Pharm Exam 3 Questions and Answers

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A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide? - ANSWER Avoid caffeine while taking ... this medication. A nurse is caring for a client who has active TB and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? - ANSWER Body secretions turning a red-orange color. A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? - ANSWER A decrease in urine output. A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take? - ANSWER Check the client for a penicillin allergy. A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching? - ANSWER I'll call my doctor if I notice any unusual menstrual bleeding. A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hours as needed. The amount available is diphenhydramine elixir 12.5mg/5ml. How many mL should the nurse administer per dose? - ANSWER 10 mL A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is indicated for which of the following infections? - ANSWER MRSA A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance? - ANSWER Prednisone A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions? - ANSWER Stimulates secretions. A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? - ANSWER 42 units The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take? - ANSWER Return the medication to the pharmacy. A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? - ANSWER Insomnia A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take? - ANSWER Administer the medication using a Z-track technique. A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER "I will be sure to take the albuterol before taking the cromolyn." A nurse is caring for a client who is allergic to penicillin. The nurse should verify which of following prescriptions with the provider? - ANSWER Amoxicillin-clavulanate A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication? - ANSWER Alcohol A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? - ANSWER The client holds his breath for 10 seconds after inhaling the medication. The nurse is providing discharge teaching for a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider> - ANSWER White coating in the mouth. A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? - ANSWER Stop the infusion. A nurse is caring for a client who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication? - ANSWER Administer the medication 2 hr before exercise. A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take? - ANSWER Give the insulin at 730. A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? - ANSWER Administer a short-acting B2-agonist (SABA) A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching? - ANSWER Keep the open vial of insulin at room temperature. A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? - ANSWER Glipizide stimulates your pancreas to release insulin. A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER "I will store the medication at room temperature" A nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? - ANSWER Asthma A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information should the nurse include? - ANSWER "Monitor for ringing in your ears." A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack? - ANSWER Albuterol A nurse is providing teaching to a client who has skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide? - ANSWER Wash the affected area with soap and water before applying cream. A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication? - ANSWER BUN 55mg/dL [Show More]

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