Complete Solutions Already Rated Grade A

1. A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four A. One 2. A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (select all that apply) A. increased renal excretion B. increased medication-metabolizing enzymes C. liver failure D. peripheral vascular disease E. concurrent use of medication the same pathway metabolizes C. Liver failure E. Concurrent use of medication the same pathway metabolizes 3. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (select all that apply) A. Have the client lie on one side B. Ask the client to look up at the ceiling C. Tell the client to blink when the drops enter the eyes D. Drop the medication into the clients conjunctival sac E. Instruct the client to close the eye gently after instillation B. Ask the client to look up at the ceiling D. Drop the medication into the clients conjunctival sac E. Instruct the client to close the eye gently after instillation 4. A nurse is teaching a client about transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands? A. "I will clean the site with an alcohol swab before i apply the patch" B. "I will rotate the application sites weekly" C. "I will apply the patch to an area of skin with no hair" D. "I will place the new patch on the site of the old patch" C. "I will apply the patch to an area of skin with no hair" 5. A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should Pharm CMS Practice Questions Complete Solutions Already Rated Grade A the nurse take? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen. C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication, and obtain a blood specimen 30 min late A. Obtain a blood specimen immediately prior to administering the next dose of medication. 6. A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply) A. Teach the client about the med B. Determine the dosage C. Monitor for adverse effects D. Lock compartments for controlled substances E. Determine the clients insurance status A. Teach the client about the med C. Monitor for adverse effects D. Lock compartments for controlled substances 7. The nurse is preparing to administer digoxin to a client who states, "I don't want to take that medication. I do not want one more pill." Which of the following responses should the nurse make? A. Your physician prescribes it for you, so you really should take it B. Well, lets just get it over quickly then C. Okay, ill just give you your other medications D. Tell me your concerns about taking this medication D. Tell me your concerns about taking this medication 8. The nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to med administrations? A. The client drank grapefruit juice, which could reduce a medications effectiveness B. The medication has orthostatic hypotension as an adverse effect C. A medication is approved for ages 12 and older, and the client is 8 years old D. An antianxiety medication has an adverse effect of drowsiness is prescribed as a preoperative sedative C. A medication is approved for ages 12 and older, and the client is 8 years old 9. The nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (select all the apply) A. Use of herbal products B. Daily fluid intake C. Ability to swallow D. Previous surgical history E. Allergies A. Use of herbal products C. Ability to swallow E. Allergies 10. A nurse is working with a newly hired nurse who is administering medications to clients. Which of the following actions by the newly hired nurse indicates an understanding of medication error prevention. A. Taking all medications out of the unit- dose wrappers before entering the clients room B. Checking with the provider when a single dose requires administration of multiple tablets C. Administering a medication, then looking up the usual dosage range. D. Relying on another nurse to clarify a medication prescription. B. Checking with the provider when a single dose requires administration of multiple tablets 11. A nurse is caring for a client experiencing IV extravasation. The facility requires the administration of an antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions should the nurse take first? A. Remove the IV catheter B. Withdraw the solution from the IV access C. Administer the antidote to the vesicant D. Insert a new IV access in a different extremity B. Withdraw the solution from the IV access 12. A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take? A. Use a disposable razor to remove excess hair on the extremity B. Select the back of the client's hand to insert the IV catheter C. Distend the veins by using a blood pressure cuff D. Direct the client to raise their arm above their heart C. Distend the veins by using a blood pressure cuff 13. A nurse assessing the IV catheter insertion site for a client receiving a non- vesicant solution and notes swelling at the site with decreased skin temperature. Which of the following actions should the nurse take? (Select all that apply) A. Stop the infusion B. Start a new IV access distal to this site C. Apply warm compresses to the insertion site D. Elevate the client's arm E. Obtain a specimen for culture at the insertion site A. Stop the infusion C. Apply warm compresses to the insertion site D. Elevate the client's arm 14. A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? SELECT ALL THAT APPLY. A. A client at 8 weeks of gestation who asks for an influenza immunization. B. A client who takes prednisone and has a possible fungal infection. C. A client who has chronic liver disease and reports he is taking hydrocodone. D. A client who has peptic ulcer disease and takes sucralfate and tells the nurse she has started taking over-the-counter aluminum hydroxide. E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected pregnancy. B. A client who takes prednisone and has a possible fungal infection. C. A client who has chronic liver disease and reports he is taking hydrocodone. E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected pregnancy. 