pharm exam3

51問 • 2年前

問題一覧

A home health nurse is visiting a client who is taking a prescribed loop diuretic. Which of the following statements require follow-up by the nurse?

A. I have noticed I'm developing swelling in my legs.

The nurse is caring for a client that has been prescribed spironolactone, which of the following assessment findings indicates a potentially life-threatening reaction to this medication?

B. paresthesia

The nurse is caring for a client who has been prescribed spironolactone and lisinopril. It is important for the nurse to notify the primary health care provider if the client experiences a significant increase in:

A. Potassium

The Nurse is caring for a client who has been prescribed a thiazide diuretic. Which of the following assessment findings most likely indicates the client may be an adverse reaction to this medication?

C. Sodium level of 131

The nurse is caring for a client who has been newly prescribed mannitol. The nurse associates which of the following conditions as the reason for the need of this prescription?

A. Cerebral edema

The nurse is caring for a male client who has recently been prescribed amlodipine. Which of the following assessment findings indicates that the client is experiencing a side effect?

B. Peripheral edema

The nurse is caring for an elderly client who has just begun taking thiazide diuretic to help treat hypertension. Which of the following aspects of care is important for this client?

B. Ensuring safety during transferring and walking

The nurse is caring for a client who is taking prescribed metoprolol. Which of the following is a contraindication of this medicine?

D. Bradycardia

The nurse has provided medication instructions to a client who has been prescribed prazosin. which of the following indicates that the client is have a therapeutic response to the medication?

D. BP 110/78

The nurse is caring for an African American client who has been prescribed an Angiotensin-converting enzyme or an ACE inhibitor. Which of the following actions should the nurse plan to take when caring for the client?

D. Assess for swelling in neck, face and tongue

The nurse is conducting a teaching session for a young female client who is recently been prescribed lisinopril. Which of the following client statements indicates correct understanding of these instructions?

D. I may develop a constant irritating cough

The nurse is caring for a client who is taking prescribed valsartan. Which of the following assessment findings indicated that the client is having a life-threatening adverse reaction to this medicine?

B. Hyperkalemia

The nurse is caring for a client who is taking HCTZ 50 mg a day. Which of the following findings indicates a therapeutic response to this medication?

C. Increase in urine output

The nurse is caring for a client who has been prescribed amlodipine. It is a priority for the nurse to notify the HCP is the client experiences significant decreases in:

D. Blood pressure

The nurse is caring for a client who is newly prescribed propranolol to treat hypertension. The nurse should hold the first dose and notify the PCP if the client also has a history of:

D. COPD

The nurse is caring for a client who has been prescribed Lasix. Which of the following findings indicates the client is experiencing an adverse reaction to this medication?

C. Hypokalemia

The nurse is caring for a client who has been prescribed propranolol. It is a priority for the nurse to teach the client to continue taking the medication because stopping the medication abruptly can cause life threatening

A. Raise in BP

The nurse is caring for a client who is receiving INH for treatment of TB. Which of the following findings indicates the client is experiencing an adverse reaction to this medication?

C. Numbness and tingling in extremities

The nurse has instructed a client who has active TB and has been prescribed rifampin. What do the following client statements indicate a correct understanding of teaching?

A. Blood tests will be done often to check my liver

The nurse is caring for a client who has been prescribed diphenhydramine. The nurse is aware that close monitoring and caution should be implemented if the client has a history of

A. Advanced liver disease

The nurse is caring for client who has been taking OTC pseudoephedrine for allergic rhinitis for seven days. The nurse recognizes this medication may be contraindicated if the client has a history of

B. Cardiac disease

The nurse is caring for a client who has been prescribed guaifenesin for a cough. When teaching this client about the medication, which of the following instructions should the nurse provide?

C. Increase intake of fluids while taking this medication

The nurse is caring for a client who has been prescribed loratadine. Which of the following should the nurse recognize as an effect of this medication?

B. Nervousness

The nurse is conducting a teaching session for a client who is prescribed rifampin. Which of the following statements made by the client indicates direct understanding of this medication teaching?

B. It is best if I take this medication on an empty stomach.

The nurse is providing nursing teaching to a client who is newly prescribed dextromethorphan. Which of the following client statements indicates a correct understanding of this medication?

D. This medication will help loosen my lung congestion so I can cough it up more easily

The nurse has instructed a client who has COPD how to self-administer albuterol using the MDI. Which of the following client statements indicate correct understanding of the teaching?

