Introductory Clinical Pharmacology Study guides, Class notes & Summaries

1. A nurse is preparing to administer goserelin to a client with prostate cancer. Which assessment findings should the nurse prioritize on the ongoing assessment? A) Breast atrophy, sexual dysfunction B) Pharyngitis, asthenia C) Breast tenderness, edema D) Hyperglycemia, leukocytosis Answer: A Rationale: Breast atrophy and sexual dysfunction may be seen as adverse reactions of goserelin therapy. Pharyngitis and asthenia are seen with the useof anastrozole. Breast tenderness and edema a...

1. A client is prescribed oxytocin for intranasal use. The nurse will explain to the client this will achieve which result? A) Antistimulating properties on the uterus B) Diuretic effect C) Stimulation of the milk ejection reflex D) Control of antepartum bleeding Answer: C Rationale: Oxytocin, when administered intranasally, stimulates the milk ejection (milk letdown) reflex. Oxytocin has uterine-stimulating properties, not antistimulating properties, on the uterus. Tocolytics have an a...

1. A client who is prescribed digoxin is receiving electrolyte replacement therapy. The nurse would monitor the client for signs of digoxin toxicity if which electrolyte is administered? A) Sodium B) Potassium C) Magnesium D) Phosphorous Answer: B Rationale: The nurse should monitor a client taking digoxin for signs of digoxin toxicity if potassium is being given. The use of magnesium and digoxin can result in heart block. Sodium is necessary for normal heart action. The use of phosph...

1. A client is diagnosed with springtime allergic conjunctivitis. The nurse predicts the client will be prescribed which otic solution? A) Brimonidine B) Gatifloxacin C) Betaxolol D) Nedocromil Answer: D Rationale: Mast cell stabilizers, such as nedocromil, are ophthalmic drugs useful in a client who has allergic conjunctivitis during the spring. Brimonidine is used to lower IOP in clients with open-angle glaucoma or ocular hypertension. Gatifloxacin is an antibiotic. Betaxolol is a be...

1. A nurse has administered topical benzocaine to a client in preparation for a minor treatment. The nurse will prioritize which findings if noted on the ongoing assessment? A) Stinging, tenderness, and sloughing B) Erythema, flaking, and dryness C) Transient burning sensation D) Oiliness or dryness of hair Answer: A Rationale: The nurse should monitor for stinging, tenderness, and sloughing in the client as adverse reactions to benzocaine. Erythema, flaking, and dryness are adverse re...

1. The nurse caring for a client who is receiving treatment for cancer. The client has been informed that they will be receiving a drug to support passive immunity. When the client asks the nurse to explain passive immunity, how will the nurse respond? A. “It involves administration of antibodies from another person or animal.” B. “Passive immunity is based on previous exposure to an antigen.” C. “It involves your body’s ability to recognize antigens as different from your own ...

1. An 80-year-old male client with chronic renal insufficiency is prescribed anabolic steroid therapy for the management of anemia associated with renal insufficiency. The nurse will carefully monitor the client for which potential disorder? A) Hypoglycemic attacks B) Serious cardiac disease C) Hypotensive shock D) Cancer of the prostate Answer: D Rationale: Elderly male clients undergoing anabolic steroid therapy are at an increased risk of developing cancer of the prostate gland. The...

1. A client with thyrotoxicosis is prescribed levothyroxine. The nurse would prioritize which finding on assessment? A) Tachycardia B) Agranulocytosis C) Loss of hair D) Skin rash Answer: A Rationale: The nurse should monitor for tachycardia, palpitations, headache, nervousness, insomnia, diarrhea, vomiting, weight loss, fatigue, sweating, and flushing as adverse reactions after administering levothyroxine to a client with thyrotoxicosis. Agranulocytosis, loss of hair, and skin rash ar...

1. The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize? A) Abdominal pain B) Visual disturbances C) Auditory disturbances D) Ascites Answer: B Rationale: If the client reports visual disturbances, the drug therapy is discontinued and the primary health care provider notified. An examination by an ophthalmologist is usually indicated. Abdominal pain and ascites are adverse reactions that may or may not require discontinuation of the ...

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