BSN HESI 315 Pharmacology Practice Exam Version 3 (New 2026/ 2027 Update) Comprehensive Q&A |100% Correct| Grade A-Nightingale

BSN HESI 315 Pharmacology Practice Exam Version 3 (New 2026/ 2027 Update) Comprehensive Q&A |100% Correct| Grade A-Nightingale Q. A client receives a prescription for a secondary infusion of iverithromycin 1 gram in 200 milliliters dextrose 5% in water, D5W, to be infused in 90 minutes. The nurse should program the infusion pump to deliver how many milliliters/hour? (Numerical value only. Round to the nearest whole number.) ANSWER 133 mL/hour Q. The healthcare provider prescribes enoxaparin sodium 80 mg subcu twice daily. The nurse is preparing a preloaded 1 mL syringe labeled enoxaparin sodium injection, USP 60 mg, 0.6 mL. How many mL should the nurse administer? (Numeric value only. Round to the nearest tenth.) ANSWER 0.8 mL Q. Based on a client's serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? ● Administer potassium to stabilize the heart rate. ● Check acid base and electrolyte values. ● Begin a cardioversion to stabilize heart rhythm. ● Administer digoxin by another route to slow absorption. ANSWER Check acid base and electrolyte values. Q. A client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take? ● Instruct the client to take the two medications at least two hours apart. ● Encourage the client to stop taking birth control pills until she has finished taking all the doxycycline hyclate. ● Advise the client that the birth control pills will be less effective while taking doxycycline hyclate. ● Notify the healthcare provider of the contraindication to tetracycline. ANSWER Advise the client that the birth control pills will be less effective while taking doxycycline hyclate. Q. A client with a history of smoking cigarettes for many years expresses a desire to stop smoking and receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching? ● Consume tyramine-free foods while taking the medicine. ● Administer each dose with at least 8 ounces of water. ● Notify the healthcare provider if experiencing changes in taste. ● Be aware that difficulty sleeping and weight loss may occur. ANSWER Be aware that difficulty sleeping and weight loss may occur. Q. A female client with mild depression reports to the nurse that she recently started taking St. John's Wort. Which information provided by the client requires further instruction? ● Sensitivity to the sun can develop. ● Another form of contraception is not needed. ● Insomnia may occur while taking the medication. ● Hard candy can be used for a dry mouth. ANSWER Another form of contraception is not needed. Q. Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take? ● Administer the medication with a glass of milk. ● T each the client about foods high in calcium. ● Notify the healthcare provider of the finding. ● Begin tapering the drug dose per protocol. ANSWER Notify the healthcare provider of the finding. Q. The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment, the nurse observes the client is alert and oriented but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication? ● Pragmatzone ● Captopril ● Acetaminophen ● Methazolamide ANSWER Acetaminophen Q. Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium? ● Restlessness ● Intolerance to cold ● Decreased appetite ● Constipation ANSWER Restlessness Q. A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing heartburn. How should the nurse respond? ● Suggest use of an antacid two hours after the medication. ● Advise the client to go to the nearest emergency department. ● Ask the client to describe how she takes the medication. ● Remind the client to take the medication with plenty of water. ANSWER Ask the client to describe how she takes the medication. Q. The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take? ● Obtain another blood sample. ● Notify the healthcare provider. ● Monitor for signs of bleeding. ● Give the next scheduled dose. ANSWER Give the next scheduled dose. Q. A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse? ● Metal hip prosthesis was placed 20 years ago. ● Takes metformin hydrochloride for type 2 diabetes mellitus. ● Report of client's sobriety for the last 5 years. ● CT scan was performed 6 months earlier. ANSWER Takes metformin hydrochloride for type 2 diabetes mellitus. Q. A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement? ● Administer a PRN dose of an anti-anxiety drug. ● Collect a capillary glucose level. ● Obtain orthostatic blood pressure readings. ● Notify the healthcare provider. ANSWER Notify the healthcare provider. Q. A patient with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect? ● Phosphate ● Potassium ● Calcium ● pH ANSWER Phosphate Q. A male client who has been taking a high dose of a non-steroidal anti-inflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan? ● Notify the healthcare provider of the passage of black stools. ● Once pain subsides, NSAID therapy can be resumed. ● Call the clinic if diarrhea or headache occurs when taking esomeprazole. ● Resume a diet that consists of milk, cream, and bland foods. ANSWER Notify the healthcare provider of the passage of black stools. Q. When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? ● Improved ability to concentrate. ● Decreased episodes of incontinence. ● Exhibits fewer emotional outbursts. ● Sleeps soundly through the night. ANSWER Sleeps soundly through the night. Q. The nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond? ● Document the client's refusal of the medication at this time. ● Allow the client to take the medication up to one hour after breakfast. ● Instruct the client to take it when the meal tray is delivered. ● Explain the need to take the medication at least one hour before meals. ANSWER Explain the need to take the medication at least one hour before meals. Q. A client with a history of anaphylactic reaction to penicillin receives a prescription for cefalexin 500 mg PO twice daily. Which action should the nurse take? ● Contact the healthcare provider. ● Give with prescribed antihistamine. ● Monitor the client for a rash or hives. ● Administer the medication as prescribed. ANSWER Contact the healthcare provider. Q. A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement? ● Administer a PRN dose of an anti-anxiety drug. ● Collect a capillary glucose level. ● Obtain orthostatic blood pressure readings. ● Notify the healthcare provider. ANSWER Notify the healthcare provider. The nurse is administering miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is risk for injury. This nursing problem is based on which etiology? ● Decreased night vision. ● Increased sensitivity to light. ● Increased frequency of lacrimation. ● Diminished color perception. Decreased night vision. NGN 1/4 : H&P-The client is a 66yrs male with a history of type 2 diabetes mellitus and HTN. He takes metoprolol, hydrochlorothiazide, and metformin. He went to his pcp reporting that he had been having trouble controlling his blood pressure in the last few days. He has also had a severe headache. The client was a direct admit to the hospital from the pcp. Analyzed content rather than direct question/answer format; therefore, this content is more case-based and requires integrated understanding of nursing care. NGN 2/4 Nurse's Notes: 1000. Pt. Admitted . He informs that he already took his metoprolol, hydrochlorothiazide, and metformin dose. He says his a.m glucose was 111 mg/dL (6.16 mmol/L). Rates his pain as 6 on a 0 to 10 pain scale. Minoxidil and ibuprofen were given as prescribed. Analyzed content rather than direct question/answer format; therefore, this content is more case-based and requires integrated understanding of nursing care. NGN 3/4 1200. Pain rated as 1/10 pain scale. 