PN PHARMACOLOGY ONLINE PRACTICE 2020-2024 WITH
VERIFIED SOLUTIONS #15
A nurse is reviewing he medication administration record for a client who has a new
prescription for tobramycin to treat pulmonary infection. Which of the following
medications should the nurse identify as increasing the risk for ototoxicity while taking
tobramycin? - correct answer Furosemide.
Furosemide is a diuretic that can cause ototoxicity. So, the clients hearing loss is
increased if receiving both of these medications
A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension
and is taking metoprolol. The nurse should instruct the client to report which of the
following manifestations to the provider as an adverse effect of this medication? -
correct answer Peripheral edema.
This could be an indication of heart failure, which is an adverse effect of metoprolol.
Other adverse effects: bradycardia, blurred vision, and urinary frequency.
A nurse is caring for a client who has schizophrenia and is to start therapy with
risperidone. For which of the following manifestations should the nurse monitor to
determine whether the treatment is effective? - correct answer Improved social
interactions
Risperidone is an atypical antipsychotic that can minimize these manifestations,
improving social interactions with others.
A nurse is collecting data prior to administering digoxin to a client. For which of the
following findings should the nurse withhold this medication and notify the provder? -
correct answer Apical pulse 52/min
If the clients HR is below 60/min the nurse should withhold the dose and notify the
provider.
Hypokalemia places a pt at risk for cardiac dysrhythmias when taking digoxin
A nurse is caring for a client who has a 10-year history of alcohol use disorder and is
experiencing acute alcohol withdrawal. The nurse should identify which of the following
interventions as the priority? - correct answer Implement seizure precautions.
Grand mal seizures can occur during severe alcohol withdrawal, making the priority to
implement seizure precautions to reduce the risk of injury.
A nurse is reviewing the medication administration record of a client who has a history
of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of
the following medications should the nurse identify as contraindicated for this client? -
correct answer Furosemide.
Anyone who has a history of Stevens-Johnson syndrome when taking sulfonamides is
at risk for an allergic reaction to furosemide because the two medications are chemically
related.
, A client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has
a prescription for morphine 15 mg orally every 4 hr. The client's adult children express
concern that the client is receiving too much of the medication. Which of the following
responses should the nurse make? - correct answer "The dose should remain constant
to prevent breakthrough pain."
Fixed or scheduled dosing around the clock offers the best pain control for clients who
have severe and persistent pain.
A nurse is caring for a client who has a new prescription for risperidone to manage
schizophrenia. Which of the following lab test should the nurse plan to obtain prior to
administering the first dose? - correct answer Fasting blood glucose
The development of hyperglycemia can be an adverse effect of risperidone.
A nurse is reinforcing teaching with a client who has a new prescription for a new
fluticasone inhaler. Which of the following client statements indicates as understanding
of the teaching? - correct answer "I will rinse my mouth after I use this inhaler."
Rinse mouth after using glucocorticoids to reduce the risk of the development of oral
thrush
A nurse is collecting data from a client who has hyperthyroidism and a new prescription
for propylthiouracil. The nurse should monitor the client for which of the following
manifestations as an adverse effect of this medication? - correct answer Sore throat
Propylthiouracil- think "props to you for being hyped up" This drug is used to treat
hyperthyroidism.
The nurse should monitor for sore throat and fever because these are early indications
of agranulocytosis, and adverse effect of the medication.
A nurse is reinforcing teaching with a client who recently began taking furosemide.
Which of the following instructions should the nurse include in the teaching? - correct
answer Increase dietary potassium while taking the medication.
Furosemide causes potassium to be excreted in the urine.
A nurse reinforcing teaching with a client who has rheumatoid arthritis and a new
prescription for methotrexate. Which of the following information should the nurse
include in the teaching? - correct answer Increase fluid intake.
Patients who take methotrexate should increase fluid intake to reduce the risk for renal
damage and to increase medication excretion.
A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus.
Which of the following findings indicated and adverse reaction to this medication? -
correct answer Hypotension
It is considered a high alert medication due to the potentially serious adverse effects like
hypotension. The nurse should report nephrotoxicity, hypokalemia, and cardiac
dysrhythmias.
