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Pharm OB exam 2

Terms in this set (22)

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?
a.Atrophic vaginitis
b.Dysfunctional Uterine Bleeding
c.Osteoporosis
d.Thrombophlebitis
d.Thrombophlebitis
A nurse is providing teaching to a female client who is taking testosterone to treat advanced breast cancer. The nurse should tell the lent that which of the following are adverse effects of this medication? (select all that apply)
a.Deepening voice
b.Weight gain
c.Low blood pressure
d.Dry mouth
e. Facial Hair
a.Deepening voice
b.Weight gain
e. 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)
a.Thickening of the cervical mucous
b.Inducing maturation of ovarian follicle
c.Increasing development of the corpus luteum
d.Altering the endometrial lining
e.Inhibiting ovulation
a.Thickening of the cervical mucous
d.Altering the endometrial lining
e.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?
a.Bradycardia
b.Edema
c.Hypotension
d.Tremor
c.Hypotension
A nurse is caring for a client who as angina and asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications is contraindicated with sildenafil?
a.Aspirin
b.Isosorbide
c.Clopidogrel
d.Atorvastatin
b.Isosorbide
A client taking oral contraceptives is placed on a 10-day course of antibiotics for an infection. Which instruction should the nurse include in the teaching plan?
a."Use a barrier method of birth control for the rest of your cycle."
b."You should stop taking the oral contraceptives while taking the antibiotic."
c."Call your health care provider for increased hunger or fluid retention."
d."Take the antibiotic 2 hours after the oral contraceptive."
a."Use a barrier method of birth control for the rest of your cycle."
A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medication should the nurse anticipate administering to this client?
a.Ketamine
b.Naltrexone
c.Flumazenil
d.Fluvoxamine
c.Flumazenil
You are the nurse caring for a client who is admitted undergoing a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of ketamine as an intravenous anesthetic?
a.Peptic ulcer disease
b.Breast cancer
c.Diabetes mellitus
d.Schizophrenia
d.Schizophrenia
A nurse is providing teaching to a client who is experiencing migraine headaches. Which of the following instructions should the nurse provide? (Select all that apply.)
a.Take ergotamine as a prophylaxis to prevent a migraine headache
b.Identify and avoid trigger factors
c.Lie down in a dark quiet room at the onset of a migraine
d.Avoid foods that contain tyramine
e.Avoid exercise that can increase heart rate.
b.Identify and avoid trigger factors
c.Lie down in a dark quiet room at the onset of a migraine
d.Avoid foods that contain tyramine
A nurse is caring for a client who receives a local anesthetic of lidocaine during the repair of a skin laceration. For which of the following adverse reactions should the nurse monitor the client?
a.Seizures
b.Tachycardia
c.Hypertension
d.Fever
a.Seizures
A nurse is reviewing the health history of a client who has migraine headaches and is to begin prophylaxis therapy with propranolol. Which of the following findings in the client's history should the nurse report to the provider?
a.The client had a prior myocardial infarction
b.The client takes warfarin for atrial fibrillation
c.The client takes an SSRI for depression
d.An ECG indicates a first-degree heart block
d.An ECG indicates a first-degree heart block
A nurse is providing teaching to a client who has migraine headaches and a new prescription for ergotamine. For which of the following adverse effects should the nurse instruct the client to stop taking the medication and notify the provider? (select all that apply.)
a.Nausea
b.Visual disturbances
c.Positive home pregnancy test
d.Numbness and tingling in fingers
e.Muscle pain
c.Positive home pregnancy test
d.Numbness and tingling in fingers
e.Muscle pain
A nurse is preparing to administer an opioid agonist to a client who has acute pain. Which of the following complications should the nurse monitor?
a.Urinary retention
b.Tachypnea
c.Hypertension
d.Irritating Cough
a.Urinary retention
A nurse is caring for a client who has end-stage cancer and is receiving morphine. The client's daughter asks why the provider prescribed methylnaltrexone. Which of the following responses should the nurse make?
a."The medication will increase your mother's respirations"
b."The medication will prevent dependence on the morphine"
c."The medication will relieve your mother's constipation"
d."The medication works with the morphine to increase pain relief"
c."The medication will relieve your mother's constipation"
A nurse is preparing to administer butorphanol to a client who has a history of substance use disorder. The nurse should identify which of the following information as true regarding butorphanol?
a.Butorphanol has a greater risk for abuse than morphine
b.Butorphanol causes a higher incidence of respiratory depression than morphine
c.Butorphanol cannot be revered with an opioid antagonist
d.Butorphanol can cause abstinence syndrome in opioid-dependent clients.
d.Butorphanol can cause abstinence syndrome in opioid-dependent clients.
A nurse is planning to administer morphine IV to a client who is postoperative. Which of the following actions should the nurse take?
a.Monitor for seizures and confusion with repeated doses
b.Protect the client's skin from the severe diarrhea that occurs with morphine
c.Withhold this medication if respiratory rate is less than 12/min
d.Give morphine intermittent via IV bolus over 30 seconds or less.
c.Withhold this medication if respiratory rate is less than 12/min
A nurse is reviewing the medication administration record for a client who is receiving transdermal fentanyl for severe pain. Which of the following medications should the nurse expect to cause an adverse effect when administered concurrently with fentanyl?
a.Ampicillin
b.Diazepam
c.Furosemide
d.Prednisone
b.Diazepam
A nurse is providing teaching for a client who has gout and a new prescription for allopurinol. Which of the following adverse effects should the client be taught to monitor? (Select all that apply)
a.Stomatitis
b.Insomnia
c.Nausea
d.Rash
e.Increased gout pain
c.Nausea
d.Rash
e.Increased gout pain
A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid arthritis. Based on the route of administration of adalimumab, which of the following should the nurse plan to monitor?
a.The vein for thrombophlebitis during IV administration
b.The subcutaneous site for redness following injection
c.The oral mucosa for ulceration after oral administration
d.The skin for irritation following removal of transdermal patch
b.The subcutaneous site for redness following injection
A nurse is preparing to administer belimumab for a client who has systemic lupus erythematous. Which of the following actions should the nurse plan to take?
a.Warm the medication to room temperature over 1 hr. before administering.
b.Administer the medication by IV bolus over 5 min.
c.Dilute the medication in 5% dextrose and water solution.
d.Monitor the client for hypersensitivity reactions.
d.Monitor the client for hypersensitivity reactions.
A nurse is caring for a client who has a new diagnosis of fibromyalgia. Which of the following medications should the nurse anticipate being prescribed for this client?
a.Colchicine
b.Hydroxychloroquine
c.Auranofin
d.Duloxetine
d.Duloxetine
A nurse is evaluating teaching for a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following statements by the client indicated understanding of the teaching?
a."I will be sure to return to the clinic at least once a year to have my blood drawn while I'm taking methotrexate."
b."I will take this medication on an empty stomach."
c."I'll let the doctor know if I develop sores in my mouth while taking this medication."
d."I should stop taking oral contraceptives while I'm taking methotrexate."
c."I'll let the doctor know if I develop sores in my mouth while taking this medication."
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