WorksheetsPharmacology Review
Total questions: 35
Worksheet time: 18mins
The nurse is administering 0900 meds to the following clients. Which client should the nurse question?
The client receiving a calcium channel blocker who drank a glass of grapefruit juice
The client receiving a beta blocker who has an apical pulse of 62 bpm
The client receiving a nitroglycerin patch who has a BP of 148/92
The client receiving an antiplatelet medication who has a PLT count of 150,000
The client being discharged after sustaining an acute myocardial infarction is prescribed the ACE inhibitor lisinopril (Zestril). Which instruction should the nurse include when teaching about this medication?
Instruct the client to monitor blood pressure weekly
Encourage the client to take the medication on an empty stomach
Discuss the need to rise slowly from lying to a standing position
Teach the client to take the medication at night only
The client diagnosed with CAD is prescribed atorvastatin (Lipitor), and HMG-CoA reductase inhibitor. Which statement by the client warrants the nurse notifying the provider?
"I really haven't changed my diet, but I am taking my medication every day"
"I am feeling pretty good except I am having muscle aches all over my body"
"I am swimming at the local pool about three times a week for 30 minutes"
"I am taking this medication first thing in the morning with a bowl of oatmeal"
Which data indicates to the nurse that simvastatin (Zocor), an HMG-CoA reductase inhibitor, is effective?
The client's blood pressure is 132/80
The client's cholesterol level is 180 mg/dL
The client's LDL is 180 mg/dL
The client's HDL is 35 mg/dL
The nurse is preparing to administer clopidogrel bisulfate (Plavix), an antiplatelet drug, to the client with coronary artery disease. The client asks the nurse, "Why am I getting this medication?" Which statement by the nurse is most appropriate?
"It will help decrease your chance of developing deep vein thrombosis"
"Plavix will help decrease your LDL cholesterol levels in about 1 month"
"This medication will help prevent your blood from clotting in the arteries"
"This medication will help decrease your blood pressure if you take it daily"
The home health nurse is caring for a client diagnosed with CHF who has been prescribed the cardiac glycoside digoxin (Lanoxin) and the loop diuretic furosemide (Lasix). Which statements by the client indicate the medications are effective? (Select all that apply).
"I am able to walk next door now without being short of breath."
"I keep my feet propped up as much as I can during the day."
"I have not gained any weight since my last doctor's visit."
"My blood pressure has not been elevated for a few weeks now."
"I am staying on my diet, and I don't salt my foods anymore."
The nurse is providing discharge instructions for a client prescribed the thiazide diuretic hydrochlorothiazide (Diuril). Which instruction should the nurse include?
Drink at least 8-10 glasses of water per day
Weigh monthly and report the weight to the HCP
Eat bananas and oranges regularly
Try to sleep in an upright position
The client diagnosed with stage D congestive heart failure has a brain natriuretic peptide (BNP) level > 1500. Which medication should the nurse anticipate the HCP prescribing?
Captopril (Capoten), an ACE-Inhibitor, orally
Digoxin (Lanoxin), a cardiac glycoside, IVP
Dobutamine (Dobutrex), a synthetic catecholamine, IV
Metoprolol (Lopressor), a beta blocker, orally
The nurse is preparing to administer the antidysrhythmic adenosine (Adenocard) for the client diagnosed with supraventricular tachycardia (SVT). Which assessment finding would indicate the effectiveness of the medication?
The client's ECG tracing shows normal sinus rhythm
The client's apical pulse is within normal limits
The client's blood pressure is above 100/60
The client's serum adenosine level is 1.8mg/dL
Which medication should the nurse prepare to administer to the client exhibiting the following telemetry strip?
The miscellaneous antidysrhythmic adenosine (Adenocard)
The potassium channel blocker amiodarone (Cordarone)
The cardiac glycoside digoxin (Lanoxin)
The inotropic medication dopamine (Intropin)
The client who has been exhibiting the following telemetry reading for the last 6 months is being discharged. Which instruction will the nurse discuss with the client?
The importance of monitoring the client's urinary output
The need to monitor PTT level while taking aspirin
Dietary restrictions while taking the anticoagulant warfarin (Coumadin)
The need to take the cardiac glycoside digoxin on an empty stomach
The nurse is preparing to administer a calcium channel blocker, a loop diuretic, and a beta blocker to a client diagnosed with arterial hypertension. Which intervention should the nurse implement?
