Nursing Pharm (Naxlex) Final

The nurse mixes diphenhydramine 25 mg in a 100 mL bag of 0.9% sodium chloride, which is to be administered IV over 30 minutes. The IV pump should be set to administer how many mL/hour?

• 200

• 100

• 50

• 400

The nurse assesses a client with intermittent claudication who is receiving pentoxifylline. Which assessment should the nurse perform to determine the effectiveness of the medication?

• Evaluate the level of consciousness.

• Auscultate bowel sounds.

• Measure hourly urinary output.

• Monitor numeric pain scale.

The nurse is preparing to administer the client's morning dose of digoxin. Which action should the nurse take prior to administering the digoxin?

• Verify that the urine output exceeds 30 mL per hour.

• Check the client for signs of orthostatic hypotension.

• Listen to the heart at the left 5th intercostal space.

• Obtain a left radial pulse rate for a full 30 seconds.

The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?

• Promotes excretion of uric acid in the urine.

• Prevents the formation of kidney stones.

• Decreases pain and burning during urination.

• Increases the strength of the urine stream.

A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?

• Use Snellen chart to assess visual acuity.

• Check the amount of drainage from each eye.

• Palpate eyelids for decreased swelling.

• Review eye pressure measurements.

A client with type 2 diabetes mellitus is managed with glimepiride. The primary healthcare provider (HCP) adds a new prescription for injectable exenatide. Which information is most important for the nurse to teach this client?

• Notify the healthcare provider if anorexia occurs.

• Consume additional sources of potassium.

• Watch for signs of jitteriness or diaphoresis.

• Administer subcutaneously after meals.

A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

• Auscultate the client's bowel sounds and measure the abdominal girth.

• Confirm that the client is taking the medication one hour after meals.

• Notify the healthcare provider that the client may need a change in dosage.

• Advise the client that healing typically takes several weeks to occur.

During a home visit, the nurse assesses a client with Alzheimer's Disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?

• Instruct the caregiver to withhold the medication until the dosage can be decreased to ensure the client's safety.

• Notify the healthcare provider that the dosage of the medication may need to be increased to manage the client's insomnia.

• Advise the caregiver that the purpose of the medication is to promote sleep, so a change in medication may be needed.

A client who uses a transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client?

• Apply the new patch today and use a backup method for 7 days.

• Wait until Sunday to apply the new patch and use the same site.

• If a pregnancy test is negative, apply the next patch immediately.

• Wait until the last day of your next menstrual period to apply the patch.

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

• Check the client's capillary glucose level.

• Use a pulse oximeter to assess oxygen saturation.

• Report the finding to the healthcare provider.

• Advise the client to reduce the medication dose.