Pharm Exam 3 Practice NCLEX style questions And Answers 2022/2023

Your patient has been switched from valproic acid (Depakote) to gabepentin (Neurontin). Which of the following is a false statement? a. Gabapentin (Neurontin) is also used for bipolar disorder therapy b. Gabapentin (Neurontin) requires more frequent hepatic monitoring c. Gabapentin (Neurontin) is also used for migraine therapy d. Gabapentin (Neurontin) should not be given concurrently with antacids containing magnesium - Answer - b. Gabapentin (Neurontin) requires more frequent hepatic monitoring In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client: A) That therapy typically lasts about 6 months. B) That weekly laboratory tests for T4 levels will be required. C) To report weight loss, anxiety, insomnia, and palpitations. D) That the drug may be taken every other day if diarrhea occurs. - Answer - C) To report weight loss, anxiety, insomnia, and palpitations. A patient with hyperthyroidism is taking propylthiouracil (PTU). The nurse will monitor the patient for: A) gingival hyperplasia and lycopenemia. B) dyspnea and a dry cough. C) blurred vision and nystagmus. D) fever and sore throat. - Answer - D) fever and sore throat. A type I diabetic patient comes to the clinic for a follow-up appointment. The patient is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol (Lopressor). What education should the nurse provide to the patient? A) "You need to increase your insulin to allow for the agonist effects of metoprolol." B) "Metoprolol may potentiate the effects of the insulin, so the dose should be reduced." C) "Metoprolol has no effects on diabetes mellitus or on your insulin requirements." D) "Metoprolol may mask signs of hypoglycemia, so you need to monitor your blood glucose closely." - Answer - D) "Metoprolol may mask signs of hypoglycemia, so you need to monitor your blood glucose closely." A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding th