Senior Seminar Pharm Quiz 1 | Answered with complete solutions

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Senior Seminar Pharm Quiz 1 | Answered with complete solutions Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding ind... icates the presence of systemic toxicity from this medication? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Decreased respirations The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply 1. sunscreen should be applied q8h 2. use sunscreen when participating in outdoor activities 3. wear a hat, opaque clothing, and sunglasses when in the sun 4. avoid sun exposure in the late afternoon and early evening hours 5. Examine your body monthly for any lesions that may be suspicious Silver sulfadiazine is prescribed for a client with a burn injury. Which lab finding requires the need for follow-up by the nurse? 1. Glucose level of 99 mg/dL (5.65 mmol/L) 2. Magnesium level of 1.5 mEq/L (0.75 mmol/L) 3. Platelet level of 300,000 mm3 (300x10^9/L) 4. WBC count of 3000mm3 (3.0x10^9/L) A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred? 1. Hyperventilation 2. Elevated BP 3. Local rash at the burn site 4. Local pain at the burn site Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which lab test will be prescribed? 1. Potassium level 2. triglyceride level 3. hemoglobin A1C 4. total cholesterol level A client with severe acne is seen in the clinic and the HCP prescribes isotrerinoin. The nurse reviews the client's medication record and would contact the HCP if the client is also taking which medication? 1. digoxin 2. phenytoin 3. vitamin A 4. furosemide The nurse is applying a topical corticosteroid to a client with eczema. The nurse should apply the medication to which body area? Select all that apply 1. Back 2. axilla 3. eyelids 4. soles of the feet 5. palms of the hands The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with use of this medication? 1. Itching 2. Euphoria 3. Drowsiness 4. Frequent urination Silver sulfadiazine is prescribed for a client with a partial-thickness burn and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments? 1. "The medication is an antibacterial." 2. The medication will help heal the burn." 3. "The medication is likely to cause stinging every time it is applied." 4. "The medication should be applied directly to the wound." The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times? 1. Immediately before swimming 2. 5 minutes before exposure to the sun 3. Immediately before exposure to the sun 4. At least 30 minutes before exposure to the sun Chemotherapy dosage is frequently based on total body surface area (BSA), so it's important for the nurse to perform which assessment before administering chemotherapy? 1. Measure the client's abdominal girth 2. Calculate the client's BMI 3. Measure the client's current weight and height 4. Ask the client about his or her weight and height A client with squamous cell carcinoma of the larynx is receiving bleomycin IV. The nurse caring for the client anticipates that which diagnostic study will be prescribed? 1. Echocardiography 2. Electrocardiography 3. Cervical radiography 4.Pulmonary function studies A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication? 1. clotting time 2. uric acid level 3. potassium level 4. blood glucose level A client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication? 1. alopecia 2. chest pain 3. pulmonary fibrosis 4. orthostatic hypotension a clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client? 1. "you can take aspirin as needed for headache." 2. " you can drink beverages containing alcohol in moderate amounts each evening." 3."you need to consult your HCP before receiving immunizations." 4. " it is fine to receive a flu vaccine at the local health fair without HCP approval because the flu is so contagious." A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication? 1. Diarrhea 2. Hair loss 3. Chest pain 4. Peripheral neuropathy The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. The nurse contacts the health care provider before administering the medication if which disorder is documented in the client's history? 1. Pancreatitis 2. DM 3. MI 4. COPD tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if her family member with bladder cancer can also take this medication. The nurse most appropriately responds by making which statement? 1. "this medication can be used only to treat breast cancer." 2. "yes, your family member can take this medication for bladder cancer as well." 3. "this medication can be taken to prevent and treat clients with breast cancer." 4. "this medication can be taken by anyone with cancer as long as their health care provider approves it." A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which lab value while the client is taking this medication? 1. glucose level 2. calcium level 3. potassium level 4. PT time Megestrol acetate, an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client's history and should contact the health care provider if which diagnosis is documented in the client's history? 