Pharm Evolve Practice
A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a
postoperative infection. It is most important for the nurse to assess for what additional drug
allergy before administering this prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides. - ANS A) Penicillins.
Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity. - ANS C) Inspect the client's oral mucosa
for ulcerations.
When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most
important for the nurse to assess for pain in which area of the body?
A) Flank.
B) Abdomen.
C) Chest.
D) Head. - ANS B) Abdomen.
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent
motion sickness while on a cruise. Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours prior to departure.
B) Change the patch every other day while on the cruise.
C) Place the patch on a hairless area at the base of the skull.
D) Drink no more than 2 alcoholic drinks during the cruise. - ANS A) Apply the patch at least 4
hours prior to departure.
The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in
the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate
with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment
has the highest priority before initiating the PCA pump?
A) The expiration date on the morphine syringe in the pump.
B) The rate and depth of the client's respirations.
C) The type of anesthesia used during the surgical procedure.
D) The client's subjective and objective signs of pain. - ANS B) The rate and depth of the client's
respirations.
, .
A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with
which condition?
A) Glaucoma.
B) Hypertension.
C) Heart failure.
D) Asthma. - ANS C) Heart failure.
A female client with rheumatoid arthritis take ibuprofen (Motrin) 600 mg PO 4 times a day. To
prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
information is most important for the nurse to include in client teaching?
A) Use contraception during intercourse.
B) Ensure the Cytotec is taken on an empty stomach.
C) Encourage oral fluid intake to prevent constipation.
D) Take Cytotec 30 minutes prior to Motrin. - ANS A) Use contraception during intercourse.
A client with heart failure is prescribed spironolactone (Aldactone). Which information is most
important for the nurse to provide to the client about diet modifications?
A) Do not add salt to foods during preparation.
B) Refrain for eating foods high in potassium.
C) Restrict fluid intake to 1000 ml per day.
D) Increase intake of milk and milk products. - ANS B) Refrain for eating foods high in
potassium.
In evaluating the effects of lactulose (Cephulac), which outcome should indicate that the drug is
performing as intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin. - ANS B) Two or three soft stools per day.
The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with
osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective
after three weeks. Which is the best response for the nurse to provide?
A) The frequency of the dosing is necessary to increase the effectiveness.
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
D) Systemic corticosteroids are the next drugs of choice for pain relief. - ANS C) Another type of
nonsteroidal antiinflammatory drug may be indicated.
Which instruction(s) should the nurse give to a female client who just received a prescription for
oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.)
A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a
postoperative infection. It is most important for the nurse to assess for what additional drug
allergy before administering this prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides. - ANS A) Penicillins.
Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity. - ANS C) Inspect the client's oral mucosa
for ulcerations.
When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most
important for the nurse to assess for pain in which area of the body?
A) Flank.
B) Abdomen.
C) Chest.
D) Head. - ANS B) Abdomen.
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent
motion sickness while on a cruise. Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours prior to departure.
B) Change the patch every other day while on the cruise.
C) Place the patch on a hairless area at the base of the skull.
D) Drink no more than 2 alcoholic drinks during the cruise. - ANS A) Apply the patch at least 4
hours prior to departure.
The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in
the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate
with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment
has the highest priority before initiating the PCA pump?
A) The expiration date on the morphine syringe in the pump.
B) The rate and depth of the client's respirations.
C) The type of anesthesia used during the surgical procedure.
D) The client's subjective and objective signs of pain. - ANS B) The rate and depth of the client's
respirations.
, .
A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with
which condition?
A) Glaucoma.
B) Hypertension.
C) Heart failure.
D) Asthma. - ANS C) Heart failure.
A female client with rheumatoid arthritis take ibuprofen (Motrin) 600 mg PO 4 times a day. To
prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
information is most important for the nurse to include in client teaching?
A) Use contraception during intercourse.
B) Ensure the Cytotec is taken on an empty stomach.
C) Encourage oral fluid intake to prevent constipation.
D) Take Cytotec 30 minutes prior to Motrin. - ANS A) Use contraception during intercourse.
A client with heart failure is prescribed spironolactone (Aldactone). Which information is most
important for the nurse to provide to the client about diet modifications?
A) Do not add salt to foods during preparation.
B) Refrain for eating foods high in potassium.
C) Restrict fluid intake to 1000 ml per day.
D) Increase intake of milk and milk products. - ANS B) Refrain for eating foods high in
potassium.
In evaluating the effects of lactulose (Cephulac), which outcome should indicate that the drug is
performing as intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin. - ANS B) Two or three soft stools per day.
The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with
osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective
after three weeks. Which is the best response for the nurse to provide?
A) The frequency of the dosing is necessary to increase the effectiveness.
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
D) Systemic corticosteroids are the next drugs of choice for pain relief. - ANS C) Another type of
nonsteroidal antiinflammatory drug may be indicated.
Which instruction(s) should the nurse give to a female client who just received a prescription for
oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.)
