暗記メーカー

お問い合わせ
ログイン
Pharm

問題数 100 • 3/25/2024

解答を開始する

問題一覧

  • 1

    Which of the following information should you include when teaching a client about the use of an albuterol inhaler for asthma managemnet?

    Use it periodically to prevent excerside-induced asthma.

  • 2

    Which of the following information indicates that a client who is taking theophylline needs further instruction.

    The client drinks two cups of coffee each morning.

  • 3

    You should instruct a client who is taking zileuton to report which if the following possible indications of a serious adverse effects of this drug?

    Abdominal pain

  • 4

    You are obtaining a health history from a client who is to start using a new ipratropium inhaler. Which of the following information from the client's history alters you to take further action?

    Urinary retention, Glaucoma

  • 5

    You should advise a client who is using a beclomethasone oral inhaler to watch which of the following possible indications of an adverse effect of this drug?

    White coating in the mouth

  • 6

    You should recognize that which of the following is a contraindication for taking coedine?

    Emphysema

  • 7

    You are instructing a client about using cromolyn via inhalation to treat excersise-induced bronchospasm. You advise the client to take the drug.

    15 minutes before excercising

  • 8

    You should monitor a client taking dextromethorphan because of the potential for which of the following?

    Drug abuse

  • 9

    You are instruction a client who has a new perscription for cetirizine. Which of the following information should you be sure to include?

    Administer the drug prophylactically during allergy season.

  • 10

    You should instruct a client using phenylephrine spray for nasal congestion to do whaich of the following to avoid rebound congestion?

    Limit the drug's use to 3 to 5 days.

  • 11

    A nurse is teaching a client who is beginning fluticasone propionate/ salmeterol therapy. Which of the following instructions should the nurse include?

    Increase weight-bearing activity.

  • 12

    A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is prority to make?

    Respirations

  • 13

    A nurse is teaching a client who has a prescription for albuterol cia inhaler and fluticassonevia inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler?

    Albuterol will increase the absorption of fluticasone

  • 14

    A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include?

    Have laboratory test performed at regular intervals.

  • 15

    A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective becasue they perform which of the following actions?

    Prevent histamine from binding to receptors

  • 16

    A nurse is teacking a client about ipratropium. The nurse shoud include that this drug has which of the following adverse effects?

    Urinary retention, Dry mouth

  • 17

    A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects?

    Reduces inflamation

  • 18

    A nurse should identify that dextromethorphan can have which of the following effects what combined with morphine?

    Potentiation of depression of CNS actions

  • 19

    A nurse is teaching a lient about montelukast. Which of the follwoing instructions should the nurse include?

    Take the drug once a day in the evening

  • 20

    A nurse is teaching a client about the ise of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeurtic effects.

    Thins tha loosens mucus

  • 21

    A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?

    Wait 5 min between using the drug and another inhaled drug

  • 22

    Legal restrictions apply to the purchase of psedoephedrine because of which of the rollowing risk?

    Drug abuse

  • 23

    A nurse is teaching a lient about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the follwoing thrapeutic effects?

    Reduces surface tension

  • 24

    A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explai that the drug has which of the following therapeutic effects?

    Drecreases inflammation

  • 25

    For which of the following reasons should a client attach a spacer to a metered-dose inhaler?

    To increase the amunt of drug delivered to the lungs

  • 26

    For which of the following reasons should a nurse instruct a client to acoid taking guaifenesin with combination over-the-counter- cold products?

    Over-the-counter cold products also contain guaifenesin

  • 27

    A nurse is teachinga client who is taking prednsone for an acute asthma exacerbation. Which of the following instructions should the nurse include?

    "Avoid taking nonsteroidal anto-inflammatory drugs."

  • 28

    A nurse should recognise that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which ot the following conditions?

    Coronary artery disease

  • 29

    A nurse is teaching an dult client about diphenhyramine. The nurse should inform the client to expect which of the follwoing adverse effects while taking this drug?

    Drowsiness

  • 30

    A nurse is caring for a client who is having difficulty mobilizing thick repiratory secretions. Which of the following drugs should the nurse expect to administer to the client?

    Acetylcyteine

  • 31

    A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report whihc of the following as an adverse effect of this drug?

    Palptations

  • 32

    A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?

