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WorksheetsLast Pharm test before Final
Total questions: 70
Worksheet time: 18hrs 30mins
A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication?
Sedation
Nasal Congestion
Productive Cough
Constipation
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?
Diarrhea
Anxiety
Sedation
Palpitations
A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetlycysteine. Which of the following information should the nurse include in the instructions?
"Expect this medication to suppress your child's cough"
"Expect this medication to smell like rotten eggs"
"Expect this medication to cause euphoria"
"Expect this medication to turn your child's urine orange"
A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? (select all that apply)
Dry mouth
Nonproductive cough
Skin rash
Drowsiness
Urinary Hesitation
A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching?
"I should use the spray every 4 hours while I am awake"
"It can take as long as 3 weeks before the medication takes a maximum effect"
"This medication can also be used to treat motion sickness"
"I can use this medication when my nasal passages are blocked"
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include?
"Rinse your mouth after each use of the medication"
"Limit fluid intake while taking this medication"
"Increase your intake of vitamin B12 while taking this medication"
"You can take the medication as needed"
A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching?
Take the albuterol at the same time each day
Administer the albuterol inhaler prior to using the beclomethasone inhaler
Use beclomethasone if experiencing an acute episode
Avoid shaking the beclomethasone before use
A nurse is providing instructions to a client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include?
"You can take this medication to abort an acute asthma attack"
"Tremors are an adverse effect of this medication"
"Prolonged use of this medication can cause hyperglycemia"
"This medication can slow skeletal growth rate"
A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?
Weight gain
Nervousness
Bradycardia
Constipation
A nurse is teaching a client who will begin taking aluminum hydroxide. Which of the following information should the nurse include in the teaching?
"If constipation develops, switch to a calcium-based antacid"
"Take this medication two hours before or after other medications"
"This medication increases the risk for pneumonia"
"Have your magnesium level monitored while taking this medication
A nurse is teaching a client who has a new prescription for omeprazole. Which of the following information should the nurse include in the teaching?
Take this medication at bedtime
This medication decreases the production of gastric acid
Take this medication 2 hours after eating
This medication can cause hyperkalemia
A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate tablets. Which of the following instructions should the nurse include?
Take an antacid with the sucralfate
Take sucralfate with a glass of milk
Allow a 2 hour interval between these medications
Chew the sucralfate thoroughly before swallowing
A nurse is caring for four clients who has peptic ulcer disease. The nurse should identify misoprostol is contraindicated for which of the following clients?
A client who is pregnant
A client who has osteoarthritis
A client who has a kidney stone
A client who has a urinary tract infection
A nurse is teaching a client about Cimetidine. Which of the following are adverse effects of Cimetidine? (select all that apply)
Increased libido
Insomnia
Enlargement of breast tissue
Confusion
Decreased sperm count
A nurse is caring for a client who received prochlorperazine 4 hours ago. The client reports spasms of the face. The nurse should expect a prescription for which of the following medications?
Fomepizole
Naloxone
Phytonadione
Diphenhydramine
A nurse is planning to adminsiter ondansetron to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (select all that apply)
Headache
Diarrhea
Shortened PR interval
Hyperglycemia
Prolonged QT interval
A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client to avoid which of the following laxatives?
Sodium Phosphate
Psyllium
Bisacodly
Polethylene Glycol
A nurse is caring for a client who has diabetes and is experiencing nausea due to gastroparesis. The nurse should expect a prescription for which of the following medications?
Lubiprostone
Metoclopramide
Bisacodyl
Loperamide
A nurse is teaching a client about probiotic supplements. Which of the following information should the nurse include? (select all that apply)
"Probiotics are micro-organisms that are normally found in the GI tract"
"Probiotics are used to treat Clostridium difficile"
"Probiotics are used to treat benign prostatic hyperplasia"
"You can experience bloating while taking probiotic supplements"
"If you are prescribed an antibiotic, you should take it at the same time you take your probiotic supplement"
A nurse is reviewing the health care record of a client who is asking about conjugated equine estrogens. The nurse should inform the client this medication is contraindicated in which of the following conditions?
