Exam (elaborations) NUR MISC ATI pharm quiz 1. a. Notify your provider if you experience restlessness or spasms of the face or neck. An
adverse effect of Reglan is extrapyramidal symptoms. The client should stop the
medication and notify the provider if these occu
a notify your provider if you experience restlessness or spasms of the face or neck an adverse effect of reglan is ex
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Pharmacology Pre-Assessment Quiz
A client has been prescribed metoclopramide. Which of the following should the nurse include in
client education regarding this
medication?
Select one:
a. Notify your provider if you experience restlessness or spasms of the face or neck. An
adverse effect of Reglan is extrapyramidal symptoms. The client should stop the
medication and notify the provider if these occur.
b. This medication can cause urinary frequency.
c. Decrease your fluid intake while taking this medication.
d. This medication can cause insomnia.
A 52-year-old client with a history of angina has been prescribed transdermal nitroglycerin.
Which of the following adverse effects is not
seen with this therapy?
Select one:
a. Headache
b. Orthostatic hypotension
c. Tolerance
d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect lung
function. Physiologically, vasodilation
should effect capillary perfusion and decrease lung secretions.
A nurse is caring for a client prescribed montelukast. Which of the following should the nurse
include in teaching related to this
medication?
Select one:
a. Advise client to take the medication once daily at bedtime. Clients should take
montelukast once daily at bedtime.
b. If the client forgets to take the medication for a few days he can double up on doses to catch
up.
c. Avoid dairy products while taking this medication.
d. This medication is for acute management of asthma
A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the
following instructions should be included
in client teaching about this medication?
Select one:
a. Take the medication on an empty stomach to maximize absorption.
The nurse should instruct the clients to take iron on an empty stomach, such as 1 hr
before meals to maximize absorption. Stomach acid
increases absorption. If GI adverse effects occur, the client can take with food to
increase adherence to therapy even though absorption is also
,decreased.
b. Take prescribed antacids at the same time as this medication.
c. Decrease dietary fiber intake while taking this medication.
d. Notify your provider if your stool becomes dark green.
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular
insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number
of units of insulin that the nurse should prepare in the insulin syringe?
42 Units
Each order of for units of insulin is combined in the same syringe. The nurse should
withdraw the regular insulin into the syringe first.
A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of the following
interventions should the nurse take while
caring for this client?
Select one:
a. Increase client's 4-hr limit as needed.
b. Encourage the client to use the PCA before dressing changes. The nurse should
encourage the client to use the PCA
prophylactically prior to activities that are likely to augment pain levels.
c. Advise the client to use the pump sparingly to prevent addiction.
d. Encourage the client's family to administer PCA while client is sleeping.
A nurse is reviewing the medication class, benzodiazepines. The nurse would use caution when
administering benzodiazepines to which
of the below clients?
Select one:
a. A client with insomnia.
b. A client with renal failure.
c. A client with hypertension.
d. A client with glaucoma. Correct – benzodiazepines can increase intraocular pressure
due to the pupil-dilating effects of the
Medication.
A client has been prescribed lisinopril. Which of the following medication interactions should the
nurse instruct this client about?
Select one:
a. Escitalopram
b. Potassium supplements Correct. Potassium supplements and potassium-sparing
diuretics increase the risk of hyperkalemia in clients
taking ACE inhibitors such as lisinopril.
Clients should only take potassium supplements if prescribed by the provider. Clients
should also avoid salt substitutes that contain potassium.
, c. Magnesium supplements
d. Ciprofloxacin
A client has been prescribed vasopressin for the treatment of diabetes insipidus. What is the
expected pharmacological action of this
medication?
a. To stimulate the pancreas to secrete insulin.
b. To increase blood pressure.
c. To slow the absorption of glucose in the intestine.
d. To increase reabsorption of water in the renal tubules.
The expected pharmacological action is to promote reabsorption of water within the
kidney
A nurse is caring for a client receiving a dopamine infusion via a peripheral IV. Which of the
following actions should the nurse take if the
IV site appears infiltrated?
Select one:
a. Apply a warm compress to the site.
b. Apply a cold compress to the site.
c. Slow the infusion and continue to monitor the site.
d. Stop the infusion. Correct. If infiltration is suspected, the infusion should be stopped.
Necrosis can occur from extravasation of
high doses of dopamine. Extravasation can be treated with local injection of an alpha-
adrenergic blocking agent, such as
Phentolamine.
A nurse is caring for a client newly prescribed doxazosin mesylate. Which of the following
instructions should the nurse include in client
education regarding taking the first dose of this medication?
Select one:
a. There is no need to avoid normal activities.
b. Change positions slowly and lie down if dizziness occurs. First-dose orthostatic
hypotension can occur with Cardura. The nurse should instruct clients to change
positions slowly and to lie down if feeling dizzy, lightheaded or faint.
c. Do not eat green leafy vegetables.
d. Avoid dairy products while taking this medication
A nurse have provided education to a client regarding prescribed levothyroxene sodium. What
of the following client statements
demonstrates understanding of medication administration?
Select one:
a. "I should take my medication as needed to alleviate symptoms."
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