NUR 1211C Pharmacology Assessment 2 Questions And Answers(Study Document Rated A)

Pharm Assessment 2 Question: 2 of 50 A nurse is caring for a client who reports using the herbal medication garlic along with prescribed warfarin. The nurse should identify that which of the following is a potential adverse effect of taking both of these products concurrently? Increased ecchymosis The nurse should identify that ecchymosis occurs when there is bleeding under the skin. Additionally, the nurse should recognize that garlic has antiplatelet effects that can result in bleeding. When taken concurrently with an anticoagulant, such as warfarin, there is an increased risk for bleeding. Question: 3 of 50 A nurse is caring for a client who has HIV and a prescription for nevirapine. The nurse should monitor the client for which of the following manifestations as an adverse reaction to nevirapine? Rash The nurse should monitor the client’s skin for a rash as an adverse reaction to nevirapine. A rash can lead to a severe reaction, such as Stevens-Johnson syndrome. If a rash develops, the nurse should notify the provider. Question: 4 of 50 A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: "Diphenhydramine 50 mg by mouth once, one hour prior to transfusion." The nurse should identify this as which of the following types of prescription? Single prescription Single prescriptions are also referred to as one-time prescriptions. Single prescriptions differ from stat prescriptions because they are implemented at a specified time, such as prior to a procedure or on call to surgery. Unlike standing prescriptions, they are used for a single instance, rather than for an ongoing period of time. Diphenhydramine administered prior to transfusion of blood reduces the risk of an allergic reaction. Question: 5 of 50 A nurse is providing teaching to a client who has erectile dysfunction and has a new prescription for tadalafil. Which of the following client statements indicates an understanding of the teaching? "This medication can decrease my blood pressure." The client should understand that tadalafil can cause hypotension. The nurse should instruct the client not to take this medication with nitrates because this can cause a sudden drop in blood pressure. Question: 6 of 50 A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication? Creatinine The nurse should monitor creatinine, BUN, and urine output for a client who is receiving gentamicin, an aminoglycoside antibiotic. Gentamicin is an aminoglycoside that has both nephrotoxic and ototoxic adverse effects. Question: 7 of 50 A nurse is teaching a client who has a seizure disorder and has a new prescription for phenytoin. Which of the following client statements indicates an understanding of the teaching? "I will have my blood checked to monitor the medication levels." MY ANSWERThe client should have serum phenytoin levels tested to maintain therapeutic blood levels and prevent toxicity. Therapeutic phenytoin levels range from 10 to 20 mcg/mL. Once a safe and therapeutic dosage level is established, the client should continue to adhere to the prescribed dosage schedule and continue routine monitoring. Question: 8 of 50 A nurse is assessing a client who has diabetes insipidus and is starting intranasal desmopressin. Which of the following findings should indicate to the nurse that the medication is effective? The client's 24 hr urine output is 1,256 mL. Desmopressin is effective for the treatment of diabetes insipidus, a disorder of the posterior pituitary gland in which large amounts of dilute urine are produced due to a deficiency in vasopressin. The action of desmopressin causes reabsorption of water and a decrease in urine volume. A urine output of 1,256 mL over 24 hr is within the expected reference range and indicates the medication is effective. Question: 9 of 50 A nurse is providing teaching to a client who has fibromyalgia and a new prescription for pregabalin. Which of the following instructions should the nurse include in the teaching? "You should notify your provider if you experience facial swelling." A hypersensitivity reaction, such as angioedema, can be life-threatening. Therefore, the nurse should instruct the client to report manifestations such as swelling of the face, lips, tongue, or throat to the provider. Question 10 loaded rationals provided Question: 10 of 50 A nurse is assessing a group of clients. Which of the following findings is the priority to report to the provider? A client who is receiving continuous IV lidocaine and has a respiratory rate of 10/min Lidocaine is used to treat ventricular dysrhythmias. A decreased respiratory rate is a manifestation of lidocaine toxicity. Therefore, a client who is receiving lidocaine and has a decreased respiratory rate is unstable and this finding is the highest priority to report to the provider. Question: 11 of 50 A nurse is assessing a client who started taking furosemide 2 days ago and has a potassium level of 3.1 mEq/L. Which of the following findings should the nurse expect? Depressed deep tendon reflexes A potassium level of 3.1 mEq/L is lower than the expected reference range of 3.5 to 5 mEq/L and is an indication of hypokalemia. The nurse should expect depressed deep tendon reflexes in a client who has hypokalemia. Question: 12 of 50 A nurse is providing teaching to the parents of