1230. Client's tray arrived. He reported dizziness when he sat up. He ate about 25% of his tray and says that he felt his mouth was too dry to eat. Flow Sheet: 1000. Temp99°F (37.2°C) orally. HR 59 beats/min in atrial fibrillation. RR: 20 breaths/min. BP: 203/166 mm Hg. O2: 97% on room air. 1200. Vital signs HR 99 beats/min in normal sinus rhythm. RR 16 breaths/min. BP 162/111 mm Hg. O2:100% on room air. Analyzed content rather than direct question/answer format; therefore, this content is more case-based and requires integrated understanding of nursing care. NGN 4/4 I&O: . Oral intake: 240 mL, 120 mL, 400 mL, 240 mL. Urine output: 150 mL, 0 mL, 600 mL, 0 mL. Orders: 1000. Admit to the medical floor heart-healthy diet. Vital signs every 2 hours and as needed PRN. Give minoxidil 5 mg PO now. Give 400 mg ibuprofen PO PRN for pain. Check blood glucose before meals and at bedtime (HS) Analyzed content rather than direct question/answer format; therefore, this content is more case-based and requires integrated understanding of nursing care. Nurses' Notes, Laboratory Results, Flow Sheet, and Prescription. Click to mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected. ● Heart Rate 99 Beats/Minute: Non-therapeutic side effect ● Pain Rated at 1 on a 0 to 10 Pain Scale: Unrelated finding ● Dizziness While Sitting Up: Non-therapeutic side effect ● Blood Pressure 162/111 mm Hg: Therapeutic result of the minoxidil administered ● Blood Glucose 218 mg/dL: Unrelated finding ● Mouth Dryness: Non-therapeutic side effect ● Urine Output 600 Milliliters: Unrelated finding When administering Zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? ● Improved ability to concentrate. ● Decreased episodes of incontinence. ● Exhibits fewer emotional outbursts. ● Sleeps soundly through the night. Sleeps soundly through the night. The nurse is administering Sucralfate to a client with stomatitis secondary to chemotherapy. The client wants to take the medication after breakfast. How should the nurse respond? ● Document the client's refusal of the medication at this time. ● Allow the client to take the medication up to one hour after breakfast. ● Instruct the client to take it when the meal tray is delivered. ● Explain the need to take the medication at least one hour before meals. Explain the need to take the medication at least one hour before meals. Before administering the initial dose of Sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problems? ● Irritable bowel syndrome. ● Type 2 diabetes mellitus. ● Seasonal allergic rhinitis. ● Coronary artery disease. Coronary artery disease. A client with heart failure, ASAP , developed hyperaldosteronism, and spironolactone is prescribed. Which instructions would the nurse include in the client's plan of care? ● Monitor skin for excessive bruising. ● Cover your skin before going outside. ● Limit the intake of foods high in potassium. ● Replace salt with a salt substitute. Limit the intake of foods high in potassium. A history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed? ● Primes the inhaler with seven pumps. ● Rinses the mouth after each use. ● Stores the medication at room temperature. ● Attaches a third device to the inhaler. Primes the inhaler with seven pumps. NGN - Patient Data History and Physical: The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2 inhalations every 4-6 hours as needed. Nurses notes: The client states that she has had more severe asthma symptoms than usual in the past week. Her forced expiratory volume has been 60-65% even with multiple doses of albuterol for several days in a row. She came to the hospital feeling dizzy, lightheaded, and complaining of “heart palpitations”. Upon assessment, no wheezes were found. Her oxygen saturation is 99%. Review H and P, and nurse’s note. Identify from the choices below which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress. Potential Condition: Methemoglobinemia Actions to Take: 1. Draw blood for a complete blood count 2. Administer methylene blue Parameters to Monitor: 1. Methemoglobin level 2. Heart rate and rhythm Which parameters should the nurse monitor for a client with potential albuterol toxicity? ● Heart rate and rhythm ● Lung function (e.g., Peak Expiratory Flow Rate - PEFR) ● Blood pressure ● Urine output Heart rate and rhythm A female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client? ● Discontinue this medication one month before attempting to conceive. ● Breastfeeding is not recommended while taking this medication. ● Do not take multiple vitamins that contain vitamin A while taking this drug. ● Baseline liver function results must be obtained during therapy. Discontinue this medication one month before attempting to conceive. A client with a history of anaphylactic reaction to penicillin receives a prescription for cefalexin 500 mg PO twice daily. Which action should the nurse take? ● Contact the healthcare provider. ● Administer the medication as prescribed. ● Monitor the client for a rash or hives. ● Give with prescribed antihistamine Contact the healthcare provider. A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective? ● "I will take the tablet every evening to control my asthma." ● "This medication will stop an asthma attack immediately." ● "I should take this medication only when I am having an asthma attack." ● "I will not need to use my inhalers twice a day when I start this medicine." "I will take the tablet every evening to control my asthma." A nurse is assessing a client who has been prescribed a high dose of prednisone for several weeks. The client reports weight gain, muscle weakness, and increased facial hair. Which side effect of the medication is the nurse likely to suspect? ● Cushing's syndrome. ● Addison's disease. ● Osteoporosis. ● Hyperthyroidism. Cushing's syndrome. A client with chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed? ● Primes the inhaler with seven pumps. ● Rinses the mouth after each use. ● Stores the medication at room temperature. ● Attaches a spacer device to the inhaler. Primes the inhaler with seven pumps. A client with chronic heart