NR 293 Pharm Exam 1 Chamberlain ||Verified Exam!!!||
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nurse is monitoring a client with pneumonia who has
received penicillin G intramuscularly. Which of the
following findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F - Answer-C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis
A nurse is reviewing the laboratory results of a client who
is taking a medication and notes that the client's blood
tests show an elevated level of the enzymes aspartate
aminotransferase (AST) and alanine aminotransferase
(ALT). The nurse should recognize that these findings are
potential indications of which of the following conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
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d. cardiac dysrhythmia - Answer-c. hepatic toxicity
A nurse is reviewing the laboratory data for a client who
has Alzheimer's disease and a new prescription for
memantine. The nurse should identify that which of the
following findings increases the risk for reduced clearance
of the medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31 - Answer-B. Creatinine clearance 35 mL/min
A nurse is caring for a client who has multiple medication
allergies. During which of the following steps of the
nursing process should the nurse identify the client's
allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation - Answer-C. Data Collection
A nurse is caring for a client and realizes after
administering the 0900 medications that she gave digoxin
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0.25 mg PO to the client instead of the prescribed dose of
digoxin 0.125 mg PO. Which of the following actions
should the nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report - Answer-C. check the
client's apical pulse
A nurse is preparing to administer medication to a client.
Which of the following abbreviations indicates the greatest
frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h - Answer-C. QID
A nurse is reviewing the medication administration record
of a client who has impaired swallowing. The nurse should
crush the medication when administering which of the
following prescriptions?
A. Aspirin EC 80 mg PO daily
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B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5
min for 2 additional doses. - Answer-B. Levothyroxine 75
mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL =
sublingually
A nurse is caring for a client who is receiving cefotetan 1 g
via intermittent IV bolus every 12 hours to treat a
postoperative infection. Which of the following
manifestations should the nurse monitor for as an adverse
effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice - Answer-B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels,
which can result in bleeding and epistaxis. It is a second
generation cephalosporin.
A nurse is assisting with the care of a client who is
postoperative. The client reports a pain level of 8 on a