15. A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following is an appropriate nursing action? A. Administer the prescribed dose. B. Withhold the medication. C. Ask the provider to change the prescription to an oral form. D. Administer an oral antihistamine at the same time. B. Withhold the medication 16. A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following is an appropriate statement by the nurse? A. "Be sure to limit your potassium intake while taking the medication. "B. "You should check your blood pressure every 8 hr while taking this medication. "C. "Your medication dosage will be increased if you develop tachycardia. "D. "Change positions slowly when you move from sitting to standing." D. "Change positions slowly when you move from sitting to standing." 17. A nurse is reviewing a client's health record and notes that the client experiences permanent extrapyramidal effects caused by a previous medication. The nurse recognizes that the medication affected the client's: A. cardiovascular system. B. immune system. C. central nervous system. D. gastrointestinal system. C. central nervous system. 18. A nurse is caring for a client who is taking oral oxycodone. The client states he is also taking ibuprofen in three recommended doses daily. The interaction between these two medications will cause which of the following? A. A decrease in serum levels of ibuprofen, possibly leading to a need for increased doses of the medication. B. A decrease in serum levels of oxycodone, possibly leading to a need for increased doses of this medication. C. An increase in the expected therapeutic effect of both medications. D. An increase in expected adverse effects for both medications. C. An increase in the expected therapeutic effect of both medications. 19. A nurse is preparing to administer meds to a 4-month-old infant. Which of the following pharmacokinetic principles should the nurse consider when administering? (select all that apply) A) Infants have a more rapid gastric emptying time B) Infants have immature liver function C) Infants' blood-brain barrier is poorly developed D) Infants have an increased ability to absorb topical medications E) Infants have an increased number of protein binding sites B) Infants have immature liver function C) Infants' blood-brain barrier is poorly developed D) Infants have an increased ability to absorb topical medications 20. A nurse in a provider's office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to the client? A. Varicella vaccine B. Rubella vaccine C. Inactivated influenza vaccine D. Measles vaccine C. Inactivated influenza vaccine 21. A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness? A. Reduced cardiac function B. First-pass effect C. Reduced hepatic function D. Increased gastric motility C. Reduced hepatic function 22. A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following actions is the nurses priority? A. administer flumazenil B. identify the clients level of orientation C. infuse IV fluids D. prepare the client for gastric lavage B. identify the clients level of orientation 23. A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A. I should take the medication on an empty stomach B. I will follow a low-sodium diet while taking this medication C. I need to discontinue this medication slowly D. I should not crush this medication before swallowing C. I need to discontinue this medication slowly 24. A nurse is providing teaching to a client who has new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? A. take the medication on an empty stomach B. Expect optimal therapeutic effects within 24 hr C. Take this medication when needed for anxiety D. This medication has a low risk for dependency D. This medication has a low risk for dependency 25. A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? A. it can take several weeks before you feel like the medication is helping B. take the medication just before bedtime to promote sleep C. You should take the mediation when needed for obsessive urges D. Monitor for weight gain while taking this medication A. it can take several weeks before you feel like the medication is helping 26. A nurse is caring for a client who takes paroxetine to treat post traumatic stress disorder and reports that he grinds his teeth during the night. The nurse should identify which of the following interventions to manage bruxism? (SATA) A. concurrent administration of buspirone B. Administration of different SSRI C. Use of mouth guard D. Changing to a different class of antidepressant medication E. increasing the dose of paroxetine A. concurrent administration of buspirone C. Use of mouth guard D. Changing to a different class of antidepressant medication 27. A nurse is caring for a client who has a new prescription for phenelzine for the treatment for depression. Which of the following indicates that the client has