Pharmacology Content Mastery Review
Questions With Correct Answers
A nurse is monitoring a client who has just returned to the unit
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following surgery. The client received an initial dose of morphine 5 mg
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IV bolus for pain relief. Which of the following adverse effects should
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the nurse report immediately to the provider? - CORRECT ANSWER✔✔-
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Respiratory rate 11/min | |
When using the airway, breathing, circulation approach to client care,
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the priority finding is a respiratory rate of 11/min indicating respiratory
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depression.
A nurse is reinforcing teaching with a client who is prescribed captopril
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for hypertension. Which of the following side effects should the nurse
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instruct the client to report to the provider immediately? - CORRECT
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ANSWER✔✔-Sore throat |
The greatest risk to the client is infection related to neutropenia.
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Unexplained fever, sore throat, and fatigue can indicate an infection and
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should be immediately reported to the provider.
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A nurse is reinforcing teaching with a client who has a new prescription
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for spironolactone for hypertension. Which of the following instructions
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should the nurse include in the teaching? - CORRECT ANSWER✔✔-
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Restrict foods high in potassium.| | | |
,Spironolactone is a potassium-sparing diuretic, which can cause | | | | | | | |
hyperkalemia. Therefore, the client should restrict foods that are high in
| | | | | | | | | |
potassium.
|
A nurse is reinforcing teaching with a client about the adverse effects of
| | | | | | | | | | | | |
simvastatin. For which of the following adverse effects should the nurse
| | | | | | | | | | |
instruct the client to monitor? - CORRECT ANSWER✔✔-Muscle pain
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The nurse should instruct the client to notify the provider if muscle pain
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or tenderness develops, because this could indicate rhabdomyolysis.
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A nurse is performing the third check before administering
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hydromorphone to a client. After opening the unit-dose packet, the | | | | | | | | | |
client tells the nurse he does not want to take the medication now.
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Which of the following actions should the nurse take? - CORRECT
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ANSWER✔✔-Dispose of the medication with a second nurse as a | | | | | | | | | |
witness.
The nurse must have a witness when disposing of a controlled
| | | | | | | | | | |
substance.
A nurse is caring for a client who is prescribed an IM injection of
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penicillin G benzathine. The client asks why the injection must be given
| | | | | | | | | | | |
IM instead of through his IV line. Which of the following is the correct
| | | | | | | | | | | | | |
response by the nurse? - CORRECT ANSWER✔✔-"Your medication can't
| | | | | | | | |
be given IV because it is not water-soluble."
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Medications cannot be administered IV if they are not water-soluble.
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, A nurse is assisting with the care of a client who is in preterm labor and
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is receiving magnesium sulfate by continuous IV infusion. Which of the
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following findings indicats magnesium toxicity? - CORRECT
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ANSWER✔✔-Hyporeflexia
Magnesium sulfate depresses neuromuscular activity, leading to muscle
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weakness and paralysis. Therefore, hyporeflexia can indicate
| | | | | | |
magnesium toxicity. |
A nurse is reinforcing teaching with a client who is prescribed a
| | | | | | | | | | | |
scopolamine patch for motion sickness. Which of the following client
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statements indicates an understanding of the teaching? - CORRECT
| | | | | | | | |
ANSWER✔✔-"I should place the patch behind my ear." | | | | | | |
The client should place the scopolamine patch behind the ear.
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A nurse is monitoring a client who is receiving IV amphotericin B. Which
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of the following findings indicates an adverse reaction to this
| | | | | | | | | |
medication? - CORRECT ANSWER✔✔-Vertigo | | |
Ototoxicity is an adverse effect of amphotericin B. Manifestations of
| | | | | | | | | |
ototoxicity include vertigo, tinnitus, and hearing loss.
| | | | | |
A nurse is reinforcing teaching with a client who is using phenylephrine
| | | | | | | | | | | |
nasal spray three times daily and reports rebound congestion. Which of
| | | | | | | | | | |
the following instructions should the nurse include to reduce the effects
| | | | | | | | | |
Questions With Correct Answers
A nurse is monitoring a client who has just returned to the unit
| | | | | | | | | | | | |
following surgery. The client received an initial dose of morphine 5 mg
| | | | | | | | | | | |
IV bolus for pain relief. Which of the following adverse effects should
| | | | | | | | | | | |
the nurse report immediately to the provider? - CORRECT ANSWER✔✔-
| | | | | | | | |
Respiratory rate 11/min | |
When using the airway, breathing, circulation approach to client care,
| | | | | | | | | |
the priority finding is a respiratory rate of 11/min indicating respiratory
| | | | | | | | | | |
depression.
