Pharm AT
I proctored exam
A nurse is proving teaching to a client about the use of ethinyl estradiol/norelgestromin. the nurse
should identify that which of the following statements by the client indicates an understanding of the
teaching? - (correct Answer) - "I will fold the sticky sides of the old patch together before disposing it".
The client should fold the sticky sides of the old patch together and then place it in a childproof
container to ensure safe disposal of the patch.
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of
the following findings indicates that the medication is effective? - (correct Answer) - Increased cardiac
output.
Dopamine is an adrenergic that causes a receptor specificity effect, which increased cardiac output and
improves perfusion.
A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should
receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother
that her newborn should receive the immunization at which of the following ages?
A. Birth
B. 2 months
C. 6 months
D. 15 months - (correct Answer) - B. 2 months
The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP
immunization at 2 months of age.
A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematous with
prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic
tests to monitor for long-term complications of prednisone? - (correct Answer) - Bone density scans
The client who is taking prednisone, which is glucocorticoid, should have regularly scheduled bone
density scans to monitor for the adverse effects of osteoporosis.
, A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse
should plan to include which of the following statements in the teaching? - (correct Answer) - "Drink a
glass of milk with each dose of medication"
The client should take furosemide with food or milk to reduce gastric irritation.
Furosemide is a diuretic.
A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should
the nurse include in the teaching as an adverse effect of the medication? - (correct Answer) - Urinary
retention.
The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary
retention.
Amitriptyline is an antidepressant.
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? - (correct
Answer) - -Tinging of fingers ( paresthesia, a tingling sensation in the extremities)
-Diarrhea (adverse effect due to gastrointestinal disturbances).
-Weight loss (adverse effect due to GI disturbances causing reduced appetite).
-Polyuria (rather than oliguria)
A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of
the following findings should the nurse expect as an adverse effect of the medication? - (correct Answer)
- -Blurred vision (due to the cycloplegic effect of the medication, which causes distant objects to appear
blurry to the client.)
-Dilation of pupils, or mydriasis
-Can have photosensitivity, which causes difficulty seeing in brightly lit areas.
A nurse is caring for a client who has diabetes mellitus and is taking glycoside. The client reports feeling
confused and anxious. Which of the following actions should the nurse take first? - (correct Answer) -
Perform a capillary blood glucose test. (Pt may have hypoglycemia, manifestations include weakness,
anxiety, confusion, sweating, and seizures).
A nurse is teaching a client who is to start taking temazepam. Which of the following instructions should
the nurse include? - (correct Answer) - -Plan to withdraw from the medication gradually. (To avoid
withdrawal syndrome).
-May take 2 nights before benefits are noticed.
I proctored exam
A nurse is proving teaching to a client about the use of ethinyl estradiol/norelgestromin. the nurse
should identify that which of the following statements by the client indicates an understanding of the
teaching? - (correct Answer) - "I will fold the sticky sides of the old patch together before disposing it".
The client should fold the sticky sides of the old patch together and then place it in a childproof
container to ensure safe disposal of the patch.
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of
the following findings indicates that the medication is effective? - (correct Answer) - Increased cardiac
output.
Dopamine is an adrenergic that causes a receptor specificity effect, which increased cardiac output and
improves perfusion.
A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should
receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother
that her newborn should receive the immunization at which of the following ages?
A. Birth
B. 2 months
C. 6 months
D. 15 months - (correct Answer) - B. 2 months
The CDC recommends that newborns receive the first dose of the five-dose series of the DTaP
immunization at 2 months of age.
A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematous with
prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic
tests to monitor for long-term complications of prednisone? - (correct Answer) - Bone density scans
The client who is taking prednisone, which is glucocorticoid, should have regularly scheduled bone
density scans to monitor for the adverse effects of osteoporosis.
, A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse
should plan to include which of the following statements in the teaching? - (correct Answer) - "Drink a
glass of milk with each dose of medication"
The client should take furosemide with food or milk to reduce gastric irritation.
Furosemide is a diuretic.
A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should
the nurse include in the teaching as an adverse effect of the medication? - (correct Answer) - Urinary
retention.
The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary
retention.
Amitriptyline is an antidepressant.
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? - (correct
Answer) - -Tinging of fingers ( paresthesia, a tingling sensation in the extremities)
-Diarrhea (adverse effect due to gastrointestinal disturbances).
-Weight loss (adverse effect due to GI disturbances causing reduced appetite).
-Polyuria (rather than oliguria)
A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of
the following findings should the nurse expect as an adverse effect of the medication? - (correct Answer)
- -Blurred vision (due to the cycloplegic effect of the medication, which causes distant objects to appear
blurry to the client.)
-Dilation of pupils, or mydriasis
-Can have photosensitivity, which causes difficulty seeing in brightly lit areas.
A nurse is caring for a client who has diabetes mellitus and is taking glycoside. The client reports feeling
confused and anxious. Which of the following actions should the nurse take first? - (correct Answer) -
Perform a capillary blood glucose test. (Pt may have hypoglycemia, manifestations include weakness,
anxiety, confusion, sweating, and seizures).
A nurse is teaching a client who is to start taking temazepam. Which of the following instructions should
the nurse include? - (correct Answer) - -Plan to withdraw from the medication gradually. (To avoid
withdrawal syndrome).
-May take 2 nights before benefits are noticed.
