Pharmacology Proctored Review for A Grade ONLY

Pharmacology – Proctored Review Pharmacology – Proctored Review A patent newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. Afer 6 weeks of treatment the nurse dtermines that ...

Pharmacology – Proctored Review Pharmacology – Proctored Review A patent newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. Afer 6 weeks of treatment the nurse dtermines that the medicaton was effectve if the: 1) Thyroid stmulatng hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates understanding of teaching: 1) I will not use a salt substtute while taking meds 2) I will move slowly from sitng to standing to prevent falls A nurse is providing teaching to a patent who is prescribed phenytoin (Dilantn). Which statement by the patent indicates further teaching: 1) I should expect a rash to develop 2) I may develop hair or face or chest A nurse is receiving a telephone prescripton for an antbiotc from a client's provider. Which of the following is the nurse required to do: 3) Read the prescripton back to the provider afer transcribing 4) Write the trade name for the prescribed medicine A nurse is providing teaching to an adolescent and her family regarding a new prescripton of phenytoin (Dilantn) for a newly diagnosed seizure disorder. Which of the following client statements indicates the understanding of the teaching: 1) I will keep a seizure frequency chart 2) I will skip a dose if I am experiencing nauseaA nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routne laboratory results reveal a potassium level of 2.6 mEq/L. Which of the following actons should the nurse take frst: 1) Apply a cardiac monitor 2) Provides foods high in potassium A nurse administers cefazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the following client fndings requires an incident report: 1) The client is also taking linsinophrel (Prinivil) 2) The client reports shortness of breath A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and has begun phenytoin (Dilantn). The nurse should tell the client that phenytoin can decrease the effectveness of which of the following: 1) Ethunyl estradiol/desogestrel (Cyclessa) 2) Fluroxetne (Prozac) A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructons: 1) Take 1SL tablet three tmes a day before meals 2) Take 1SL tablet at onset of migrane A nurse is reviewing a client's daily laboratory fndings before administering 0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actons should the nurse take: 1) Give the medicaton 2) Request a dose increaseA nurse is planning to provide medicaton educaton for a client who will begin a course of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid during the course of therapy: 3) Coffee 4) Beer A nurse is teaching a client who has heart failure about a new prescripton for captopril (Capoten). Which of the following statements by the client indicates a need for further teaching: 3) I will take the medicaton 1 hr before my meals 4) I will use a salt substtute with my meals A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed. Which of the following client fndings should the nurse recognize as being the best indicaton that the medicaton is achieving it's therapeutc effect: 3) Decrease in intraocular pressure 4)Lung fluids clear to ausculataton A nurse is educatng a client who has a new prescripton for simvastatn (Zacor). Which of the following instructons should the nurse include in the teaching plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medicaton with grapefruit juice 3) Take the medicaton in the early morning 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medicaton to be life long A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the normal value and his INR is 2. Which of the following actons should the nurse plan to take: 1) Decrease the heparin 2) Increase the warfarinThe nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by contnuous IV infusion, piggy backed into a maintenance IV soluton. The external FHR monitor indicates late deceleratons. Which of the following actons should the nurse take frst: 1) Turn the client to side lying positon 2) Discontnue the client's IV meds A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client: 3) Insomnia 4) Tinnitus A nurse is teaching a client about the use of resedronate (Actonel) to treat osteoporasis. Which of the following client statements indicates a need for further teaching: 3) I need to set up or stand afer taking the risedronate 4) I need to take the risdronate with food A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the following adverse effects should the nurse be observing: 1) vomitng 2) Akathesia