Exam 8: Pharmacology

A male client with hypertension was prescribed amlodipine.  Which of these adverse effects is most important to teach the client to watch for?

A client has just been prescribed allopurinol for chronic gout.  Which instruction is most important for the nurse to emphasize to the client?

The nurse teaches a client about the use of regular and neutral protamine Hagedorn (NPH) insulin.  Which statement by the client indicates that further teaching is needed?

A client with obesity has just started taking orlistat.  Which statement by the client indicates a need for further teaching?

The nurse performs medication reconciliation for a 94-year-old client who has type 2 diabetes, hypothyroidism, and heart failure caused by a previous myocardial infarction.  Due to risks outweighing benefits, the nurse plans to talk with the health care provider about discontinuing which medication?

A client has been on long-term therapy with esomeprazole.  What is essential for the nurse to ask the client?

The nurse assesses a client who is receiving methotrexate for rheumatoid arthritis.  Which statement by the client is most concerning?

The nurse is preparing medication for 4 clients on a respiratory medical-surgical unit.  Which situation would prompt the nurse to clarify the prescribed treatment with the health care provider?

A client with uncontrolled hypertension is prescribed clonidine.  What instruction is most important for the clinic nurse to give this client?

The nurse is providing discharge teaching to a client with a new prescription for warfarin.  The nurse should instruct the client to avoid excess or inconsistent intake of which foods?  Select all that apply.

The registered nurse supervises a student nurse who is caring for a client newly prescribed lithium for the treatment of bipolar disorder.  Which action by the student indicates a need for further teaching?

The nurse is teaching a client with advanced chronic obstructive pulmonary disease who was prescribed oral theophylline.  Which client statement indicates that additional teaching is required?

A client diagnosed with trigeminal neuralgia is given a prescription of carbamazepine by the health care provider.  Which intervention does the nurse add to this client's care plan?

The nurse admits a client with newly diagnosed unstable angina.  Which information obtained during the admission health history is most important for the nurse to report to the health care provider (HCP) immediately?

The nurse plans teaching for a client who was newly prescribed levothyroxine sodium after thyroid removal.  Which instructions will the nurse include in the teaching plan?  Select all that apply.

The nurse is caring for a client with asthma exacerbation.  Blood pressure is 146/86 mm Hg, pulse is 110/min, and respirations are 32/min.  The respiratory therapist administers nebulized albuterol as prescribed.  One hour after the treatment, the nurse assesses which finding that indicates the drug is producing the therapeutic effect?

A nurse is discharging a client who is receiving lithium for treatment of a bipolar disorder.  It is most important for the nurse to provide which instruction to the client?

The health care provider prescribes amoxicillin/clavulanate (liquid) twice a day for a child with acute sinusitis.  What instructions are most important for the parents?  Select all that apply.

A nurse is assessing a client with type 2 diabetes mellitus who was recently started on pioglitazone.  Which client data obtained by the nurse is most important to bring to the attention of the health care provider?

The client is brought to the emergency department in handcuffs by the police.  Witnesses said that the client became violent and confused after consuming large amounts of alcohol at a party.  The client is placed in 4-point restraints, and ziprasidone hydrochloride is administered.  The client is sleeping 30 minutes later.  What is a priority action for the nurse at this time?