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WorksheetsPharm Final
Total questions: 43
Worksheet time: 47mins
A client is administered bevacizumab to treat tumor growth in a breast tumor. What is the action of a monoclonal antibody such as bevacizumab?
It changes the RNA of the tumor cell to a normal form.
It binds to the 30S ribosome.
It targets surface antigens on tumor cells for destruction by the immune system.
It blocks the cell wall synthesis.
Which medication can be applied to the lesion related to a bacterial skin infection?
bacitracin
benzoyl peroxide
butenafine
clotrimazole
Fewer adverse effects are associated with monoclonal antibody therapy than those of cytotoxic drugs. However, some of the potential adverse effects of monoclonal antibodies can be life threatening, including which effect?
Infusion reactions appearing as hypersensitivity
changes in cognition and personality changes
ischemic heart disease
bronchoconstriction and pulmonary edema
What medication is prescribed for a severe dermatitis reaction such as poison ivy?
topical antihistamines
topical corticosteroids
emollients
analgesics
What ocular condition is generally treated with a prescription for ciprofloxacin eyedrops?
astigmatism
cataracts
conjunctivitis
increased intraocular pressure (IOP)
The nurse is providing health education for the parents of a child whose otitis media has warranted treatment with a neomycin–polymyxin B–hydrocortisone combination drug. The nurse should explain that this medication contains which components? Select all that apply.
an analgesic
a topical anesthetic
an antibiotic
a steroid
an immunomodulator
A nurse is preparing to administer ciprofloxacin as prescribed. Which test would the nurse ensure is completed before administering the first dose to the client?
Urinalysis
Culture tests
Ulcer tests
Stool tests
A client is questioning the nurse about a superinfection that developed while receiving fluoroquinolone therapy. Which response by the nurse would be most appropriate?
“Your infection was really severe, so the drug wasn't as effective as it could have been.”
“This happens when your original infection begins to clear.”
“The drug disrupts your normal bacteria so it allows other organisms to grow.”
“We really don't know why this happens; it just does sometimes.”
A client who is prescribed phenazopyridine is distressed seeing reddish-orange colored urine. Which response by the nurse would be most appropriate?
“We will have to get a specimen for a urinalysis.”
“I will notify the primary health care provider immediately.”
“You will need to increase your fluid intake.”
“This discoloration is a normal result of the medication.”
A nurse has administered nitrofurantoin to a client who is now reporting dyspnea and chest pain and is coughing. Which action should the nurse prioritize?
Monitor client for tightness of the chest.
Offer fluids to the client at regular intervals.
Provide oxygen support to the client.
Withhold the drug and contact the primary health care provider.
The nurse notes a 25-year-old female client who is to begin antiretroviral therapy is currently taking oral contraceptives. The nurse should point out the combination can result in which interaction?
Decreased effectiveness of antiviral therapy
Increased risk of vaginal bleeding
Decreased effectiveness of birth control pills
Increased serum level of the antiretroviral
The nurse is preparing discharge planning and education for a client who will continue antiviral therapy at home. Which points should the nurse include in the teaching session?
“A slight elevation in temperature is normal and needn't be reported.”
“Double the dosage of the drug if you miss a dose.”
“Stop taking the drug as soon as the symptoms of the infection disappear.”
“Make sure to notify your primary health care provider if you develop any adverse reactions.”
A nurse is caring for a client with iron deficiency anemia who is receiving iron supplements. What information should the nurse point out in the teaching plan for this client?
Frequency of urination will increase.
Soreness of throat might occur.
Itching of throat might occur.
Color of stools will become darker.
A nurse is caring for a client with hypertension and anemia. Which action would the nurse include in the plan of care when administering epoetin alfa to the client?
Report 10 mm Hg rise in systolic blood pressure to primary health care provider.
Note the hematocrit value before each dose during therapy.
Shake the drug well before it is administered to the client.
Administer the drug once every 3 weeks through IV route.
A nurse is caring for a client prescribed gemcitabine. On the morning laboratory results, the nurse discovers the following: white blood cell count 4500/mm3 and platelets 135,000/mm3. The nurse anticipates discovering which sign on the ongoing assessment?
Bloody urine
Concentrated urine
Frequent micturition
Pain on urination
A nurse is caring for a client during chemotherapeutic drug therapy and determines a nursing diagnosis of altered tissue integrity is appropriate. Which action would be appropriate for the nurse to suggest during the teaching session?
Scrub and clean skin often.
Wear loose protective clothing.
Ensure adequate sunlight.
Have frequent baths.
The client is to receive Zyprexa (olanzapine) 10 mg po twice a day. Each tablet contains 2.5 mg. How many tablets would the client receive for each dose? (Enter the numerical value only. Round to the nearest whole number.)
(a)
The client is to receive morphine sulfate 4 mg IV stat. The medication is available as morphine sulfate 10 mg/mL. How many milliliters (mL) of medication would the client receive? (Enter the numerical value only. Round to one decimal place.)
(a)
The nurse administers naloxone [Narcan] to a client who has received a toxic dose of morphine sulfate. The nurse understands that the naloxone (Narcan) is effective because of which action?
Countering the effects of morphine sulfate by agonist actions
Increasing the excretion of morphine sulfate by altering serum pH
Preventing activation of opioid receptors through antagonist actions
Regulating the sensitivity of opioid receptors by neurochemical alterations
A client receives a drug that has a narrow therapeutic range. The nurse administering this medication will expect to perform which action?
Administer the drug at intervals longer than the drug half-life.
Administer this medication intravenously.
