Pharm B GRADE A Q&A
A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse
effect of the medication? - (correct answer)Sexual dysfunction
Click to highlight the findings from the client's medical record that indicates a potential
adverse reaction to their prescribed medication and requires the nurse to report to
provider. To deselect a finding, click on the finding again. - (correct answer)When
analyzing cues, the nurse should identify that the client's report of headache, nausea,
and small pinpoint petechiae is present on bilateral extremities are indications of a
potential adverse reaction to enoxaparin. Low molecular weight heparins such as
enoxaparin are anticoagulants that are used to prevent thrombus formation. Other
findings of an adverse reaction include, peripheral edema, insomnia, hematuria, pruritis,
and alopecia
For each body system below, click to specify the adverse effect that the nurse should
include when providing client education about the newly prescribed medication. Choose
the most likely option for the dropdowns in the table below by choosing from the lists of
options. - (correct answer)When taking action, the nurse should educate the client about
potential adverse effects of bupropion. Common adverse effects of this medication
include changes in libido, constipation, and weight loss
A nurse is planning to administer IV midazolam for a client who is receiving moderate
sedation. Which of the following actions should the nurse plan to take? - (correct
answer)Expect the client to respond to simple commands.
A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a
client. The drop factor of the manual IV tubing is 15 gtt/mL. How many gtt/min should
the nurse set the manual IV infusion to deliver? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.) - (correct answer)31
For each body system below, click to specify the client's assessment findings that
indicate an adverse effect of the client's prescribed medication. Choose the most likely
option for the dropdowns in the table below by choosing from the lists of options. -
(correct answer)When recognizing cues for a client who is taking atorvastatin, the nurse
, should identify that the findings of the client's urine characteristics, muscle weakness,
and dizziness indicate an adverse reaction to the medication. Atorvastatin can cause
dark urine, muscle pain, muscle spasms, and weakness, which could be an indication of
injury to the muscle tissue. Atorvastatin can also cause neurological symptoms such as
dizziness, headache, confusion, and fatigue.
A nurse is caring for a client who has developed hypomagnesemia due to long-term
therapy with lansoprazole. The nurse should monitor the client for which of the following
manifestations? - (correct answer)Disorientation
Which client statements indicate an understanding of the teaching? Click to specify if
the client statement indicates an understanding or need for further education. - (correct
answer)When evaluating outcomes, the nurse should identify that the client's
statements: "I will notify my provider if I feel sick" and "I should take acetaminophen
instead of ibuprofen for a headache" indicate an understanding of teaching. 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. The nurse should identify that the
client's statements: "I will eat foods high in potassium," "Coughing is expected while
taking this medication," and "I should take this medication with meals indicate a need for
further education. Hyperkalemia is an adverse effect of captopril. The client should
avoid potassium supplements and potassium-sparing supplements. Coughing is an
adverse effect of captopril and the nurse should notify the provider. Captopril should be
given one hour before meals or two hours after meals.
A nurse is providing teaching to a client who has multiple sclerosis and a new
prescription for methylprednisolone. Which of the following instructions should the nurse
include? (Select all that apply.) - (correct answer)Blood glucose levels will be monitored
during therapy is correct, Avoid contact with people who have known infections is
correct, Grapefruit juice can increase the effects of the medication is correct
A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for
6 months. Which of the following actions should the nurse plan to take? - (correct
answer)Obtain WBC with absolute neutrophil count.
A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine for
depression. Which of the following findings should the nurse identify as an adverse
effect of the medication? - (correct answer)Sexual dysfunction
Click to highlight the findings from the client's medical record that indicates a potential
adverse reaction to their prescribed medication and requires the nurse to report to
provider. To deselect a finding, click on the finding again. - (correct answer)When
analyzing cues, the nurse should identify that the client's report of headache, nausea,
and small pinpoint petechiae is present on bilateral extremities are indications of a
potential adverse reaction to enoxaparin. Low molecular weight heparins such as
enoxaparin are anticoagulants that are used to prevent thrombus formation. Other
findings of an adverse reaction include, peripheral edema, insomnia, hematuria, pruritis,
and alopecia
For each body system below, click to specify the adverse effect that the nurse should
include when providing client education about the newly prescribed medication. Choose
the most likely option for the dropdowns in the table below by choosing from the lists of
options. - (correct answer)When taking action, the nurse should educate the client about
potential adverse effects of bupropion. Common adverse effects of this medication
include changes in libido, constipation, and weight loss
A nurse is planning to administer IV midazolam for a client who is receiving moderate
sedation. Which of the following actions should the nurse plan to take? - (correct
answer)Expect the client to respond to simple commands.
A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a
client. The drop factor of the manual IV tubing is 15 gtt/mL. How many gtt/min should
the nurse set the manual IV infusion to deliver? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.) - (correct answer)31
For each body system below, click to specify the client's assessment findings that
indicate an adverse effect of the client's prescribed medication. Choose the most likely
option for the dropdowns in the table below by choosing from the lists of options. -
(correct answer)When recognizing cues for a client who is taking atorvastatin, the nurse
, should identify that the findings of the client's urine characteristics, muscle weakness,
and dizziness indicate an adverse reaction to the medication. Atorvastatin can cause
dark urine, muscle pain, muscle spasms, and weakness, which could be an indication of
injury to the muscle tissue. Atorvastatin can also cause neurological symptoms such as
dizziness, headache, confusion, and fatigue.
A nurse is caring for a client who has developed hypomagnesemia due to long-term
therapy with lansoprazole. The nurse should monitor the client for which of the following
manifestations? - (correct answer)Disorientation
Which client statements indicate an understanding of the teaching? Click to specify if
the client statement indicates an understanding or need for further education. - (correct
answer)When evaluating outcomes, the nurse should identify that the client's
statements: "I will notify my provider if I feel sick" and "I should take acetaminophen
instead of ibuprofen for a headache" indicate an understanding of teaching. 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. The nurse should identify that the
client's statements: "I will eat foods high in potassium," "Coughing is expected while
taking this medication," and "I should take this medication with meals indicate a need for
further education. Hyperkalemia is an adverse effect of captopril. The client should
avoid potassium supplements and potassium-sparing supplements. Coughing is an
adverse effect of captopril and the nurse should notify the provider. Captopril should be
given one hour before meals or two hours after meals.
A nurse is providing teaching to a client who has multiple sclerosis and a new
prescription for methylprednisolone. Which of the following instructions should the nurse
include? (Select all that apply.) - (correct answer)Blood glucose levels will be monitored
during therapy is correct, Avoid contact with people who have known infections is
correct, Grapefruit juice can increase the effects of the medication is correct
A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for
6 months. Which of the following actions should the nurse plan to take? - (correct
answer)Obtain WBC with absolute neutrophil count.
