Kaplan Pharmacologic-Parenteral Therapy A – Flashcards
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The nurse in the outpatient clinic obtains a client history during the initial visit. The client relates of recently beginning to take isoniazid daily. The nurse recognizes this medication is used to treat or prevent which problem
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Tuberculosis
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The nurse instructs a client receiving lovastatin for treatment of hypercholesterolemia. The nurse determines further teaching is necessary if the client states which of the following?
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"I always take it on an empty stomach, so it can get right to work"
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The nurse counsels a clients receiving cromolyn to treat bilateral conjunctivitis. The nurse intervenes if the client makes which statement
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"I put the drops in after I put my contact lens in"
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The client calls the nurse 10 days after beginning to use beclomethasone nasal spray due to seasonal allergies. The client reports that even though the medication is being used correctly, only slight relief has been experienced. Which action by the nurse is most important?
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Remind the client that the peak effect can take up to three weeks of regular use
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The nurse discovers a client's urine culture indicates at least 100,000 colonies of bacteria per milliliter. The nurse should intervene if the client makes which statement?
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"I am taking phenazophyridine to rid of the bacteria."
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The nurse cares for a client receiving simvastatin. To monitor for adverse effects of the medication, the nurse expects the health care provider to order which tests?
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Liver function tests and an ophthalmic examination
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The nurse performs a nursing assessment on a client with a history of migraine headaches. The nurse records the list of current medication and recognizes which medication is used to treat migraine headaches?
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Zolmitriptan
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The nurse knows that disulfiram is most likely prescribed for which client?
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A client abusing alcohol
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The nurse cares for a client receiving sertraline. Which statement is most important for the nurse to make?
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"It might take four weeks for you to reach full therapeutic effect"
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A client plans to stop smoking. The health care provider prescribes bupropion. Which client statement indicates further education is required?
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"If i miss a dose of mediccation, I should take it as soon as I remember it"
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The health care provider order hydromorphone hydrochloride in a choice of dose-equivalent forms for a postoperative client To ensure the client has a restful sleep, the nurse knows which method of administration offers the client the longest duration of medication action?
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Rectal administration
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The nurse receives a phone call from the radiology department. A department staff member will come in 30 minutes for the client scheduled for abdominal x-rays. It is essential that the nurse administer which medication to the client prior to leaving the unit?
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Ciprofloxacin 400 mg IV
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The nurse knows the chlorpromazine hydrochloride is most likely to be prescribed for which client?
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A client diagnosed with schizophrenia
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The nurse cares for a client with a history of asthma and bronchitis. The health care provider prescribes montelukast. The nurse recognizes which as true about montelukast?
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Montelukast takes several weeks to lessen the effects of chronic asthma
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The nurse in the cardiac rehabilitation unit knows that for adult clients taking digoxin, the maintenance dose of the medication should be in which range?
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0.125-0.5
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The nurse knows which anti-psychotic is used as a treatment for Tourette syndrome?
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Haloperidol
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The nurse cares for the client immediately after removal of a cataract in the left eye. The health care provider orders prochlorperazine to be administered after the surgery. The nurse understands it is important to administer the medication for which reason?
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To prevent pressure on the suture line.
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The nurse understands which occurrence is NOT an adverse effect or toxic effect of aspirin?
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Rash
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The client is receiving 40 drops per minutes of dextros 5% in water. The IV set delivers 10 drops per milliliter. If the nurse starts the IV infusion at 1200 with 1,000 mL will remain at 1530?
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160 mL
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A client diagnosed with depression is scheduled to begin a series of electroconvulsive therapy (ECT) treatments. It is most important for the nurse to notify the health care provider about which information?
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The client is being treated for glaucoma
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The nurse cares for a client admitted with a diagnosis of diabetic keto-acidosis. The nurse anticipates the health care provider with order which type of insulin?
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Short-acting insulin
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The client comes back from an overseas trip reporting multiple, watery bowel movements. The health care provider prescribes loperamide. It is most important for the nurse to follow up on which client statement?
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"My temperature is 101.2 F (38.0 C)
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The home care nurse visits a client living in a dependent living facility. The client is receiving risperidone. The nurse notes the client has a shuffling gait and trembles when reaching for reading glasses. The nurse did not notice these behaviors on the previous visit. Which action by the nurse is appropriate?
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Contact the client's health care provider
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The nurse learns a client has been taking simvastatin for seven months. Which statement by a colleague does the nurse correct?
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"I should take the client's blood pressure in supine, sitting, and standing positions."
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The adult child of an elderly client brings the parent to the clinic. The client states, "I have indigestion and have been taking lots of over-the-counter cimetidine for 3 weeks." Which client statement requires an immediate followup?
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"My child tells me that I seem to be confused at times."
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The nurse identifies folic acid is prescribed for which conditions?
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Pregnancy Alcoholism Liver disease
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The health care provider orders IV codeine every 3-4 h PRN for a client after surgery. On the second day post-op, the nurse assesses the client 3 hours after giving codeine. The client's vital signs are: BP 112/68 mm Hg, pulse 72/min, and respiration's 110/min. The client reports experiencing pain level of 5 on the 0-10 numeric pain distress scale. Which action by the nurse is most appropriate?
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Assess level of sedation
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The health care provider prescribes captopril for a client diagnosed with hypertension. Before administering the first dose, it is most important for the nurse to make which statement
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"Remain in bed for the first three hours after taking the first dose of medication."
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The nurse instructs a client receiving phenytoin sodium. The nurse determines further teaching is necessary if the client makes which statement?
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"If my urine changes color, I should immediately go to the emergency department."
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The health are provider orders 0.25 mg digoxin PO daily for the client. Digoxin is available in 0.5 per mL of solution. How many mL should the nurse administer to then client?
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0.5