A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse document to indicate the effectveness of the therapy: 1) Increased platelet count 2) Increased RBC count A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of the following should the nurse document as a therapeutc outcome: 1) Increase in seizure threshold 2) Decrease flexor & extension spastcityA nurse is assessing a client who is receiving epoetn alfa (Procit) to treat anemia. For which should the nurse monitor related to this medicaton: 1) Paresthesias 2) Increased BP A nurse is planning teaching for a client who has depression and is to start a new prescripton for tranylcypromine (Parnate). Which should be included in teaching: 1) Avoid eatng citrus fruits while taking this medicaton 2) Move slowly when changing to a standing positon Provide teaching new prescripton: exenatde (Byeta) for Type 2 Diabetes. What should the nurse monitor and report: 1) Abdominal pain 2) Increased thirst A nurse is reveiwing lab results, for a patent who has chronic asthma and is taking prednisone (Deltasome) every other day. Which of the following lab values should the nurse report to the doctor: 3) Blood glucose 200 mg/dL 4) BUN 14 mg/dL A nurse is caring for a client receiving zidovudine (Retrovir) for which of the following lab results should the nurse prepare to monitor: 3) Serum creatne 4) Hemoglobin A client informs the nurse at the primary care providers ofce that he received a prescripton for tmolol (tmoptc) to treat glaucoma. Which of the following in the client's history should concern you: 3) The client has a history of bradycardia 4) The client reports that he is taking loratadine (Claritan)A mom of a newborn asks the nurse when her newborn should receive his 1st diptheria, tetanus, and pertusis vaccine (DTAP). Which of the following should the nurse say: 1) Birth 2) 2 months A nurse is preparing to administer warfarin (coumadin) to a client diagnosed with atrial fbrillaton. Which acton should the nurse take before administering warfarin: 1) Check INR results 2) Monitor the aPTT level A nurse caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea (Droxia). Which fndings should the nurse report- select all that apply: 1) hemoglobin 4.2 g/dL 2) Hematocrit 42% 3) RBC 4,700,000/ mm3 4) Platelets 75,000/mm3 5) Neutrophils 1,400 /mm3 A nurse assesses a patent with chronic back pain who is receving 650 mg acetaminophen (Tylenol) every 4 hours for pain. PCP has prescribed oxycodone/acetaminophen (Percocet) every 4 to 6 hours PRN for breakthrough pain. Which acton should the nurse take: 3) Place the client on seizure precautons 4) Notfy the PCP A nurse is teaching a patent who has a peptc ulcer disease and is to start a new prescripton for sucralfate (Carafate). The nurse explains to the patent this medicaton: 3) Forms a protectve barriers over ulcers 4) Treats ulcers by eradicatng H. pylorWhich of the following statements made by a client afer a teaching session about Warfarin (Coumadin) indicates a need for further teaching: 1) I may take aspirin as needed for pain 2) I should limit the amount of green, leafy vegetables A nurse is caring for a patent who has pneumonia. The patent tells the nurse that she is pregnant, but has not told her provider. Which of the following medicaton orders should the nurse queston: 1) Acetaminophen (Tylenol) 2) Doxycycline (Doxycin) A nurse is providing teaching to a patent who has hypertension and is to start a new prescripton for lisinopril (Zestril). For which of the following should the nurse instruct the client to monitor and report to the PCP: 3) Facial Flushing 4) Dry cough A nurse caring for the following patent with acute ST elevaton myocardinal infarcton. The patent is receiving nitroglycerin (Nitro-bid IV) by contnuous IV infusion to maintain a systolic blood pressure between 130-10 mmHg: 1) Increase the dose when the Systolic BP is 120 mmHg 2) Increase the dose when the Systolic BP is 160 mmHg Older adult taking procainamide (Pronestyl) is admited to ER with an acute myocardinal infarcton and ventricular premature beats. Which fnding should indicate to the nurse to withold medicaton and notfy PCP: 1) Drowsiness 2) A QRS widening increase than 50%A nurse is caring for a client who is taking tamoxifen (Nolvadex) for treatment of breast cancer. The nurse should inform the client that which of the side effects can develop:(Slect all that apply) 1) Bradycardia 2) Menstrual irregularites 3) Petechia 4) Hot flashes 5) Vaginal discharge A nurse is providing teaching to a patent with chronic asthma, is prescribed beclomethsdone (QVAR). What instructons should be included in the nursing care plan: 1) Use inhaler as soon as asthma atack begins 2) Take extra Vitamin B & C when using medicaton A client with history of hypertension tells the nurse that he uses over-the counter oral decongestant for nasal congeston. The nurse should advise client that decongestons? 