Exam 8: Pharmacology

The nurse is reinforcing education to a client newly prescribed levetiracetam for seizures.  Which statement made by the client indicates a need for further instruction?

The nurse develops a teaching care plan for the client with a prescription to change antidepressant medications from imipramine to phenelzine.  Which instruction is appropriate to include in the teaching?

A client with chronic heart failure developed an intractable cough and an incident of angioedema after starting enalapril.  Which prescription does the nurse anticipate for this client?

A client is prescribed long-term pharmacologic therapy with hydroxychloroquine to treat systemic lupus erythematosus.  Which intervention related to the drug's adverse effects should the nurse include in the teaching plan?

The nurse is caring for a client who started receiving chemotherapy 10 days ago.  Today, the health care provider prescribes filgrastim.  Which of the following is an expected outcome of this medication?

A client in the emergency department is being discharged with a prescription for trimethoprim-sulfamethoxazole.  Which statement by the client would indicate a need for further evaluation?

An elderly client with depression, diabetes mellitus, and heart failure has received a new digoxin prescription for daily use.  Which client assessment indicates that the nurse should follow up on serum digoxin levels frequently?

The health care provider (HCP) prescribes naproxen for a client who has degenerative joint disease.  What instructions regarding this drug does the nurse include in the client's discharge plan?  Select all that apply.

A 45-year-old client with atrial fibrillation has been prescribed diltiazem.  Which client outcome would best indicate that the medication has had its intended effect?

A 24-year-old female client is prescribed isotretinoin for severe cystic acne.  Which instruction is most important for the nurse to reinforce?

The nurse is speaking to a client who takes desmopressin nasal spray for diabetes insipidus.  Which statement by the client is most important for the nurse to report to the health care provider?

An elderly client with depression is given trazodone.  Which statement by the client indicates that additional teaching is needed?

A client in the emergency department has an acute myocardial infarction.  The health care provider (HCP) has prescribed thrombolytic therapy.  Which assessment data should the nurse report immediately to the HCP?

The nurse in an ambulatory care center is teaching a client with a diagnosis of persistent depressive disorder (dysthymia) about the appropriate use of bupropion hydrochloride SR.  Which statement made by the client indicates a need for further teaching?

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

The nurse prepares to administer clozapine to a client with schizophrenia.  Which client statement would require priority investigation before administering the medication?

A client is being discharged on enoxaparin therapy following total knee replacement surgery.  Which teaching instruction does the nurse include in the teaching plan?

The nurse in the same-day surgery unit admits a client who will receive general anesthesia.  The client has never had surgery before.  Which question is most critical for the nurse to ask the client during the preoperative assessment and health history?

The nurse is caring for a child with Kawasaki disease who is receiving IV immunoglobulin.  The child's parent wants to know why this treatment is required.  The nurse explains that this therapy is given to:

A client is 6 hours postoperative from hip surgery after receiving regional anesthesia and has epidural continuous anesthesia in place.  Which is the most important reason for the nurse to contact the health care provider?