Pharm Final Exam 2023/2024.

94) A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? a) Decreased sodium level i) Rationale: The nurse should expect a decreased sodium level. Spironolactone is a potassium-sparing diuretic that inhibits the action of aldosterone, resulting in an increased excretion of sodium. b) Decreased phosphate level c) Decreased potassium level d) Decreased chloride level 95) A patient recovering from a total knee arthroplasty has been prescribed acetaminophen for mild discomfort that does not require an opioid. The health care professional should tell the patient to report which of the following early indications of acetaminophen overdose? a) Diaphoresis, nausea, and diarrhea. 96) Someone had a arthroplasty for hip, the nurse should anticipate which of the following px: a) aspirin, lovenox/enoxaparin 97) A health care professional is caring for a patient who is about to begin taking celecoxib (Celebrex) to treat RA. The health care professional should tell the patient to report which of the following adverse reactions? a) Chest pain. COX-2 inhibitors can cause cardiovascular or cerebrovascular events. 98) A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the following findings is an adverse effect of this medication? a) Leg cramps, which is a manifestation of hypokalemia. 99) A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide? a) Potassium. 100) A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? a) Apply to intact skin, apply the medication 1 hour before the procedure begins, cleanse the skin prior to procedure, and use a visual pain rating scale to evaluate the effectiveness of the treatment 101) A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? a) Shake the container vigorously. This ensures the particles of the medication are evenly distributed. 102) A nurse is providing teaching to a client who has a new prescription for Lisinopril. Which of the following statements by the client indicates an understanding of the teaching? a) I should report a cough to the provider.