Pharmacology Assessment A {Questions With 100% Correct Answers} (2024 / 2025)(Verified by Experts)

A nurse is caring for a client who has multiple sclerosis and has a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect? A) Decreased muscle spasticity The nurse should identify that baclofen is an antispasmodic that decreases muscle spasticity in a client who has multiple sclerosis. B) Increased urinary output Urinary frequency is an adverse effect of baclofen rather than a therapeutic effect. C) Increased mental alertness Baclofen is an antispasmodic that can cause CNS adverse effects, such as drowsiness, fatigue, and confusion, and does not produce an increase in the client's mental alertness as a therapeutic effect. D) Decreased heart rate Baclofen is an antispasmodic and does not decrease the client's heart rate as a therapeutic effect. - ANSWER A) Decreased muscle spasticity The nurse should identify that baclofen is an antispasmodic that decreases muscle spasticity in a client who has multiple sclerosis. A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect? A) Passage of a soft, formed stool daily Passing a soft, formed stool is not an indication the medication is having a therapeutic effect. Ferrous sulfate can cause constipation. B) Decreased number of viral illnesses A decreased number of viral illnesses is not an indication the ferrous sulfate is having a therapeutic effect. C) Improved ability to fall asleep An improved ability to fall asleep is not an indication the ferrous sulfate is having a therapeutic effect. D) Increased tolerance to exercise The client who takes ferrous sulfate, which is used to treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low hemoglobin level. An increased tolerance to exercise is an indication - ANSWER D) Increased tolerance to exercise The client who takes ferrous sulfate, which is used to treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low hemoglobin level. An increased tolerance to exercise is an indication the ferrous sulfate is having a therapeutic effect. Increased tolerance to exercise occurs when the hemoglobin level increases, allowing more oxygen to be carried to the vital organs and tissue. A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib? A) Hyperglycemia Celecoxib is not contraindicated for a client who has hyperglycemia. B) Allergy to penicillin Celecoxib can cause hypersensitivity reactions in clients who are allergic to sulfonamides or salicylates rather than penicillin. C) History of myocardial infarction Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a client who has a history of myocardial infarction or heart disease. D) Peptic ulcer disease Celecoxib should be used with caution for clients who have peptic ulcer disease; however, it is not contraindicated. - ANSWER C) History of myocardial infarction Celecoxib increases the risk of myocardial infarction caused by increased vasoconstriction and unimpeded platelet aggregation. It is contraindicated for a client who has a history of myocardial infarction or heart disease.