VERIFIED SOLUTIONS #15
A nurse is reviewing he medication administration record for a client who has a new
prescription for tobramycin to treat pulmonary infection. Which of the following
medications should the nurse identify as increasing the risk for ototoxicity while taking
tobramycin? - correct answer Furosemide.
Furosemide is a diuretic that can cause ototoxicity. So, the clients hearing loss is
increased if receiving both of these medications
A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension
and is taking metoprolol. The nurse should instruct the client to report which of the
following manifestations to the provider as an adverse effect of this medication? -
correct answer Peripheral edema.
This could be an indication of heart failure, which is an adverse effect of metoprolol.
Other adverse effects: bradycardia, blurred vision, and urinary frequency.
A nurse is caring for a client who has schizophrenia and is to start therapy with
risperidone. For which of the following manifestations should the nurse monitor to
determine whether the treatment is effective? - correct answer Improved social
interactions
Risperidone is an atypical antipsychotic that can minimize these manifestations,
improving social interactions with others.
A nurse is collecting data prior to administering digoxin to a client. For which of the
following findings should the nurse withhold this medication and notify the provder? -
correct answer Apical pulse 52/min
If the clients HR is below 60/min the nurse should withhold the dose and notify the
provider.
Hypokalemia places a pt at risk for cardiac dysrhythmias when taking digoxin
A nurse is caring for a client who has a 10-year history of alcohol use disorder and is
experiencing acute alcohol withdrawal. The nurse should identify which of the following
interventions as the priority? - correct answer Implement seizure precautions.
Grand mal seizures can occur during severe alcohol withdrawal, making the priority to
implement seizure precautions to reduce the risk of injury.
A nurse is reviewing the medication administration record of a client who has a history
of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of
the following medications should the nurse identify as contraindicated for this client? -
correct answer Furosemide.
Anyone who has a history of Stevens-Johnson syndrome when taking sulfonamides is
at risk for an allergic reaction to furosemide because the two medications are chemically
related.
, A client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has
a prescription for morphine 15 mg orally every 4 hr. The client's adult children express
concern that the client is receiving too much of the medication. Which of the following
responses should the nurse make? - correct answer "The dose should remain constant
to prevent breakthrough pain."
Fixed or scheduled dosing around the clock offers the best pain control for clients who
have severe and persistent pain.
A nurse is caring for a client who has a new prescription for risperidone to manage
schizophrenia. Which of the following lab test should the nurse plan to obtain prior to
administering the first dose? - correct answer Fasting blood glucose
The development of hyperglycemia can be an adverse effect of risperidone.
A nurse is reinforcing teaching with a client who has a new prescription for a new
fluticasone inhaler. Which of the following client statements indicates as understanding
of the teaching? - correct answer "I will rinse my mouth after I use this inhaler."
Rinse mouth after using glucocorticoids to reduce the risk of the development of oral
thrush
A nurse is collecting data from a client who has hyperthyroidism and a new prescription
for propylthiouracil. The nurse should monitor the client for which of the following
manifestations as an adverse effect of this medication? - correct answer Sore throat
Propylthiouracil- think "props to you for being hyped up" This drug is used to treat
hyperthyroidism.
The nurse should monitor for sore throat and fever because these are early indications
of agranulocytosis, and adverse effect of the medication.
A nurse is reinforcing teaching with a client who recently began taking furosemide.
Which of the following instructions should the nurse include in the teaching? - correct
answer Increase dietary potassium while taking the medication.
Furosemide causes potassium to be excreted in the urine.
A nurse reinforcing teaching with a client who has rheumatoid arthritis and a new
prescription for methotrexate. Which of the following information should the nurse
include in the teaching? - correct answer Increase fluid intake.
Patients who take methotrexate should increase fluid intake to reduce the risk for renal
damage and to increase medication excretion.
A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus.
Which of the following findings indicated and adverse reaction to this medication? -
correct answer Hypotension
It is considered a high alert medication due to the potentially serious adverse effects like
hypotension. The nurse should report nephrotoxicity, hypokalemia, and cardiac
dysrhythmias.
