RN Pharmacology Online Practice 2019 A
1. A nurse is providing teaching to a client who has peptic
ulcer disease and is to start a new prescription for sucralfate.
Which of the following actions of sucralfate should the nurse
include in the teaching?: Forms a protective barrier over ulcers
Secretions by the parietal and chief cells, hydrochloric acid and
pepsin, can further irritate the ulcerated areas. Sucralfate, a
mucosal protectant, forms a gel-like substance that coats the
ulcer, creating a barrier to hydrochloric acid and pepsin.
2. A nurse is providing teaching to a client who has multiple
sclerosis and a new prescription for methylprednisolone.
Which of the following instructions should the nurse include?
(Select all that apply.): Blood glucose levels will be monitored
during therapy.
Avoid contact with people who have known infections. Take the
medication 1 hr before breakfast.
Decrease dietary intake of foods containing potassium. Grapefruit
juice can increase the effects of the medication.
,Blood glucose levels will be monitored during therapy is
CORRECT. The nurse should monitor the client for hyperglycemia
while providing methylprednisolone to the client. Glucocorticoids,
such as methylprednisolone, increase serum glucose levels and
can require management with insulin or antihyperglycemics.
Avoid contact with people who have known infections is
CORRECT. The nurse should instruct the client to avoid exposure
to infectious agents, such as contact with those who have active
infections or illnesses. Glucocorticoids, such as methyl-
prednisolone, depress the immune system, placing the client at
an increased risk for developing an infection.
Take the medication 1 hr before breakfast is incorrect. The nurse
should instruct the client to take the medication with food or milk to
decrease gastrointestinal upset.
Decrease dietary intake of foods containing potassium is
incorrect. The nurse should instruct the client to increase dietary
intake of potassium-rich foods while taking this medication.
Glucocorticoids, such as methylprednisolone, deplete potassium
in the body, which manifests as hypokalemia.
,Grapefruit juice can increase the effects of the medication is
CORRECT. The nurse should instruct the client that grapefruit and
grapefruit juice can increase the level of methylprednisolone in the
body.
3. A nurse is providing discharge teaching about handling
medication to a client who is to continue taking oral
transmucosal fentanyl raspberry-fla- vored lozenges on a
stick. Which of the following information should the nurse
include in the teaching?: Store the unused medication sticks in a
storage container.
The nurse should instruct the client to store unused, used, or
partially used medication sticks in the safe storage container that
comes in the kit when the medication is initially prescribed.
4. A nurse is reviewing the ECG of a client who is receiving IV
furosemide for heart failure. The nurse should identify which
of the following findings as an indication of hypokalemia?:
Presence of U-waves
The nurse should identify the presence of U-waves as a
manifestation of hy- pokalemia, an adverse effect of furosemide.
, 5. A nurse is caring for a client who has cancer and is taking
oral morphine and decussate sodium. The nurse should
instruct the client that taking the decussate sodium daily can
minimize which of the following adverse effects of
morphine?: Constipation
Constipation is a common adverse effect of morphine that can be
minimized by taking docusate sodium, a stool softener that
promotes easier evacuation of stool by increasing water and fat in
the intestine.
6. A nurse is planning care for a client who is receiving mannitol
via continu- ous IV infusion. The nurse should monitor the client
for which of the following adverse effects?: Bibasilar crackles
Mannitol, an osmotic diuretic, can precipitate heart failure and
pulmonary edema. Therefore, the nurse should recognize lung
crackles as an indicator of a potential complication and stop the
infusion.
7. A nurse is providing teaching to a client who has a gastric
ulcer and a new prescription for famotidine. Which of the
following instructions should the nurse include?: Report
yellowing of the skin.
1. A nurse is providing teaching to a client who has peptic
ulcer disease and is to start a new prescription for sucralfate.
Which of the following actions of sucralfate should the nurse
include in the teaching?: Forms a protective barrier over ulcers
Secretions by the parietal and chief cells, hydrochloric acid and
pepsin, can further irritate the ulcerated areas. Sucralfate, a
mucosal protectant, forms a gel-like substance that coats the
ulcer, creating a barrier to hydrochloric acid and pepsin.
2. A nurse is providing teaching to a client who has multiple
sclerosis and a new prescription for methylprednisolone.
Which of the following instructions should the nurse include?
(Select all that apply.): Blood glucose levels will be monitored
during therapy.
Avoid contact with people who have known infections. Take the
medication 1 hr before breakfast.
Decrease dietary intake of foods containing potassium. Grapefruit
juice can increase the effects of the medication.
,Blood glucose levels will be monitored during therapy is
CORRECT. The nurse should monitor the client for hyperglycemia
while providing methylprednisolone to the client. Glucocorticoids,
such as methylprednisolone, increase serum glucose levels and
can require management with insulin or antihyperglycemics.
Avoid contact with people who have known infections is
CORRECT. The nurse should instruct the client to avoid exposure
to infectious agents, such as contact with those who have active
infections or illnesses. Glucocorticoids, such as methyl-
prednisolone, depress the immune system, placing the client at
an increased risk for developing an infection.
Take the medication 1 hr before breakfast is incorrect. The nurse
should instruct the client to take the medication with food or milk to
decrease gastrointestinal upset.
Decrease dietary intake of foods containing potassium is
incorrect. The nurse should instruct the client to increase dietary
intake of potassium-rich foods while taking this medication.
Glucocorticoids, such as methylprednisolone, deplete potassium
in the body, which manifests as hypokalemia.
,Grapefruit juice can increase the effects of the medication is
CORRECT. The nurse should instruct the client that grapefruit and
grapefruit juice can increase the level of methylprednisolone in the
body.
3. A nurse is providing discharge teaching about handling
medication to a client who is to continue taking oral
transmucosal fentanyl raspberry-fla- vored lozenges on a
stick. Which of the following information should the nurse
include in the teaching?: Store the unused medication sticks in a
storage container.
The nurse should instruct the client to store unused, used, or
partially used medication sticks in the safe storage container that
comes in the kit when the medication is initially prescribed.
4. A nurse is reviewing the ECG of a client who is receiving IV
furosemide for heart failure. The nurse should identify which
of the following findings as an indication of hypokalemia?:
Presence of U-waves
The nurse should identify the presence of U-waves as a
manifestation of hy- pokalemia, an adverse effect of furosemide.
, 5. A nurse is caring for a client who has cancer and is taking
oral morphine and decussate sodium. The nurse should
instruct the client that taking the decussate sodium daily can
minimize which of the following adverse effects of
morphine?: Constipation
Constipation is a common adverse effect of morphine that can be
minimized by taking docusate sodium, a stool softener that
promotes easier evacuation of stool by increasing water and fat in
the intestine.
6. A nurse is planning care for a client who is receiving mannitol
via continu- ous IV infusion. The nurse should monitor the client
for which of the following adverse effects?: Bibasilar crackles
Mannitol, an osmotic diuretic, can precipitate heart failure and
pulmonary edema. Therefore, the nurse should recognize lung
crackles as an indicator of a potential complication and stop the
infusion.
7. A nurse is providing teaching to a client who has a gastric
ulcer and a new prescription for famotidine. Which of the
following instructions should the nurse include?: Report
yellowing of the skin.