D. I should wait 2 minutes between the first and second puff

The nurse is caring for a client who is being admitted to the hospital. During the admission assessment the client reports using oxymetazoline hydrochloride spray for seven days to help congestion. Which of the following actions should the nurse perform based on this medication?

B. Explain to the client that this use of drugs should be limited to twice a day for 3 days or less

The nurse is caring for a client who has a disc inhaler fluticasone propanoate and salmeterol. The nurse should recognize that the desired effect of this medication is to

C.Decrease airway constriction and inflammation

The nurse is caring for a client who has asthma and has been prescribed montelukast, a leukotriene receptor antagonist. The nurse should recognize that this medication is

D. Used to prevent exercise induced bronchospasms

The nurse is caring for a client who is taking albuterol. When teaching this client about this drug, which following recommendation should the nurse make to the client?

A. Report rapid or irregular pulses

The nurse is teaching a client who has been prescribed an opioid antitussive. Which of the following statements made by the client indicates understanding of the medication teaching?

D. This medication suppresses my cough, control refluxes in the brain

The nurse is caring for a client who has asthma and uses prescribed fluticasone propanoate salmeterol via disc inhaler. Which of the following findings indicates the client is experiencing an adverse reaction from the medication?

C. Infection in the mouth and throat

The nurse is caring for a client who has asthma and has been prescribed Montelukast. Which of the following is a contraindication for this medication?

D. Status asthmaticus

The nurse has instructed a female client who has active TB and has been prescribed isoniazid. Which client statement indicates correct understanding of this medication?

C. I will take this medication one to two hours before meals for better absorption

The nurse is caring for a client who is receiving levothyroxine sodium. Which of the following assessment findings indicate the client is having an adverse reaction to this medication?

B. Cardic dysthymias

The nurse is teaching a client who has been prescribed Propylthiouracil (PTU). Which of the following statements made by the client indicates a correct understanding of the teaching?

C. The medication works by interfering with the synthesis of thyroid hormone

The nurse is caring for a client has been receiving prednisone on a long-term basis. The nurse should recognize the effect of this medication as

A. A decrease in inflammatory response

The nurse is preparing to administer mineralocorticoid fludrocortisone** to a client. It is priority for the nurse to monitor the client for

C. Hypokalemia

The nurse is preparing to administer mineralocorticoid fludrocortisone** to a client. It is priority for the nurse to monitor the client for

C. Hypokalemia

The nurse is caring for a client who received prescribed calcitriol. It indicates the client is having a therapeutic response to this medication if the client has

D. Serum calcium of 10

The nurse is teaching a newly hired nurse about potential drug and drug interactions when clients are on levothyroxine. The nurse determines that the teaching is effective when the newly hired nurse states that levothyroxine can increase the effectiveness of

B. Anticoagulants

The nurse is caring for a client who is receiving prednisone therapy. Which of the following statements requires follow up by the nurse?

C. I no longer want to take this medication

The nurse is caring for a client who is prescribed metformin and is scheduled to undergo diagnostic testing with IV contrast. The nurse understands the client is at risk for

D. Lactic acidosis

The nurse has completed a continued education program about glargine insulin. Which of the following statements made by the nurse indicates correct understanding of this medication?

B. This is a long-acting insulin with an onset of 1-1.5 hours

The nurse is preparing to administer glipizide to a client. The nurse should recognize that this medication works by

C. Stimulating insulin secretions from pancreatic beta cells

The nurse is teaching a client who is taking metformin about the medication. Which of the following actions should the nurse include in the teaching plan?

C. Avoid intravenous dyes unless metformin is discontinued at least 48 hours prior

The nurse has administered 20 units of NPH insulin to a client at 0800. Which of the following times should the nurse monitor the client for a hypoglycemic reaction?

1600, next meal

The nurse is caring for a client who has parathyroid deficiency. Which of the following medications should the nurse anticipate being prescribed to this client?

A. Calcitriol

The nurse preceptor is talking with a newly hired nurse about an assigned client who has type 2 diabetes and is being prescribed metformin. Which of the following statements made by the newly hired nurse requires follow up by the nurse preceptor?

C. This medication should be held at least 48 hours prior to IV dye

The nurse is preparing to administer a 70/30 insulin, a commercially prepared premixed insulin. When administering the medication, it is essential for the nurse to understand that this type of insulin consists of

B. 70 NPH and 30 regular insulin

The nurse instructing a client who has been prescribed exenatide. Which of the following statements indicates a correct understanding of this medication?

C. I know this medication will help stabilize my sugar level

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4