Exam 8: Pharmacology

During shift report it was noted that the off-going nurse had given the client a PRN dose of morphine 2 mg every 2 hours for incisional pain.  What current client assessment would most likely affect the oncoming nurse's decision to discontinue the administration every 2 hours?

A post-surgical client is unresponsive to painful stimuli and is given naloxone.  Within 5 minutes, the client is arousable and responds to verbal commands.  One hour later, the client is again difficult to arouse, with minimal response to physical stimuli.  Which actions should the nurse take?  Select all that apply.

A nurse has received new medication prescriptions for a client admitted with hypertension and an exacerbation of chronic obstructive pulmonary disease.  Which prescription should the nurse question?

An elderly client with a history of stable chronic obstructive pulmonary disease, alcohol abuse, and cirrhosis has a serum theophylline level of 25.8 mcg/mL (143 µmol/L).  Which clinical manifestation associated with theophylline toxicity should worry the nurse most?

The clinic nurse is teaching a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism.  Which statement made by the client indicates that further teaching is needed?

A client with atrial fibrillation is being discharged home after being stabilized with medications, including digoxin.  Which of the following statements regarding digoxin toxicity indicates that further teaching is needed?

A client in the intensive care unit is receiving IV vancomycin and gentamicin.  The nurse should monitor for which potential complication with the administration of these medications?

A 21-year-old client is being evaluated in the outpatient psychiatric clinic after starting isocarboxazid 2 weeks ago.  Which of the client's statements needs to be addressed first?

A nurse conducting rounds checks on a client receiving continuous total parenteral nutrition (TPN).  The infusion pump is found to be powered down, and TPN is no longer infusing.  Which action should the nurse take first?

A client is taking morphine sulfate for acute pain.  The client stands, is immediately "lightheaded," and calls for the nurse.  What is the nurse's priority action?

The nurse reinforces teaching to a female client about taking misoprostol to prevent stomach ulcers.  Which statement by the client would prompt further instruction?

The nurse administers IV vancomycin to a client with a methicillin-resistant Staphylococcus aureus infection.  Which nursing actions are most appropriate?  Select all that apply.

The nurse administers a dose of radioactive iodine to a female client for treatment of hyperthyroidism.  Which of the following precautions should the nurse teach the client to follow on discharge?  Select all that apply.

A client with hypertension and type 2 diabetes has recently started taking chlorthalidone.  Which report by the client is most concerning to the nurse?

The registered nurse and practical nurse are conducting a workshop on contraceptive methods for a group of outpatient clients.  Which instructions should the nurses include when discussing combined estrogen-progestin oral contraceptives?  Select all that apply.

A nurse is observing a nursing student reinforce teaching to a client on how to take sucralfate.  Which statement made by the student would require intervention by the nurse?

A newly admitted client describes symptoms of dizziness and feeling faint on standing.  The client has a history of type 2 diabetes, coronary artery disease, and bipolar disorder.  Which medications may be contributing to the client's symptoms?  Select all that apply.

The nurse provides medication teaching to a client with primary adrenal insufficiency (Addison's disease) who is prescribed hydrocortisone 10 mg by mouth 3 times a day.  Which instructions should be included in the client's teaching plan?  Select all that apply.

A community health nurse evaluates several clients' vaccination status.  Which clients would the nurse recommend receive the influenza vaccine injection?  Select all that apply.

The nurse prepares to administer morning medications to assigned clients.  Which prescription should the nurse clarify with the health care provider?