failure is prescribed digoxin. The nurse reviews the client's laboratory results and finds a serum potassium level of 3.0 mEq/L. What is the most appropriate action for the nurse to take? ● Notify the healthcare provider immediately. ● Administer the next dose of digoxin as prescribed. ● Increase the client's dietary intake of potassium-rich foods. ● Withhold the digoxin and administer potassium supplements. Notify the healthcare provider immediately. A nurse is administering an initial dose of enalapril to a client with hypertension. Which client statement indicates that additional teaching is needed? ● "I will increase my intake of potassium-rich foods like bananas." ● "I may experience a dry cough while taking this medication." ● "I should avoid using salt substitutes while taking this medication." ● "I will rise slowly to avoid dizziness." "I will increase my intake of potassium-rich foods like bananas." The nurse is caring for a client with rheumatoid arthritis who is receiving methotrexate therapy. Which laboratory result should the nurse monitor to assess for a potential adverse effect of this medication? ● Complete blood count (CBC). ● Serum potassium level. ● Blood glucose level. ● Urinalysis. Complete blood count (CBC). A client with a history of chronic kidney disease (CKD) is prescribed epoetin alfa. Which finding indicates that the medication is having the desired effect? ● Increased hemoglobin level. ● Decreased serum creatinine level. ● Increased urine output. ● Decreased blood pressure. Increased hemoglobin level. A client is receiving a continuous infusion of heparin for the treatment of a deep vein thrombosis (DVT). The nurse reviews the client's laboratory results and notes an activated partial thromboplastin time (aPTT) of 90 seconds. What is the most appropriate action for the nurse to take? ● Stop the infusion and notify the healthcare provider. ● Administer the next scheduled dose of heparin. ● Continue the infusion and reassess in 4 hours. ● Increase the rate of the infusion. Stop the infusion and notify the healthcare provider. A client with type 2 diabetes mellitus is prescribed metformin. The nurse should withhold the medication and notify the healthcare provider if which laboratory result is noted? ● Serum creatinine of 2.2 mg/dL. ● Fasting blood glucose of 140 mg/dL. ● Hemoglobin A1c of 7.5%. ● Serum potassium of 4.0 mEq/L. Serum creatinine of 2.2 mg/dL. A nurse is providing discharge instructions to a client who is prescribed warfarin. Which statement by the client indicates a need for further teaching? ● "I will avoid eating large amounts of green leafy vegetables." ● "I should have my blood tested regularly while taking this medication." ● "I can take aspirin for headaches while on this medication." ● "I should inform my dentist that I am taking this medication." "I can take aspirin for headaches while on this medication." The nurse is caring for a client who is receiving a continuous intravenous infusion of nitroglycerin for the treatment of chest pain. The client reports a headache. What is the most appropriate action for the nurse to take? ● Administer a PRN dose of acetaminophen. ● Stop the infusion and notify the healthcare provider. ● Decrease the rate of the infusion. ● Apply a cold compress to the client's forehead. Administer a PRN dose of acetaminophen. A client with hyperthyroidism is prescribed propylthiouracil (PTU). Which laboratory result indicates that the medication is having the desired effect? ● Decreased serum T3 and T4 levels. ● Increased serum calcium level. ● Decreased serum potassium level. ● Increased blood glucose level. Decreased serum T3 and T4 levels. A nurse is administering furosemide to a client with heart failure. Which assessment finding requires immediate intervention by the nurse? ● Serum sodium level of 136 mEq/L. ● Serum potassium level of 2.8 mEq/L. ● Blood pressure of 118/72 mm Hg. ● Urine output of 500 mL in 4 hours. Serum potassium level of 2.8 mEq/L. The nurse is caring for a client with a history of seizures who is prescribed phenytoin. Which finding indicates that the client may be experiencing an adverse effect of the medication? ● Gingival hyperplasia. ● Increased heart rate. ● Decreased urine output. ● Weight gain. Gingival hyperplasia. A client is prescribed alendronate for the treatment of osteoporosis. Which instruction should the nurse include in the client's teaching plan? ● Take the medication with a full glass of water. ● T ake the medication with food to prevent gastric upset. ● Remain lying down for 30 minutes ● T ake the medication at bedtime. Take the medication with a full glass of water. A client with chronic heart failure is prescribed digoxin. Which finding indicates that the client may be experiencing digoxin toxicity? ● Visual disturbances such as halos or blurred vision. ● Increased appetite. ● Weight gain. ● Increased urine output. Visual disturbances such as halos or blurred vision. The nurse is caring for a client who is receiving vancomycin for the treatment of a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which laboratory result should the nurse monitor to assess for a potential adverse effect of this medication? ● Serum creatinine level. ● White blood cell count. ● Blood glucose level. ● Serum potassium level. Serum creatinine level. A client is prescribed lithium for the treatment of bipolar disorder. Which finding indicates that the client may be experiencing lithium toxicity? ● Coarse hand tremors. ● Increased appetite. ● Weight loss. ● Increased urine output. Coarse hand tremors. A client with atrial fibrillation is prescribed warfarin. The nurse reviews the client's laboratory results and notes an international normalized ratio (INR) of 3.8. What is the most appropriate action for the nurse to take? ● Hold the next dose of warfarin and notify the healthcare provider. ● Administer the next dose of warfarin as prescribed. ● Increase the dose of warfarin. ● Administer vitamin K. Hold the next dose of warfarin and notify the healthcare provider. A client with a history of peptic ulcer disease is prescribed omeprazole. Which instruction should the nurse include in the client's teaching plan? ● Take the medication before meals. ● T ake the medication with a full glass of milk. ● Take the medication at bedtime. ● Take the medication after meals. Take the medication before meals. A client with type 2 diabetes mellitus is prescribed glipizide. Which statement by the client indicates a need for further teaching? ● "I will take the medication 30 minutes before meals." ● "I can skip a meal if I am not hungry after taking the medication." ● "I should avoid drinking alcohol while taking this medication." ● "I should monitor my blood sugar levels regularly. "I can skip a meal if I am not hungry after taking the medication." A nurse is administering metoprolol to a client with hypertension. Which assessment finding indicates that the medication