Hold the medication and notify the HCP on rounds
Check the client's blood pressure
Contact the pharmacist to discuss the medication
Double-check the health-care provider's orders
The nurse is administering the combination medication Tenoretic (chlorthalidone and atenolol), a thiazide diuretic and beta blocker, to a client diagnosed with chronic hypertension. Which interventions should the nurse implement? Select all that apply.
Do not administer if the client's BP is less than 90/60
Do not administer if the client's apical pulse is less than 60 bpm
Teach the client how to prevent orthostatic hypotension
Encourage the client to eat potassium-rich foods
Monitor the client's oral intake and urinary output
The client has had a total right hip replacement. Which medication should the nurse anticipate the HCP prescribing?
The oral anticoagulant warfarin (Coumadin)
The intravenous anticoagulant heparin
The thrombolytic alteplase (Activase)
The low-molecular-weight heparin enoxaparin (Lovenox)
The overweight client diagnosed with type 2 diabetes reports to the clinic nurse that he has lost 35 lbs. in the past 4 months. Which intervention should the nurse implement first?
Determine if the client has had an increase in hypoglycemic episodes
Instruct the client to make an appointment with the HCP
Ask the client if he has been trying to lose weight or has it happened naturally
Check the client’s last weight in the chart with the weight obtained in the clinic
The female client diagnosed with type 2 diabetes tells the clinic nurse she started taking ginseng to help increase her memory. Which intervention should the clinic nurse implement?
Take no action because ginseng does not affect type 2 diabetes
Determine what type of memory deficits the client is experiencing
Explain that herbs are dangerous and she should not be taking them
Determine if the client is currently taking any type of antidiabetic medication
The school nurse is teaching a class about type 2 diabetes in children to elementary school teachers. Which information is most important for the nurse to discuss with the teachers?
The importance of not allowing students to eat candy in the classroom
The increase in the number of students developing type 2 diabetes
The signs and symptoms of hypoglycemia and the immediate treatment
The need to have the students run or walk for 20 minutes during the recess period
The client newly diagnosed with type 2 diabetes who has been prescribed an oral hypoglycemic medication calls the clinic and tells the nurse that her sclera has a yellow color. Which intervention should the clinic nurse implement?
Ask the client if he or she has been exposed to someone with hepatitis
Determine if the client has a history of alcohol use or is currently drinking alcohol
Check to see if the client is taking the cardiac glycoside digoxin
Make an appointment for the client to come to the HCP office
Which assessment data indicates the client with reactive airway disease has "good" control with the medication regimen?
The client's lung sounds are clear bilaterally, both anterior and posterior
The client has only had three acute exacerbations of asthma in the last mont
The client's monthly serum theophylline level is 18µg/mL
The client is taking the medication as directed by the health-care provider
The client's peak expiratory flow rate (PEFR) is greater than 80% of his or her personal best
The child with an acute asthma attack is prescribed a 7-day course of the systemic corticosteroid prednisolone. The mother asks the nurse, "Doesn't this medication cause serious side effects?" Which statement is the nurse's best response?
"Yes, this medication does have serious side effects, but your child needs the medication."
"The doctor would not have ordered a medication that has serious side effects."
"A short-term course of steroids will not cause serious side effects."
"There may be serious side effects if your child takes the medication or a long time."
The child diagnosed with reactive airway disease is prescribed a cromolyn inhaler. The mother asks the nurse to explain how this medication helps control her child's asthma. Which statement is the best explanation to give to the mother?
This medication diminishes the mediator action of leukotrienes
This medication blocks the release of mast cell mediators
This medication causes relaxation of the bronchial smooth muscle
This medication decreases bronchial airway inflammation
Which statement is the scientific rationale for administering a proton-pump-inhibitor (PPI) to a client diagnosed with gastrointestinal reflux disease (GERD)?
PPI medications neutralize the gastric secretions
PPI medications block H2 receptors on the parietal cells
PPI medications inhibit the enzyme that generates gastric acid
PPI medications form a protective barrier against acid and pepsin
The nurse is administering medications to clients on an orthopedic unit. Which medication should the nurse question?
