RN Pharmacology Online Practice 2023 B
A nurse at a clinic is providing follow - up care to a client who is taking
fluoxetine for depression. Which of the following findings should the nurse
identify as an adverse effect of the medication?
-tingling toes
-absence of dreams
-sexual dysfunction
-pica - (ANSWERS)sexual dysfunction
Sexual dysfunction, including a decreased libido, impotence, and delayed
orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs
in about 70% of clients who take this SSRI antidepressant.
NGN - a nurse is monitoring a client after administering their prescribed
medications.
Neuro: client is alert to person, place, time, and situation. Client reports
headache and occasional anxiety.
Gi/gu: client reports nausea. Abdomen soft and rounded, non-distended.
Bowel sounds are normoactive in all 4 quadrants. Bladder non-distended;
continent. Urine output of 25 ml/hr.
Vital signs: temp 38.4 C (101.2 F) HR 106/min, resp rate 20/min, BP
140/64 mm Hg, o2 97% on room air
,RN Pharmacology Online Practice 2023 B
Integumentary: skin cool, dry and intact. Small pinpoint petechiae is present
on bilateral extremities - (ANSWERS)client reports headache.
Client reports nausea.
Small pinpoint petechiae is present on bilateral extremities.
When analyzing cues, the nurse should identify that the client's report of
headache, nausea, and small pinpoint petechiae is present on bilateral
extremities are indications of a potential adverse reaction to enoxaparin.
Low molecular weight heparins such as enoxaparin are anticoagulants that
are used to prevent thrombus formation. Other findings of an adverse
reaction include, peripheral edema, insomnia, hematuria, pruritis, and
alopecia.
A nurses is assessing a client's vital signs prior to the administration of PO
digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and
respiratory rate is 20/min. The nurse should withhold the medication and
contact the provider for which of the following findings?
-diastolic BP
-systolic BP
-heart rate
-respiratory rate - (ANSWERS)heart rate
Digoxin slows the conduction rate through the SA and AV nodes, thereby
,RN Pharmacology Online Practice 2023 B
decreasing the heart rate. The nurse should withhold the medication and
notify the provider for a heart rate of 55/min because this is an early
indication of digoxin toxicity.
NGN - a nurse is caring for a client in an outpatient clinic.
The nurse is reviewing the client's medical record, which of the following is
the client at risk for developing
-hypocalcemia
-hypomagnesemia
-nocturia
Due to
-diclofenac
-omeprazole
-naproxen - (ANSWERS)hypomagnesemia due to omeprazole
Upon analyzing cues, the nurse should identify that the client is at risk for
developing hypomagnesemia due to long-term use of omeprazole and
should monitor magnesium laboratory values and observe for
manifestations including tremors, seizures, and muscle cramps.
, RN Pharmacology Online Practice 2023 B
A nurse receives a verbal order from the provider to administer morphine
five milligrams every 4 hours subcutaneously for severe pain as needed.
The nurse should identify which of the following entries as the correct
format for the medication administration record (MAR)?
-MSO4 5 mg subcut every 4 hr PRN severe pain
-Morphine 5 mg subcut every 4 hr PRN severe pain
-MSO4 5mg SQ every 4 hr PRN severe pain
-Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain -
(ANSWERS)Morphine 5 mg subcut every 4 hr PRN severe pain
The nurse should identify this entry as the correct format for the MAR. The
medication name is spelled out and there are not any abbreviations from the
Joint Commission's "Do Not Use" list included int he transcription.
-use of MSO4 and SQ are prohibited
-okay to use = subcut, SUBQ, subcutaneously
-trailing zero on 5.0 can be mistaken for 50 if decimal point is missed
A nurse is providing teaching to a client about the use of ethinyl
estradiol/norelgestromin. The nurse should identify that which of the
following statements by the client indicates an understanding of the
teaching?
-"I will apply the patch once a week for 2 weeks."
A nurse at a clinic is providing follow - up care to a client who is taking
fluoxetine for depression. Which of the following findings should the nurse
identify as an adverse effect of the medication?
-tingling toes
-absence of dreams
-sexual dysfunction
-pica - (ANSWERS)sexual dysfunction
Sexual dysfunction, including a decreased libido, impotence, and delayed
orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs
in about 70% of clients who take this SSRI antidepressant.
NGN - a nurse is monitoring a client after administering their prescribed
medications.
Neuro: client is alert to person, place, time, and situation. Client reports
headache and occasional anxiety.
Gi/gu: client reports nausea. Abdomen soft and rounded, non-distended.
Bowel sounds are normoactive in all 4 quadrants. Bladder non-distended;
continent. Urine output of 25 ml/hr.
Vital signs: temp 38.4 C (101.2 F) HR 106/min, resp rate 20/min, BP
140/64 mm Hg, o2 97% on room air
,RN Pharmacology Online Practice 2023 B
Integumentary: skin cool, dry and intact. Small pinpoint petechiae is present
on bilateral extremities - (ANSWERS)client reports headache.
Client reports nausea.
Small pinpoint petechiae is present on bilateral extremities.
When analyzing cues, the nurse should identify that the client's report of
headache, nausea, and small pinpoint petechiae is present on bilateral
extremities are indications of a potential adverse reaction to enoxaparin.
Low molecular weight heparins such as enoxaparin are anticoagulants that
are used to prevent thrombus formation. Other findings of an adverse
reaction include, peripheral edema, insomnia, hematuria, pruritis, and
alopecia.
A nurses is assessing a client's vital signs prior to the administration of PO
digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and
respiratory rate is 20/min. The nurse should withhold the medication and
contact the provider for which of the following findings?
-diastolic BP
-systolic BP
-heart rate
-respiratory rate - (ANSWERS)heart rate
Digoxin slows the conduction rate through the SA and AV nodes, thereby
,RN Pharmacology Online Practice 2023 B
decreasing the heart rate. The nurse should withhold the medication and
notify the provider for a heart rate of 55/min because this is an early
indication of digoxin toxicity.
NGN - a nurse is caring for a client in an outpatient clinic.
The nurse is reviewing the client's medical record, which of the following is
the client at risk for developing
-hypocalcemia
-hypomagnesemia
-nocturia
Due to
-diclofenac
-omeprazole
-naproxen - (ANSWERS)hypomagnesemia due to omeprazole
Upon analyzing cues, the nurse should identify that the client is at risk for
developing hypomagnesemia due to long-term use of omeprazole and
should monitor magnesium laboratory values and observe for
manifestations including tremors, seizures, and muscle cramps.
, RN Pharmacology Online Practice 2023 B
A nurse receives a verbal order from the provider to administer morphine
five milligrams every 4 hours subcutaneously for severe pain as needed.
The nurse should identify which of the following entries as the correct
format for the medication administration record (MAR)?
-MSO4 5 mg subcut every 4 hr PRN severe pain
-Morphine 5 mg subcut every 4 hr PRN severe pain
-MSO4 5mg SQ every 4 hr PRN severe pain
-Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain -
(ANSWERS)Morphine 5 mg subcut every 4 hr PRN severe pain
The nurse should identify this entry as the correct format for the MAR. The
medication name is spelled out and there are not any abbreviations from the
Joint Commission's "Do Not Use" list included int he transcription.
-use of MSO4 and SQ are prohibited
-okay to use = subcut, SUBQ, subcutaneously
-trailing zero on 5.0 can be mistaken for 50 if decimal point is missed
A nurse is providing teaching to a client about the use of ethinyl
estradiol/norelgestromin. The nurse should identify that which of the
following statements by the client indicates an understanding of the
teaching?
-"I will apply the patch once a week for 2 weeks."