is having the desired effect? ● Blood pressure of 120/80 mm Hg. ● Heart rate of 100 beats per minute. ● Respiratory rate of 20 breaths per minute. ● Serum potassium level of 4.0 mEq/L. Blood pressure of 120/80 mm Hg. A client is prescribed clopidogrel for the prevention of myocardial infarction. Which finding indicates that the client may be experiencing an adverse effect of the medication? ● Nosebleeds. ● Increased heart rate. ● Decreased urine output. ● Weight gain. Nosebleeds. A nurse is caring for a client who is receiving a continuous intravenous infusion of regular insulin. The client reports feeling shaky and sweaty. What is the most appropriate action for the nurse to take? ● Check the client's blood glucose level. ● Decrease the rate of the insulin infusion. ● Administer a PRN dose of dextrose. ● Stop the insulin infusion and notify the healthcare provider. Check the client's blood glucose level. A client is prescribed spironolactone for the treatment of hypertension. Which statement by the client indicates a need for further teaching? ● "I should avoid foods high in potassium while taking this medication." ● "I should take this medication in the morning to avoid nighttime urination." ● "I can take potassium supplements while taking this medication." ● "I should notify my healthcare provider if I experience muscle weakness." "I can take potassium supplements while taking this medication." The nurse is caring for a client who is receiving amiodarone for the treatment of atrial fibrillation. Which finding indicates that the client may be experiencing an adverse effect of the medication? ● Cough and shortness of breath. ● Increased appetite. ● Weight gain. ● Decreased urine output. Cough and shortness of breath. A client with a history of heart failure is prescribed furosemide. Which statement by the client indicates a need for further teaching? ● "I will monitor my weight daily and report any significant changes to my healthcare provider ● "I will take the medication at bedtime to avoid nighttime urination." ● "I should stand up slowly to avoid feeling dizzy." ● "I will eat foods high in potassium, such as bananas and oranges." I will take the medication at bedtime to avoid nighttime urination." A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory result indicates that the client may be experiencing an adverse effect of the medication? ● Decreased white blood cell count. ● Increased serum calcium level. ● Decreased blood glucose level. ● Increased serum potassium level. Decreased white blood cell count. A nurse is administering lisinopril to a client with hypertension. Which assessment finding requires immediate intervention by the nurse? ● Swelling of the lips and tongue. ● Blood pressure of 140/90 mm Hg. ● Heart rate of 88 beats per minute. ● Serum potassium level of 4.5 mEq/L. Swelling of the lips and tongue. A client is prescribed levothyroxine for the treatment of hypothyroidism. Which finding indicates that the medication is having the desired effect? ● Increased energy levels. ● Weight gain. ● Decreased heart rate. ● Cold intolerance. Increased energy levels. A nurse is caring for a client who is receiving enoxaparin for the prevention of deep vein thrombosis (DVT). Which assessment finding requires immediate intervention by the nurse? ● Black, tarry stools. ● Bruising at the injection site. ● Mild epistaxis (nosebleed). ● Fatigue. Black, tarry stools. A client with chronic kidney disease (CKD) is prescribed calcium carbonate. Which statement by the client indicates a need for further teaching? ● "I will take the medication with meals." ● "I will monitor my calcium levels regularly." ● "I should avoid taking this medication with other calcium supplements." ● "I will take the medication with a glass of milk." "I will take the medication with a glass of milk." A nurse is administering metoclopramide to a client for the treatment of nausea. Which assessment finding indicates that the client may be experiencing an adverse effect of the medication? ● Involuntary muscle movements. ● Increased appetite. ● Decreased urine output. ● Weight gain. Involuntary muscle movements. A client with a history of myocardial infarction is prescribed atorvastatin. Which laboratory result should the nurse monitor to assess for a potential adverse effect of this medication? ● Liver function tests (LFTs). ● Blood glucose level. ● Serum potassium level. ● Complete blood count (CBC). Liver function tests (LFTs). A client with chronic heart failure is prescribed digoxin. Which assessment finding indicates that the client is experiencing digoxin toxicity? ● Bradycardia. ● Weight gain. ● Increased urine output. ● Diarrhea. Bradycardia. A nurse is providing discharge instructions to a client who is prescribed prednisone. Which statement by the client indicates a need for further teaching? ● "I should take the medication with food to prevent stomach upset." ● "I can stop taking the medication once I feel better." ● "I should avoid people who are sick while taking this medication." ● "I should monitor my blood sugar levels regularly while taking this medication." "I can stop taking the medication once I feel better." A client with type 2 diabetes mellitus is prescribed pioglitazone. Which assessment finding requires immediate intervention by the nurse? ● Weight gain of 5 pounds in one week. ● Fasting blood glucose of 140 mg/dL. ● Hemoglobin A1c of 7.5%. ● Serum potassium level of 4.0 mEq/L. Weight gain of 5 pounds in one week. A client with chronic kidney disease (CKD) is prescribed sodium polystyrene sulfonate. Which laboratory result indicates that the medication is having the desired effect? ● Decreased serum potassium level. ● Increased serum sodium level. ● Decreased serum calcium level. ● Increased serum phosphate level. Decreased serum potassium level. A nurse is caring for a client who is receiving hydromorphone for the treatment of severe pain. Which assessment finding requires immediate intervention by the nurse? ● Respiratory rate of 8 breaths per minute. ● Blood pressure of 110/70 mm Hg. ● Heart rate of 80 beats per minute. ● Sedation score of 2 (drowsy but arousable). Respiratory rate of 8 breaths per minute. A client with a history of hypertension is prescribed hydrochlorothiazide. Which statement by the client indicates a need for further teaching? ● "I will take the medication in the morning to avoid nighttime urination." ● "I should stand up slowly to avoid feeling dizzy." ● "I will limit my intake of foods high in potassium." ● "I should monitor my weight regularly while taking this medication." "I will limit my intake of foods high in potassium." A client with a history of atrial fibrillation is prescribed diltiazem. Which assessment finding indicates that the medication is having the desired effect? ● Heart rate of 68 beats per minute. ● Blood pressure of 140/90 mm Hg. ● Respiratory rate of 20 breaths per minute. ● Serum potassium level of 4.0 mEq/L. Heart rate of 68 beats per minute. A nurse is caring for a client who is receiving gentamicin. Which laboratory result should the nurse monitor to assess for a potential adverse effect of this medication? ● Serum creatinine level. ● Complete blood count (CBC). ● Blood glucose level. ● Serum potassium level. Serum creatinine level. C. Watch for signs and symptoms of jitteriness or diaphoresis (Rationale: Combining those two drugs significantly increases risk of hypoglycemia.) A client with type 2 diabetes mellitus is managed with glimepiride. The primary healthcare provider adds a new prescription for injectable exenatide. Which information is most important for the nurse to teach this client? A. Notify the healthcare provide if anorexia occurs B. Consume additional sources of potassium. C. Watch for signs of jitteriness or diaphoresis. D. Administer subcutaneously after meals. 