3) Can constrict blood vessels 4) Are less effectve than anthistamines A nurse is providing teaching for a patent with acute cysttus and is prescribed phenazopyridine HCL (Pyridium). Which side effect will be normal for the patent to see: 1) Urine will turn red-orange color 2) A mild fever A patent has been prescribed trimethoprim/sulfamethoxazole (Bactrum DS). Which of the following should the nurse reort: 3) Photosensitvity 4) Vescular, crusty rash A client has been taking propylthiouracil (PTU) for 4 weeks- what should an outcome be: 3) Decrease heart rate 4) Increase body tempA nurse instructng on appropriate placement of the client's nitroglycerin transdermal patch (Minitran) understands teaching with this statement: 1) I should apply the patch to an area of body with minimal fat tssue 2) I will take the patch off right afer my evening meal A nurse is to administer a new prescripton for amoxicillin/clavulanic acid (Augmentn) IV bolus. The client tells the nurse allergy to penicillin. Which should be done frst: 3) Withhold the medicaton 4) Inform the pharmacist of allergy to penicillin A nurse providing discharge teaching for patent has a prescripton for morphine. The nurse should: 3) Increase fber intake 4) Increase dosage to relieve pain A nurse is monitoring a patent who has been prescribed amphoterian B (Fungizone) intermitent IV bolus for histoplasmosis. What adverse effects should you notfy PCP: 1) Bradycardia 2) Fever A patent has been receiving aspirin for treatment of arthrits. Which symptom should indicate the client beginning to exhibit salicylism: 3) Excessive bruising 4) Tinnitus A nurse is caring for a patent who has cancer and is experiencing breakthrough pain every 6 to 8 hours. The client report pain level of 8 on a scale of 0 to 10. Which of the following analgesics should the nurse antcipate administering: 3) Celecoxib (Celebrax) 4) Hydromorpine (Dilaudid)A nurse is caring for a school age child prescribed methylphenidate (Ritalin) for ADHD. The nurse has initated interventons to minimize adverse effects. Which of the following indicates a successful interventon: 1) Increase BP 2) Maintains age- appropriate weight A nurse is instructng a client who experiences migranes and is startng oral sumatriptan (Imitrex) therapy. Which of the following should the nurse include in teaching: 1) Take the medicaton 1x daily to prevent migrane atacks 2) Use the medicaton as soon as migrane symptoms appear Nurse caring for postoperatve patent with PCA of morphine sulfate. The nurse assesses a respiratory rate of 10/ min and is unable to arouse the patent with verbal or tactle stmulaton. Which of the following actons should the nurse frst take: 3) administer naloxone (Narcan) IV to the client 4) Notfy the primary of the fndings A patent diagnosed with acute bronchits is beginning a short course of prednisone (Deltasone) therapy. The patent asks the nurse to give him the required vaccinatons because he is joining the peace corp. The nurse appropriately responds by statng, "You should": 1) Wait untl you have completed your medicaton therapy before receiving the vaccinatons 2) Wait untl afer you have taken this medicaton for a few days A nurse is providing teaching to a client regarding the administraton of ferrous sulfate (Feosol). Which of the following instructons should the nurse include in her teaching: 3) Take the tablet on an empty stomach 4) Call your provider if you begin to bruise easily A nurse is providing teaching to a client who has a new prescripton for phenytoin (Dilantn). Which of the following statements by the client indicates an understanding of the teaching: 3) I should let my dentst know that I'm taking this medicaton 4) I should expect to experience some unusual type movement when taking DilantnA nurse is caring for an older adult patent who is taking ranitdine (Zantac) for GERD> For which of the following fndings should the client be instructed to monitor and report to provider: 3) Clay colored stools 4) Green sputum A nurse is assessing a patent who is taking oral contraceptves. Which of the following medicatons will interfere with the effectveness of the oral contraceptves: 1) Warfarin (Coumadin) 2) carbamazepine (Tegretol) A nurse is teaching a patent with tuberculosis about the adverse effects of isoniazid (INH). The nurse restricts the client to notfy the PCP immediately if which of the following occurs: 3) Yellowish skin tones 4) Headache A nurse is reinforcing teaching to a 17 year old female patent who has severe