Pharm Exam #4

The nurse is reviewing the home medication list with the patient. The nurse recognizes that hydrochlorothiazide is used primarily for which condition?

• Hypertension

• Edema

• Diabetes insipidus

• Protection against postmenopausal osteoporosis

Which laboratory test result is a common adverse effect of furosemide (Lasix)?

• Hypokalemia

• Hypernatremia

• Hyperchloremia

• Hypophosphatemia

A patient asks the nurse about using potassium supplements while taking spironolactone (Aldactone). What is the nurse's best response?

• "I will call your health care provider and discuss your concern."

• "I would recommend that you take two multivitamins every day."

• "This diuretic is potassium sparing, so there is no need for extra potassium."

• "You will need to take potassium supplements for the medication to be effective."

A nurse is working a client who is reporting a productive cough. Which medication would be contraindicated for this client?

• mucolytic

• acetaminophen

• codeine

• guaifenesin

Aminophylline (theophylline) is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to:

• Promote expectoration.

• Suppress the cough.

• Relax smooth muscles of the bronchial airway.

• Prevent infection.

A nurse teaches a client about the use of a respiratory inhaler. Which action by the client indicated a need for further teaching?

• Removes the cap and shakes the inhaler well before use.

• Press the canister down with your finger as he breathes in.

• Inhales the mist and quickly exhales.

• Waits 1 to 2 minutes between puffs if more than one puff has been prescribed.

Pseudoephedrine (Sudafed) has been ordered as a nasal decongestant. Which of the following is a possible side effect of this drug?

• Constipation

• Bradycardia

• Diplopia

• Restlessness

The nurse is assessing the patient's knowledge regarding drug therapy prescribed for the treatment of hypertension. Which statement by the patient indicates the need for further teaching by the nurse?

• "I will move slowly from a sitting to standing position."

• "Blood pressure drugs can cause changes in sexual functioning."

• "When my blood pressure is over 140/90, I will take my medication."

• "I will wear a medical alert bracelet."

The nurse should question a prescription for amlodipine in a patient with which condition?

• Dysrhythmia

• Hypotension

• Angina pectoris

• Increased intracranial pressure

During discharge teaching, which statement by the nurse would be MOST appropriate for a patient prescribed a transdermal clonidine (Catapres)?

• "Prolonged sitting or standing does not cause hypotension symptoms."

• "Occasional drooling is a common adverse effect of this medication."

• "Your blood pressure should be checked by your health care provider two to three times a week."

• "The patch should be applied to a nonhairy site, and you should wear the patch for 7 days."