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Pharmacology exam 4

Terms in this set (38)

A nurse is preparing to administer a enteric coated aspirin to an older adult who has difficult swallowing medication. The client ask if the nurse can crush the med to make it easier to swallow?
No, you can't crush it
A nurse is careering for a client who has gastroesophageal disease and prescription for metocloparamide. Which of the following adverse effect should the nurse monitor?
Sedation
Peak insulin time for NPH injection
Answer between 6-14
The nurse is reinforcing teaching with a client who has to start taking enteric coated naproxen for RA. Which of the statements by the client indicates a need for further teaching?
It's ok to crush the tablet as long as it dissolves completely
A nurse is preparing to administer IV vancomycin to a client who has MRSA. Which of the following action should the nurse plan to take?
Infuse the medication over at least 60 minutes
A nurse is collecting data from client who has diabetes mellitus. The client is confused, flushed and has acetone odor on breath. The nurse should anticipate a prescription for which of the following type of insulin to treat this client?
Regular insulin
A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and prescribed glipizide. The client should be taught that glipizide works in which of the following ways?
Stimulates the pancreases to release insulin
A nurse is reinforcing teaching with a client who I has osteoporosis and is prescribed alendronate 70 po weekly. Which of the statement by the client indicates a need for further instructions?
Same day every week with 8 oz of milk
A nurse is collecting data from a female client who has osteoarthritis she is thinking about taking aspirin for pain control. Which of the data in the clients history should the nurse realize is a contraindications to taking aspirin.
Vitamin K deficiency
A nurse is reinforcing teaching to a client who has duodenal ulcer and a new prescription for sucralofate. The client ask how sucralfate works? Which of the following should the nurse indicate?
This medication achieves the ulcer and protects it from gastric acid
A nurse is reinforcing teaching for a client who has diabetes mellitus and a prescription for insulin determine injection once daily. Which statement by the client indicates understanding teaching?
I can inject it in the evening before bedtime
A nurse is reinforcing teaching with a client who has prescription for aluminum hydroxide to treat heartburn. Which of the following adverse effects should the nurse include in the teaching?
Constipation
A nurse is reinforcing teaching with a client who is about to self administer regular insulin and NPH insulin. From the same syringe. Which of the following instruction should the nurse provide?
Discard regular insulin if it appears cloudy
A nurse is collecting from a client who has been taking ameprazole for the past 4 weeks. He determines the medication is effect in every when the client reports relief from which of the following symptoms?
Acid ingestion
A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medication is contraindication for this client due to suspect of blood glucose levels?
Prednisone
A nurse is a providers office is collecting data from a client who has lupus and takes hydroxycgloroguine to reduce skin inflammation. The nurse should identify which of the following adverse effects of this medicine?
Blurred vission
A nurse is reinforcing teaching ultra client who takes diazepam. Which of the following information should the nurse include?
Drowsiness
A nurse is reinforcing teaching with a client who is about to start methotrexate to treat RA which of the following instructions should the nurse include?
-do not drink alcohol
-avoid people who have infection
-report any unexpected bruising
A nurse us reinforcing teaching for a client who is about to start therapy witch alendronate to treat osteoporosis. Which if the following finding should the nurse instruct the client to monitor and report an adverse effect?
-Jaw pain
-blurred vision
-Dysphasia
A nurse is reinforcing teaching to a client who has started taking calcium carbonate as a calcium supplement. Which of the following food should the nurse instruct the client to consume to increase absorption of the suplemtn?
Cottage cheese
A nurse is reinforcing teaching to a client sho has RA about taking methotrexate. Which instruction should the nurse include?
Drink 2-3 liter of fluid of fluid per day.
A nurse is reinforcing teaching to a client who has peptoulcer and has started therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?
Take the medication an hour before meals
A nurse is reinforcing teaching to a client who is to start taking allopurirol to treat gout. Which of the following statements by the client indicates understanding of the teaching?
Drink 3 quarts of water per day
A nurse is reinforcing teaching with a client who has a new prescription for docusate sodium (colace). The nurse should recognize which of the following statement indicates the client understanding of the teaching?
I would have soft stools 1-3 days after starting this medication
A nurse in a providers office is reinforcing teaching with a client who is to start taking colchicine orally for gout. The nurse should tell the client that which findings is an adverse effect?
-diarrhea
A nurse is reinforcing teaching with a client who has started taking hydroxychloriquine for RA which of the information should the nurse include in the teaching?
Wear sunglasses
A nurse is reinforcing teaching for a client who is about to start taking alendronate effervescent tablets to treat osteoporosis. Which of the following should the nurse include in the teaching?
Sit up right or stand for at least 30 minutes after taking medication
A nurse is reinforcing teaching about colchicine with a client who has gout. Which of the following by the client indicates an understanding of the teaching?
Eliminate swelling in 2-3 days
A nurse is reinforcing teaching about cimetidine with a client who has peptic ulcer disease. Which of the following info should the nurse include in the teaching?
Wait at least 1 hour after taking the medication before tacking an anti acid
A nurse is caring for a client who is taking ranitidine which of the following statements by the client indicate the nurse the treatment has bee effective?
-I do not have heartburn after I eat anymore
-I can sleep while laying flat again
A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes. Which of the following actions should the nurse plan to take?
Inject insulin lispro 15v minutes before meal
A nurse is reinforcing teaching with a client who is taking metformin RX for type 2 diabetes. Wig got of the following information should the nurse include in the teaching?
Take medication with meal
Client has calcium carbonate, what adverse effects:
flank pain
Nurse admin first dose of etanercept to client, nurse should take what action:
injection medication through subcutaneously
Nurse provider office, client has gastric ulcer from H. pylori. Ranitidine and sucralfate taken with:
clarithromycin
Nurse prepare admin prednisone for RA: which finding indicate treatment effective?
Improve ROM
Client states the medicine looks different than usually of the med:
Describe the pill you normally take
Nurse monitor client IV site with phlebitis:
Erythema, warmth, streak formation
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