Pharmacology Proctored Review

Pharmacology – Proctored Review A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication was effective if

the:

1) Thyroid stimulating 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 substitute while taking meds 2) I will move slowly from sitting to standing to prevent falls A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which

statement by the patient 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 prescription for an antibiotic from a client's provider. Which of

the following is the nurse required to do:

3) Read the prescription back to the provider after transcribing 4) Write the trade name for the prescribed medicine A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin (Dilantin) 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 nausea

A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the

following actions should the nurse take first:

1) Apply a cardiac monitor 2) Provides foods high in potassium A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of

the following client findings 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 (Dilantin). The nurse should tell the client that phenytoin can

decrease the effectiveness of which of the following:

1) Ethunyl estradiol/desogestrel (Cyclessa) 2) Fluroxetine (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 instructions:

1) Take 1SL tablet three times a day before meals 2) Take 1SL tablet at onset of migrane A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should

the nurse take:

1) Give the medication 2) Request a dose increase

A nurse is planning to provide medication education 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 prescription for captopril (Capoten). Which of the following statements by the client indicates a need for further teaching: 3) I will take the medication 1 hr before my meals 4) I will use a salt substitute with my meals A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed. Which of the following client findings should the nurse recognize as being the best

indication that the medication is achieving it's therapeutic effect:

3) Decrease in intraocular pressure 4)Lung fluids clear to ausculatation A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following instructions should the nurse include in the teaching plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 3) Take the medication in the early morning 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication 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 actions should the nurse plan to

take:

1) Decrease the heparin 2) Increase the warfarin

The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first: 1) Turn the client to side lying position 2) Discontinue 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 after 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) vomiting 2) Akathesia A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse

document to indicate the effectiveness 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 therapeutic outcome:

1) Increase in seizure threshold 2) Decrease flexor & extension spasticity