Exam 8: Pharmacology

The emergency department nurse prepares a male client for surgery.  The client was admitted with a traumatic open fracture of the femur, hematocrit of 36% (0.36), and hemoglobin of 12 g/dL (120 g/L).  Which prescription should the nurse validate with the health care provider before administration?

The nurse is working in the emergency department.  Which client should the nurse see first?

A client is admitted to the ambulatory care unit for an endoscopic procedure.  The gastroenterologist administers midazolam 1 mg intravenously for sedation and titrates the dosage upward to 3.5 mg.  The client becomes hypotensive (86/60 mm Hg), develops severe respiratory depression (SpO₂ 86%), and has periods of apnea.  The nurse anticipates the administration of which antidote drug?

The nurse is caring for a client with an inflammatory bowel disease exacerbation.  The client is prescribed sulfasalazine.  Which finding would require a priority follow-up by the nurse?

A client diagnosed with vaginal candidiasis is instructed on self-care management techniques and proper administration of the prescribed miconazole vaginal cream.  Which statement by the client indicates that further teaching is needed?

In which scenarios should the nurse hold the prescribed medication and question its administration?  Select all that apply.

An African American client comes to the clinic for a follow-up visit 2 months after starting enalapril for hypertension.  Which client statement should be reported to the health care provider immediately?

An elderly client with type 2 diabetes is admitted to the medical unit due to urosepsis.  The client is wearing an insulin pump for continuous subcutaneous insulin infusion therapy.  The client's significant other reports that the client self-manages the insulin pump extremely well and keeps blood glucose in the specified target range.  What is the admitting nurse's priority action?

A client with seizure disorder is prescribed a moderately high dose of phenytoin.  Which teaching topic should the nurse discuss with this client?

The nurse provides instructions to a client discharged on warfarin, after being treated for a pulmonary embolism (PE) following surgery.  Which statements made by the client indicate the need for further teaching?  Select all that apply.

A client at 9 weeks gestation arrives at the clinic for an initial obstetric appointment.  The nurse reviews the client's medical history and obtains a list of current medications.  The nurse recognizes that which of the following medications should be clarified with the health care provider immediately?  Select all that apply.

A nurse is preparing for a medical relief trip to West Africa and is concerned about a disruption in circadian rhythm from traveling across several time zones.  Which herbal supplement might help synchronize the body to environmental time?

The home health nurse visits a client with atrial fibrillation who is newly prescribed digoxin 0.25 mg orally on even-numbered days.  Which of the following client statements show that teaching has been effective?  Select all that apply.

The nurse is caring for a client taking tamoxifen for breast cancer.  Which client statement is most concerning and a priority to report to the health care provider?

The postoperative client on hydromorphone becomes hypoxic, and naloxone is administered per protocol.  What is most important for the nurse to consider in the follow-up care of this client?

The nurse is preparing to administer a scheduled dose of metoclopramide IV to a client with diabetic gastroparesis.  Which clinical finding causes the nurse to question the prescription?

A home health nurse is preparing to start a milrinone infusion via a peripherally inserted central catheter for a client with end-stage heart failure.  What equipment is most important to be present in the home?  Select all that apply.

The nurse reviews the medication administration records and laboratory results for assigned clients.  Which medication requires that the health care provider be notified before administration?

The nurse is reviewing new prescriptions for assigned clients.  Which prescription would require further clarification from the health care provider?

An elderly client is prescribed codeine for a severe cough.  The home health nurse teaches the client how to prevent the common adverse effects associated with codeine.  Which client statements indicate an understanding of how to prevent them?  Select all that apply.