Exam 8: Pharmacology

A nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease (COPD) and a history of type 2 diabetes mellitus requiring insulin.  The client has been prescribed prednisone.  The nurse anticipates which need?

A client is receiving scheduled doses of carbidopa-levodopa.  The nurse evaluates the medication as having the intended effect if which finding is noted?

The home health hospice nurse visits a client who is newly prescribed extended-release oxycodone 40 mg orally, scheduled every 12 hours to treat severe chronic cancer pain.  Which information is most important to reinforce to the client's caregiver?

The nurse reviews an elderly client's medication administration record and identifies which prescriptions as having the potential for injury in the elderly?  Select all that apply.

A diabetic client is prescribed metoclopramide.  Which of the following side effects must the nurse teach the client to report immediatelyto the health care provider?  Select all that apply.

A client taking a diuretic for chronic heart failure experiences constipation.  What is the nurse's best recommendation?

The nurse administers 15 units of aspart insulin subcutaneously to a hospitalized client with type 1 diabetes mellitus at 7:00 AM for a fasting blood glucose of 180 mg/dL (10 mmol/L).  Which nursing action is a priority?

A client with deep vein thrombosis (DVT) is receiving a continuous infusion of unfractionated heparin.  The client asks the nurse what the heparin is for.  How should the nurse respond?

The nurse is caring for a client admitted with serotonin syndrome after taking citalopram and tramadol.  Which assessment findings does the nurse expect to find?  Select all that apply.

The nurse cares for a client following a percutaneous coronary intervention via the right groin.  The client received an IV infusion of abciximab during the procedure.  Which actions should the nurse implement?  Select all that apply.

A client is started on lisinopril therapy.  Which assessment finding requires immediate action?

A hospitalized client has been treated for the past 48 hours with a continuous heparin infusion for a deep vein thrombosis (DVT).  When the nurse prepares to administer the evening dose of warfarin, the client's spouse says "Wait!  My spouse can't have that!  My spouse is already getting heparin for DVT."  How should the nurse respond?

A client recently diagnosed with a major depressive disorder reports use of herbal supplements.  It is most important for the nurse to provide education about which supplement reported by the client?

A client just diagnosed with methicillin-resistant Staphylococcus aureus septic arthritis is receiving the first dose of IV vancomycin.  Which finding is most concerning to the nurse?

A client with a diagnosis of atrial fibrillation has just been placed on warfarin therapy.  The registered nurse (RN) overhears a student nurse teaching the client about potential food-drug interactions.  Which statement made by the student nurse requires an intervention by the RN?

A client receives an injection of botulinum toxin type A for facial and neck rejuvenation.  What complications of this procedure should the nurse be aware of for monitoring and teaching?

A client with ulcerative colitis is prescribed the drug sulfasalazine.  Which information should the nurse discuss with the client concerning this drug?  Select all that apply.

During a routine office visit, the nurse documents the list of current medications of a client with a history of hypertension.  Which statement by the client would cause the most concern?

Which herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery?  Select all that apply.

The nurse administers the prescribed dose of hydromorphone 2 mg to a client who is 2 days postoperative from a colostomy.  Which assessment finding is most important for the nurse to follow-up?