acne regarding the use of isotretnoin (Accutane). Which of the following side effects is the priority side effect to report to the PCP: 3) Back pain 4) Feelings of isolaton A nurse caring for a client who was admited to the hospital with congestve heart failure (CHF) and is taking digoxin (Lanoxin) 0.25 mg daily .he patent refused breakfast and is complaining of nausea and generalized weakness. Which of the following actons should the nurse perform 1st: 1) Check the patent's vital signs 2) Request a diettan consultA nurse is caring for a patent who is hospitalized with actve pulmonary tuberculosis and is to be started on ethambutol (myambutol) therapy. The nurse should understand that which of the following should be monitored: 1) Visual Actvity 2) Skin color A clinic nurse is giving instructons to a mother on the proper technique of applying ointment to her pre-school-age child. Who has conjunctvits. Which should the nurse include in the instructons: 3) Discard the frst bead of ointment before each applicaton 4) Instruct your client to squeeze his eyes shut following applicaton A nurse enters an older adult patent's room to insert a saline lock. The client ask the nurse, 'Why do i need that, I am drinking plenty of fluids?" Which of the following responses by the nurse is appropriate?" 3) We give all our medicatons IV in this unit 4) The provider has prescribed antbiotcs therapy to be administered IV every 6 hours A nurse is caring for a patent who has erectle dysfuncton and is interested in taking sildenafel (Viagra). The nurse informs the patent that sildenfl is contraindicated due to the fact that the client also takes which one of the following medicatons: 1) Isosorbide (Isordel) 2) Phenytoin (Dilatn) A nurse reported to the nurse manager that another staff member was observed signing out meperidine hydrochloride (Demerol), which was not administered to the patent. The nurse manager should know that potental opiate abuse by the employees may be manifested by which of the following symptoms: 1) tremors 2) rhinorrheaA nurse is caring for a patent who is taking clarithyromycin (Biaxin). The nurse includes a diagnosisof "risk for altered sensory percepton" in the client's plan of care. This is appropriate because many client's on clarithromycin have an altered sense of which of the following: 1) Smell 2) taste A nurse is caring for a client who has asthma and is prescribed chewable mortelukast (Singular). The nurse should instruct the child's parent to administer the medicaton: 1) Daily at bedtme 2) Before any actvity A nurse is assessing a client who comes to the clinic for a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. Which of the following is a contradicton for the patent to receiving the live atenuated influenza vaccine (LAIV)? 1) Just turned 62 2) Smokes one pack of cigaretes a day A nurse is caring for a client who is receiving chlorpromazine (Thorazine) and is given a pass to atend a family outng on a sunny day. Which of the following is the most important for the nurse to include in the client's teaching about the side effects of chlorpromazine? 1) Wear a hat and long sleeved shirt 2) Suck on hard candies A nurse is reviewing a client's admission record. The nurse notes that there are prescriptons for several medicatons. Which of the following factors should the nurse recognizes is of primary consideraton when determining the schedule of administraton: 1) Insttutonal policies regarding routne medicaton administraton tmes 2) Specifc characteristcs of the medicatonsA client has a history of myocardinal infarcton (MI) is precribed aspirin (Ecotrin) 325 mg. The nurse correctly understands that the aspirin is ordered due to its acton as a: 3) Antplatelet aggregate 4) Antpyretc A home health nurse is reviewing the medicaton list of an older adult patent who reports falling a couple of tmes over the past week. Which of the following meds should the nurse suspect is contributng to the client's falls: 1) Alprazolam (Xanax) 2) Acetaminophen (Tylenol) A nurse is caring for an older adult client who is hospitalized. Which of the following medicaton is likely to put the client at risk for orthostatc hypotension. (Select all that apply): 1) Furosemide (Lasix) 2) Telmisartan (Micardis) 3) Phenelzine sulfate (Nardil) 4) Clopidogrel (Plavix) 5) Atorvastatn (Lipitor) A nurse is caring for a client who is receiving nifedipine (Procardia). The nurse checks the client's blood pressure before administering medicaton and reports 98/58. Which of the following actons should the nurse frst take: 3) Document the patent's blood pressure 4) Recheck the client's blood pressure A nurse is caring for an older adult client who has rheumatoid