Monitor plasma drug levels for toxic levels.
Teach the client that maximum drug effects will occur within a short period.
A client is taking a drug that has known toxic side effects. What will the nurse do?
Ensure that complete blood counts are ordered periodically.
Discontinue the drug to prevent possible toxicity.
Teach the client how to treat the symptoms if they develop.
Monitor the function of all organs potentially affected by the drug.
The nurse educator is conducting a class on pharmacology. To evaluate the learning of the nurses in the class, the nurse educator asks, “Which generic drug name gives information about the drug’s pharmacologic classification?” Which is the correct response?
Amoxicillin
Tylenol
Cipro
Motrin
When giving a scheduled morning medication, the client states, “I haven’t seen that pill before. Are you sure it’s correct?” The nurse checks the medication administration record and verifies that it is listed. What is the best response by the nurse?
“It’s listed here on the medication sheet, so you should take it.”
“Go ahead and take it, and then I’ll check with your doctor about it.”
“It wouldn’t be listed here if it were not ordered for you!”
“Let me check on the order first before you take it.”
When taking a telephone order for a medication, which action by the nurse is most appropriate?
Verify the order with the charge nurse.
Call back the prescriber to review the order.
Repeat the order to the prescriber before hanging up the telephone.
Ask the pharmacist to double-check the order.
The nurse has been monitoring the client’s progress on a new drug regimen since the first dose and documenting the client’s therapeutic response to the medication. Which phase of the nursing process do these actions illustrate?
Analysis
Planning
Implementation
Evaluation
During therapy with a beta blocker, the client notices that she has swollen feet, has gained 3 pounds within 2 days, feels short of breath even when walking around the house, and has been dizzy. The nurse suspects that which of these is occurring?
The client is experiencing an allergic reaction.
The client may be developing heart failure.
More time is needed for the client to see a therapeutic response to the drug.
The client is experiencing expected adverse effects of the drug.
During a teaching session about self-monitoring while taking a beta blocker at home, the nurse has taught the client to take his apical pulse daily for 1 minute. If the pulse rate decreases to less than 60 beats/min, the nurse will instruct the client to do which of these?
Notify his prescriber.
Reduce the dose of his beta blocker by half.
Continue the medication because this is an expected effect.
Skip the medication dose that day and check his pulse again the next day.
Which is a key action for a nurse caring for a client with nonobstructive urinary retention and who is receiving Bethanechol?
Decrease fluids.
Maintain IV access at all times.
Record blood pressure every 15 minutes.
Keep a close record of intake and output.
A client is experiencing a toxic reaction of an intravenous cholinergic drug. The nurse expects to administer which drug as an antidote?
Atenolol (Tenormin)
Bethanechol (Urecholine)
Dobutamine
Atropine sulfate
A client is receiving a dose of pyridostigmine (Mestinon). The nurse recognizes that this drug is given for symptom management of which disease?
Parkinson’s disease
Multiple sclerosis
Myasthenia gravis
Alzheimer’s disease
When monitoring a client who is taking a cholinergic drug, the nurse will watch for which adverse effect?
Arrhythmias
Vasoconstriction
Dry mouth
Constipation
The nurse will monitor for which adverse effect when administering an anticholinergic drug?
Excessive urination
Diaphoresis
Xerostomia
Pupillary constriction
A client has a new prescription for the transdermal form of scopolamine. The nurse knows that this form of scopolamine is used for which condition?
Angina
Chronic pain
Hypertension
Motion sickness
A client with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?
Guaifenesin (Mucinex)
Pseudoephedrine (Sudafed)
Diphenhydramine (Benadryl)
Dextromethorphan (Robitussin DM)
A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. Which of these is a benefit of orally administered decongestants?
Immediate onset
A more potent effect
Lack of rebound congestion
Shorter duration
A client who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should remember that the client is at risk for which medication toxicity when potassium therapy is initiated?
Digoxin (Lanoxin) 0.25 mg/day
Metoprolol (Lopressor) 12.5 mg/day
Ibuprofen (Motrin) 400 mg every 6 hours
Lantus insulin 24 U subcutaneously every evening
A client who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret these results?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
When assessing a pregnant client with eclampsia who is receiving IV magnesium sulfate, which finding should the nurse report to the health care provider immediately?
The bibasilar breath sounds are decreased.
The deep tendon reflexes are absent.
The client has been sleeping most of the day.
The client reports feeling “sick to my stomach.”
A nurse is preparing digoxin 0.125mg orally for a client whose digoxin level is 1.8 ng/mL. The nurse preparing the medication should:
Notify the healthcare provider prior to administering the medication
Reduce the medication dose by half
Give the ordered dose, this is a therapeutic level for digoxin
Hold the dose of digoxin
A nurse knows there is a need for further education when a client on furosemide states:
I should add salt to my food.
I should consume foods high in potassium.
I should weigh myself daily.
I should notify my healthcare provider if I gain 2 lbs in 24 hours.
When coal tar is prescribed for psoriasis, how is it administered?
orally
subcutaneously
parenterally
topically
A client is being treated with warfarin after having multiple pulmonary emboli. The INR is 6.0. Which medication should the nurse anticipate giving?
acetylsalicylic acid (aspirin)
vitamin K
protamine sulfate
rivaroxaban
A client is receiving continuous IV heparin and an activated partial thromboplastin (aPTT) is drawn every 6 hours. Which aPTT result would prompt the nurse to hold the heparin and notify the healthcare provider?
40 seconds
55 second
65 seconds
80 seconds
