Exam 8: Pharmacology

A client is receiving chemotherapy for acute myeloid leukemia.  The health care provider prescribes allopurinol to prevent tumor lysis syndrome (TLS).  Which laboratory value indicates a therapeutic response to the medication?

The nurse is caring for a client who will have a copper intrauterine device (IUD) inserted.  When reinforcing teaching related to the copper IUD, which of the following nurse statements are appropriate?  Select all that apply.

The nurse reviews a client's medical record and notes the following PRN medication prescriptions: acetaminophen, haloperidol, and benztropine.  The nurse would administer a dose of benztropine on assessing which client behavior?

The clinic nurse is preparing to administer an allergy immunotherapy injection to a client recently initiated on the therapy.  Which statement by the client indicates a need for further teaching?

The nurse is monitoring a client who has been on clopidogrel therapy.  Which assessments are essential?  Select all that apply.

A client with coronary artery disease and stable angina is being discharged home on sublingual nitroglycerin (NTG).  The nurse has completed discharge teaching related to this medication.  Which statement by the client indicates that the teaching has been effective?

The nurse is reviewing teaching about newly prescribed clonazepam with a client who is receiving palliative care for cancer.  Which client statement shows a correct understanding of the nurse's teaching?

A client with an asthma exacerbation has been using her albuterol rescue inhaler 10-12 times a day because she cannot take a full breath.  What possible side effects of albuterol does the nurse anticipate the client will report?  Select all that apply.

The nurse is assessing a client diagnosed with tuberculosis who started taking rifapentine a week ago.  Which statement by the client warrants further assessment and intervention by the nurse?

A client with long-term hypertension and hypercholesterolemia comes to the clinic for an annual checkup.  The client takes nifedipine, simvastatin, and spironolactone and reports some occasional dizziness.  Which statement by the client would warrant intervention by the nurse?

A client with seizure activity is receiving a continuous tube feeding via a small-bore enteral tube.  The nurse prepares to administer phenytoin oral suspension via the enteral route.  What is the nurse's priority action before administering this medication?

The nurse evaluating a 52-year-old diabetic male client's therapeutic response to rosuvastatin would notice changes in which laboratory values?  Select all that apply.

A client with a brain tumor is admitted for surgery.  The health care provider prescribes levetiracetam.  The client asks why.   What is the nurse's response?

A client with cancer pain is prescribed oxycodone.  Which teaching is most essential to help prevent long-term complications?

The nurse is preparing to administer 160 mg of furosemide via IV piggyback to a client with chronic kidney disease and fluid overload.  The nurse plans to give the dose slowly over 40 minutes to prevent which adverse effect?

The nurse is reviewing prescriptions for the assigned clients.  Which prescription should the nurse question?

The nurse is caring for a client with chronic, stable angina.  The client takes the long-acting nitrate isosorbide mononitrate.  Which client outcome indicates that the drug is effective?

A client is having a severe asthma attack lasting over 4 hours after exposure to animal dander.  On arrival, the pulse is 128/min, respirations are 36/min, pulse oximetry is 86% on room air, and the client is using accessory muscles to breathe.  Lung sounds are diminished and high-pitched wheezes are present on expiration.  Based on this assessment, the nurse anticipates the administration of which of the following medications?  Select all that apply.

Which client finding would be a contraindication for the nurse to administer dicyclomine hydrochloride for irritable bowel syndrome?

The health care provider prescribes simvastatin for a client with hyperlipidemia.  The nurse instructs the client to take this medication in which manner?