arthrits and is taking aspirin (Bufferin) 650 mg every 4 hours. Which of the following diagnostc tests should the nurse monitor to evaluate the effectveness of this medicaton: 3) Antnuclear antbody (ANA) 4) Erthrocyte sedimentaton rate (ESR)A nurse is caring for several patents who have bipolar disorder. The nurse should recognize that which of the following medicatons are appropriate for treatng this conditon (Select all that apply): 1) paraoxetne (Paxil) 2) lithium (Lethane) 3) tranylcypromine (Parnate) 4) valproic acid (Depakota) 5) phenytoin (Dilantn) 6) carbamazepine (tegretol) A nurse is assessing a client who has numerous bruises on his upper extremites. The patent reports that he has taken warfarin (coumadin) daily for the past 3 months. Which of the following statements by the client indicates the client needs further teaching: 1) I have started taking ginger root to treat my joint stffness 2) I take tylenol whenever I have a headache A nurse is caring for a client with nausea. The client is prescribed intravenous metaclopramide (Reglan) as needed. The nurse knows that Reglan is an effectve antmetc because it 1) Promotes gastric emptying 2) Decrease gastric acid secretons A nurse is caring for a patent with chronic renal failure and states she has heartburn. Prescribes aluminum hydroxide (Amphojel). The patent asks the nurse why cant i just take the antacide magadrate (Reopan) my husband has at home. The nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following: 1) Serum phosphorus levels 2) Serum potassium levels A nurse is planning teaching for a child who has been prescribed flutcasone propionate (Flovent) for treatment of chronic asthma. The nurse plans to teach the child to use a spacer to minimize the risk for which of the following: 1) Adrenal Suppression 2) Candidiasis of the mouthA nurse is caring for a client who has hypovolemic shock. The client is being administered mannitol (Osmitrol) by IV bolus. Which of the following fndings is the best indicator of the medicaton's effectveness: 1) Urine output 50 mL/hr 2) BUN 18 mg/dL A nurse is caring for a client taking atorvastatn (Lipitor). Which of the following should the nurse recognize should be monitored for this client: 1) CK 2) ESR A client is being treated for heart failure and is receiving digoxin (Lanoxin) and furosemide (Lasix). Based on the chart fndings, which of the following actons should the nurse take frst: 3) Obtain an order for serum digoxin level 4) Review the client's blood pressure over the past 24 hours A nurse is teaching a client about the use of risedronate (Actonel) for the treatment of osteoporosis. Which of the following client statements indicates an understanding of the teaching: 3) I should take an antacid with the risedronate to avoid nausea 4) I should sit up for 30 minutes afer taking the risedronate A nurse is teaching a client who has a prescripton for pilocarpine (Pilocar) eye drops. Which of the following client statements should indicate to the nurse a need for additonal teaching: 3) I will stop using the drops as soon as my vision improves 4) I know this medicaton can cause side effects in other areas of my body A nurse is preceptng a newly licensed nurse who us caring for four clients. Which of the following actons should be noted in an incident report? The nurse administers: 3) Regular insulin (Humulin R) to a client who has a blood glucose of 250 mg/dL 4) Isosorbide mononitrate (Imdur) to a client who has blood pressure 82/60 mmHgA nurse is caring for a client who has been receiving parenteral morphine sulfate following a thoracic procedure. Which of the following fndings should the nurse recognize is the most reliable indicator that the client's pain is being adequately managed: 3) The client is speaking with a family member 4) The client is able to breathe deeply and cough A nurse is caring for a 20 year old female who has been prescribed isotretnoin (Accutane) for severe nodulocystc acne vulgaris. Before the client can obtain a refll, the nurse should advise the client that which of the following tests will be required: 1) Hgb level 2) Pregnancy test A nurse is caring for a client receiving heparin IV at 1,000 units/hr. Which of the following should the nurse recognize as an adverse reacton to this medicaton: 1) Paresthesias 2) Pink tnged urine A nurse is assessing a 5 year old child's need for pain medicaton. Which of the following actons by the nurse will best determine whether the child needs for pain medicaton: 1) ASk the parents if they think the child is in pain 2) Have the child rate the pain using the FACES pain ratng scale A nurse is providing teaching to a client who is prescribed an MAOI. Which of the following