Exam 8: Pharmacology

A child with cystic fibrosis is to receive a dose of pancrelipase at 12:00 PM.  The client states that he is not hungry and will eat his lunch in an hour.  Which action is appropriate for the nurse to take?

A student nurse is caring for a client with iron deficiency anemia who is newly prescribed ferrous sulfate.  Which action by the student nurse requires the supervising nurse to intervene?

A client is being discharged with a prescription for apixaban after being treated for a pulmonary embolus.  Which clinical data is most concerning to the nurse?

The clinic nurse evaluates a client's response to levothyroxine after 8 weeks of treatment.  What therapeutic responses to the medication should the nurse expect?  Select all that apply.

The nurse completes the following drug administrations.  Which would require an incident report?

The graduate nurse (GN) is admitting a client for labor induction who is prescribed misoprostol for cervical ripening.  Before misoprostol is administered, which of the following statements by the GN should be concerning to the supervising nurse?  Select all that apply.

A client is receiving lithium carbonate 900 mg/day for a schizoaffective disorder.  The laboratory notifies the nurse that the client's lithium level is 1.0 mEq/L (1.0 mmol/L).  Based on this result, which prescription does the nurse anticipate receiving from the health care provider?

A client with bipolar disorder is admitted to the psychiatric unit with acute mania and dehydration.  Which prescription does the nurse question?

The emergency department nurse is caring for a client who has recently been prescribed methadone for chronic severe back pain.  The client ingested extra tablets tonight because the pain returned.  Which assessment findings during discharge require the client to be monitored longer in the hospital setting?  Select all that apply.

A client with bronchial asthma and sinusitis has increased wheezing and decreased peak flow readings.  During the admission interview, the nurse reconciles the medications and notes that which of the following over-the-counter medications taken by the client could be contributing to increased asthma symptoms?

A client with type I diabetes mellitus is prescribed an insulin pump.  The nurse reinforces the diabetic educator's teaching regarding transitioning from multiple daily injections to continuous subcutaneous insulin infusion (CSII) therapy.  Which statement indicates that the client understands the advantages of using this therapy?

Which medication prescriptions should the nurse question?  Select all that apply.

The nurse is caring for a client diagnosed with endometrial cancer who is receiving brachytherapy.  Which interventions should the nurse implement while caring for this client?  Select all that apply.

A client with gout who was started on allopurinol a week ago calls the health care provider's (HCP's) office with several concerns.  The nurse should recognize which report by the client as being significant and requiring immediate follow-up?

A client with active pulmonary tuberculosis is prescribed 4-drug therapy with ethambutol.  The community health nurse instructs the client to notify the health care provider immediately if which adverse effect associated with ethambutol occurs?

The nurse is caring for a client who is taking riluzole for amyotrophic lateral sclerosis (ALS).  The client asks, "There's no cure for ALS, so why should I keep taking this expensive drug?"  What is the nurse's best response?

The nurse is assessing a client 15 minutes after initiating nitroglycerin infusion for suspected acute coronary syndrome.  Which clinical finding is the priority?

A nurse in the emergency department is titrating a continuous infusion of nitroglycerin to a client admitted for acute coronary syndrome.  The client's vital signs, including blood pressure (BP), heart rate (HR), and pain level, are being monitored frequently.  Which assessment findings indicate that the current rate of administration should be maintained?

The nurse is caring for a client receiving IVPB azithromycin.  Which client data obtained by the nurse should be reported to the health care provider (HCP) prior to administering any additional doses?

The nurse evaluates the effectiveness of desmopressin use for diabetes insipidus in a client with a pituitary tumor.  Which client assessment finding indicates that the medication is having the desired effect?