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PN Pharm practice A 2023
A client comes to an urgent care clinic and announces with great enthusiasm, " i am an expert at all
things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an
elevated heart rate and blood pressure level. the nurse should suspect intoxication with which of the
following substance?
Answer: Cocaine
cocaine toxicity typically tachycardia, elevated BP, dilated pupils, and displays delusions.
A client who has terminal cancer reports pain as 5 n a scale of 0 to 10. The client has a prescription for
morphine 15 mg orally every 4 hr. The client's adult children express concern that the client is receiving
too much of the medication. Which of the following responses should the nurse make?
Answer: The dose should remain constant to prevent breakthrough pain
fixed or scheduled dosing around the clock offers the best pain control for clients who have severe and
persistent pain.
A nurse in community health clinic is preparing to administer the varicella vaccine to a young adult
female client who has not previously had chickenpox or its vaccine. The nurse should withhold the
vaccine and collect additional data when the client makes which of the following statements?
Answer: I am allergic. to neomycin
hypersensitivity to neomycin is a contraindication for receiving the varicella vaccine
A nurse is assisting in the care of a client who has a history of psychosis and is taking chlorpromazine.
which of the following actions should the nurse take to contract the adverse effects of this medication?
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Answer: Inform the client to apply sunblock before going outside
counter act photosensitivity. Chlorpromazine increases skin's sensitivity to UV light = temporary
pigmentation changes and increase risk of sunburn
A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. which
of the following laboratory tests should the nurse plan to obtain prior to administering the first dose?
Answer: Fasting blood glucose level
development of hyperglycemia can be an adverse effect of risperidone. The nurse should obtain a
fasting blood glucose level prior to administration of the first dose and periodically during treatment
A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The
client asks why the injection must be given IM instead of IV line. Which of the following responses
should the nurse make?
Answer: your medication can't be given IV because it is not water- soluble
nurse should inform the client they type of penicillin has poor water solubility and is never administered
intravenously
A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following
is a therapeutic effect of this medication?
Answer: increased HgB
use to elevated the erythrocyte count for clients who have kidney failure. An increased Hgb is the
desired therapeutic effect of this medication.
A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. which of the
following findings indicates to the nurse that the medication is having a therapeutic effects?
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PN Pharm practice A 2023
A client comes to an urgent care clinic and announces with great enthusiasm, " i am an expert at all
things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an
elevated heart rate and blood pressure level. the nurse should suspect intoxication with which of the
following substance?
Answer: Cocaine
cocaine toxicity typically tachycardia, elevated BP, dilated pupils, and displays delusions.
A client who has terminal cancer reports pain as 5 n a scale of 0 to 10. The client has a prescription for
morphine 15 mg orally every 4 hr. The client's adult children express concern that the client is receiving
too much of the medication. Which of the following responses should the nurse make?
Answer: The dose should remain constant to prevent breakthrough pain
fixed or scheduled dosing around the clock offers the best pain control for clients who have severe and
persistent pain.
A nurse in community health clinic is preparing to administer the varicella vaccine to a young adult
female client who has not previously had chickenpox or its vaccine. The nurse should withhold the
vaccine and collect additional data when the client makes which of the following statements?
Answer: I am allergic. to neomycin
hypersensitivity to neomycin is a contraindication for receiving the varicella vaccine
A nurse is assisting in the care of a client who has a history of psychosis and is taking chlorpromazine.
which of the following actions should the nurse take to contract the adverse effects of this medication?
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Answer: Inform the client to apply sunblock before going outside
counter act photosensitivity. Chlorpromazine increases skin's sensitivity to UV light = temporary
pigmentation changes and increase risk of sunburn
A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. which
of the following laboratory tests should the nurse plan to obtain prior to administering the first dose?
Answer: Fasting blood glucose level
development of hyperglycemia can be an adverse effect of risperidone. The nurse should obtain a
fasting blood glucose level prior to administration of the first dose and periodically during treatment
A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The
client asks why the injection must be given IM instead of IV line. Which of the following responses
should the nurse make?
Answer: your medication can't be given IV because it is not water- soluble
nurse should inform the client they type of penicillin has poor water solubility and is never administered
intravenously
A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following
is a therapeutic effect of this medication?
Answer: increased HgB
use to elevated the erythrocyte count for clients who have kidney failure. An increased Hgb is the
desired therapeutic effect of this medication.
A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. which of the
following findings indicates to the nurse that the medication is having a therapeutic effects?
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