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RN Pharmacology Practice 2016 B Essay

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A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching?
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decreased respirations might occur
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A nurse is preparing to administer Ciprofloxacin 15mg/kg PO every 12 hr to a child who weighs 44lbs. how many mg should the nurse administer per dose?
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300mg
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A nurse is reviewing the health history of a client who has diabetes mellitus and will begin taking insulin. Which of the following dings should the nurse identify as a fact that might cause the client to have difficulty safely self administering insulin?
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Macular degeneration
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A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. which of the following instructions should the nurse include?
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“Report yellowing of the skin”
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A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer deceases the risk for which of the following adverse effect of the medication?
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Oral candidiasis
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A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first?
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Epinephrine
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A nurse is teaching about a new prescription for cipofloxacin 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 clint understands the teaching?
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“i will report any signs of tendon pain or swelling”
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A nurse is planning care for a client who has hypertension and is to start taking metoprolol. which of the following interventions should the nurse include in the plan of care?
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Determine apical pulse prior to administering
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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?
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Yellow-tinged vision
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A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. which of the following finding should the nurse identify as an adverse effect of the medication?
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insomnia
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A nurse is teaching a client who has a new prescription for docusate sodium about the medications mechanism of action. Which of the following information should the nurse include in the teaching?
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Docusate sodium reduces the surface tension of the stool to change three consistency
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A nurse is providing discharge teaching to a a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching?
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Increase intake of potassium-rich foods Monitor for muscle weakness Dangle legs for side of bed before standing
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A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves disease. Which of the following findings should the nurse identify as as an indication of the medication has been effective?
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Increase in ability to focus
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A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understating of the teaching?
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“I will take the patch off right after my evening meal”
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A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide?
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Prevent delirium tremens
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A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor?
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Increased blood pressure
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A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications?
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acetylcysteine
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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?
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Cromolyn
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A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?
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Bibasilar crackles
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A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings?
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Platelets 96,000/mm3
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A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15gtt/mL. The nurse should set the manual IV infusion to deliver how many gatt/min?
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100gtt/min
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A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?
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Dry Mouth Blurred Vision Dry Eyes
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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?
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Dry Mouth
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A nurse is providing follow up care to a client who is taking lisinopril. Which of the following manifestations should the nurse instruct the client to report as an adverse effect of lisinopril?
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Persistent cough
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A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?
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Tinnitus
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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?
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“I will report any signs of tendon pain or swelling”
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A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that which of the following medications can potentiate nephrotoxicity if administered concurrently?
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Gentamicin
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A nurse is teaching a client about warfarin. The client asks if she can take aspirin while taking the warfarin. Which of the following responses should the nurse make?
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“aspirin will increase the risk of bleeding”
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A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications?
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Ibuprofen
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A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory finding is the priority for the nurse to report to the provider before administering the medication?
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creatinine 2.6 mg/dL
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A nurse is teaching a client who has tuberculosis about the adverse effects of isoniazid. The nurse should instruct the client to report to the provider which of the following finding as an adverse effect of the medication?
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Yellowish skin tones
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A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider?
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blood in the urine
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A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching?
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A transition in care requires the nurse to conduct medication reconciliation.
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A nurse is caring for a client who is receiving oprelvekin. Which of the following findings should the nurse document to indicate the effectiveness of the therapy?
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increased platelet count
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A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
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“I will check my heart rate before I take the medication”
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A nurse is providing teaching to a client who has depression and has a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching?
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“I should take acetaminophen instead of ibuprofen for my headaches while taking this medication.”
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A nurse is teaching about neural tube defects to a client who is planning a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant?
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folic acid
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A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions?
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“Take one tablet at onset of migraine.”
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A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor?
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sedation
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A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer?
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atropine
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A nurse is providing care for a client who is postoperative following an open cholecystectomy with the placement of a closed suction drain and is receiving morphine via patient controlled analgesia for pain. Which of the following assessments is the nurse’s priority?
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respiratory rate
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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?
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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.
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A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take?
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request a change in the type of antibiotic.
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A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication the morphine has been effective?
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the client rates the pain at a 3 on a scale from 0 to 10.
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A nurse is administering donepezil to a client who has Alzheimer’s disease. Which of the following findings should the nurse report to the provider immediately?
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dyspnea
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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?
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drink 2 L of water daily
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A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor?
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creatinine kinase
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A nurse is providing teaching to a client who has a peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching?
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forms a protective barrier over ulcers
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A nurse is caring for a client who is receiving haloperidol. The nurse should observe for which of the following findings as an adverse effect of the medication?
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akathisia
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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?
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tinnitus
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A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during therapy. Which of the following actions should the nurse take?
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Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent.
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A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching?
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hot flashes
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A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching?
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“I should tell my provider if I develop a sore throat”
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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?
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Withhold the medication
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A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching?
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“I should sit up for 30 minutes after taking the risedronate”
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A nurse has administered 2 doses of betamethasone to a client in preterm labor. After delivery of the newborn, the nurse understands the medication was effective when she observes which of the following?
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The newborn has normal respiratory patterns.
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A nurse is caring for a client in the emergency department following a diazepam overdose. Which of the following medications should the nurse anticipate administering to the client?
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flumazenil
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A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?
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hyperkalemia
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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?
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administers isosorbide mononitrate to a client who has a BP 82/60 mm Hg
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A nurse is preparing to administer 0.9% sodium chloride (NaCl) 1,500 mL to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL/hr?
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188 ml/hr
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A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?
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sexual dysfunction