developed an adverse effect of this medication? A. Orthostatic hypotension B. Hearing loss C. Gastrointestinal bleeding D. Weight loss A. Orthostatic Hypotension *Causes Blurry vision and Weight gain instead of Hearing loss and weight loss 28. A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? (SATA) A. expect therapeutic effects in 24 to 48 hr B. discontinue the medication after a week of improved mood C. change positions slowly to minimize dizziness D. Decrease dietary fiber intake to control diarrhea E. Chew sugarless gum to prevent dry mouth C. change positions slowly to minimize dizziness E. Chew sugarless gum to prevent dry mouth 29. A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for post traumatic stress disorder. Which of the following statements should the nurse include in the teaching? A. You may have a decreased desire for intimacy while taking this medication B. you should take this medication at bedtime to help promote sleep C. you will have fewer urinary adverse effects if you urinate just before taking this medication D. you'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication A. You may have a decreased desire for intimacy while taking this medication 30. A nurse is caring for a client who has depression and a new prescription for venlafaxine For which of the following adverse effects should the nurse monitor this client? (SATA). A. Cough B. Dizziness C. Decreased libido D. alopecia E. Hypotension A. Cough B. Dizziness C. Decreased Libido 31. A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessments findings should alert the nurse to the possibility that the client is developing serotonin syndrome? A. bruising B. Fever C. abdominal pain D. Rash B. Fever B. Fever 32. A nurse is reviewing laboratory findings and notes that a clients plasma lithium is 2.1. Which of the following is an appropriate action by the nurse? A. perform immediate gastric lavage B. prepare the client for hemodialysis C. administer an additional oral dose of lithium D. request a stat repeat of the laboratory test A. perform immediate gastric lavage 33. A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? A. avoid the use of acetaminophen for headaches B. restrict intake of foods rich in sodium C. decrease fluid intake to less than 1500 mL daily D. limit aerobic activity in hot water D. limit aerobic activity in hot water 34. A nurse is caring for a client who has a new prescription for valproic acid the nurse should instruct the client that while taking this medication he will need to have which of the following laboratory tests completed periodically. SATA A. Thrombocyte count B. hematocrit C. Amylase D. Liver function tests E. potassium A. Thrombocyte count C. amylase D. liver function tests 35. a nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication? A. severe hypertension B. coarse tremors C. Constipation D. Muscle spasms B. coarse tremors 36. A nurse is preparing a teaching plan for a female client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching? (SATA) A. this medication can safely be taken during pregnancy B. Eliminate grapefruit C. You will need to have a complete blood count and carbamazepine levels drawn periodically D. Notify your provider if you develop your rash E. Avoid driving for the first few days after starting this medication 37. B. Eliminate grapefruit C. You will need to have a complete blood count and carbamazepine levels drawn periodically D. Notify your provider if you develop your rash E. Avoid driving for the first few days after starting this medication 38. A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? A. take the medication in the morning to prevent insomnia B. chew sugarless gum to moisten the mouth C. use cooling measures to decrease fever D. take an antacid to relieve nausea B. chew sugarless gum to moisten the mouth 39. A nurse is assessing a male client who recently began taking haloperidol. Which of the following findings is the highest priority to report to the provider? A. shuffling gait B. neck spasms C. drowsiness D. impotence B. neck spasms 40. A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A. you should have high carbohydrate snack between meals and at bedtime B. you are likely to develop hand tremors if you take this medication for long period of time C. you may experience temporary numbness of your mouth after each dose D. you should have your white blood cell count monitored every week D. you should have your white blood cell count monitored every week 41. A nurse is providing teaching for a male client who has schizophrenia and is taking risperidone. Which of the following instructions should the nurse include in the teaching? A. add extra snacks to your diet to prevent weight loss B. notify the provider if you develop breast enlargement C. you may begin to have mild seizures while taking this medication D. tHis medication is likely to increase your libido B. notify the provider if you develop breast enlargement 42. A nurse is preparing to perform a follow up assessment on a ancient who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? SATA A. disorganized B. bizarre behavior C. impaired social interactions D. hallucinations E. decreased motivation A. disorganized B. bizarre behavior D. hallucinations 43. A nurse is teaching the parents of child who has a new prescription for desipramine. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? A. constipation B. Suicidal thoughts C. photophobia D. dry mouth B. Suicidal thoughts 44. A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. which of the following instructions should the nurse include to minimize an adverse effect of his medication? A. wear sunglasses when outdoors .B. check your temperature daily C. take this medication in the morning D. add extra calories to your diet A. wear sunglasses when outdoors 45. a nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following adverse effects of this medication? A. kidney toxicity B. liver damage C. seizure activity D. adrenal insufficiency B. liver damage 46. A nurse is teaching the parents of a school age child about transdermal methylphenidate. Which of the following instructions should the nurse include? A. apply one patch twice per day. B. leave the patch on for 9 hr C. apply the patch to the child's waist D. use opened tray within 6 months B. leave the patch on for 9 hr 47. A nurse is teaching a school age child and his parents about a new prescription for lisdexamfetamine. Which of the following information should the nurse include the teaching? SATA A. an adverse effect of this medication is CNS stimulation B. administer the medication before bedtime C. monitor blood pressure while taking this medication D. therapeutic effects of this medication will take 1 to 3 weeks to fully develop E. this medication raises the levels of dopamine in the brain A. an adverse effect of this medication is CNS stimulation C. monitor blood pressure while taking this medication E. this medication raises the levels of dopamine in the brain 48. A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? A. increases the risk for seizure activity B. Provides a form of aversion therapy C. Decreases Cravings D. Can increase blood pressure C. Decreases Cravings 49. A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which if the following medications should the charge nurse include in the discussions? (select all that apply) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate A. Lorazepam B. Diazepam 50. A nurse is providing teaching to a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? A. Diarrhea B. Dry mouth C. Insomnia D. HTN 51. B. Dry mouth 52. A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates an understanding of the teaching? A. "I should avoid eating right before I chew a piece of nicotine gum. "B. "I will need to stop using the nicotine gum after 1 year. "C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant. "D. "I must chew the nicotine gum quickly for about 15 minutes." A. "I should avoid eating right before I chew a piece of nicotine gum. 53. A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription of clonidine. Which of the following actions should the nurse identify as the priority? A. Administer the clonidine on the prescribed schedule B. Provide ice chips at the client's bedside C. Educate the client on the effects of clonidine D. Obtain baseline vital signs D. Obtain baseline vital signs 54. A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium A. Neostigmine 55. A nurse is providing information to a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hallucinations B. Increased salivation C. Diarrhea D. Discoloration of urine A. Hallucunations 56. A nurse is teaching a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? A. Increase intake of protein rich foods. B. Expect muscle twitching to occur. C. Take this medication with food. D. Anticipate relief of manifestations in 24 hr. C. Take this medication with food. 57. A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should anticipate administering which of the following medications to the client? (Select all that apply.) A. Phenytoin B. Ethosuximide C. Gabapentin D. Carbamazepine E. Valproic acid F. Lamotrigine B. Ethosuximide E. Valproic acid F. Lamotrigine 58. A nurse is reviewing a new prescription for oxcarbazepine with a female client who has partial seizures. Which of the following instructions should the nurse include? (Select all that apply.) A. "Use caution if given a prescription for a diuretic medication. "B. "Consider using an alternate form of contraception if you are using oral contraceptives. "C. "Chew gum to increase saliva production. "D. "Avoid drinking until you see how the medication affects you. "E. "Notify your provider if you develop a skin rash." A. "Use caution if given a prescription for a diuretic medication. "B. "Consider using an alternate form of contraception if you are using oral contraceptives." D. "Avoid drinking until you see how the medication affects you. "E. "Notify your provider if you develop a skin rash." 59. A nurse is instructing a client who has a new prescription for timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication? A Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus B. Nasolacrimal duct 60. A nurse is teaching a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? A. "This medication can stain your contacts. "B. "This medication can cause your pupils to dilate. "C. "This medication can absorb into your contacts. "D, "THis medication can slow your heart rate." "C. "This medication can absorb into your contacts. 