Exam 8: Pharmacology

A client with asthma was recently prescribed fluticasone/salmeterol.  After the client has received instructions about this medication, which statement would require further teaching by the nurse?

A client with hypertension is prescribed lisinopril.  The nurse instructs the client to notify the health care provider immediately if which adverse effect occurs when taking this medication?

A client was prescribed phenytoin (100 mg PO 3 times a day) a month ago.  Today, the client has a serum phenytoin level of 32 mcg/mL (127 mcmol/L).  The nurse notifies the health care provider and expects which prescription?

The registered nurse is counseling the parent of a child who was diagnosed with attention-deficit hyperactivity disorder and received a prescription for methylphenidate immediate-release tablet.  Which statement by the parent demonstrates that teaching has been effective?

The hospice nurse is caring for an actively dying client who is unresponsive and has developed a loud rattling sound with breathing ("death rattle") that distresses family members.  Which prescription would be most appropriate to treat this symptom?

The nurse reinforces education with a client starting isotretinoin for acne.  Which statement indicates the client needs further instruction?

The nurse reviews the laboratory results of several clients.  Which finding should the nurse report to the health care provider immediately?

The nurse is reinforcing education to a client with a venous thromboembolism who is prescribed rivaroxaban.  Which statement by the client indicates the medication teaching has been effective?

A child with attention-deficit hyperactivity disorder (ADHD) has been taking methylphenidate for a year.  What are the priority nursing assessments when the client comes to the clinic for a well-child visit?

A client is in the cardiovascular clinic for a 3-month follow-up visit.  At the first visit, the client was prescribed hydrochlorothiazide and amlodipine for hypertension.  Which statement by the client would be concerning to the nurse and should be reported to the primary health care provider (PHCP)?

A client had a levonorgestrel-releasing intrauterine device placed during a well-woman visit.  Which teaching is appropriate for the nurse to include?

The nurse reinforces teaching for a client newly prescribed buspirone for generalized anxiety disorder.  Which client statement indicates that teaching has been effective?

The nurse is conducting intake interviews at the clinic.  Which client situations would require the nurse to intervene?  Select all that apply.

The nurse is performing discharge teaching for the parents of a 4-year-old with heart failure.  Which statement by the parents indicates the need for further teaching related to the administration of digoxin?

The office nurse, while reviewing a client's health information, notices that the client has recently started taking St. John's wort for symptoms of depression.  What additional information is most important for the nurse to obtain?

The clinic nurse evaluates a client who was prescribed lithium therapy a month ago for bipolar disorder.  Which client statement would cause the most concern?

Which client is at greatest risk for respiratory depression when receiving opioids for pain control?

The clinic nurse prepares to administer a newly prescribed dose of sumatriptan to a client with a migraine headache.  Which item in the client's history would cause the nurse to question the prescription?

A nurse has completed teaching a client who is being discharged on lithium for a bipolar disorder.  Which statement by the client indicates a need for further teaching?

The nurse is preparing to administer the fourth dose of IV vancomycin to a client.  Which set of laboratory values would alert the nurse to hold the vancomycin and notify the health care provider?