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RN Pharmacology Online Practice 2019 A

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RN Pharmacology Online Practice 2019 A 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? A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply.) A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? 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? A nurse is caring for a client who has cancer and is taking oral morphine and decussate sodium. The nurse should instruct the client that taking the decussate sodium daily can minimize which of the following adverse effects of morphine? A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for famotidine. Which of the following instructions should the nurse include? A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension and dyspnea. Which of the following medications should administer first? A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventions should the nurse include in the plan of care? A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam (benzo). Which of the following medications should the nurse anticipate administering? A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis (DVT). The nurse should discontinue the medication infusion for which of the following client findings? A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gulconate? 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? A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mmHg, heart rate is 55/min, and the respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? A nurse at a clinic is providing follow-up care to a client wo is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A nurse is teaching a client about warren. The client asks if they can take aspirin while taking the warren. Which of the following responses should the nurse make? A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure as an indication that the client is ready for discharge? A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diphtheria, tetanus and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages? 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? A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves; disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? A nurse is preparing to administer medications to client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions should the nurse take. A nurse is administering donepezill to a client who has Alzheimer disease. Which of the following findings should the nurse report to the provider immediately? A nurse is assessing a client who has myasthenia graves and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching? (select all hit apply.) A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? A nurse is assessing a client who has schizophrenia and is taking halperidol. The nurse should report which of the following findings to the provider as a manifestation of nueroletpic malignant syndrome (NMS)?

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RN Pharmacology Online Practice 2019 A

1). 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?

 Ans: 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.


2). A nurse is providing teaching to a client who has multiple sclerosis and a new prescription
for methylprednisolone. which of the following instructions should the nurse include?
(select all that apply.)

 Ans: Blood glucose levels will be monitored during therapy.
Avoid contact with people who have known infections.
Take the medication 1 hr before breakfast.
Decrease dietary intake of foods containing potassium.
Grapefruit juice can increase the effects of the medication.

Blood glucose levels will be monitored during therapy is CORRECT. The nurse should
monitor the client for hyperglycemia while providing methylprednisolone to the client.
Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can
require management with insulin or antihyperglycemics.

Avoid contact with people who have known infections is CORRECT. The nurse should
instruct the client to avoid exposure to infectious agents, such as contact with those who
have active infections or illnesses. Glucocorticoids, such as methylprednisolone, depress
the immune system, placing the client at an increased risk for developing an infection.

Take the medication 1 hr before breakfast is incorrect. The nurse should instruct the client
to take the medication with food or milk to decrease gastrointestinal upset.

Decrease dietary intake of foods containing potassium is incorrect. The nurse should
instruct the client to increase dietary intake of potassium-rich foods while taking this
medication. Glucocorticoids, such as methylprednisolone, deplete potassium in the body,
which manifests as hypokalemia.

Grapefruit juice can increase the effects of the medication is CORRECT. The nurse should



PaperStoc.com Page 1 of 15

, instruct the client that grapefruit and grapefruit juice can increase the level of
methylprednisolone in the body.


3). A nurse is providing discharge teaching about handling medication to a client who is to
continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. which of
the following information should the nurse include in the teaching?

 Ans: Store the unused medication sticks in a storage container.

The nurse should instruct the client to store unused, used, or partially used medication
sticks in the safe storage container that comes in the kit when the medication is initially
prescribed.


4). 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?

 Ans: Presence of U-waves

The nurse should identify the presence of U-waves as a manifestation of hypokalemia, an
adverse effect of furosemide.


5). A nurse is caring for a client who has cancer and is taking oral morphine and decussate
sodium. the nurse should instruct the client that taking the decussate sodium daily can
minimize which of the following adverse effects of morphine?

 Ans: 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.


6). A nurse is planning care for a client who is receiving mannitol via continuous iv infusion. the
nurse should monitor the client for which of the following adverse effects?

 Ans: Bibasilar crackles

Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema.
Therefore, the nurse should recognize lung crackles as an indicator of a potential
complication and stop the infusion.


7). A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for
famotidine. which of the following instructions should the nurse include?




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