61. A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. which of the following findings are indicative of this condition? A. Insidious onset of painless loss of vision B. Gradual reduction in peripheral vision C. Severe pain around eyes D. Intraocular pressure 12mm Hg C. Severe pain around eyes 62. A nurse is teaching a client about preventing otitis externa. Which of the following instructions should the nurse include? A. Clean the ear with a cotton-tipped swab daily B. Place ear plugs in the ears when sleeping at night C. Use a cool water irrigation solution to remove earwax. D. Tip the head to the side to remove water from the ears after showering. D. Tip the head to the side to remove water from the ears after showering. 63. A nurse in a provider's office is instructing a parent of a toddler how to administer ear drops, which of the following instructions should the nurse include? (Select All That Apply). A. "Place the child on his unaffected side when you are ready to administer the medication. "B. "Warm the medication by gently rolling it between your hands for a few minutes. "C. "Gently shake medication that is in suspension form. "D. "Keep the child on his side for 5 minute after installation of the ear drops. "E. "Tightly pack the ear with cotton after initiation of the ear drops." A. "Place the child on his unaffected side when you are ready to administer the medication. "B. "Warm the medication by gently rolling it between your hands for a few minutes. "C. "Gently shake medication that is in suspension form. "D. "Keep the child on his side for 5 minute after installation of the ear drops. 64. A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium C. Dantrolene 65. A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (Select All That Apply) A. Place cooling blankets on the patient B. Administer O2 at 100% C. Administer iced 0.9% NaCL D. Administer potassium chloride IV. E. Monitor core body temperature A. Place cooling blankets on the patient B. Administer O2 at 100% C. Administer iced 0.9% NaCL E. Monitor core body temperature 66. A nurse is teaching a client who has a new prescription for baclofen to treat muscle spasms. What statements by the client indicates an understanding of the teaching? (Select All That Apply) A. "I will stop taking this medication right away if i develop dizziness ."B. "I know the doctor will gradually increase my dose of this medication for a while" C. "I should increase fiber to prevent constipation from this medication" D. "I won't be able to drink alcohol while I'm taking this medication" E. "I should take this medication on an empty stomach each morning." ."B. "I know the doctor will gradually increase my dose of this medication for a while" C. "I should increase fiber to prevent constipation from this medication" D. "I won't be able to drink alcohol while I'm taking this medication" 67. A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following? A. Buritis B. Sinusitis C. Depression D. Glaucoma D. Glaucoma 68. A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention. The nurse should recognize what finding as a manifestation of muscarinic stimulation? A. Dry mouth B. Hypertension C. Excessive perspiration D. Fecal impaction C. Excessive perspiration 69. A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select All That Apply) A. Incoordination B. Hypertension C. Pruritus D. Sleep driving E. Amnesia A. Incoordination D. Sleep driving E. Amnesia 70. A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated =. Which of the following medications should the nurse anticipate administering to the client? A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine C. Flumazenil 71. A nurse is teaching a client who has a new prescription for ramelton. The nurse should instruct the client to avoid which of the following foods while taking this medication? A. Baked Potato B. Fried chicken C. Whole grain bread D. Citrus fruit B. Fried chicken 72. A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of Ketamine as an IV anesthetic? A. Peptic Ulcer disease B. breast cancer C. Diabetes Mellitus D. Schizophrenia D. Schizophrenia 73. A nurse is providing instructions to a female client who has a new prescription for zolpidem. Which of the following instructions should the nurse include? A. "Notify the provider if you plan to become pregnant. "B. "Take the medication 1 hr before you plan to go to sleep. "C. "Allow at least 6hrs for sleep when taking zolpidem. "D. "TO increase the effectiveness of zolpidem, take it with a bedtime snack." A. "Notify the provider if you plan to become pregnant. 74. A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include? a. "Rinse your mouth after each use of this medication" b. "Limit fluid intake while taking this medication" c. "Increase your intake of Vitamin B12 while taking this medication" d. "You can take the medication as needed" a. "Rinse your mouth after each use of this medication" 75. A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? a. take the albuterol at the same time each day b. administer the albuterol inhaler prior to using the beclomethasone inhaler c. use beclomethasone if experiencing an acute episode d. avoid shaking the meclomethasone before use b. administer the albuterol inhaler prior to using the beclomethasone inhaler 76. A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? a. "You can take this medication to abort an acute asthma attack" b. "Tremors are an adverse effect of this medication" c. "Prolonged use of this medication can cause hyperglycemia" d. "This medication can slow skeletal growth rate" b. "Tremors are an adverse effect of this medication" 77. A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. weight