a child who is starting to take liquid ferrous sulfate. Which of the following information should the nurse include in the teaching? Monitor your child for constipation. MY ANSWER Constipation is an adverse effect of iron preparations. The nurse should instruct the parents to increase the child's fluid intake to reduce the risk for constipation. Question: 13 of 50 A nurse is reviewing the health history of a client who experiences migraine headaches and has asked about a prescription for sumatriptan. Which of the following conditions should the nurse identify as a contraindication for taking sumatriptan? Coronary artery disease Evidenced-based practice indicates that a client who has a history or risk of coronary artery disease should not take sumatriptan. The medication can cause coronary vasospasm, ECG changes, and hypertension Question: 14 of 50 A nurse erroneously administered a prescribed medication IV instead of IM to a client. Which of the following actions is the nurse's priority? Assess the client. According to the nursing process, the first action the nurse should take is to assess the client for injury due to the medication error. Question: 15 of 50 A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching? "I will need to have regular eye exams while taking this medication." The nurse should instruct the client that she will need to have eye exams every 6 months by an ophthalmologist. Hydroxychloroquine can cause retinal damage that can eventually lead to blindness. Question: 16 of 50 A nurse is reviewing the medical record of a client who takes lithium. Which of the following findings is the priority to report to the provider? MY ANSWER Sodium 130 mEq/L The nurse should recognize that the greatest risk to this client is injury from lithium toxicity. A sodium level of 130 mEq/L is below the expected reference range of 136 to 145 mEq/L and increases the risk of lithium toxicity. Therefore, this finding is the priority to report to the provider. The nurse should monitor for manifestations of lithium toxicity, such as vomiting, slurred speech, and muscle weakness. Question: 17 of 50 A nurse is providing teaching to a client who is starting to take aspirin. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication? Black, tarry stools A client who takes aspirin can have an increased risk for bleeding because aspirin suppresses platelet aggregation. The nurse should instruct the client to monitor for and report indications of bleeding, such as bruising, petechiae, and blood in stools or urine. Question: 18 of 50 A nurse is assessing a client who has been taking hydrochlorothiazide. Which of the following client statements indicates that the medication is effective? "The swelling in my feet has decreased." Hydrochlorothiazide, a thiazide diuretic, reduces edema and blood pressure by increasing urine output. Therefore, decreased swelling of the feet is an indication that the medication is effective Question: 19 of 50 A nurse is assessing a client who received ondansetron 1 hr ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication? Suppressed emesis Ondansetron suppresses nausea and vomiting induced by chemotherapy, anesthesia, radiation therapy, or morning sickness by blocking serotonin receptors in the upper GI tract and in the CNS Question: 20 of 50 A nurse is reviewing the medical history of a client who has myasthenia gravis and is asking about starting neostigmine. The nurse should identify which of the following client conditions as a potential contraindication for cholinesterase inhibitor therapy? Peptic ulcer disease Neostigmine, a cholinesterase inhibitor, increases gastric secretions which would further exacerbate the peptic ulcer disease, thereby increasing the risk for erosion and perforation. The nurse should identify that the presence of peptic ulcer disease is a contraindication for the use of neostigmine. Question: 21 of 50 A nurse is teaching a client who has a new prescription for isoniazid to treat tuberculosis. Which of the following information should the nurse include in the teaching? "You will have frequent sputum tests to monitor the effectiveness of this medication." The nurse should instruct the client to provide sputum specimens every 2 to 4 weeks to monitor the effectiveness of this medication. The client is no longer infectious following three consecutive negative sputum cultures. However, the client should continue the antibiotic treatment for 6 to 12 months. Question: 22 of 50 A nurse is reviewing the medication administration record (MAR) of a client who requires fluticasone MDI one puff and albuterol MDI two puffs. Which of the following actions should the nurse plan to take? Place the following steps in the correct order. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.)  Have the client take one puff of albuterol  Have the client rest for 1 min  Have the client take the second puff of albuterol  Have the client rest for 5 min  Have the client take one puff of fluticasone When the client requires an inhaled beta2-agonist and an inhaled glucocorticoid, the nurse should instruct the client to first administer the beta2-agonist to promote bronchodilation. The nurse should have the client take one puff of albuterol, wait 1 min, and then have the client take the second puff of albuterol. Then, the nurse should have the client wait 5 min