Atrophic vaginitis
Dysfunctional uterine bleeding
Osteoporosis
Thrombophlebitis
A nurse is providing teaching to a female client who is taking testosterone to treat advanced breast cancer. The nurse should tell the client that which of the following are adverse effects of this medication? (select all that apply)
Deepening voice
Weight gain
Low blood pressure
Dry mouth
Facial hair
A nurse is explaining the mechanism of action of combination oral contraceptives to a group of clients. The nurse should tell the clients that which of the following actions occur with the use of combination oral contraceptives? (select all that apply)
Thickening the cervical mucous
Inducing maturation of ovarian follicle
Increasing development of the corpus luteum
Altering the endometrial lining
Inhibiting ovulation
A nurse is providing teaching to a client who will start alfuzosin for treatment of benign prostatic hyperplasia. The nurse should instruct the client that which of the following is an adverse effect of this medication?
Bradycardia
Edema
Hypotension
Tremor
A nurse is caring for a client who has angina and asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated with sildenafil?
Aspirin
Isosorbide
Clopidogrel
Atorvastatin
A nurse is teaching clients about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hours after administration
Insulin glargine
NPH insulin
Regular insulin
Insulin lispro
A nurse is caring for a client who has been taking acarbose for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse plan to monitor?
WBC
Amylase
Platelet Count
Liver Function tests
A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting repaglinide. Which of the following statements by the client indicates understanding of the administration of this medication?
"I'll take this medication after I eat"
"I'll Take this medicine 30 minutes before I eat"
"I'll take this medicine just before I go to bed"
"I'll take this medication at least 1 hour before I eat"
A nurse is providing teaching for a client who has a new prescription for metformin. Which of the following findings should the nurse instruct the client to report as an adverse effect of merformin?
Somnolence
Constipation
Fluid Retention
Weight Gain
A nurse is providing teaching to a client who has a prescription for pramlintide for type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? (select all that apply)
"take oral medications 30 minutes before injection"
"Use upper arms as preferred injection sites"
"Mix pramlintide with the breakfast dose of insulin"
"Inject pramlintide just before a meal"
"Discard open vials after 28 days"
A nurse is caring for a client who is taking propylthiouracil. Which of the following findings should the nurse monitor for as an adverse effect of this medication?
Bradycardia
Insomnia
Heat Intolerance
Weight Loss
A nurse is teaching a client who has Grave's disease and a new prescription for propranolol. Which of the following client statements indicates effective teaching?
"Propranolol helps increase blood flow to my thyroid gland"
"Propranolol is used to prevent excess glucose in my blood"
"Propranolol will decrease my tremors and fast heart beat"
"Propranolol promotes a decrease of thyroid hormone in my body"
A nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. Which of the following dosage schedules should the nurse expect for this client?
The client will start at a high dosage, and the amount will be tapered as needed
The client will remain on the initial dosage during the course of treatment
The client's dosage will be adjusted based on blood levels
The client will start on a low dosage, which can be gradually increased
A nurse is caring for a client who is taking for somatropin to stimulate growth. The nurse should plan to monitor the client's urine for which of the following?
Bilirubin
Protein
Potassium
Calcium
A nurse is reviewing the medical record of a client who takes desmopressin for diabetes insipidus. Which of the following findings is an adverse effect of desmopressin?
Hypovolemia
Hypercalcemia
Agitation
Headache
A nurse is admitting a client for total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following actions is the nurse's priority?
Administering a supplemental dose of hydrocortisone
Instructing the client about coughing and deep breathing
Collecting additional information about the client's history of Addison's disease
Inserting an indwelling urinary catheter
A patient has been taking Finasteride for almost 1 year. The nurse knows that which is most important to evaluate at this time?
Complete blood count
PSA levels
Blood pressure
Fluid retention
The nurse is performing an assessment of a patient who is asking for a prescription for Sildenafi. Which finding would be contraindication to its use
65 years of age
History of thyroid disease
Medication list that includes nitrates
Medication list that includes saw palmetto
During a counseling session for a group of teenage athlete's, the use of androgenic steroids is discussed. The nurse will explain that which problem is a rare but devastating effect of androgenic steroid use?
Peliosis of the liver
Bradycardia
Kidney Failure
Tachydysrhythmias
The nurse is teaching a patient about he possible adverse effect of priapism, which may occur when taking erectile dysfunction drugs. The nurse emphasizes that, if this occurs, the most important action is which of these?
