RASMUSSEN UNIVERSITY PHARMACOLOGY FINAL EXAM NEWEST ACTUAL EXAM

RASMUSSEN UNIVERSITY PHARMACOLOGY FINAL EXAM NEWEST ACTUAL EXAM The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm? Correct AnswerC) Ibuprofen Which statement by a client indicates an understanding of selfcare precautions when taking warfarin? Correct AnswerA) "My warfarin dose may need to be readjusted when I take a course of antibiotics." Male client tells the nurse he awakens once or twice each night to video and has difficulty starting his stream of urine. He describes these symptoms as " annoying." The client provider examines him and notes that the prostate is moderately enlarged. The client is sexually active and tells the nurse that he doesn't want to take any medication that will interfere with sexual function. THe nurse anticipates the provider will order which of the following? Correct AnswerD) Doxazosin 4.A 50yearold postmenopausal cleint who has had a hysterectomy has moderate to severe hot flashes and is discussing estrogen therapy with the nurse. What will the nurse tell the client regarding the side effect of estrogen therapy? Correct AnswerB) Transdermal preparations of estrogen therapy have reduced side effects. A Client has an infection caused by pseudomonas aeruginosa, and the prescriber has ordered intravenous piperacillin and tobramycin. Why might the nurse question this combination of antibiotics? Correct AnswerB) Aminoglycosides are inactivated by penicillins. A client with bronchitis is taking trimethoprim/sulfamethoxazole 160/800 mg orally, twice daily. Before administering the third dose, the nurse observes the client has a widespread rash, a temperature and a heart rate of 100 beats/min. The client looks ill and reports not feeling well. What is the nurse's response? Correct AnswerC) Withhold the treatment and notify the provider of the symptoms. A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. What will the nurse tell the client? Correct AnswerA Over time, people can develop tolerance to opioids. We can discuss increasing your dose with the provider. A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding purpose and use of medications? Correct AnswerB) All of these medications should be taken concurrently during an acute attack, and NSAIDS should be added for pain control. The nurse understands that a bronchodilator would be most therapeutic in which situation? Correct AnswerD Shallow breath sounds with wheezing sounds in the upper lobes The parents of a child with asthma ask the nurse why their child cannot use oral corticosteroids more often because they are so effective. What is the correct response by the nurse? Correct AnswerB Chronic steroid use can show growth A client taking warfarin presents with bruises, dark tarry stools, and an international normalized ratio (INR) of 4.3. What is the nurse's action? Correct AnswerA) Hold the warfarin and consult the provider regarding the next steps. The nurse will caution a client taking immunosuppressant drugs to avoid which dietary supplement? Correct AnswerC) Echinacea A client will begin taking fexofenadine for hay fever. What education should be included regarding the use of this secondgeneration antihistamine? Correct AnswerA) Citrus fruit juices can inactivate this class of medications. A client is discharged from the hospital with a prescription for trimethoprim/sulfamethoxazole. What must the nurse include in the discharge teaching? Correct AnswerD) Drink eight to ten glasses of water each day. Naloxone is effective because of which action? Correct AnswerA) Preventing activation of opioid receptors through antagonist actions Parents ask the nurse why an overthecounter cough suppressant with sedative side effects is not recommended for infants. Which response by the nurse is correct? Correct AnswerC) "Infants are more susceptible to central nervous system effects than adults are." Insulin glargine is prescribed for a hospitalized client who has diabetes. When will the nurse expect to administer this drug? Correct AnswerB) Oncedaily at the same time every day. A client who just took his first dose of glipizide, is now experiencing tremors, pallor, and agitation. How should the nurse respond? Correct AnswerD) Check the blood glucose and give carbohydrates if the client is hypoglycemic Which factors can alter a client's physiologic response to a medication? (SATA) Correct AnswerB) Age C) Liver disease D) Genetic Factors E) Gender The nurse is providing client education for a postmenopausal client; which risks associated with estrogen/progestin therapy should the nurse discuss with the client? Correct AnswerA) Stroke B) Deep vein thrombosis E) Ovarian Cancer A client who takes 325 mg of aspirin daily is scheduled for major surgery. Which of the following presurgical orders would the nurse expect to include in her teaching? Correct AnswerB) Discontinue aspirin 719 days before surgery A Prescriber has ordered medication for a newborn that is eliminated primarily by hepatic Metabolism. What would the nurse expect the prescriber to order? Correct AnswerD) Order a dose that is lower than an adult dose. Which of these statements