Exam 8: Pharmacology

The nurse is conducting a hospital admission history and assessment.  The client informs the nurse of taking the herb black cohosh (Actaea racemosa) daily.  What is the best nursing response?

A client diagnosed with stable angina is being discharged home on the cholesterol-lowering drug rosuvastatin.  The nurse should teach the client to report which side effect to the health care provider (HCP) immediately?

The nurse reviews the analgesia prescriptions for assigned clients.  The nurse should question the health care provider about which prescription?

The nurse reinforces medication teaching to a client prescribed metronidazole.  Which client statement indicates a need for further education?

A behavioral health clinic nurse assesses a 23-year-old client who started taking paroxetine 3 weeks ago.  Which statement made by the client is most important for the nurse to investigate?

The women's health nurse is caring for a 30-year-old client who wants to use the ethinyl estradiol and norelgestromin patch for contraception.  Regarding this method of birth control, which finding should be most concerning to the nurse?

A client with coronary artery disease was discharged home with a prescription for sublingual nitroglycerin (NTG) to treat angina.  Which statement by the client indicates that further teaching is required?

A client with methicillin-resistant Staphylococcus aureus (MRSA) bacteremia has been receiving IV vancomycin for the last 3 days.  Which blood test trend is most important for the nurse to review when preparing to administer this medication?

The nurse obtains a health history from a client who states, "I skip dinner most nights to lose weight.  I don't want to get low blood sugar, so I don't take my evening dose of metformin when I skip dinner."  Which response by the nurse is appropriate?

The clinic nurse is reviewing telephone messages from four clients.  Which client's call should the nurse return first?

The nurse is providing discharge teaching to several clients with new prescriptions.  Which instructions by the nurse are correct in regard to medication administration?  Select all that apply.

A client is receiving a continuous heparin infusion and the most recent aPTT is 140 seconds.  The nurse notices blood oozing at the surgical incision and IV insertion sites.  What interventions should the nurse implement?  Select all that apply.

The health care provider has prescribed spironolactone to be given in addition to hydrochlorothiazide to a client with hypertension.  Which finding by the nurse indicates that the spironolactone is having the desired effect?

The health care provider (HCP) prescribes paroxetine to a client with depression.  What statement by the client indicates proper understanding of the medication?

The nurse should call the primary health care provider to obtain a new prescription prior to administering which medication to a client with type 1 diabetes mellitus?

A community health nurse is preparing to administer influenza vaccines.  Which clients can safely receive the live-attenuated, intranasal influenza vaccine?  Select all that apply.

The nurse is reviewing discharge instructions with a client going home on linezolid therapy for a vancomycin-resistant enterococcus infection.  Which client statement requires further teaching?

The home health nurse reviews the laboratory results for 4 clients.  Which laboratory value is most important for the nurse to report to the health care provider?

What intervention is essential prior to starting a client on atorvastatin therapy?

A client with primary hypothyroidism has been taking levothyroxine for a year.  Laboratory results today show high levels of TSH.  Which statement by the nurse to the client is appropriate?