Pharm Unit 5
Terms in this set (42)
A female client reports using OTC aluminum hydroxide (AlternaGEL) for relief of gastric upset. She is on renal dialysis three times a week. What should the nurse teach this client?
Consult with the health care provider about the appropriate amount and type of acid.
The nurse is assisting the older adult diagnosed with a gastric ulcer to schedule her medication administration. What would be the most appropriate time for this client to take her lansoprazole (Prevacid)?
About 30 minutes before her meal.
Simethicone (Gas-X, Mylicon) may be added to some medications or given plain for what therapeutic effect?
Decrease the amount of gas associated with GI disorders.
The nurse is caring for a client with gastroesophageal reflux disease (GERD) and would question an order for?
A 35 year old male client has been prescribed omeprazole (Prilosec) for treatment of GERD. Which of the following assessment findings would assist the nurse to determine whether drug therapy has been effective? (Select all that apply):
In taking a new client's history, the nurse notices that he has been taking omeprazole (Prilosec) consistently over the past 6 months for treatment of epigastric pain. Which recommendation would be the best for the nurse to give this client?
Check with his health care provider about his continued discomfort.
A client with constipation is prescribed psyllium (Metamucil) by his health care provider. What essential teaching will the nurse provide to the client?
Mix the product in a full glass of water and drink another glassful after taking the drug.
A client with sever diarrhea has an order for diphenoxylate with atropine (Lomotil). When assessing for therapeutic effects, which of the following will the nurse expect to find?
Decrease in loose, watery stools
A 24 year old client has ben taking sulfaslazine (Azulfidine) for IBS and complains to the nurse that he wants to stop taking the drug because of the nausea, headaches, and abdominal pain it causes. What would the nurse's best recommendation be for this client?
Talk to the health care provider about dividing the doses throughout the day.
The nurse is preparing to administer chemotherapy to an oncology client who also has an order for ondansetron (Zofran). When should the nurse administer the odansetron?
30 to 60 minutes before starting the chemotherapy
Pancrelipase (Pancreaze) granules are ordered for a client. Which of the following will the nurse complete before administering the drug? (Select all that apply):
Sprinkle the granules on a non acidic food
Give the granules with or just before a meal
Ask the client about an allergy to pork or pork products
The nurse has administered prochlorperazine (Comprazine) to a client for postoperative nausea. Before administering this administration, it is essential that the nurse check which one of the following?
A nurse is preparing the teaching plan for a client who will be discharged on methylprednisolone (Medrol Dosepak) after a significant response to poison ivy. The nurse will include instruction on reporting adverse side effects to the health care provider. Which of the following should the client report? (Select all that apply):
Eye pain or visual changes
The nurse is assisting a client with chronic adrenal insufficiency to plan for medication consistency while on a family vacation trip. He is taking hydrocortisone (Cortef) and fludrocortisones (Florinef) as replacement therapy. What essential detail does this client need to remember to do?
Carry an oral and injectable form of both drugs with him on his trip.
A client is being treated with propylthiouracil (PTU) for hyperthyroidism, pending thyroidectomy. While the client is taking this drug, what symptoms will the nurse teach the client to report to the health care provider?
Sore throat, chills, low grade fever
Which of the following assessment findings would cause the nurse to withhold the client's regularly scheduled dose of levothyroxine (Synthroid)?
A heart rate of 110 beats/minute
A client will be started on desmospressin (DDAVP) for treatment of diabetes insipidus. Which instruction should the nurse include in the teaching plan?
Obtain and record your daily weight
The nurse is talking with the parents of a child who will receive somatropin (Nutrapin) about the drug therapy. Which important detail will the nurse include in the teaching for these parents?
The drug must be given by injection
A client receives NPH and regular insulin every morning. The nurse is verifying that the client understands that there are two different peak times to be aware of for this insulin regimen. Why is this an important concept for the nurse to stress?
The risk for hypoglycemia is greatest around the peak of insulin activity.
The client is scheduled to receive 5 units of Humalog and 25 units of NPH (Isophane) insulin prior to breakfast. Which nursing intervention is most appropriate for this client?
Make sure the client's breakfast is available to eat before administering this insulin.
The nurse is initiating discharge teaching with the newly diagnosed client with diabetes. Which of the following statements indicates that the client needs additional teaching?
"I must draw the NPH insulin first if I am mixing it with regular insulin."