best describes the concept of halflife? Correct AnswerC) It is time it takes for half of the medication to be metabolized for elimination. When administering medications to infants, it is essential to remember which of the following? SATA Correct AnswerB) Infants are more sensitive to medications that act on the CNS C) Immaturity of renal function in infancy causes infants to excrete drugs less efficiently. E) Breastfeeding infants are more likely to develop toxicity when given lipidsoluble drugs. The nurse is caring for a pregnant client recently diagnosed with hypothyroidism. The client tells the nurse she does not want to take medications while she is pregnant. Correct AnswerA) Neuropsychological deficits in the fetus can occur if the condition is not treated. A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs or redness at the intravenous. What is the nurse's action? Correct AnswerB) Immediately stop the infusion and select an alternate intravenous site. A client on a morphine PCA pump is noted to be drowsy and lethargic with pinpoint pupils and the following vitals; pulse 84 beats/min, respiratory rate 10 breaths/min, bp 90/50 mm hg. What are the nurse's best actions? Correct AnswerB) Prepare to administer naloxone and provide respiratory support. What must a nurse include in client education for an arthritic client taking high doses of aspirin? Correct AnswerB) all your provider for ringing in the ears C) Aspirin is nephrotoxic. D) Report bruises bleeding gums, tarry stools, and pink urine. A client weighs 214lbs. What is the client's weight in kg? Correct Answer97 (round to whole) or 97.3 (round to nearest tenth place) The nurse receives an order to give atropine 300mcg SQ now. The medication is available in 1mg/ml vial. How many mL should the nurse administer? ...ANSWER. 0.3ml A Client presents with tinea corporis, and the prescriber orders itraconazole. When educating the client about this medication, the nurse will include which statement? Correct AnswerA) "Use the medication for at least one week after the symptoms have cleared."" A nurse is talking to the client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal? Correct AnswerC) "I should not try to taper off the medication without consulting my provider." Which of these findings, from a client taking steroids, should the nurse report immediately? Correct AnswerA) Temperature of 101.2 degrees F A nurse is concerned about renal function in an 84year old client who is taking several medications. What is a priority for the nurse to assess? . Correct AnswerB) Serum Creatinine Which side effect of clindamycin causes the most concern? Correct AnswerC) Diarrhea The provider has prescribed digoxin 0.5mg PO stat. Digoxin is available in a 0.25mg tablet. How many tablets should the nurse administer? Correct Answer2 In Which situation would the nurse hold digoxin? Correct AnswerB) When the client complains of seeing yellowgreen halos A nurse tells a nursing student glucocorticoids given for rheumatoid arthritis are nearly identical to substances produced naturally by the body. The student remarks that the drug must be very safe. Which response by the nurse is correct? Correct AnswerD) "As long as the drug is taken as prescribed, side effects usually do not occur." A nurse is performing a preoperative drug history on a client who is admitted to the hospital for surgery. What dietary supplement contributes to the risk of bleeding? Correct AnswerD) Ginkgo biloba A client who is taking calcium supplements receives a prescription for ciprofloxacin for a respiratory infection. What must the nurse include in client teaching? Correct AnswerB) Take the calcium either six hours before or two hours after taking the ciprofloxacin. A third grader is starting methylphenidate. What counseling should the nurse provide for the child's parents? Correct AnswerB) Store the medicine in a safe palace; it is a controlled substance. A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching? Correct AnswerD) "If I still have pain 10 minutes after taking 1000mg of acetaminophen, I should take two of oxycodoneacetaminophen. A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned? Correct AnswerC) The betablocker can mask the symptoms of hypoglycemia. A nurse is providing education to a client who is beginning therapy with testosterone gel 1%. What statement made by the client demonstrates a need for additional teaching? Correct AnswerD) "I should apply the medication to my genitals for the best results." Which of a client's medications is the most likely cause of a persistent, dry cough? Correct AnswerB) Enalapril A person with type 2 diabetes is starting metformin therapy. Which comment by the client indicates a need for further teaching? Correct Answer"D) This medication may bother my stomach." A nurse is caring for a client and her newborn immediately after delivery. The client's medication history includes prenatal vitamins throughout pregnancy, one or two glasses of wine before knowing she is pregnant, occasional use of an albuterol inhaler in her last trimester, and intravenous morphine during labor. What is the nurse's most appropriate action?