Stay in bed until the erection ceases
Apply an ice pack for 30 minutes
Turn toward his left side and rest
seek medical attention immediately
A patient is asking about the use of saw palmetto for prostate health. The nurse tells him that drugs that interact with saw palmetto include which of these? (select all that apply)
Acetaminophen
Nitrates
Hormones
NSAIDs
Antihypertensive Drugs
When the testoderm form of testosterone is ordered to treat hypogonadism in a teenage boy, which instructions by the nurse are correct? (select all that apply)
Place the patch on clean, dry skin on the back, upper arms, abdomen, or thighs
Place the patch on clean, dry scrotal skin that has been shaved
Place the patch on clean, dry scrotal skin, but do not shave the skin first
Place the patch on any clean, dry, non-hairy area of the body.
Remove the old patch before applying a new patch
The nurse is reviewing the medication list for a patient and notes that finasteride 5 mg daily is on the list. This drug is for which of these problems?
Benign Prostatic Hypertrophy (BPH)
Erectile Dysfunction
Alopecia in male patients
Alopecia in male and female patients
When assessing a patient who is to receive a decongestant, the nurse will recognize that a potential contraindication to this drug would be which condition? (select all that apply)
Glaucoma
Fever
Hypertension
Peptic Ulcer Disease
Allergic Rhinitis
When giving decongestants, the nurse must remember that these drugs have alpha-adrenergic-stimulating effects that may result in which effect?
Fever
Bradycardia
Hypertension
CNS Depression
The nurse is reviewing a patient's medication orders for prn (as necessary) medications that can be given to a patient who has bronchitis with a productive cough. Which drug will the nurse choose?
An antitussive
An expectorant
An antihistamine
a decongestant
The nurse knows that an antitussive cough medication would be the best choice for which patient?
A patient with a productive cough
A patient with chronic paranasal sinusitis
A patient who has had recent abdominal surgery
A patient who has influenza
A patient is taking a decongestant to help reduce symptoms of a cold. The nurse will instruct the patient to observe for which possible symptom, which may indicate an adverse effect of this drug?
Increased cough
Dry mouth
Slower heart rate
Heart palpitations
The nurse is giving an antihistamine and will observe the patient for which side effects? (select all that apply)
Dizziness
"Hangover" Effect
Drowsiness
Dry Mouth
Tachycardia
The nurse notes in a patient's medication history that the patient is taking benzonatate as needed. Based on this finding, the nurse interprets that the patient has which problem?
Cough
Seasonal Allergies
Chronic Rhinitis
Motion sickness
A patient who has a history of asthma is experiencing an acute episode of shortness of breath and needs to take a medication for immediate relief. The nurse will choose which medication that is appropriate for this situation?
A beta agonist, such as albuterol
a leukotriene receptor agonist, such as montelukast
A corticosteroid, such as fluticasone
An anticholinergic, such as ipratropium
After a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little "shaky," with slight tremors of the hands. The patient's heart rate is 98 BPM. The nurse knows that this reaction is which of these?
An expected adverse effect of the medication
An allergic reaction to the medication
An indication that he has received an overdose of the medication
An idiosyncratic reaction to the medication
A patient is receiving ipratropium via an inhaler. The nurse will assess the patient for which of these adverse effects? (select all that apply)
CNS depression
Dry mouth or throat
Increased appetite
Nasal congestion
Headache
During a teaching session for a patient who will be receiving a new prescription for the LTRA montelukast, the nurse will tell the patient that the drug has which therapeutic effect?
Improves the respiratory drive
Loosens and removes thickened secretions
Reduces inflammation in the airway
Stimulates immediate bronchodialation
After the patient takes a dose of an inhaled corticosteroid, such as fluticasone, what is the most important action the patient needs to do next?
Hold the breath for 60 seconds
Rinse out the mouth with water
Follow the corticosteroid with a bronchodilator inhaler, if ordered
Repeat the dose in 15 minutes if the patient feels short of breath
The nurse is teaching a patient about the inhaler fluticasone/salmeterol. Which statements by the patient indicate a correct understanding of this medication? (select all that apply)
I will rinse my mouth with water after each dose
I need to use this inhaler whenever I feel short of breath, but no less than 4 hours between doses
This medication is take twice a day, every 12 hours
I can take this inhaler if I get short of breath while exercising
I will call my doctor if I notice white patches inside my mouth
A patient who is taking a xanthine derivative for COPD asks the nurse, "I miss my morning coffee. I can't wait to go home and have some." What is the nurse's best response?
