Exam 8: Pharmacology

A parent calls the after-hours triage nurse about a 3-year-old who is sick with the flu.  Which report by the parent would necessitate intervention by the nurse?

The nurse teaches the client taking atorvastatin to call the health care provider (HCP) if experiencing which symptom associated with a serious adverse effect of atorvastatin?

The health care provider (HCP) has prescribed amitriptyline 25 mg orally every morning for an elderly client with recent herpes zoster infection (shingles) and severe postherpetic neuralgia.  What is the priority nursing action?

A client has nausea, abdominal cramping, and persistent mucus-like, watery diarrhea that is positive for Clostridium difficile.  The nurse anticipates the client will be prescribed which medication to treat this condition?

The nurse is providing education to a client diagnosed with a trichomoniasis vaginal infection who has been prescribed a onetime dose of oral metronidazole.  Which of the following statements by the nurse are appropriate?  Select all that apply.

A client with stable angina is being discharged home with a prescription for a transdermal nitroglycerin patch.  The nurse has reviewed discharge instructions on the medication with the client.  Which statement by the client indicates that teaching has been effective?

The nurse is assessing a client with hypertension and essential tremor 2 hours after receiving a first dose of propranolol.  Which assessment is most concerning to the nurse?

A client who has been on long-term omeprazole therapy for gastroesophageal reflux disease is admitted to the hospital for a urinary tract infection.  The nurse recognizes that this client is at highest risk for which complication due to omeprazole use?

The nurse cares for a client who has oral candidiasis.  The health care provider has prescribed nystatin oral suspension.  Which of the following nursing actions are appropriate?  Select all that apply.

The home health nurse visits a client with hypertension whose blood pressure has been well controlled on oral valsartan 320 mg daily.  The client's blood pressure is 190/88 mm Hg, significantly higher than it was 2 weeks ago.  The client reports a cold, a stuffy nose, and sneezing for 3 days.  Which question is most appropriate for the nurse to ask?

An 80-year-old client is receiving amikacin, an aminoglycoside antibiotic, IVPB every 12 hours.  Which data obtained by the nurse is most important to report to the health care provider before hanging the next dose?

A postoperative client is prescribed IV patient-controlled analgesia (PCA) with morphine.  The client tells the nurse, "I am pushing the button, but I'm still having a lot of pain."  What is the priority nursing action?

The nurse in an outpatient clinic is caring for a client with Addison disease who has been taking hydrocortisone 20 mg daily for the last 8 years.  Which client data is most important to report to the health care provider?

The nurse is reviewing laboratory data of a client who is receiving warfarin therapy for atrial fibrillation.  Today's INR is 5.0.  What action should the nurse take?

The nurse provides discharge teaching for the parent of a child newly prescribed methylphenidate for attention-deficit hyperactivity disorder (ADHD).  The nurse advises the parent that the child might experience which side effects?

The nurse is providing discharge instructions on the proper use of prescribed short-acting beta agonist and inhaled corticosteroid metered-dose inhalers to a client with newly diagnosed asthma.  Which instructions should the nurse include?  Select all that apply.

The nurse is providing education to a pregnant client diagnosed with symptomatic hypothyroidism regarding levothyroxine therapy during pregnancy.  Which is appropriate teaching for the nurse to include?

The nurse is caring for a client who had surgery yesterday.  When administering omeprazole, the client asks "What is that for?  I don't take it at home."  Which reply by the nurse is most appropriate?

A client with a history of heart failure calls the clinic and reports a 3-lb (1.4-kg) weight gain over the past 2 days and increased ankle swelling.  The nurse reviews the client's medications and anticipates the immediate need for dosage adjustment of which medication?

The nurse is caring for a client with diabetes who is being discharged with a prescription for glyburide.  Which statement by the client indicates a need for further instruction?