Exam 8: Pharmacology

The nurse is preparing to administer IV cefazolin to a client with cellulitis.  The client's allergies are listed as amoxicillin, ciprofloxacin, and sulfa drugs.  What should the nurse do first?

The nurse develops a teaching plan for a client prescribed isoniazid, rifampin, ethambutol, and pyrazinamide to treat active tuberculosis (TB).  Which of the following instructions associated with the adverse effects of rifampin is most important for the nurse to include?

A client with fibromyalgia refuses to take the prescribed drug duloxetine.  When the nurse asks, why, the client responds, "Because I'm not depressed!"  What is the nurse's most appropriate response?

A nurse on the behavioral health unit is reviewing medication prescriptions for 4 clients.  Which combination of medications does the nurse question?

The nurse is caring for a client with cirrhosis who has hepatic encephalopathy.  The client is prescribed lactulose.  Which assessment by the nurse will most likely indicate that the medication has achieved the desired therapeutic effect?

The nurse receives a new prescription for tamoxifen for a client with breast cancer.  Which information found in the client's medical record would require follow-up with the health care provider?

A client has been on lithium carbonate therapy for 7 days.  Which of the following findings would be most important to report to the health care provider?

A client with latent tuberculosis has been taking oral isoniazid (INH) 300 mg daily for 2 months.  The client tells the nurse that for the past week she has had numbness, a burning sensation, and tingling in her hands and feet.  Additional intake of which of the following would mostlikely have prevented this?

A client is being discharged after having a stent placed in the left anterior descending coronary artery.  The client is prescribed clopidogrel.  Which client data obtained by the nurse would be concerning in relation to this new medication?  Select all that apply.

The nurse is caring for a client on IV heparin infusion and oral warfarin.  Current laboratory values indicate that the client's aPTT is 5 times the control value and the PT/INR is 2 times the control value.  What action does the nurse anticipate?

A nurse teaches a client who is being discharged on warfarin for atrial fibrillation.  Which client statements indicate that teaching has been effective?  Select all that apply.

The nurse is administering medications to a client who is being evaluated for a brain malignancy.  The client is scheduled for a CT scan with IV iodinated contrast the next morning.  Which medication should the nurse clarify with the health care provider?

A client with Parkinson disease is prescribed carbidopa-levodopa.  Which of the following instructions should the nurse include with the client's discharge teaching?  Select all that apply.

The community health nurse prepares a teaching plan for a client with latent tuberculosis who is prescribed oral isoniazid (INH).  Which instructions should the nurse include?  Select all that apply.

A parent rushes a 4-year-old child to the emergency department after finding the child sitting on the kitchen floor holding an empty bottle of aspirin.  The parent has no idea how many tablets were left in the container.  The child is sniffling and quietly crying.  The nurse anticipates initially implementing which treatment?

The health care provider has just prescribed tetracycline for an adolescent with acne vulgaris.  The client takes oral contraceptive pills.  The clinic nurse should educate the teen about which topics?  Select all that apply.

The clinic nurse is instructing a client who is newly prescribed transdermal scopolamine to prevent motion sickness during an upcoming vacation on a cruise ship.  Which of the following statements made by the nurse are appropriate?  Select all that apply.

The nurse reinforces teaching a client on prescribed dabigatran for chronic atrial fibrillation.  Which statement by the client indicates a need for further teaching?

The health care provider (HCP) has told a client to take over-the-counter (OTC) supplemental calcium carbonate 1000 mg/day for treatment of osteoporosis.  Which instruction should the clinic nurse give the client?

The home health nurse visits a client with hand osteoarthritis whose health care provider has recommended topical capsaicin for pain relief.  Which instruction about capsaicin should the nurse provide the client?