    Allow at least 2 weeks for the full therapeutic effect.

  • 33

    A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findng should the nurse expect to see if the client's drug level indicates toxicity?

    Seizures

  • 34

    A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (SATA)

    Restlessness, Insomnia, Anxiety

  • 35

    A nurse is preparing to admnister phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug?

    Headache

  • 36

    A client is taking bumetanidde and apironalactone. You explain to the client that using these drugs together may reduce the risk of which adverse effects?

    Hypokalemia

  • 37

    A client is about to start taking hydrochlorothiazide for hypertension. To assess for adverse effects of this drug, you monitor for which during drug therapy?

    Hyponatremia, Hypokalemia, Dehydration

  • 38

    You are administering lidocaine, 50 mg via IV bolus, to a client with a ventricular dysrhythmai. You monitor the client for which adverse reactions to lidocane?

    Paresthesias

  • 39

    While talking with a client who is taking captopril to treat hypertension, which instructions do you include to help her manage the drug's adverse effects?

    Do not use salt substituties to season your food.

  • 40

    You are talking with a client who is taking losartan for hypertension. She asks you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk?

    Fetal injury

  • 41

    A client is about to start taking aliskiren to treat hypertension. Which of the following should you tell the client to acoid to ensure optimal absorption of this drug?

    Fatty foods

  • 42

    While instruction a client about using isosorbide to treat angina, you advise the client to avoid which of the following?

    Alcohol

  • 43

    *Match with the corresponding classification and action* Propanolol (Inderal)

    Beta adrenergic blocker that controlls atrial and ventricular tahycardia

  • 44

    *Match with the corresponding classification and action* Amiodarone

    Potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia.

  • 45

    *Match with the corresponding classification and action* Verapamin (Calan)

    Calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter

  • 46

    *Match with the corresponding classification and action* Quinidine

    Sodium channel blocker that treats supraventricular and ventricular dysrhythmias

  • 47

    You are caring for a client who is taking oral amiodarone to treat atrial fibrillation. Recognizing the adverse effects of amiodarone, you advise the client t watch for and report which of the following? (SATA)

    Cough , Blurred vision, Dizziness, Fever

  • 48

    You are caring for a client whose atrial dysrhythmia fails to respond to other antidysrhythmia therapies. You anticipate that the primary care provider might try which drugs whose off-label use includes refactory atrial dyshythmias?

    Flecainide

  • 49

    A nurse is caring for a client who has a glomerular filtration fate for 10 mL/min and reduced urine output. This nurse should clarify a precription a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the dueg?

    The drug does not promote diuresis for clients who have renal insufficiency.

  • 50

    A nurse is caring for a client who is taking spironolactone to treat hypertension. THe nurse should recognise that which of the following client lab values requires imediate intervention?

    Potassium 5.2 mEq/L

  • 51

    A nurse should identify that which of the following drugs is used for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use?

    Procainamide

  • 52

    A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs prescribed to treat hypercholoesterolemia?

    Simvastatin

  • 53

    A nurse is caring for a client who has a new prescription for dobutamine. The nurse shoudl clarify the prescription with the provider if the client is receiving which of the following typre of drugs?

    MAOI, Gerneral anesthetic , Tricyclic antidepressant , Beta Blocker

  • 54

    A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug?

    Headache

  • 55

    A nurse is caring for a client who has depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client?

    Reserpine

  • 56

    A nurse is caring for a client who taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the follwoing adverse effects?

    Myopathy

  • 57

    A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug?

    Grapefruit juice

  • 58

    A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects shoudl the nurse instruct the client to report because it can indicate a need to discontinue drug therapy? (SATA)

    Rash, Distorted taste, Swelling of the tongue, Dry cough

  • 59

    A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug? (SATA)

    Hyperkalemia, Throat swelling, Cough

  • 60

    A nurse is teaching a client who has a new prescription for gemfibrozil. Which if the following instructions should the nurse include? (SATA)

    Report any new intolerance to fried foods, Report muscle tenderness, Expect periodic liver function testing

  • 61

    A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?

    Raisins

  • 62

    A nurse is caring for a client whi is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of typre 2 dibetes amellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?

    Hypoglycemia

  • 63

    A nurse is caring for a client who has a new prescription for propranolol to treat tachydyrrhythmia. The nurse should instruct the client to acoid taking which of the following types of over-the-counter drugs while taking propranolol?

