UTA Pharm Exam 2 (3365) Complete Solutions and Correct Answers | Guaranteed A+ Pass | 100% Accuracy
A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO. The client states, "I don't want to take that pill because it makes me feel nauseated." Which of the fol...
A nurse is caring for a client who refuses a prescribed dose of valproic acid 250 mg PO. The
client states, "I don't want to take that pill because it makes me feel nauseated." Which of the
following actions should the nurse take? (Select all that apply.)
-Educate the client about the possible consequences of not taking the medication.
-Suggest the client take food with the medication to minimize GI effects.
-Document the client's refusal in the medication administration record.
-Offer to administer the medication IM.
-Recommend the client ask the provider to prescribe an enteric-coated medication. - ANS -
Educate the client about the possible consequences of not taking the medication.
-Suggest the client take food with the medication to minimize GI effects.
-Document the client's refusal in the medication administration record.
-Recommend the client ask the provider to prescribe an enteric-coated medication.
A nurse is reviewing medical records for a group of clients. Which of the following findings
should the nurse report to the provider?
-A client who is taking ecitalopram and has a prolonged Q-T interval
-A client who is taking duloxetine and has alanine transaminase (ALT) of 32 units
-A client who is taking fluoxetine and has gained 1kg (2.2 lb.) over 12 weeks
-A client who is taking carbamazepine and has a platelet count of 320,000 mm - ANS A client
who is taking ecitalopram and has a prolonged Q-T interval
A nurse is preparing to administer verapamil to a client who is 2 days post myocardial infarction.
The nurse should monitor the client for which of the following outcomes as a therapeutic
response to the medication?
1A nurse is discussing adverse effects with a client who has non-Hodgkin's lymphoma and is
starting to take methotrexate. Which of the following information should the nurse provide?
-Methotrexate can increase the risk for bleeding
-Methotrexate can cause bradycardia
-Methotrexate can cause arthritic pain
-Methotrexate can cause insomnia. - ANS Methotrexate can increase the risk for bleeding
A nurse is planning a staff education session about adverse effects of medications. Which of the
following information should the nurse include when discussing the adverse effects of
anticholinergic medications? (Select all that apply.)
-Blurred vision
-Polyuria
-Productive cough
-Tachycardia
-Constipation - ANS -Blurred vision
-Tachycardia
-Constipation
A nurse is providing teaching to a client who has a new prescription for ciprofloxacin. Which of
the following client statements indicate an understanding of the teaching?
-"I will stop taking this medication when I feel better."
-"I should wear protective clothing when I go outdoors."
-"I should take my medication daily in the morning with milk."
-"I should stop taking my birth control pills while I'm taking this medication." - ANS "I should
wear protective clothing when I go outdoors."
,A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following
manifestations should the nurse report to the provider as an indication of digoxin toxicity?
-Vomiting
-Dilated pupils
-Bruising
-Peripheral edema - ANS Vomiting
A nurse is assessing a client who has been taking hydrochlorothiazide. Which of the following
client statements indicates that the medication is effective?
-The swelling in my feet has decreasing
-My appetite has increased
-I no longer feel depressed
-I am sleeping better - ANS The swelling in my feet has decreasing
A nurse is caring for a client who has recurrent lower urinary tract infections (UTIs). Which of
following medications should the nurse expect to administer?
-Ganciclovir
-Amphotericin B
-Azithromycin
-Nitrofurantoin - ANS Nitrofurantoin
A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam.
The nurse should monitor the client for which of the following manifestations as an adverse
effect of colesevelam?
-Hyperglycemia
-Stomatitis
-Fever
-Constipation - ANS Constipation
, A nurse is providing teaching to the parents of a child who is starting to take liquid ferrous
sulfate. Which of the following information should the nurse include in the teaching?
-Monitoring your child for constipation
-Milk increases the absorption of the medication
-Administer the medication undiluted
-Stop the medication immediately if you notice any dark stool - ANS Monitoring your child for
constipation
A nurse is preparing to administrated medication to a client who has type 1 diabetes mellitus.
The clients take lispro insulin and has a new prescription for pramlintide. Which of the following
actions should the nurse take?
-Monitor the clients for weight gain
-Monitor for hypoglycemia 3 hr after pramlintide administration
-Inject the pramlintide in the client's upper arm
-Administer pramlintide 30 min prior to a meal - ANS Monitor for hypoglycemia 3 hr after
pramlintide administration
A nurse is caring for a client who has HIV and a prescription for nevirapine. The nurse should
monitor the client for which of the following manifestations as an adverse reaction to nevirapine?
-Rash
-Flushing
-Muscle Twitching
-Hyperglycemia - ANS Rash
A nurse is reviewing the medical record of a client who has asthma and takes albuterol. Which
of the following should the nurse identify as an adverse effect of albuterol?
-Fasting blood glucose 68 mg/dL -Heart rate 110/min
-Respiratory rate 14/min
-Temperature 38° C (100.4° F) - ANS Heart rate 110/min
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