Exam (elaborations)
NUR.211 - Pharm Questions And Answers
- Course
- Institution
NUR.211 - Pharm Questions And Answers...
[Show more]
Content preview
NUR.211 - Pharm Questions And AnswersA client who has increased intracranial pressure is receiving mannitol. Which of the
following findings should the nurse report to the provider.
A. Blood glucose 150 mg/dL
B. Urine output 40 mL/hr
C. Dyspnea
D. headache - Answer C. Dyspnea
A nurse is preparing to administer filgrastim for the first time to a client who has just
undergone a bone marrow transplant. Which of the following interventions is
appropriate?
A. administer IM in a large muscle mass to prevent injury.
B. Insure that the medication is refrigerated just prior to administration.
C. Shake the vial gently to mix well before drawing dose.
D. Discard vial after removing one dose from the vial. - Answer D. Discard Vial after
removing one dose from the vial.
A nurse is assessing a client who has chronic neutropenia and who has been receiving
filgrastim. Which of the following actions should the nurse take to assess for an adverse
effect of Filgrastim.
A. Assess for bone pain
B. Assess for RLQ pain
C. Auscultate for crackles in the base of the lungs
D. Auscultate the chest for a hear murmur. - Answer A. Assess for bone pain
A nurse is preparing to administer cyclophosphamide IV to a client who has Hodgkin's
Disease. Which of the following medications should the nurse expect to administer
concurrently with the chemotherapy to prevent an adverse effect with
,cyclophosphamide?
A. Unprotected agent, such as mesna.
B. Opiods such as morphine
C. Loop diuretic such as furosemide.
D. H1 receptor antagonist, such as Diphenhydramine. - Answer A. Unprotected agent,
such as mesna
A nurse is reviewing food interactions with a client who is taking Levodopa/carbidopa for
Parkinson's disease. Which of the following instructions should the nurse include?
A. Eat large amounts of protein rich foods with the medication.
B. May take the medication with whole grain cereal.
C. Consider eating a banana with the medication.
D. May take the medication crushed in grapefruit juice. - Answer D. May take medication
Crushed in grapefruit juice
A nurse is teaching a client who has began taking oral Baclofen TID to treat muscle
spasms cause by a spinal chord injury. Which of the following statements by the client
indicates a need for further teaching?
A. "I will stop taking this medication right away if I develop dizziness."
B. "I know the Dr. will gradually increase my dose of this medication for a while."
C. "I'll make sure that I empty my bladder completely while taking this medication."
D. "I won't be able to drink alcohol while taking this medication." - Answer A. "I will stop
taking this medication right away if I develop dizziness."
A nurse is evaluating teaching for a client who has RA and is beginning a prescription for
methotrexate. which of the following statements by the client indicates 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 Dr. know if I develop sores in my mouth while taking this medication."
,D. I should stop taking oral contraceptives while I'm taking methotrexate." - Answer C.
"I'll let the Dr. know if I develop sores in my mouth while taking this medication."
A nurse is caring for a client who is beginning a new prescription for adalimumab for RA.
Based on the route of administration of adalimumab, which of the following should the
nurse plan to monitor?
A. The client's vein for thrombophlebitiis during IV administration.
B. The client's subcutaneous site for redness following injection.
C. The client's oral mucosa for ulceration after oral administration.
D. The client's skin for irritation following removal of transdermal patch. - Answer B. The
client's subcutaneous site for redness following injection.
A nurse is caring for a client who has a new diagnosis of HIV infection and is beginning
combination oral NRTIs (zidovudine). The client asks how medications work to treat HIV.
Which of the following responses by the nurse is appropriate?
A. "These medications work by blocking HIV entry into cells."
B. "these medications work by weakening the cell wall of the HIV virus."
C. "These medications work by inhibiting enzymes to prevent HIV replication."
D. "These medications work by preventing protein synthesis within the HIV cell." -
Answer C. "These medications work by inhibiting enzymes to prevent HIV replication."
A nurse is teaching a client who is beginning highly active antiretroviral therapy (HAART)
for HIV infection about ways to prevent medication resistance. Which of the following
should the nurse teach the client about resistance?
A. Taking low dosages of antiretrovial medication minimizes resistance.
B. Taking one antiretroviral medication at a time minimizes resistance.
c. Taking medication at the same time daily without skipping doses minimizes resistance.
D. Changing the medication regimen when adverse effects occur minimizes resistance. -
Answer c. Taking medication at the same time daily without skipping doses minimizes
resistance.
Skipping even a few doses of antiretrovial medication can promote medication
, resistance, which may cause treatment failure. The nurse should emphasize the
importance of taking each dose of medication exactly as prescribed.
A nurse is caring for a client who takes several antiretroviral medications, including the
NRTI zidovudine, the treat HIV. For which of the following adverse effects of zidovudine
should the nurse monitor? (SATA)
A. Fatigue
B. Visual disturbances
C. Ataxia
D. Hyperventilation
E. Vomiting - Answer D & E
Hyperventilation is a finding that may occur if the client develops lactic acidosis, a
serious advers effect of zidovudine
Vomiting and other GI effects may occur in the client who takes zidovudine
A nurse is teaching a client to self-administer nasal drops for allergic rhinitis symptoms.
The nurse should teach the client to lie in which of he following positions to obtain the
best effect of the medication?
A. supine with head flexed
B. Sitting with head in neutral position
C. Prone with head extended
D. Lateral with head in low position - Answer D. Lateral with head in low position
Lying on the side with the head in a low position helps spread the nasal drops, allows the
medication to be more effective, and prevents swallowing the medication.
An adult client is taking diphenhydramine for symptoms of allergic rhinitis. For which of
the following adverse reactions should the nurse teach the client to watch? (SATA)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85443 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now