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WorksheetsRespiratory, GI, & Endocrine Pharmacology Practice Problems
Total questions: 34
Worksheet time: 34mins
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 out after each use of this medication"
"Limit fluid intake while taking this medicine"
"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 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 the treatment of chronic asthma. The nurse should instruct the client to monitor which of the following manifestations as an adverse effect of this medication?
Weight gain
Nervousness
Bradycardia
Constipation
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 side 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 N-acetylcysteine. 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 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 have peptic ulcer disease (PUD). 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 UTI
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 administer 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
Bisacodyl
Polyethylene 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 teaching a client who has anemia and a new prescription for a liquid iron supplement. Which of the following information should the nurse include in the teaching? (Select all that apply)
"Add foods that are high in fiber to your diet"
"Rinse your mouth after taking the medication"
"Expect stools to be green or black in color"
"Take the medication with a glass of milk"
"Add red meat to your diet"
A nurse is assessing a client who is receiving magnesium sulfate and notes the client has depressed deep tendon reflexes. The nurse should expect to administer which of the following medications?
Potassium chloride
Folic acid
Calcium gluconate
Cyanocobalamin
A nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. Which of the following clients require folic acid therapy? (Select all that apply)
12-year-old child who has iron-deficiency anemia
24-year-old female who has no health problems
44-year-old male who has hypertension
55-year-old female who has alcohol use disorder
35-year-old male who has type 2 diabetes mellitus
A nurse is preparing to administer potassium chloride IV to a client who has hypokalemia. Which of the following actions should the nurse take? (Select all that apply)
Infuse the medication through a large-bore needle
Monitor urine output to ensure at least 20 mL/hr
Administer medication via direct IV bolus
Implement cardiac monitoring
Administer the infusion using an IV pump
A nurse is caring for a client who is receiving IV potassium. The nurse should monitor the client for which of the following manifestations as an indication of hyperkalemia?
Tachycardia
Dyspnea
Lethargy
Increased thirst
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 of 1-5 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 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 metformin?
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 the 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
Weightloss
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 for my thyroid"
"Propranolol is used to prevent excess glucose in my blood"
"Propranolol will decrease my tremors and fast heartbeat"
"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 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 daily 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 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 a 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 catheter
