CMS pharmacology Proctored .

CMS pharmacology Proctored 2022 A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the client received heparin at 1100. Which of the following laboratory values warrants an incident r ...

CMS pharmacology Proctored 2022 A nurse is reviewing a client's 0800 Laboratory values at 1100. The nurse notes that the client received heparin at 1100. Which of the following laboratory values warrants an incident report ? A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing a client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next? A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication? A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps) A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify which of the following medications interacts with carbamazepine? A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting for prescription for sildenafil. the nurse should identify which of the following medications is a contraindication for receiving medication? A nurse in a medical surgical unit is preparing to administer an influenza vaccine to a client. The client tells the nurse I no longer want this vaccine. Which of the following responses should the nurse make? A nurse is discussing adverse reactions to pain medications in older adults clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? select all that applies A nurse is reviewing a client's medical record before administering acetaminophen 650 mg by mouth every 6 hours. Which of the following findings indicate a need for the nurse to notify the provider? a nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? A nurse is reviewing the laboratory results of a client who is receiving genital medicine for Staphylococcus. Which of the following findings should the nurse report to there immediately? A nurse is reviewing the laboratory results of a client who is receiving Heparin by continuous IV infusion. Which of the following Results indicates the nurse should decrease the infusion rate? The nurse is caring for a client who has diabetes mellitus and is taking Pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects? A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction? A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following findings should a nurse identify as an indication that the medication has been effective? A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations has an adverse effect of the medication? A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report? A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicate a therapeutic response to the medication? a nurse is receiving the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory results of the provider? A nurse is teaching a newly-licensed nurse about expired medication. Which of the following instructions should the nurse include in the teaching? a nurse is administering naloxone to a client who has developed an adverse reaction to Morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? a nurse is preparing to administer Heparin subcutaneously to a client. Which of the following should the nurse plan to minimize bleeding following the injection? A nurse is caring for an older adult client who is taking Prednisone for long term treatment for rheumatoid arthritis. The nurse should monitor the client for which of the following adverse reactions to the drug? A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe? A nurse is teaching a client about self-administration of an enoxaparin. Which of the following instructions should the nurse include to select all that applies? a nurse is assessing a client who is in septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of the infusion? A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is 2.6 meq. Which of the following actions should the nurse take? A nurse is interviewing a client who was newly admitted prior to administering medication. The client tells the nurse, " I forgot to tell the doctor I like albuterol for asthma". for which of the following medications should the nurse withhold the dose and notify the provider? A nurse is teaching a client who is to start taking clopidogrel. the nurse should instruct the client to Monitor and Report which of the following adverse effects of the medication? A nurse is providing teaching to a client who has a new prescription for paroxetine. the nurse should instruct the client to monitor which of the following adverse effects? A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take? A nurse is caring for a client who is receiving Total parenteral Nutrition. Which of the following actions should the nurse take? a nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication? A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the clients take the medication after 2 months? A nurse is assessing a client who has Graves disease and is taking methimazole. Which of the following findings indicate that the client needs a lower dose of the medication? A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first? a nurse accidentally administers the medication Metformin instead of metoprolol to a client which of the following actions should the nurse take? A nurse is providing discharge teaching to a client who is prescribed spironolactone. Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a client who has a major depression and a new prescription for citalopram. Which of the following adverse effects is the nurse to report to the provider? A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following statements does the client indicate an understanding of the teaching? A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infected endocarditis. Which of the following actions should the nurse take? a nurse is preparing to administer insulin to a client who has diabetes mellitus. The client has a prescription for regular insulin for you and NPH insulin 12 units subsequent oenis identify the steps the nurse should take when mixing the two types of insulin. A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking Glipizide. Which of the following values indicate the client is adhering to the treatment plan? Correct ANS - hba1c 6.8% a nurse is caring for a client who has a prescription for Total parenteral Nutrition. Which of the following routes of administration should the nurse use? Correct ANS - intravenous a nurse is reviewing the medical history of a client prior to the medication administration and knows a history of anaphylactic reaction to penicillin. The nurse should identify which of the following medications is a contraindication for this medication? A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is the nurse's priority? a nurse is caring for a client who reports taking Propranolol for several years but has recently stopped for financial reasons the nurse should assess the client for which of the following findings a nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer? a nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching? A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? A nurse is providing teaching about the adverse effect of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching? A nurse is preparing to administer medication to a client and discover a medication error. The nurse should recognize which of the following staff members is responsible for completing an incident report? a nurse is providing discharge about warfarin to a client who has deep vein thrombosis the nurse should instruct the client to obtain which of the following laboratory result test monthly questioN a nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells me I do not want to take this medication. I would prefer natural therapy. Which of the following supplements should the nurse suggest to discuss with the provider question a nurse realized that they failed to administer medication that was due 4 hours ago to a client. Which of the following should the nurse do first? A nurse is initiating IV therapy for a client who has right-sided mastectomy. And which of the following locations should the nurse place a catheter? A nurse is planning care for a group of clients. Which of the following medications should be monitored by the nurse for hearing loss related to the medication interaction? A nurse is caring for a client who received neostigmine 1 hour ago and it is experiencing a muscarinic response. Which of the following manifestations should the nurse expect? A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statement is appropriate for the nurse to take Correct ANS - you will need to take two or more medication to treat your disease A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take? A nurse is assessing a Client who is receiving penicillin IV. For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis? A nurse in the emergency department is admitting a client who has diabetes ketoacidosis and a blood glucose level of 800 mg. Which of the following interventions should the nurse initiate first? A nurse is assessing a client who has asthma and a prescription for albuterol. The nurse should monitor the client for which of the following adverse effects? a nurse is preparing to administer medication to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering? a nurse is preparing to administer Propranolol to a client which of the following should the nurse assess prior to administering? A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following should the nurse include in the plan of care? A nurse is assessing a client who is receiving Heparin therapy for deep vein thrombosis. Which of the following findings should the nurse indicate to the nurse that the therapy is effective? A nurse is teaching a client who has multiple allergies about using epinephrine auto-injector. Which of the following instructions should the nurse include? A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take? nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? a nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following actions should the nurse take first? A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective? A nurse is receiving a medication prescription by telephone from a provider. The provider states, "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record? A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? a nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A nurse is teaching a client about oral contraceptive. Which of the following information should the nurse include in the teaching? A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include? A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine? A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse. "I do not take this medication. I would prefer a natural therapy." Which of the following supplements should the nurse suggest the client discuss with the provider? A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following predisposes this client to developing digoxin toxicity? A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective? A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include? A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA) A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take? A nurse is preparing to administer 4,000 units of heparin subcutaneously to a client who has deep-vein thrombosis. Available is heparin 10,000 units. How many mL of heparin should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally 12 hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trialing zero.) A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect? A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider? A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer? A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads. "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." which of the following reasons should the nurse clarify this prescription with the provider A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take? A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the medication is provided as hydromorphone 8 mg per tablets. Which of the following actions is appropriate for the nurse to take? A nurse is caring for 4-year-old child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use? A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer? A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider? A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include? A nurse is preparing to administer filgrastim 5mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter? A nurse is assessing a client who is taking an osmotic laxative which of the following findings should the nurse identify as an indication of fluid volume deficit? A nurse is reviewing the laboratory results of a client who is taking amitriptyline which of the following laboratory values should the nurse report to the provider? A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication? A nurse is consulting a formulary about a client's new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?