RN Pharmacology Online Practice 2023
B
***A nurse is caring for a client in a clinic.
Nurses' Notes 3 months ago: Client was educated on non-pharmacological interventions to lower blood
pressure such as exercise and a low-fat, low-sodium diet with fresh fruits and vegetables. Client to
return to office for a follow-up visit in 3 months. Today: Blood pressure is still elevated. Provider notified
and prescription given to the client. The client was educated on the medication. Captopril 12.5 mg twice
a day by mouth.
Which client statements indicate an understanding of the teaching? Click to specify if the client
statement indicates an understanding or need for further education.
-"Coughing is expected while taking this medication."
-"I will eat foods high in potassium."
-"I will notify my provider if I feel sick."
-"I should take this medication with meals."
-"I should take acetaminophen instead of ibuprofen for a headache." - ANS Understanding:
-"I will notify my provider if I feel sick"
-"I should take acetaminophen instead of ibuprofen for a headache"
Rationale: Captopril can cause neutropenia. If a client develops manifestations of infection such as a
fever or sore throat, the provider should be notified. NSAIDS such as ibuprofen may reduce the
effectiveness of captopril and should be avoided.
Need for further education:
-"I will eat foods high in potassium"
-"Coughing is expected while taking this medication"
-"I should take this medication with meals
Rationale: Hyperkalemia is an adverse effect of captopril. The client should avoid potassium
supplements and potassium-sparing supplements. Coughing is an adverse effect of captopril (ACE
,cough) and the nurse should notify the provider. Captopril should be given one hour before meals or
two hours after meals.
A nurse is caring for a patient who is refusing to take their schedules morning furosemide. Which of the
following statements should the nurse make?
-"If you do not take your furosemide, we might get in trouble."
-"You can double your dose of furosemide this evening if that would be better for you."
-"By not taking your furosemide, you might retain fluid and develop swelling."
-"I'll go ahead and mix the furosemide into your breakfast cereal." - ANS Correct: "By not taking your
furosemide, you might retain fluid and develop swelling."
Rationale: The nurse should respect the client's right to refuse the medication and inform the client of
the risks of not taking the medication, notify the provider, and document the refusal. Furosemide is a
loop diuretic given to reduce edema.
A nurse is administering baclofen to a client who has a spinal cord injury. Which of the following findings
should the nurse document as a therapeutic outcome?
-Increase in seizure threshold
-Decrease in flexor and extensor spasticity
-Increase in cognitive function
-Decrease in paralysis of the extremities - ANS Correct: Decrease in flexor and extensor spasticity
Rationale: A client who has a spinal cord injury and takes baclofen (a skeletal muscle relaxant) can
experience a decrease in the frequency and severity of muscle spasms and in flexor and extensor
spasticity.
, A nurse is reviewing the electronic medical record for a client who is receiving heparin via continuous IV
infusion for deep vein thrombosis. Which of the following findings should the nurse identify as an
adverse effect of heparin that requires notification of the provider?
-Urinary frequency
-Xerostomia
-Diplopia
-Generalized petechiae - ANS Correct: Generalized weakness
Rationale: The nurse should identify that generalized petechiae is an indication of thrombocytopenia,
which is a potential adverse effect of heparin. The client is at an increased risk for hemorrhage, which
can be fatal. Therefore, the nurse should notify the provider of this finding.
***A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. Which of
the following adverse effects should the nurse instruct the client to monitor for and report to the
primary care provider?
-Tingling of fingers
-Constipaiton
-Weight gain
-Oliguria - ANS Correct: Tingling of fingers
Rationale: The nurse should instruct the client to report the adverse effect of paresthesia, a tingling
sensation in the extremities, when taking acetazolamide.
***A nurses is reviewing the medical record of a client who has hypertension. The nurse should idenityf
which of the following findings as a contraindication for receiving propoanolol?
-Cholelithiasis
B
***A nurse is caring for a client in a clinic.
Nurses' Notes 3 months ago: Client was educated on non-pharmacological interventions to lower blood
pressure such as exercise and a low-fat, low-sodium diet with fresh fruits and vegetables. Client to
return to office for a follow-up visit in 3 months. Today: Blood pressure is still elevated. Provider notified
and prescription given to the client. The client was educated on the medication. Captopril 12.5 mg twice
a day by mouth.
Which client statements indicate an understanding of the teaching? Click to specify if the client
statement indicates an understanding or need for further education.
-"Coughing is expected while taking this medication."
-"I will eat foods high in potassium."
-"I will notify my provider if I feel sick."
-"I should take this medication with meals."
-"I should take acetaminophen instead of ibuprofen for a headache." - ANS Understanding:
-"I will notify my provider if I feel sick"
-"I should take acetaminophen instead of ibuprofen for a headache"
Rationale: Captopril can cause neutropenia. If a client develops manifestations of infection such as a
fever or sore throat, the provider should be notified. NSAIDS such as ibuprofen may reduce the
effectiveness of captopril and should be avoided.
Need for further education:
-"I will eat foods high in potassium"
-"Coughing is expected while taking this medication"
-"I should take this medication with meals
Rationale: Hyperkalemia is an adverse effect of captopril. The client should avoid potassium
supplements and potassium-sparing supplements. Coughing is an adverse effect of captopril (ACE
,cough) and the nurse should notify the provider. Captopril should be given one hour before meals or
two hours after meals.
A nurse is caring for a patient who is refusing to take their schedules morning furosemide. Which of the
following statements should the nurse make?
-"If you do not take your furosemide, we might get in trouble."
-"You can double your dose of furosemide this evening if that would be better for you."
-"By not taking your furosemide, you might retain fluid and develop swelling."
-"I'll go ahead and mix the furosemide into your breakfast cereal." - ANS Correct: "By not taking your
furosemide, you might retain fluid and develop swelling."
Rationale: The nurse should respect the client's right to refuse the medication and inform the client of
the risks of not taking the medication, notify the provider, and document the refusal. Furosemide is a
loop diuretic given to reduce edema.
A nurse is administering baclofen to a client who has a spinal cord injury. Which of the following findings
should the nurse document as a therapeutic outcome?
-Increase in seizure threshold
-Decrease in flexor and extensor spasticity
-Increase in cognitive function
-Decrease in paralysis of the extremities - ANS Correct: Decrease in flexor and extensor spasticity
Rationale: A client who has a spinal cord injury and takes baclofen (a skeletal muscle relaxant) can
experience a decrease in the frequency and severity of muscle spasms and in flexor and extensor
spasticity.
, A nurse is reviewing the electronic medical record for a client who is receiving heparin via continuous IV
infusion for deep vein thrombosis. Which of the following findings should the nurse identify as an
adverse effect of heparin that requires notification of the provider?
-Urinary frequency
-Xerostomia
-Diplopia
-Generalized petechiae - ANS Correct: Generalized weakness
Rationale: The nurse should identify that generalized petechiae is an indication of thrombocytopenia,
which is a potential adverse effect of heparin. The client is at an increased risk for hemorrhage, which
can be fatal. Therefore, the nurse should notify the provider of this finding.
***A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. Which of
the following adverse effects should the nurse instruct the client to monitor for and report to the
primary care provider?
-Tingling of fingers
-Constipaiton
-Weight gain
-Oliguria - ANS Correct: Tingling of fingers
Rationale: The nurse should instruct the client to report the adverse effect of paresthesia, a tingling
sensation in the extremities, when taking acetazolamide.
***A nurses is reviewing the medical record of a client who has hypertension. The nurse should idenityf
which of the following findings as a contraindication for receiving propoanolol?
-Cholelithiasis
