NUR 2474 PHARM EXAM II

NUR 2474 PHARM EXAM II Q1) Which information should the nurse include in client education regarding a cholesterol- lowering agent? (a) This medication will replace other interventions you have been trying (b) It is important for you to double your dose if you miss one (c) Stop taking the medication if you experience constipation (d) You should continue your exercise program to increase your HDL serum level (adjunctive therapy with diet and exercise) Q2) What would the nurse expect has occurred with a client who has taken senna for several days and now experiencing yellowish-brown urea? (a) Renal failure (b) Dehydration (c) Drug toxicity (d) Expected effect of the medication (anthraquinones in laxatives such as senna, change urine to brown, yellow or orange) Q3) A client with heart failure who has been taking an angiotensin converting enzyme inhibitor, a thiazide diuretic and a beta-blocker for several months comes to the clinic for evaluation. As part if the ongoing assessment of this client, the nurse will expect the provider to order which assessment? (a) Complete blood count (b) Ejection fraction (c) Maximal exercise capacity (d) Serum electrolyte levels Q4) A provider has ordered captopril for a client and the nurse notes the client has a history of swelling of the tongue and lips after taking enalapril. Which action by the nurse is correct? (a) Administer the captopril and monitor for adverse effects (b) Hold the dose and notify the provider ( angioedema is a serious side effect of Ace inhibitors) (c) Request an order to administer fosinoprill instead of captopril (d) Reassure the client reaction in the past was an expected side effect Q5) Which statement by the student nurse indicate the need for further teaching regarding the use of sucralfate and ciprofloxacin to treat peptic ulcer disease? (a) Sucralfate atheres to the ulcer and blocks the back-diffusion of hydrogen ions (b) Sucralfate and ciprofloxacin should be administered two hours apart (c) Sucralfate may cause systemic side effects (d) Sucralfate has a potent acid-neutralizing capacity