1. Pure opioid agonist 2. Mu (opioid receptors) 3. Severe Pain The client is a 42 year old female who had a right above the knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on postoperative day 1. The nurse is discussing the client's pain management with a student nurse. Choose the most likely options for the information missing for the statement by selecting form the list of options provided. Morphine is a _______ and it activates ______ receptors and is used to relieve __________. A. Have a manual resuscitation bag at the bedside. C. Ask the client about other medications she takes. F. Take an initial respiratory rate. The client is a 42 year old female who had a right above the knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on postoperative day 1. Which actions should the nurse take to assure safety during morphine administration? SATA A. Have a manual resuscitation bag at the bedside. B. Suction the client to clear the airway. C. Ask the client about other medications she takes. D. Perform a 12-lead EKG E. Restrain the client with soft restraints. F. Take an initial respiratory rate. C. Docusate Sodium D. Ibuprofen E. Nalaxone F. Senna The client is a 42 year old female who had a right above the knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on postoperative day 1. Which other medication would the nurse expect the surgeon to prescribe along with morphine? SATA A. Propofol B. Methadone C. Docusate Sodium D. Ibuprofen E. Nalaxone F. Senna A. Nausea D. Orthostatic hypotension G. Sedation The client is a 42 year old female who had a right above the knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on postoperative day 1. The charge nurse places a fall precautions sign on the client's door. Which side effects of morphine could contribute to this client's fall risk? SATA A. Nausea B. Euphoria C. Itching D. Orthostatic Hypotension E. Seizures F. Urinary retention G. Sedation. B. Call for rapid response E. Give Naloxone 2mg IV push F. Provide rescue breaths with a manual ventilation bag Which should the nurse do Immediately? SATA A. Print an electrocardiogram B. Call for rapid response C. Perform Chest compressions D. Apply oxygen via nasal cannula E. Give Naloxone 2mg IV push F. Provide rescue breaths with a manual ventilation bag "Naloxone will not effect the client's level of pain" - NO UNDERSTANDING "You can give naloxone intravenously, intramuscularly or subcutaneously" - UNDERSTANDING "When given IV, naloxone starts working immediately and can last several hours".- NO UNDERSTANDING "if the first does does not work, you can give as many doses as needed to reverse respiratory depression". UNDERSTANDING "Naloxone works best on pure agonist opioids"- UNDERSTANDING For each statement , click to indicate whether the statements by the student nurse indicate understanding or no understanding of naloxone. Each row must have one option selected. "Naloxone will not effect the client's level of pain" "You can give naloxone intravenously, intramuscularly or subcutaneously" "When given IV, naloxone starts working immediately and can last several hours" "if the first does does not work, you can give as many doses as needed to reverse respiratory depression" "Naloxone works best on pure agonist opioids" A. high triglyceride levels B. Chronic Alcohol use C. Gallstones E. Pancreatitis The nurse is caring for a client with type 2 diabetes mellitus who is taking liraglutide. Which problem(s) in the client's history may increase the risk for development of pancreatitis? A. high triglyceride levels B. Chronic Alcohol use C. Gallstones D. Moderate daily alcohol use E. Pancreatitis A. promotes excretion of uric acid in the urine. The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug? A. promotes excretion of uric acid in the urine. B. Prevents the formation of kidney stones C. Decreases pain and burning during urination. D. Increases the strength of the urine stream. A. Observe the client for the presence of pain behaviors before the next analgesic dose is due. Which action should the nurse take to assess for analgesic tolerance in a client who us unable to communicate? A. Observe the client for the presence of pain behaviors before the next analgesic dose is due. B. Review the client's laboratory values for a change in the peak and trough levels of the analgesics. C. Prolong the interval between analgesic medication doses and monitor the clients vital signs. D. Ask family members to report behaviors suggesting that the client's pain is returned. D. Report these side effects to the healthcare provider. A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred and he has an ataxic gate. Which action should the nurse implement? A. Explain the need to refrain from alcohol use while taking the drug B. Document the client's continued seizure activity C. Advise the client to discontinue the medication immediately. D. Report these side effects to the healthcare provider. ACTIONS TO TAKE Assess the clients medication history Hold the next dose of chlorpromazine POTENTIAL CONDITIONS Tardive dyskinesia (missing one) PARAMETERS TO MONITOR mental status BOWTIE: The client is a 38-yr-old-female who was brought to the hospital following a workplace accident. She has a deep laceration to her left thigh and a fracture of the left tibia. Her wound was cleaned and dressed in the ED, and she was given 2 units of packed red blood celss. She received morphine 2mg IV for pain during the procedure and cephalexin 1 gram IV and an antibiotic prophylaxis. She is being admitted for neuromuscular checks and monitoring for bleeding. The client has a history of bipolar disorder and she takes chlorpromazine 25mg PO 3times a day. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress. ACTIONS TO TAKE CHOICES Give dipenhydramine IV Give a bolus of IV fluids Hold the next dose of chlo C. Take medication on an empty stomach A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse education was effective? A. Consume foods that are high in iodine. B. Administer levothyroxine at bed time C. Take medication on an empty stomach D. Avoid the use of iron supplements. D. Contact the healthcare provider (HCP) (Rationale: Clients with a history of anaphylaxis to penicillin are at increases risk for a cross-reactivity with cephalosporins.) A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500mg PO twice daily. Which action should the nurse take? A. Give with prescribed antihistamine B. Administer the medication as prescribed C. Monitor the client for a rash or hives D. Contact the healthcare provider (HCP) B. Another form of contraception is not needed. A female client with mild depression to the nurse recently starting st. John's wort. Which information provided by the client requires further instructions? A. Insomnia may occur while taking the medication. B. Another form of contraception is not needed. C. Hard candy can be used for a dry mouth D. Sensitivity to the sun can develop. C. Listen to the heart at the left 5th intercostal space The nurse is preparing to administer the client's morning dose of digoxin. Which actions should the nurse take prior to administering the digoxin? A. Verify that the urine output exceeds 30 ML per hours B. Check the client for signs of orthostatic hypotension C. Listen to the heart at the left 5th intercostal space D. Obtain a left radial pulse rate for a full 30 seconds. A. Elective surgery is schedule in two hours. A client has a prescription for clopidrogel bisulfate 75mg by mouth daily 0900. in which situation should the nurse hold this medication? A. Elective surgery is schedule in two hours. B. An abdominal sonogram is scheduled. C. Breakfast has not been eaten D. The client's platelet level is high. A. Avoid the use of alcohol. A client is receiving metronidazole for clostridium difficile pseudomembranous colitis. Which information should the nurse include in the client's medication teaching plan? A. Avoid the use of alcohol. B. Drink a liter of water daily C. keep medication refrigerated D. Take one hour after eating. C. Assess the client's level of consciousness (LOC) The client is receiving fentanyl transdermal patch 25 mcg/hr. Which nursing intervention is most important for the nurse to initiate? A. observe the client's mucus membranes B. Auscultate the client's bowl sounds C. Assess the client's level of consciousness (LOC) D. Record the client's urinary output D. Give sucralfate on an empty stomach. The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care? A. Assess for secondary Candida infection B. Monitor for electrolyte imbalance C. Administer sucralfate once a day, preferably at bedtime. D. Give sucralfate on an empty stomach. 2.5 mL The nurse plans to administer naloxone 1mg. The label of the 10mL vial indicates that the drug concentration is "Naloxone 0.4 mg/mL". How many mL should the nurse administer? (numeric value only- round to the nearest tenth) _______ mL C. Urinary Output equals intake Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention? A. Absence of xerostomia B. Denies stress incontinence C. Urinary Output equals intake D. No terminal urinary dribbling Non-Blanchable red area - Non therapeutic side effect Pain rating of 2 on a pain scale of 0 to 10 - Unrelated Sinus Tachycardia - Non therapeutic side effect Itching in legs - Unrelated Blood Pressure 135/81 - Unrelated Semifluid Stool - therapeutic result Burning Sensation - Non therapeutic side effect A 44 year old female who had multiple traumatic injuries resulting from an assault. The attacker used a baseball bat to hit the client's legs repeatedly. She has multiple fractures to her legs. She also has a fracture to her wrist and abrasions on her right arm after falling. Buck's traction applied and stabilized. Review H&P, nurse's notes, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected. Non-Blanchable red area Pain rating 2 on a pain scale of 0 to 10 Sinus Tachycardia Itching in legs Blood Pressure 135/81 Semifluid Stool Burning Sensation A. Take medication during pregnancy A client receives a prescription for methotrexate. Which information provided by the client requires additional instruction by the nurse? A. Take the medication during pregnancy B. Use folic acid to protect the liver C. Store the medication at room temperature D. Obtain a platelet count weekly. A. Hold the dose and notify the healthcare provider of the changes in laboratory studies. The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase( AST). Which action should the nurse implement? A. Hold the dose and notify the healthcare provider of the changes in laboratory studies. B. Hold the dose and notify the pharmacy to stop dispensing the next premixed doses. C. Begin the infusion and submit a drug reaction report to the nursing supervisor. D. Begin the infusion and monitor the client's blood urea nitrogen (BUN), serum creatinine, and liver function tests. C. Leave the patch in place and administer a PRN dose of sublingual nitroglycerine A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86. A transdermal nitroglycerine patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take. A. Reassure the client that the patch will begin to take effect within a few minutes. B. withhold further doses of nitroglycerin until contacting the healthcare provider. C. Leave the patch in place and administer a PRN dose of sublingual nitroglycerine D. Obtain another transdermal patch and position it on the clients left upper chest. A. Hearing has decreased A male client has been receiving the antibiotic gentamicin sulfate , IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? A. hearing has decreased B. White blood cell count of 6,000 C. Decreased blood urea nitrogen D. Reports of photophobia B. Tell the daughter to check with the healthcare provider before providing herbal supplements. D. Remind the client that herbal medications are not regulated by the Food and Drug Administration E. Explain that melatonin can interfere with the action of prescribed medications for DM and HF. An older client who has type 2 diabetes mellitus and a history of heart failure tells the home health nurse that his daughter brought him melatonin to help with sleeping problems. Which information should the nurse provide to the client? Select all that apply. A. The body builds up a tolerance to melatonin, requiring higher dose to get the therapeutic benefits. B. Tell the daughter to check with the healthcare provider before providing herbal supplements. C. Remind the daughter that all herbal supplements will not be helpful given the condition of the client. D. Remind the client that herbal medications are not regulated by the Food and Drug Administration E. Explain that melatonin can interfere with the action of prescribed medications for DM and HF. B. Advise the client that healing typically takes several weeks to occur A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction of symptoms after taking lansoprazole PO for one full week. Which action