should the nurse instruct the client to avoid while taking this medicaton: 1) red wine 2) Cotage cheeseA nurse is obtaining a medicaton history from a client who is prescribed tobramycin sulfate. Which of the following medicatons should the nurse notfy the provider concerning concurrent use: 1) Paroxetne (Paxil) 2) Ibuprofen (Motrin) A nurse is caring for a client in the PACU. The client is 1 hour postoperatve, is difcult to arouse, and is hypotensice. The nurse should administer which of the following: 3) Lorazepam (Atvan) 4) Naloxone (Narcan) A nurse is providing discharge instructons for a client who has a prescripton for colesevelam (WelChol). Which of the following indicates the client needs additonal teaching: 3) I will mix the medicaton with 30 mL of water 4) I will increase my fber intake while taking this medicaton A nurse is providing teaching about insulin glargine (Lantus) to a client who has Type 1 diabetes mellitus. Which of the following should the nurse include in the instructons: 3) do not mix this medicaton in a syringe with other insulins 4) Rotate the botle gently prior to drawing up the insulin A client is being started on ferrous sulfate. To enhance absorpton, the nurse should advise the client to take the medicaton with which of the following? 1) Calcium carbonate 2) Ascorbic acid A nurse in the PACU is caring for a client who has received midazolam (Versed) IV bolus prior to an endoscopy. Which of the following fndings indicate to the nurse to administer flumazenil (Romazicon) IV? 3) Elevated temperature 4) Respiratory depressionA nurse is caring for an older adult client. The client received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hour as prescribed. Which of the following entries is the appropriate documentaton of this occurrence in the client's medical record: 1) IV fluid infused over 4 hours instead of the prescribed 8 hours. Client tolerated fluids well 2) 0.9% sodium chloride 1 L IV infused over 4 hours. Vital signs stable A nurse is obtaining the medicaton history of a client who is startng a new prescripton for allopurinol (Zyloprim). Which of the following medicatons should the nurse contact the provider regarding a potental interacton: 3) Nifesipine (Adalat) 4) Warfarin (Coumadin) A nurse is caring for a client receiving flgrastm (Neupogen) for neutropenia. Which of the following laboratory values indicates that the treatment has been effectve: 1) Hgb 15 g/dL 2) WBC 8,000/mm3 A client who has hypothyroidism and is breasteeding tells the nurse that she is taking levothyroxine (Synthroid) and is concerned that it will be excreted in her breast milk. Which of the following responses by the nurse is appropriate? 3) You will need to take the medicaton afer breasteeding the infant each morning 4) You will need to decrease your medicaton while breasteeding At 0900 a nurse is preparing a client's medicatons. Based on the chart fndings, which of the following medicatons should the nurse give frst: 1) Sodium polystyrene sulfate (Kayexalate) 2) Atenolol (Tenormin)A nurse administers naloxone (Narcan) as prescribed for a client who is 8 hr. postoperatve adverse effects afer administraton of opioid analgesia. Which of the following interventons should the nurse plan to take following naloxone administraton? (Select all that apply) 1) Observes the client for bleeding 2) Assess the client for nausea and vomitng 3) Check the client's pain level frequency 4) Monitor the client for bradycardia 5) Repeat the dose every 15 min untl the client responds A nurse is planning teaching for a client who has a new diagnosis of exercise-induces asthma. Which of the following medicatons should the nurse instruct the client to use prior to physical actvity: 1) Cromolyn sodium (Intal) 2) Predisone (Deltasone) A nurse is providing teaching to a client who has just been prescribed prazosin (Minipress). Which os the following client statements indicates an understanding of the teaching: 1) I will not use salt substtute while taking this medicaton 2) I will move slowly from sitng to standing to prevent falls A nurse is providing teaching to a client who is prescribed thrimethoprim/ sulfamethoxazole (Bactrim DS). Which of the following instructons should the nurse include in her teaching: 3) Drink 8 to 10 glasses of water daily 4) Rise slowly from bed in the morning A client is receiving a heparin infusion for deep vein thrombosis. The nurse should discontnue the medicaton infusion for which client fndings: 3) Hemoglobin 15 g/dL 4) Platelets 96,000/mm3A client newly diagnosed with hyperthyroidism is prescribed (Synthyroid) o.25 mg PO daily. Afer 6 weeks of treatment, the nurse determines that the medicaton was effectve