Ibuprofen (Motrin), an NSAID, to a client with back pain and a history of ulcers
Morphine, an opioid analgesic, to a client with back pain rated as 6/10
Methocarbamol (Robaxin), a muscle relaxant, to a client with chronic back pain
Propoxyphene (Darvon N), a narcotic agonist, to a client with mild back pain
The nurse is preparing to administer the morning medications to the client who is 1-day postoperative for a total knee replacement. Which medications should the nurse question administering?
Ceftriaxone (Rocephin)
Enoxaparin (Lovenox)
Cyclosporine (Neoral)
Morphine
Which statement by the client receiving adjunct chemotherapy for breast cancer warrants immediate intervention by the nurse?
The client complains of numbness and tingling in her feet
The client complains that she feels unattractive without hair
The client says she is unable to eat for 2 days after a treatment
The client tells the nurse she has lost 2 pounds since the last treatment
The client with chronic pain is prescribed both MS Contin and liquid morphine (Roxanol), narcotic analgesics. Which statement best describes how to administer the medications?
Administer the MS Contin at prescribed intervals and the Roxanol PRN
Administer both medications PRN for the client's chronic pain
Administer the Roxanol every 4 hours and the MS Contin PRN pain
Administer the MS Contin for breakthrough pain and hold the Roxanol
The client diagnosed with cancer is being prepared for surgery. Which information should the outpatient surgery nurse convey to the surgeon immediately?
The client takes digoxin (Lanoxin) for heart problems
The client stopped taking acetylsalicylic acid (aspirin) last week
The client has been taking clopidogrel (Plavix) every day
The client becomes nauseated after receiving anesthesia
The client diagnosed with depression is prescribed phenelzine (Nardil), a monoamine oxidase (MAO) inhibitor. Which statement by the client indicates to the nurse the medications teaching is effective?
"I am taking the herb ginseng to help my attention span"
"I drink extra fluids, especially coffee and iced tea"
"I am eating three well-balanced meals a day"
At a family cookout I had chicken instead of a hotdog"
The client with major depressive disorder has been taking amitriptyline (Elavil), a tricyclic antidepressant, for more than 1 year tells the psychiatric clinic nurse the client wants to quit taking the antidepressant. Which intervention is most important for the nurse to discuss with the client?
Ask questions to determine if the client is still depressed
Ask the client why he or she wants to stop taking the medication
Tell the client to notify the HCP before stopping medication
Explain the importance of tapering off the medication
The client with a major depressive disorder taking the selective serotonin reuptake inhibitor (SSRI) fluoxetine (Prozac) reports feeling confused and restless and having an elevated temperature. Which intervention should the clinic psychiatric nurse implement?
Determine if the client has flu-like symptoms
Instruct the client to stop taking the SSRI
Recommend the client take the medication at night
Explain that these are expected side effects.
A code has been called for the client experiencing ventricular fibrillation. Which medication should the nurse prepare to administer to the client?
Epinephrine, an adrenergic agonist, IV push
Lidocaine, an antidysrhythmic, IV push
Atropine, an antidysrhythmic, IV push
Digoxin, a cardiac glycoside, IV push
Major adverse effects of aminoglycoside antibiotics include damage to: (Select all that apply).
Cochlear function
Heart function
Kidney function
Stomach lining
Vestibular apparatus (balance)
A patient who takes glyburide for Type 2 DM is prescribed sulfamethoxazole-trimethoprim (Septra) for a UTI. Because of the possibility of intensifying the effect of glyburide, the nurse should assess for:
bleeding and bruising
diaphoresis and tachycardia
hot, dry skin and thirst
paresthesias and abdominal cramps
Which symptoms of adverse effects of the liposomal formulation of cytarabine (ara-C) would be of most concern to the nurse?
Anorexia, nausea, and bruising
Headache, fever, and vomiting
Mouth ulcers, inflamed conjunctiva, and nausea
Nausea, vomiting, and fever
What would suggest possible cardiotoxicity from trastuzumab (Herceptin)? (Select all that apply)
BNP of 850 pg/mL
Echocardiogram showing ejection fraction of 60%
Pulse 58 bpm
Shift of PMI to the left
Slight increase in pulse with deep inspiration