should the nurse take? A. Notify the Healthcare provider that the client may need to change in dosage B. Advise the client healing typically takes several weeks to occur C. Confirm that the client is taking medication one hour after meals. D. Auscultate the client's bowel sounds and measure the abdominal girth. B. Store unused vials at room temperature A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse? A. Discard the medication if the solution is cloudy B. Store unused vials at room temperature C.Administer medication subcutaneously D. Rotate the injection sites to minimize discomfort A. Calcium 13.0 mg/dL The nurse is preparing to administer alendronate to a client with osteoporosis. Which lab value indicates that the nurse should withhold the medication and contact the healthcare provider? A. Calcium 13.0 mg/dL B. Magnesium 2.4 mEq/L C. Potassium 5.2 mEq/L D.Sodium 132 mEq/L 1. Reducing stroke volume 2. Reducing Systemic Vascular Resistance 3. Decreasing Serum Sodium Levels The client is a 42 year old female with a history of obesity, hypertension, and GERD. She is currently taking lisinopril for blood pressure control. She has been monitoring her blood pressure at homoe and has found the systolic blood pressure measurement 150 to 160 mm Hg. Select from word choices to complete the sentence The thiazide diuretic works to decrease the client's blood pressure by _________ and the angiotensin converting enzyme (ACE) inhibitor works to decrease the client's blood pressure by ___________ and __________ D. Provide instructions in managing these side effects. A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and dry mouth. How should the nurse respond? A. Determine if the medication is being taken correctly B. Schedule an appointment for evaluation by the healthcare provider. C. Advise stopping the medication until the unpleasant effects wear off. D. Provide instructions in managing these side effects. A. Feverfew may interact with aspirin or nonsteroidal antiinflammatory drugs (NSAIDS) A client who experiences migraine headaches reports fewer headaches since using the herbal remedy feverfew. Which information is the most important for the nurse to include in a teaching plan for this client? A. Feverfew may interact with aspirin or nonsteroidal antiinflammatory drugs (NSAIDS) B. those with allergies to chamomile, ragweed, or yarrow should not take feverfew. C.Abdominal pain ,gas ,nausea, vomiting and diarrhea can occur when taking feverfew D. increased anxiety and nervousness have been reported by those taking feverfew. A. Apply the new patch today use a backup method for 7 days A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client? A. Apply the new patch today use a backup method for 7 days B. Wait until Sunday to apply the new patch and use the same site. C. If pregnancy test is negative, apply the next patch immediately. D. Wait until the last of your next menstrual period to apply the patch. b. are you taking any type of anabolic steroids? A Young male athlete tells the nurse that he is concerned because his testicles seem to be shrinking. Which question is most important for the nurse to ask the client? a. do you perform regular testicular self examinations? b. are you taking any type of anabolic steroids? c. do you use any herbal supplements? d. how many hours a day do you spend exercising? A. Serum potassium level of 3.8 mEq/L The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury. Which laboratory finding indicates that the medication has been effective? A. Serum potassium level of 3.8 mEq/L B. Serum ammonia level of 30 C. Hemoglobin level of 13.5 g/dL D. Serum glucose level of 120 mg/dL C. No peak occurs The nurse is teaching a client with type 1 diabetes mellitus about the onset, peak and duration of a new prescription for glargine insulin. If the insulin is self administered at 0800, when is the client most likely to experience hypoglycemia? A. Midmorning B. Shortly after midnight C. No peak occurs D. Midafternoon B. Albuterol via nebulizer D. Levalbuterol inhaler The client is a 34-year old male with history of seasonal allergies. He was jogging this morning and became short of breath. He took one puff of an "emergency inhaler" but is unsure of the name of the medication. Upon exam, the client is anxious, tachypneic, tachycardic and wheezing. Which 2 drugs would be the most appropriate to give the client now? (review history) A. Salemterol via nebulizer B. Albuterol via nebulizer C. Fexofenadine orally D. Levalbuterol inhaler E. Racemic ephinephrine via nebulizer F. Budesonide via metered dose inhaler short acting beta-agonist bronchospasm The client is a 34-year old male with history of seasonal allergies. He was jogging this morning and became short of breath. He took one puff of an "emergency inhaler" but is unsure of the name of the medication. Upon exam, the client is anxious, tachypneic, tachycardic and wheezing. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. Albuterol is a _________ that decreases __________. The client's hands are trembling reporting a headache. Heart rate is 129 beats/minute The client is a 34-year old male with history of seasonal allergies. He was jogging this morning and became short of breath. He took one puff of an "emergency inhaler" but is unsure of the name of the medication. Upon exam, the client is anxious, tachypneic, tachycardic and wheezing. Click to specify which aspects of the 0930 focused assessment indicated adverse reactions to albuterol. 0930: Albuterol given as prescribed via nebulizer. Following the treatment, decreased wheezing noted. The client's hands are trembling and is reporting a headache. Heart rate is 129 beats/minute, respirations 20 breaths/minute, blood pressure 125/72 mm Hg, oxygen saturation 99% on room air. B. Biologics D. Glucocorticoids E. Long acting beta agonists The client is a 34-year old male with history of seasonal allergies. He was jogging this morning and became short of breath. He took one puff of an "emergency inhaler" but is unsure of the name of the medication. Upon exam, the client is anxious, tachypneic, tachycardic and wheezing. Which other medications might be helpful for this client in management of his asthma? SATA A. Antiproliferation agents B. Biologics C. Loop Diuretics D. Glucocorticoids E. Long acting beta agonists F. Angiotensin- Converting Enzyme (ACE) Inhibitor C. Dry Mouth D. Oral Candidiasis F. Adrenal suppression The client is a 34-year old male with history of seasonal allergies. He was jogging this morning and became short of breath. He took one puff of an "emergency inhaler" but is unsure of the name of the medication. Upon exam, the client is anxious, tachypneic, tachycardic and wheezing. Which possible side effects of fluticasone should the nurse advise the client about? SATA A. Hyperglycemia B. Dehydration C. Dry Mouth D. Oral Candidiasis E. Hypoxia F. Adrenal suppression G. Hyperkalemia "the inhaled