PHA200N Final Review

A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for salmeterol. Which of the following instructions should the nurse include?

• "You can take an extra dose of salmeterol if an asthma attack begins."

• "This medication will provide long-term control of your asthma symptoms."

• "Once your symptoms have improved, you should discontinue use of this medication."

• "Salmeterol is an anti-inflammatory medication that decreases mucous secretion."

A nurse is reinforcing teaching with a client who is to start taking montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

• "I’ll rinse my mouth after taking this medication."

• "I’ll use this medication when I get an asthma attack."

• "I’ll take this medication once a day in the evening."

• "I’ll decrease my sodium intake while I’m taking this medication."

A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking theophylline. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of the medication?

• Drowsiness

• Constipation

• Oliguria

• ​Tachycardia

A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?

• Epinephrine

• ​Atropine

• Protamine

• ​Vitamin K

A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?

• "This medication will help maintain a normal heart rhythm."

• "Warfarin dissolves clots in the bloodstream."

• "This medication slows the response of the ventricles to the fast atrial impulses."

• "Warfarin helps prevent strokes in clients who have atrial fibrillation."

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?

• Fold used patch with medication area to the inside and discard in a closed receptacle

• Put a second patch in place if angina pain occurs.

• Keep a nitroglycerin patch in place 24 hr per day.

• Shave excess hair from skin before applying a nitroglycerin patch

A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?

• To provide analgesia

• To reduce inflammation

• To prevent blood clotting

• To prevent fever

A nurse is reinforcing teaching with a client who has hypertension and a new prescription for verapamil. The nurse should instruct the client to avoid taking this medication with which of the following foods?

• Milk

• Orange juice

• Cranberry juice

• Grapefruit juice

A nurse is talking with a client who says she knows someone who takes metoprolol for blood pressure and asks if the medication would be appropriate for her as well. Which of the following data from the client’s medical record should the nurse identify as a contraindication to metoprolol?

• Diet-controlled diabetes mellitus Type 2

• A history of sinus bradycardia

• A concurrent prescription for tadalafil

• Recently treated bilateral pneumonia

A nurse is caring for an older adult client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor for this client?

• Hemoglobin

• Potassium

• Total cholesterol

• Thyroid stimulating hormone (TSH)