Pharm 2019 A updated qustions with 100% correct answers

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? "I should apply a patch every 5 minutes if I develop chest pain." "I will take the patch off right after my evening meal." "I will leave the patch off at least 1 day each week." "I should discard the used patch by flushing it down the toilet." "I will take the patch off right after my evening meal." Clients should remove the patch each evening for a medication free time of 12 to 14 hr before applying a new patch to avoid developing a tolerance to the medication's effects. A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)? MSO4 5 mg subcut every 4 hr PRN severe pain Morphine 5 mg subcut every 4 hr PRN severe pain MSO4 5 mg SQ every 4 hr PRN severe pain Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain Morphine 5 mg subcut every 4 hr PRN severe pain The nurse should identify this entry as the correct format for the MAR. The medication name is spelled out and there are not any abbreviations from The Joint Commission's "Do Not Use" list included in the transcription. 00:15 01:46 A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report Tingling of fingers Constipation Weight gain Oliguria Tingling of fingers The nurse should instruct the client to report the adverse effect of paresthesia, a tingling sensation in the extremities, when taking acetazolamide. A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? Report the incident to the charge nurse. Notify the provider. Check the client's blood glucose. Fill out an incident report. check blood sugar The first action the nurse should take using the nursing process is to assess the client. The client is at risk for hypoglycemia. The nurse should monitor the client's blood glucose and provide the client with a snack to reduce the risk for hypoglycemia. A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? Constipation Drowsiness Facial flushing Itching constipation Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine. A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? Diastolic BP Systolic BP Heart rate Respiratory rate HR Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing the heart rate. The nurse should withhold the medication and notify the provider for a heart rate of 55/min because this is an early indication of digoxin toxicity. A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified. 1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath. IV fluid initiated at 0500. Lungs clear to auscultation. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified The nurse should document the type and amount of fluid, how long it took to infuse, provider notification, and the client's physical status. A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? Decreases stomach acid secretion Neutralizes acids in the stomach Forms a protective barrier over ulcers Treats ulcers by eradicating H. pylori Forms a protective barrier over ulcers Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin. A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? Tall, tented T-waves Presence of U-waves Widened QRS complex ST elevation U waves The nurse should identify the presence of U-waves as a manifestation of hypokalemia, an adverse effect of furosemide. A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? Constipation Tinnitus Hypoglycemia Joint pain Tinnitus Aminoglycosides, such as gentamicin, are ototoxic, which can manifest as tinnitus and deafness. The nurse should monitor the client for high-pitched ringing in the ears and headaches and should notify the provider if these occur. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? Administer the medication outside the 5-cm (2-in) radius of the umbilicus. Aspirate for blood return before injecting. Rub vigorously after the injection to promote absorption. Place a pressure dressing on the injection site to prevent bleeding. Administer the medication outside the 5-cm (2-in) radius of the umbilicus. The nurse should administer the heparin by subcutaneous injection to the abdomen in an area that is above the iliac crest and at least 5 cm (2 in) away from the umbilicus. A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? "I have tendonitis, so I haven't been able to exercise." "I take a stool softener for chronic constipation." "I take medicine for my thyroid." "I am allergic to sulfa." "I have tendonitis, so I haven't been able to exercise." The nurse should identify tendonitis as a contraindication for taking ciprofloxacin due to the risk of tendon rupture.