if the: 1) Thyroid-stmulatng hormone (TSH) level is 2 microunits/mL 2) total t4 level is 3 mcg/dL A nurse is caring for a client who has just been transferred from the PACU to the medical surgical unit following a colon resecton. The client reports pain of an 8 on a scale from 0 to 10 and has a prescripton for morphine sulfate 4 mg IV bolus PRN pain every 2 hr. Which of the following actons should the nurse take frst: 1) Administer the morphine sulfate 2) Check the client's PACU medicaton record A client who has diabetes mellitus insulin lispro and is prescribed metoprolol (Lopressor) for hypertension. Which of the following should the nurse observe for in this client as an early indicator of hypoglycemia: 1) Sweatng 2) Tachycardia A nurse is caring for a client who has cancer and is taking oral morphine sulfate and docusate sodium (Colace). Which of the following side effects will be minimized by taking the docusate sodium on a daily basis? 1) Constpaton 2) Drowsiness A nurse caring for a client that has undergone a liver transplant and is taking cyclosporine (Sandimmune). Which of the following laboratory fndings indicates an adverse effect of the medicaton: 1) WBC count 8,000/mm3 2) Serum creatne 2.5 mg/dLA nurse is providing teaching to a client who has a new pancrelipase (Pancrease). Which of the following should the nurse include in the teaching: 3) Take the medicaton with each meal and snack 4) Monitor blood glucose levels daily A client who is postoperatve has received 2 mg of hydromorphine (Dilaudid) IV bolus every 2 hours. The client contnue to rate his pain at a 7 on a scale from 0 to 10. which of the following client fndings should the nurse atend to frst: 1) Constpaton 2) Hypotension A nurse is instructng a client who has asthma. The client is currently taking albuterol (Proventl) every 4 hours PRM for bronchial spasms. He is to start a new prescripton for montelukast (Singulair). Which of the following instructons should the nurse include: (Select all that apply) 1) Use montelukast to relieve an asthma atack 2) Do not take montelukast with food 3) Administer montelukast 30 min before sports actvites 4) Report any increased need to use albuterol 5) Take montelukast once a day in the the evening A nurse is caring for a client who is experiencing acute alcohol withdrawl. For which of the following is the client prescribed chlordiazpoxide (Librium) 3) Lessen craving 4) Prevent delirium tremens A child is prescribed amoxicillin-clavulanic acid (Augmentn) for the treatment of an ear infecton. The child's mother asks the nurse why her child is receiving this combinaton of two medicatons. The nurse appropriately responds by statng that this medicaton is: 1) More effectve 2) Known to decrease allergic reactonA nurse is providing teaching to a client who has rheumatoid arthrits and is prescribed methotrexate (Rheumatrex). Which of the following statements by the client indicates an understanding of the teaching: 3) I should call my doctor if I develop sores in my mouth 4) I will have difculty sleeping when i take this medicaton A nurse is caring for a client who is startng a new prescripton for warfarin (Coumadin). Which of the following medicatons should the nurse plan to administer if the client experiences bleeding: 1) Vitamin K 2) Protamine sufate A nurse is evaluatng a client who has been prescribed oral metormin (Glucophage) and glipizide (Glucotrol) 3 months ago to control diabetes mellitus. The nurse should identfy which of the following laboratory fndings as indicatve of client compliance over tme: 1) HbA1c 8.0% 2) HbA1c 6.5% An older adult client who has an infecton is prescribed gentamicin (Garamycin). Which of the following client statements indicates a side effect of this medicaton and should be reported to the provider immediately: 1) I'm having difculty reading the newspaper 2) I have to turn the volume up on the TV to hear it A client is prescribed amitriptyline (Elavil). Which of the following adverse effects should the nurse instruct the client to report: 3) Urinary retenton 4) Decreased libidoA nurse is caring for a client who has heart failure and is prescribed enalapril (Vasotec) and spironolactone (Aldactone). For which of the following potental side effects should the nurse plan to monitor: 1) Hypokalemia 2) Hyperkalemia A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following indicates to the nurse that the client is experiencing magnesium toxicity: 3) Decreased level of consciousness 4) Agitaton A nurse is administering donepezil (Aricept) to a client who has Alzheimer's disease. Which of the following documented fndings should the nurse report to the provider immediately: 3) Dizziness 4) Dyspnea