A nurse is reinforcing teaching with a client who is prescribed captopril
| | | | | | | | | | | |
for hypertension. Which of the following side effects should the nurse
| | | | | | | | | | |
instruct the client to report to the provider immediately? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Sore throat |
The greatest risk to the client is infection related to neutropenia.
| | | | | | | | | | |
Unexplained fever, sore throat, and fatigue can indicate an infection and
| | | | | | | | | |
should be immediately reported to the provider.
| | | | | | |
A nurse is reinforcing teaching with a client who has a new prescription
| | | | | | | | | | | | |
for spironolactone for hypertension. Which of the following instructions
| | | | | | | | |
should the nurse include in the teaching? - CORRECT ANSWER✔✔-
| | | | | | | | |
Restrict foods high in potassium.| | | |
,Spironolactone is a potassium-sparing diuretic, which can cause | | | | | | | |
hyperkalemia. Therefore, the client should restrict foods that are high in
| | | | | | | | | |
potassium.
|
A nurse is reinforcing teaching with a client about the adverse effects of
| | | | | | | | | | | | |
simvastatin. For which of the following adverse effects should the nurse
| | | | | | | | | | |
instruct the client to monitor? - CORRECT ANSWER✔✔-Muscle pain
| | | | | | | |
The nurse should instruct the client to notify the provider if muscle pain
| | | | | | | | | | | | |
or tenderness develops, because this could indicate rhabdomyolysis.
| | | | | | |
A nurse is performing the third check before administering
| | | | | | | | |
hydromorphone to a client. After opening the unit-dose packet, the | | | | | | | | | |
client tells the nurse he does not want to take the medication now.
| | | | | | | | | | | | |
Which of the following actions should the nurse take? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Dispose of the medication with a second nurse as a | | | | | | | | | |
witness.
The nurse must have a witness when disposing of a controlled
| | | | | | | | | | |
substance.
A nurse is caring for a client who is prescribed an IM injection of
| | | | | | | | | | | | | |
penicillin G benzathine. The client asks why the injection must be given
| | | | | | | | | | | |
IM instead of through his IV line. Which of the following is the correct
| | | | | | | | | | | | | |
response by the nurse? - CORRECT ANSWER✔✔-"Your medication can't
| | | | | | | | |
be given IV because it is not water-soluble."
| | | | | | |
Medications cannot be administered IV if they are not water-soluble.
| | | | | | | | |
, A nurse is assisting with the care of a client who is in preterm labor and
| | | | | | | | | | | | | | | |
is receiving magnesium sulfate by continuous IV infusion. Which of the
| | | | | | | | | | |
following findings indicats magnesium toxicity? - CORRECT
| | | | | | |
ANSWER✔✔-Hyporeflexia
Magnesium sulfate depresses neuromuscular activity, leading to muscle
| | | | | | | |
weakness and paralysis. Therefore, hyporeflexia can indicate
| | | | | | |
magnesium toxicity. |
A nurse is reinforcing teaching with a client who is prescribed a
| | | | | | | | | | | |
scopolamine patch for motion sickness. Which of the following client
| | | | | | | | | |
statements indicates an understanding of the teaching? - CORRECT
| | | | | | | | |
ANSWER✔✔-"I should place the patch behind my ear." | | | | | | |
The client should place the scopolamine patch behind the ear.
| | | | | | | | |
A nurse is monitoring a client who is receiving IV amphotericin B. Which
| | | | | | | | | | | | |
of the following findings indicates an adverse reaction to this
| | | | | | | | | |
medication? - CORRECT ANSWER✔✔-Vertigo | | |
Ototoxicity is an adverse effect of amphotericin B. Manifestations of
| | | | | | | | | |
ototoxicity include vertigo, tinnitus, and hearing loss.
| | | | | |
A nurse is reinforcing teaching with a client who is using phenylephrine
| | | | | | | | | | | |
nasal spray three times daily and reports rebound congestion. Which of
| | | | | | | | | | |
the following instructions should the nurse include to reduce the effects
| | | | | | | | | |