gain b. nervousness c. bradycardia d. constipation a. weight gain 78. A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following adverse effects of this medication? a. sedation b. nasal congestion c. productive cough d. constipation b. nasal congestion 79. A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. diarrhea b. anxiety c. sedation d. palpitations C. sedation 80. A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions? a. "Expect this medication to suppress your cough ."b. "Expect this medication to smell like rotten eggs. "c. "Expect this medication to cause euphoria. "d. "Expect this medication to turn your urine orange." "b. "Expect this medication to smell like rotten eggs. 81. A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (Select all that apply) a. dry mouth b. nonproductive cough c. skin rash d. drowsiness e. urinary hesitation a. dry mouth d. drowsiness e. urinary hesitation 82. A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? a. "I should use the spray every 4 hours while I am awake. "b. "It can take as long as 3 weeks before the medication takes a maximum effect. "c. "This medication cal also be used to treat motion sickness ."d. "I can use this medication when my nasal passages are blocked." "b. "It can take as long as 3 weeks before the medication takes a maximum effect. 83. A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plane of care? (select all that apply) a. assess for tinnitus b. report urine output 50 mL/hr c. monitor serum potassium levels d. elevate the head of bed slowly before ambulation e. recommend eating a banana daily a. assess for tinnitus c. monitor serum potassium levels d. elevate the head of bed slowly before ambulation e. recommend eating a banana daily 84. A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? a. take the medication with food b. plan to take the medication at bedtime c. expect increased swelling of the ankles d. fluid intake should be limited in the morning a. take the medication with food 85. A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? a. serum sodium 144 mEq/L b. urine output 120 mL in 4 hours c. serum potassium 5.2 mEq/L d. blood pressure 140/90 mmHg c. serum potassium 5.2 mEq/L 86. a nurse is caring for a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider? a. blood glucose 150 mg/dL b. urine output 40 mL/hour c. dyspnea d. bilateral equal pupil size c. dyspnea 87. A nurse is planning caring for a client who has a new prescription for toresmide. The nurse should plan to monitor for which of the following adverse reactions of this medication? (select all that apply) a. respiratory acidosis b. hypokalemia c. hypotension d. ototoxicity e. ventricular dysrhythmias b. hypokalemia c. hypotension d. ototoxicity e. ventricular dysrhythmias 88. a nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? a. asthma b. glaucoma c. hypertension d. tachycardia a. asthma 89. A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include? a. increase the amount of dietary fiber in the diet b. drink grapefruit juice daily to increase Vitamin C intake c. decrease the amount of calcium in the diet d. withhold food for 1 hour after the medication is taken a. increase the amount of dietary fiber in the diet 90. A nurse is caring for a client who has a new prescription for captopril for hypertension. The nurse should monitor the client for which of the following adverse effects of this medication? a. hypokalemia b. hypernatremia c. neutropenia d. bradycardia c. neutropenia 91. A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? a. intestinal ileus b. neutropenia c. delirium d. hyperthermia c. delirium 92. A nurse is planning to administer a first dose of captopril to a client who has hypertension. Which of the following medications can intensify first dose hypotension? (select all that apply) a. simvastatin b. hydrochlorothiazide c. pheytoin d. clonidine e. aliskiren b. hydrochlorothiazide d. clonidine e. aliskiren 93. A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? a. calcium 9.2 mg/dL b. calcium 10.3 mg/dL c. potassium 3.4 mEq/L d. potassium 4.8 mEq/L c. potassium 3.4 mEq/L 94. a nurse is caring for an older adult client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? a. phenytoin b. verapamil c. warfarin d. aluminum hydroxide b. verapamil 95. A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? a. lowered heart rate b. increased urine output c. decreased conduction through the AV node d. vasoconstriction of renal blood vessels b. increased urine output 96. A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation of digoxin toxicity? (Select all that apply) a. fatigue b. constipation c. anorexia d. rash e. diplopia a. fatigue c. anorexia e. diplopia 97. a nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? a. contact provider if heart rate is less than 60 beats/min b. check pulse rate for 30 seconds and multiply result by 2 c. increase intake of sodium d. take with food if nausea occurs a. contact provider if heart rate is less than 60 beats/min 98. A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The client asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make? "a. "Take two more sublingual tablets at the same time "b. "Call the emergency response team" c. "Take a sustained-release nitroglycerin capsule" d. "wait another 5 minutes then take a second sublingual tablet" 99. "b. "Call the emergency response team"