I know how you feel. I'd miss my coffee too
I can get some coffee for you. I'll be right back
It's important not to take coffee or other caffeinated products with this medicine, as it may cause increased heart rate as well as other problems.
You've ben on this medicine for a few days. I can call your prescriber to ask whether you can have some coffee
When monitoring for a therapeutic response to prednisone, the nurse will look for which potential outcomes? (select all that apply)
Increased lymphocyte levels
Decreased inflammation
Increased growth characteristics
Decrease in Cushing's syndrome characteristics
Prevention of organ rejection in a patient who had an organ transplant
The nurse has provided teaching about oral corticosteroid therapy to a patient. Which statement by the patient shows a need for more teaching?
I will report any fever or sore throat symptoms
I will stay away from anyone who has a cold or infection
I can stop this medication if I have severe side effects
I will take this drug with food or milk
During long-term corticosteroid therapy, the nurse will monitor the patient for Cushing's syndrome, which is manifested by which of these?
Weight loss
Moon Face
Hypotension
Thickened hair growth
When teaching a patient who has been prescribed a daily dose of prednisone, the nurse knows that the patient will be told to take the medication at which time of day to help reduce adrenal suppression?
In the morning
At lunchtime
At dinnertime
At bedtime
Which teaching is appropriate for a patient who is taking an inhaled glucocorticoid for asthma?
Exhale while pushing in on the canister of the inhaler
Blow your nose after taking the medication
Rinse your mouth thoroughly after taking the medication
Do not eat immediately after taking the medication
During long term corticosteroid therapy, the nurse will monitor the patient's laboratory results for adverse effects, such as: (select all that apply)
Increased serum potassium levels
Decreased serum potassium levels
Increased sodium levels
Decreased sodium levels
Hyperglycemia
Which is the most appropriate timing regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?
Give it 15 minutes before the patient begins a meal
Give it a half hour before a meal
Give it 1 hour after a meal
The timing of the insulin injection does not matter with insulin lispro
Which statement is appropriate for the nurse to include in patient teaching regarding type 2 diabetes?
Insulin injections are never used with type 2 diabetes
You do not need to measure your blood glucose levels because you are not taking insulin injections
A person with type 2 diabetes still has some functioning beta cells in his or her pancreas
Patients with type 2 diabetes usually have better control over their diabetes than those with type 1
The nurse monitoring a patient for a therapeutic response to oral diabetes drugs will look for which of these?
Fewer episodes of diabetic ketoacidosis (DKA)
Weight loss of 5 pounds
Hemoglobin A1C levels of less than 7%
Glucose levels of 150 mg/dL
A patient with type 2 diabetes is scheduled for magnetic resonance imaging (MRI) with contrast dye. The nurse reviews the orders and notices that the patient is receiving metformin. Which action by the nurse is appropriate?
Proceed with the MRI as scheduled
Notify radiology department that the patient is receiving metformin
Expect to hold the metformin the day of the test and for 48 hours after the test is performed
Call the prescriber regarding holding the metformin for 2 days before the MRI is performed
A patient with type 2 diabetes has a new prescription for repaglinide. After 1 week, she calls the office to ask what to do, because she keeps missing meals. "I work right through lunch sometimes, and I'm not sure whether I need to take it. What do I need to do?" What is the nurse's best response?
You need to try not to skip meals, but if that happens you will need to skip that dose of repaglinide
We will probably need to change your prescription to insulin injections because you can't eat meals on a regular basis
Go ahead and take the pill when you first remember that you missed it
Take both pills with the next meal, and try to eat a little extra to make up for what you missed at lunchtime
When checking a patient's fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient is awake but states he feels a bit "cloudy-headed." After double-checking the patient's glucose level and getting the same reading, which action by the nurse is most appropriate?
Administer two packets of table sugar
Administer oral glucose in form of a semisolid gel
Administer 50% dextrose IV push
Administer the morning dose of lispro insulin
A patient is taking metformin for a new-onset type 2 diabetes mellitus. When reviewing potential adverse effects, the nurse will include information about: (select all that apply)
Abdominal bloating
Nausea
Diarrhea
Metallic Taste
Headache
A patient who has a new diagnosis of type 2 diabetes asks the nurse about a new insulin that can be inhaled. "Is there a reason I can't take this drug?" Which conditions, if present in the patient, would be a concern? (select all that apply)
Atrial Fibrillation
History of smoking
Chronic lung disease
Hypothyroidism
Rheumatoid Arthritis