1. gout 2. asthma 3. MI 4. venous thromboembolism the nurse is monitoring the IV infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. on inspection, the nurse notes redness and swelling and the infusion has slowed in rate. the nurse suspects extravasation and should take which actions? Select all that apply 1. stop the infusion 2. notify the HCP 3. prepare to apply ice or heat to the site 4. Restart the IV at a distal part of the same vein 5. prepare to administer a prescribed antidote into the site. 6. Increase the flow rate of the solution to flush the skin and subQ tissue The nurse is analyzing the lab results of a client with leukemia who has received a regimen of chemo. Which lab value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemo? 1. anemia 2. decreased platelets 3. increased uric acid level 4. decreased leukocyte count The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action? 1. take the medication with food 2. increase fluid intake to 2000-3000 mL daily 3. decrease sodium intake while taking the medication. 4. increase potassium intake while taking the medication a client with non-Hodgkin’s lymphoma is receiving daunorubicin. Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication? 1. fever 2. sores in the mouth and throat 3.complaints of N/V 4. crackles on auscultation of the lungs The nurse is monitoring lab results of a client receiving an antineoplastic medication by the IV route. The nurse plans to initiate bleeding precautions if which lab result is noted? 1. a clotting time of 10 minutes 2. an ammonia level of 10 mcg/dL (6 mcmol/L) 3. a platelet count of 50,000 mm3 (50x10^9/L) 4. A white blood cell count of 5000 mm3 (5.0x10^9/L) The nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching? 1. withdraws the NPH insulin first 2. withdraws the regular insulin first 3. injects air into the NPH insulin first 4. injects an amount of air equal to the desired dose of insulin into each vial The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action? 1. freeze the insulin 2. refrigerate the insulin 3. store the insulin in a dark, dry place 4. keep the insulin at room temperature glimepiride is prescribed for a client with DM. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply 1. alcohol 2. red meats 3. whole-grain cereals 4. low-cal desserts 5. carbonated beverages The nurse is providing discharge teaching for a client newly diagnosed with type 2 DM who has been prescribed metformin. Which client statement indicates the need for further teaching? 1. "it is okay if I skip meals now and then." 2. "I need to constantly watch for signs of low blood sugar." 3. "I need to let my HCP know if I get unusually tired." 4. "I will be sure to not drink alcohol excessively while on this medication." The HCP prescribes exenatide for a client with type 1 DM who takes insulin. The nurse should plan to take which most appropriate intervention? 1. Withhold the medication and call the HCP, questioning the prescription for the client 2. Administer the medication within 60 minutes before the morning and evening meal 3. Monitor the client for GI side effects after administering the medication 4. Withdraw the insulin from the prefilled pen into an insulin syringe to prepare for administration A client is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? Select all that apply 1. Hypoglycemia may be experienced before dinnertime 2. The insulin dose should be decreased if illness occurs 3. The insulin should be administered at room temperature 4. The insulin vial needs to be shaken vigorously to break up the precipitates 5. The NPH insulin should be drawn into the syringe first, then the regular insulin The home health nurse is visiting a client who was recently diagnosed with type 2 DM. The client is prescribed repaglinide and metformin. The nurse should provide which instructions to the client? Select all that apply 1. Diarrhea may occur secondary to the metformin 2. the repaglinide is not taken if a meal is skipped 3. The repaglinide is taken 30 minutes before eating 4. A simple sugar food item is carried and used to treat mild hypoglycemia episodes 5. Muscle pain is an expected effect of metformin and may be treated with acetaminophen 6. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide The nurse is teaching the client about his prescribed prednisone. Which statement, if made by the client, indicates that further teaching is necessary? 1. "I can take aspirin or my antihistamine if I need it." 2. "I need to take the medication every day at the same time." 3. "I need to avoid coffee, tea, cola, and chocolate in my diet." 4. "If I gain more than 5 pounds (2.25 kg) a week, I will call my HCP." A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply 1. Administer methimazole with food 2. Place the client on a low-cal, low-protein diet 3. Assess the client for unexplained bruising or bleeding 4. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches 5. Use special radioactive precautions when handling the client's urine for the first 24 hours following initial administration The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply 1. Insomnia 2. Weight Loss 3. Bradycardia 4. Constipation 5. Mild heat intolerance The nurse provides instructions to a client who is taking levothyroxine. The nurse should tell the client to take the medication in which way? 1. With food 2. At lunch time 3. On an empty stomach 4. At bedtime with a snack The nurse should tell the client, who is taking levothyroxine, to notify the HCP if which problem occurs? 