    NSAIDs

  • 64

    A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestation that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?

    Antigen-binding fragments

  • 65

    A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?

    Hypokalemia

  • 66

    A nurse is administering hydrchlorothiazide to a client who has gouty arthristis. The nurse should monitor the client for which of the following findings that indicate an adverse effect of this drug?

    Hyperuricemia

  • 67

    A nurse is caring for alient who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?

    Second-degree AV block

  • 68

    A nurse is providing teaching to a client who has a new prescription for lostartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to th drug and needs to be reported?

    Facial Edema

  • 69

    A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions?

    Hypotension

  • 70

    A client is about to start taking liquid ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should you include when taking with the client about taking this drug? (SATA)

    Drink it through a straw, Dilute it frist with water, Take it with food if needed

  • 71

    A client is about to start taking cyanocobalamin, a vitamin B12 prepartaion. You understand that this drug treats which of the following types of anemia?

    Pernicious

  • 72

    Therapeutic use of Facotr VII

    Hemophilla A

  • 73

    Therapeutic use for Filgrastim

    Chronic neutropenia

  • 74

    Therapeutic use of Heparin

    Deep vein thrombosis

  • 75

    Therapeutic use of Folic Acid

    Megaloblastic anemia

  • 76

    Before administering IV folic acid, you should explain to the client that this drug can cuase which of the following adverse effects?

    Rash

  • 77

    You are reviewing the history of a client who is about to start therapy with fator VII to treat hemophilia A. Which of the following drugs the client takes should alert you to take further action?

    Asprin

  • 78

    A client is about to start taking warfarin to prevent venous thrombosis. You should explain to the client that taking this drug initiallly requires daily blood samples to monitor the results of which of the following lab tests?

    PT/INR

  • 79

    You are caring for a client who is receiving alteplase to dissolve a thrombus. Which of the followinging should you include in your care plan for this client?(SATA)

    Monitor temperature, Limit venipuncutes, Assess neurologic status, Apply pressure to oozing sites

  • 80

    Pharmacologic action of Alteplase

    Dissolves blood clots

  • 81

    Pharmacologic action of Filrastim

    Stimulates leukocyte production

  • 82

    Pharmacologic action of Epoetin

    Stimulates RBC production

  • 83

    Pharmacologic action of Clopidogrel

    Inhibits platelet aggregation

  • 84

    A client is about to start taking clopidogrel to prevent transient ischemic attacks. You should instruct the client to watch for and report which of the following adverse effects of this drug? (SATA)

    Petechiae, Weakness, Vision changes

  • 85

    A client is about to start taking oprelvekin for thrombocytopenia. To assess for adverse effects of this drug, you should monitor which of the following carefully during drug therapy?

    ECG

  • 86

    A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects?

    Headache

  • 87

    A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?

    Vitamin K

  • 88

    A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?

    Clopidogrel

  • 89

    A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. Which of the following actions should the nurse take?

    Clarify the prescription with the provider.

  • 90

    A nurse is caring for a client who has hemophilia A is about to begin taking desopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?

    Edema

  • 91

    A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?

    Constipation

  • 92

    A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the even of a severe adverse reaction?

    Aminocaproic acid

  • 93

    A nurse should assess a client who has megaloblastic anemia for indication of which of the following vitamin deficiencies?

    Vitamin B12

  • 94

    A nurse is caring for a client who is about to begin factor VII therapy to treat hemophillia A. When administering factor VII, which of the following actions should the nurse take?

    Have emergency equipement ready.

  • 95

    A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions?

    Thrombocytopenia

  • 96

    A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking asprin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications?

    Uncontolled bleeding

  • 97

    A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse include? (SATA)

    Eat iron-enriched foods, Spread the dosage across each day, Take the drug on an empty stomach , Increase dietary fiber intake

  • 98

    A nurse should identify that clopidogel is contraindicated for clients who have which of the following conditions?

    Peptic ulcer disease

  • 99

    A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?

    Dietary modifications

  • 100

    A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophillia B. The client asks the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma-derived factor IX. The nurse should explain that recombinant facotr IX practically eliminates the risk for which of the following?

    Creutzfeld-Jakob disease