What client education should the nurse provide to the client with diabetes who is planning an exercise program? (Select all that apply):
Monitor blood glucose levels before and after exercise
Eat a complex carbohydrate prior to strenuous exercise
A client with type 2 diabetes has been NPO since midnight for surrey in the morning. He has been on a combination of oral type 2 anti diabetic drugs. What would be the best action for the nurse to take concerning the administration of his medications?
Contact the health care provider for further orders
A 63 year old client with type 2 diabetes is admitted to the nursing unit with an infected foot ulcer. Despite previous good control on glyburide (Micronase), his blood glucose has been elevated the past several days and he requires sliding- scale insulin. What is the most likely reason for the elevated glucose levels?
It is a temporary condition related to the stress response with increased glucose release.
Which of the following clients would have a higher risk for adverse effects from estradiol and norethindone (Ortho-Novum)? (Select all that apply):
An 18-year old with a hx of depression
A 24 year old who smokes one pack of cigarettes a day
A client is interested in taking levonorgestrel and estradiol (Seasonique) and asks how it is taken. Which explanation by the nurse is correct?
"Sasonique is taken for 84 days and then followed by 7 days of a lower dose contained in the same package."
The nurse completes an assessment of a client in labor who is receiving an IV infusion of oxytocin. Which of the following assessments indicates the need for prompt intervention?
Contractions are sustained for 2 minutes in duration.
A woman consults the nurse about Plan B (levonorgestrel) after unprotected sex that occurred 2 days before. Which of the following instructions will the nurse give to this client?
"You will take one pill of Plan B at first, followed by another pill 12 hours later."
A 43 year old client is receiving medroxyprogesterone (Depo-Provera) for treatment of dysfunctional uterine bleeding. Because of related adverse effects, which of the following may indicate a potential adverse side effect?
Joint pain or pain on ambulation
A client has started taking clomiphene (Clomid, Serophene) after an infertility work up and asks the nurse wy she is not having in-vitro fertilization. Which of the following nursing statements would be most helpful in explaining the use of clomiphene to the client?
The client's diagnostic work up suggested that infrequent ovulation may be the cause for her infertility and clomiphene increases ovulation.
Which of the following nursing assessments would be appropriate for the client who is receiving testosterone? (Select all that apply):
Assess for signs of fluid retention
Assess for increased muscle mass and strength
The nurse is teaching a client who has a new prescription for testosterone gel. Which of the following instructions should the nurse give to the client?
"Avoid exposing women to the gel or to the areas of skin where the gel has been applied."
The nurse is teaching a client about the use of tadalafil (Cialis). What will the nurse teach him about the effects of tadalafil?
It is not effective if sexual dysfunction is caused by psychological conditions.
The client with erectile dysfunction is being evaluated for the use of sildenafil (Viagra). Which of the following questions should the nurse ask before initiating therapy with sildenafil?
"Are you currently taking medications for angina?"
A client with a hx of BPH is complaining of feeling like he "cannot empty his bladder". He has been taking finasteride (Proscar) for the past 9 months. What should the nurse advise this client to do?
Return to the health care provider for PSA laboratory studies and prostate exam
A client is given a prescription for finasteride (Proscar) for treatment of benign prostatic hyperplasia. Essential teaching for this client includes which of the following? (Select all that apply):
Full therapeutic effects may take 3-6 months
The drug should not be handled by pregnant women,
especially if crushed
Blood donation should not occur while taking this drug
Which of the following teaching points will the nurse provide to a client with a new prescription for alendronate (Fosamax)?
Take the medication with a full glass of water 30 minutes before breakfast
Which assessment findings in a client who is receiving calcitriol (Calcijex, Rocaltrol) should the nurse immediately report to the health care provider?
Bone pain, lethargy, anorexia
The client who is receiving allopurinol (Lopurin) for treatment of gout asks why he should avoid consumption of alcohol. The nurse's response is based on the knowledge that the use of alcohol along with allopurinol may result in which of the following?
Raises uric acid levels
A client has been taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis. Which of the following symptoms may alert the nurse to a possible toxic effect?
Blurred vision or diminished ability to read
The nurse is explaining to a student nurse that the physiological principle for how cochicine (Colcrys) achieves its effect. What response will the nurse give to the student?
It reduces the pain associated with joint inflammation by uric acid crystals
A 62 year old female has received a prescription for alendronate (Fosamax) for treatment of osteoporosis. The nurse would be concerned about this order if the lint reported which condition? (Select all that apply):
She is unable to sit upright for prolonged periods because of severe back pain
She is lactose intolerant and rarely consumes dairy products
She has had trouble swallowing and has been told she has "problems with her esophagus."