Pharmacology Online Practice 2019 B exam practice solution docs 2020
A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching?This medication increases your risk for hypertension.Avoid potassium-rich foods in your diet.Take each dose of medication in the evening before bed.Drink a glass of milk with each dose of medication
A nurse is caring for a client who has heart failure and a prescription for enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?Bradycardia Hyperkalemia Loss of smell Hypoglycemia
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse report to the provider?Hot flashes
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following findings as an indication that she should complete an incident report?Client reports shortness of breath
A nurse is providing discharge instructions to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective?I will store my unopened bottles of insulin in the refrigerator.
A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication?Urinary retention
A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a positive response to the medication?Calcium level of 8.8 mg/dL
A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take?Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
A nurse is administering diazepam to a client who is having a colonoscopy. Which of the following actions should the nurse take?Ensure flumazenil is available to administer for toxicity management
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor?Creatinine kinase
A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with lansoprazole. The nurse should monitor the client for which of the following manifestations?Muscle weakness
A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse?Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg
A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication?Orthostatic hypotension
A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of the following medications should the nurse expect to administer?Methadone
A nurse is completing an incident report for a medication error. Which of the following information should the nurse include in the report?Administered propranolol 80 mg PO at 1800 to the client who did not have a prescription for the medication.
A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following actions should the nurse take prior to administering the medication?Obtain the client’s blood pressure
A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following findings should the nurse document as a therapeutic outcome?Decrease in flexor and extensor spasticity
A nurse is caring for a client who is refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make?By not taking your furosemide, you might retain fluid and develop swelling
A nurse is teaching a client who has a new prescription for docusate sodium about the medication’s mechanism of action. Which of the following information should the nurse include in the teaching?Docusate sodium reduced the surface tension of the stools to change their consistency
A nurse in a provider’s office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately?Hyperventilation
A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family?Take a stool softener on a daily basis
A nurse is caring for a client who is receiving haloperidol. The nurse should identify which of the following findings as an adverse effect of the medication?Akathisia
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective?Increased cardiac output
A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?Drink 8 to 10 glasses of water daily
A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include?Change positions slowly
A nurse is reviewing lab results for a client who is to receive a dose of ceftazidime via intermittent IV bolus. Which of the following lab findings is the priority for the nurse to report to the provider before administering the medication?Creatinine 2.6 mg/dL
A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching?Drink 2 L of water daily
A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?Yellow-tinged vision
A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take?
Obtain WBC with absolute neutrophil count
A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider (SATA)?Hemoglobin 7.0 g/dl Platelets 70,000/mm3 Potassium 5.2 meq/l
A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious.Which of the following actions should the nurse take first?Perform a capillary blood glucose test.
A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?Chest pressure
A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications?Doxycycline
A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism?Tinnitus
A nurse is providing teaching to a client who had depression and is prescribed fluoxetine. Which of the following statements indicates to the nurse that the client understands the teaching?I should take acetaminophen instead of ibuprofen for my headaches while taking this medication.
A nurse is providing teaching to a client who had depression and is prescribed fluoxetine. Which of the following statements indicates to the nurse that the client understands the teaching?I should take acetaminophen instead of ibuprofen for my headaches while taking this medication.
A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching?I will use this medication for a short period of time.
A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching?I will report any signs of tendon pain or swelling.
A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates understanding of the teachings?I will remove the patch after 14 hours.
A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication?Blurred vision
A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?Place monitoring cords and tubes in a stockinet
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first?Withhold the medication
A nurse is providing teaching for a patient who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?Orange juice
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?Dry mouth
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include?Blood glucose levels will need to be monitored during therapy.Avoid contact with persons who have known infections.Grapefruit juice can increase the blood levels of the medication.
A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin?Bleeding gums
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives.Which of the following actions should the nurse take first?Discontinue the medication IV infusion
A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol?Asthma
A nurse is reviewing the laboratory results of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider WBC 3,500/mm3
A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor?Increased blood pressure
A nurse administered digoxin immune Fab to a client who received the incorrect dose of digoxin over a period of 3 days. The nurse should identify that which of the following findings indicates the antidote was effective?Potassium level of 3.2
A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching?Increase intake of potassium-rich foods.Monitor for muscle weakness.Dangle your legs from the side of the bed before standing.
A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?I will fold the sticky sides of the old patch together before disposing it.
A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?I know smoking makes ranitidine less effective.
A nurse contacts a client’s provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take?Have the provider spell out the unfamiliar medication names.
A nurse is preparing to administer to a client 0.9% sodium chloride 1,000 ml IV over 8 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min?31 gtt/min
A nurse is caring for a client who has a magnesium level of 3.1 mEq/L. The nurse should expect to administer which of the following medications?Calcium gluconate
A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise induced asthma. which of the following medications should the nurse plan to instruct the client o use prior to physical activity?