fluticasone that I was prescribed carries just as much risk as an oral steroid" - NO UNDERSTANDING "If this treatment plan does not work , there are other drugs and combination of drugs that I can get from my doctor to manage my asthma" - UNDERSTANDING "Even with asthma, I can maintain normal activity levels." - UNDERSTANDING "I should keep track of my peak expiratory flow to see how well I am managing my asthma." - UNDERSTANDING " I can decrease my risk of asthma attacks if I reduce my exposure to allergies in my home." - UNDERSTANDING "I should discontinue using albuterol after I fill my prescription for fluticasone" - NO UNDERSTANDING Click to specify whether the client statements following asthma management education indicate understanding or no understanding. Each row must have one option selected. "the inhaled fluticasone that I was prescribed carries just as much risk as an oral steroid" "If this treatment plan does not work , there are other drugs and combination of drugs that I can get from my doctor to manage my asthma" "Even with asthma, I can maintain normal activity levels." "I should keep track of my peak expiratory flow to see how well I am managing my asthma." " I can decrease my risk of asthma attacks if I reduce my exposure to allergies in my home." "I should discontinue using albuterol after I fill my prescription for fluticasone" A. Report finding to healthcare provider. While assessing a client who takes acetaminophen for chronic pain the nurse observes that the clients skin looks yellow in in color. Which action should the nurse take in response to this finding? A. Report the finding to Healthcare provider B. Check the client's capillary glucose level C. Advise the client to reduce the medication dose D. Use a pulse oximeter to assess oxygen saturation D. Hemoglobin The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review? A. Sodium B. Glucose C. Total protein D. Hemoglobin A. Document the assessment findings in electronic health record. A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two weeks. The nurse notes that the client remains weak with observable muscle atrophy. Which action should the nurse take? A. Document the assessment findings in electronic health record. B. Explain that the medication takes several weeks to reverse symptoms. C. Advise the client to schedule an appointment for liver function tests. D. Withhold the medication until the healthcare provider is notified. ACTIONS TO TAKE: Assess medication interactions Hold theophylline POTENTIAL CONDITIONS: Drug Toxicity PARAMETERS TO MONITOR: Theophylline blood levels cardiac rhythm BOWTIE: Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress. A. Administer an additional dose of naloxone A client who is obtunded arrives in the emergency department with a suspected drug overdose. The client becomes responsive after the administration of IV nalaxone, but within a short period, the client's level of consciousness decreases again and the respiratory rate decreases to 6 breaths/minute. Which action should the nurse takes first? A. Administer an additional dose of naloxone B. Initiate a second intravenous access site C. Prepare to initiate CPR D. Determine if results of the drug toxicity screen are available. C. Review eye pressure measurements A client with open angle glaucoma is using pilocarpine opthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating effectiveness of the medication? A. Palpate eyelids for decreased swelling B. Check amount of drainage from each eye. C. Review eye pressure measurements. D. Use Snellen Chart to assess visual acuity. B. Discontinue when spams cease. A client with muscle spasticity received prescription for baclofen. Which information provided by the client requires additional instruction by the nurse? A. Use a stool softener as needed B. Discontinue when spams cease. C. Avoid the ingestion of alcohol D. Take medication with meals. A. Dry mouth, blurred vision, and constipation The nurse determines that client has been taking antidepressants for the past six months. Which symptoms are common side effects of this medication classification? A. Dry mouth, blurred vision, and constipation B. Headache, jaundice, and diarrhea C. Bradycardia, delirium, and sedation. D. Insomnia, hypertension, and vomiting. D. Cover the site with an occlusive dressing A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed. A. Apply the cream to the area for 2 weeks. B. Limit exposure to direct sunlight C. Use the cream only on intact skin D. Cover the site with an occlusive dressing B. Blood pressure C. Heart sounds D. Daily weight An older client with heart failure coronary artery disease, and hypertension is receiving atenolol, furosemide, and enalapril daily. Which assessment should the nurse include in evaluating the effectiveness of the medications? SATA A. Range of motion B. Blood pressure C. Heart sounds D. Daily weight E. Bowel sounds A. Take the medication during pregnancy A client receives a prescription for methotrexate. Which information provided by the client requires additional instruction by the nurse? A. Take the medication during pregnancy B. Use folic acid to protect the liver C. Store the medication at room temperature D. Obtain a platelet count weekly D. A patient with rheumatoid arthritis who is taking NSAIDs Which patient has an indication to safely receive misoprostol? A. A patient with severe diarrhea B. A patient with diabetic gastroparesis C. A patient with peptic ulcers who is pregnant D. A patient with rheumatoid arthritis who is taking NSAIDs Urinary Retention History of benign prostatic hyperplasia History of hypertension (NGN 1) 63-year-old male client comes to the clinic today for a routine follow-up. The client recently adopted a small dog for companionship since losing his wife and reports experiencing rhinorrhea and sneezing over the last couple of weeks. He has not tried any medications to relieve the symptoms the client also report trouble sleeping, frequent headaches, and overeating since the death of his spouse. He has a medical history significant for hypertension treated with lisinopril and benign prostatic hyperplasia (BPH) treated with tamsulosin and dutasteride. The client is at risk for developing _________ from diphenhydramine, as evidenced by his ________ and _______ C. Monitor numeric pain scale The nurse assess a client with intermittent claudication who is receiving pentoxifylline (trental). Which assessment should the nurse perform to determine the effectiveness of the medication? A. Measure hourly urinary output B. Evaluate level of consciousness C. Monitor numeric pain scale D. Auscultate bowel sounds B. Advise the client that healing typically takes several weeks to occur. A client who is newly diagnosed with erosive esophagitis secondary to GERD reports to the home health nurse that there has only been minimal reduction in sx after taking lansoprazole PO for one full week. What acti