Capstone Pharm Pre-Assessment Quiz

Capstone Pharm Pre-Assessment Quiz A client is prescribed propanolol. Which of the following client history findings would require the nurse to clarify this medication prescription? 1) Asthma 2) Hypertension 3) Tachydysrhythmias 4) Urolithiasis 1) Asthma Clients with asthma should avoid Beta2 Blockade agents such as propanolol. Brochoconstriction can occur. Clients with asthma should be administered a beta1 selective agent A nurse is caring for a client prescribed montelukast. Which of the following should the nurse include in teaching related to this medication? 1) Advise client to take the medication once daily at bedtime 2) This medication is for acute management of asthma 3) Avoid dairy products while taking this medication 4) If the client forgets to take the medication for a few days he can double up on doses to catch up 1) Advise client to take the medication once daily at bedtime Clients should take montelukast once daily at bedtime A 45-year-old client is taking methylprednisolone. What pharmacologic action should the nurse expect with this therapy? 1) Suppression of beta2 receptors 2)Suppression of airway mucus production 3) Fortification of bones 4) Suppression of candidiasis 2) Suppression of airway mucus production Corticosteroids, such as methylprenisolone will suppress airway mucus production A nurse has just administered a wrong medication to a client. Which of the following actions should the nurse take next? 1) No action is needed 2) Report error to the provider 3) Complete an institutional incident report 4) Inform the client that the wrong medication was given 2) Report the error to the provider The nurse should acknowledge the error and report it to the provider for further orders. The nurse should also monitor the client for adverse effects. The nurse should also complete an incident report per institutional policy after notifying the health care provider A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the following instructions should the nurse include in client education regarding taking the first dose of this medication? 1) Change positions slowly and lie down if dizziness occurs 2) There is no need to avoid normal activities 3) Avoid dairy products while taking this medication 4) Do not eat green leafy vegetables 1) Change positions slowly and lie down if dizziness occurs First-dose orthostatic hypotension can occur with doxazosin. The nurse should instruct clients to change position slowly and to lie down if feeling dizzy, lightheaded or faint A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the following instructions should be included in client teaching about this medication? 1) Take the medication on an empty stomach to maximize absorption 2) Notify your provider if your stool becomes dark green 3) Decrease dietary fiber intake while taking this medication 4) Take prescribed antacids at the same time as this medication 1) Take this medication on an empty stomach to maximize absorption The nurse should instruct the clients to take iron on an empty stomach, such as 1 hr before meals to maximize absorption. Stomach acid increases absorption. If GI adverse effects occur, the client can take with food to increase adherence to therapy even though absorption is also decreased A nurse have provided education to a client regarding prescribed levothyroxene sodium. What of the following client statements demonstrates understanding of medication administration? 1) "I should take my medication as needed to alleviate symptoms" 2) "I should take the medication in divided doses to ensure therapeutic drug levels" 3) "I should take the medication in the morning to prevent insomnia" 4) "I should take the medication on a full stomach" 3) "I should take the medication in the morning to prevent insomnia" Levothyroxene sodium should be taken once in the morning to prevent insomnia A nurse is caring for a client prescribed digoxin. Which of the following should alert the nurse to possible digitalis toxicity? 1) anorexia and weakness 2) hyperactivity and hunger 3) tachycardia and increased urination 4) polyphagia and polydipsia 1) anorexia and weakness Anorexia, fatigue and weakness are signs of potential digitalis toxicity. GI effects of digitalis toxicity include anorexia, nausea, vomiting, and abdominal pain. CNS effects include fatigue, weakness, vision changes (diplopia, blurred vision, yellow-green or white halos around objects). Bradycardia is also commonly noted in digitalis toxicity A client has been prescribed metoclopramide. Which of the following should the nurse include in client education regarding this medication?