1. Fatigue 2. Tremors 3. Cold intolerance 4. Excessively dry skin The nurse is providing instructions to the client newly diagnosed with DM who has been prescribed pramlintide. Which instruction should the nurse include in the discharge teaching? 1. "Inject the pramlintide at the same time you take your other medications." 2. "Take your prescribed pills 1 hour before or 2 hours after the injection." 3. "Be sure to take the pramlintide with food so you don't upset your stomach." 4. "Make sure you take your pramlintide immediately after you eat so you don't experience a low blood sugar." The nurse teaches the client, who is newly diagnosed with DI, about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? Select all that apply 1. "This medication will turn my urine orange." 2. "I should decrease my oral fluids when I start this medication." 3. "the amount of urine I make should increase if this medicine is working." 4. "I need to follow a low-fat diet to avoid pancreatitis when taking this medicine." 5. "I should report headache and drowsiness to my HCP since these symptoms could be related to my desmopressin." A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is best to take this medication? 1. At noon 2. At bedtime 3. Early morning 4. Any time, at the same time, each day The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all that apply 1. "I should take this medication with food." 2. "I should take this medication at bedtime." 3. "I should sit up for at least 30 minutes after taking this medication." 4. "I should take this medication first thing in the morning on an empty stomach." 5. "I can pick a time to take this medication that best fits my lifestyle as long as I take it at the same time each day." A client with DM visits a health care clinic. The client's DM previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180-200 mg/dL (10.2-11.4 mmol/L). Which medication, if added to the client's regimen, may have contributed to the hyperglycemia? 1. Prednisone 2. Atenolol 3. Phenelzine 4. Allopurinol A client with Crohn's disease is scheduled to receive an infusion of influximab. What intervention by the nurse will determine the effectiveness of treatment? 1. Monitoring the leukocyte count for 2 days after the infusion 2. Checking the frequency and consistency of bowel movements 3. Checking serum liver enzyme levels before and after the infusion 4. Carrying out a Hematest on gastric fluids after the infusion is completed A client has a PRN prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? 1. Constipation 2. Abdominal pain 3. An episode of diarrhea 4. Hematest-positive nasogastric tube drainage A client has an as needed prescription for ondansetron. For which condition(s) should the nurse administer this medication? 1. Paralytic ileus 2. Incisional pain 3. Urinary retention 4. Nausea and vomiting A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Absence of abdominal pain An older client recently has been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication? 1. Tremors 2. Dizziness 3. Confusion 4. Hallucinations A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4x daily. The nurse should schedule the medication for which times? 1. With meals and at bedtime 2. Every 6 hours around the clock 3. One hour after meals and at bedtime 4. One hour before meals and at bedtime A client who uses NSAIDs has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted? 1. Resolved diarrhea 2. Relief of epigastric pain 3. Decreased platelet count 4. Decreased WBC count A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? 1. Diarrhea 2. Heartburn 3. Flatulence 4. Constipation A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medication prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen? 1. "My ulcer will heal because these medications will kill the bacteria." 2. "These medications are only taken when I have pain from my ulcer." 3. "The medications will kill the bacteria and stop the acid production." 4. "These medications will coat the ulcer and decrease the acid production in my stomach." A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition? 1. Intestinal obstruction 2. Peptic ulcer with melena 3. Diverticulitis with perforation 4. Vomiting following cancer chemotherapy The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply 1. "I will take the cimetidine with my meals." 2. "I'll know the medication is working if my diarrhea stops." 3. "My episodes of heartburn will decrease if the medication is effective." 4. "Taking the cimetidine with an antacid will increase its effectiveness." 5. "I will notify my HCP if I become depressed or anxious." 6. "Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation." The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction? 1. "I will continue taking vitamin supplements." 2. "This medication will help to lower my cholesterol." 3. "This medication should only be taken with water." 4. "A high fiber diet is important while taking this medication." A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that he or she will perform which action? [Show More]

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