406 Assessment 1 y 2 Farmacology

Assessment 1

1. The first action the nurse should take is to assess the client for injury due to

medication error.

Assess the client

2. A nurse is reviewing the medical record of a client who received medications 1 hr

ago and reports having chest pain. The nurse should recognize that chest pain can

be an adverse effect of which of the following medication?

Albuterol

Furosemide

Digoxin

Atenolol

3. A nurse is providing teaching to a client who has a new prescription for ranitidine

for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the

client that ranitidine treats ulcers through which of the following actions?

It decreases stomach motility

It reduces gastric acid production

It forms a protective barrier in the stomach lining.

It neutralizes gastric acid.

4. A nurse is caring for a client who has open-angle glaucoma and a new prescription

for acetazolamide. Prior to administering the first dose, the nurse should ask the

client if they have allergy to which of the following medication classifications?

Nitrates

Sulfa-based medications

Antilipemic agents

Proton pump inhibitors

5. A nurse is caring for a client who has HIV and is starting therapy with ritonavir

and zidovudine. The client asks why they must take both medications. Which of the

following response should the nurse make?

If you take the two medications together, it will shorten the duration of you….

Taking the two medications together keeps you from becoming resistant to either of them.

Taking the two medication together keeps you from developing toxicity from either of them

Zidovudine will help protect you from the possible adverse effects of ritonavir

6. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is

starting to take immediate release exenatide. Which of the following client

statements indicates an understanding of the teaching?

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I will discard the open injector pen after two months

I will inject the medication into the muscle of my thigh

I will store open injector pens at room temperature

I will take this medication one hour before morning and evening meals.

7. A nurse is providing teaching to a client who has a new prescription for folic acid.

The client states I thought that was only given during pregnancy. Which of the

following statements should the nurse make?

Folic acid is important for stimulating the immune system

Folic acid is given to increase the absorption of the medication

Folic acid is administered to minimize the manifestations of benign prostatic hyperplasia

Folic acid important for the building of blood cells.

8. A nurse in the PACU is caring for a client who has received general anesthesia and

has manifestation of malignant hyperthermia. Which of the following medications

should the nurse expect to administer?

Diazepam

Dantrolene

Cyclobenzaprine

Metaxalone

9. A nurse is caring for a client who refuses a prescribed influenza immunization.

Which of the following actions should the nurse take first?

Contact the provider who prescribed the immunization

Ask the client to describe their concerns

Provide the client with education about the immunization

Document the client refusal of the immunization

10. A nurse is caring for a client who has a prescription for a hypotonic Iv fluid. Which

of the following solution the nurse expects to administer?

0.45% sodium chloride

0.9% sodium chloride

3% sodium chloride

Lactated ringers

11. A nurse in an emergency department is caring for a client who has a new

prescription for acetylcysteine. For which of the following condition should the

nurse expect to administer this medication?

Gastrointestinal bleed

Acute bronchospasm

Morphine toxicity

Acetaminophen toxicity

12. A nurse is obtaining vital signs for a client who has been taking propranolol. Which

of the following finding should the nurse identify as an adverse effect of the

medication?

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Respiratory rate 20/min

Oral temperature 37.8

Blood pressure 118/78 mm

Apical pulse 50 /min

13. A nurse is providing teaching to a client who has neuropathic pain and a new

prescription for amitriptyline once per day. Which of the following information

should the nurse include in the teaching?

Increase fluids while taking the medication

Expect an elevation in blood pressure with initial doses of the medication

Stop the medication immediately if urine becomes orange in color

Take the medication in the morning

14. A nurse is providing teaching to a client who has a new prescription for oral

extended-release potassium chloride tablets. Which of the following instructions

should the nurse include in the teaching?

Do not crush this medication

Dissolve the tablet in your mouth

Take this medication on an empty stomach

Take this medication every other day

15. A nurse is providing teaching to a client who has a new prescription for

levothyroxine. Which of the following statements by the client indications an

understanding of the teaching?

I should take this medication with food

I will take three doses each day

I might not realize the full effect of the medication for several weeks

I might gain weight while taking this medication if I do not exercise

16. While assessing a client at the beginning of the shift a nurse notes that the client

received a medication in error from the nurse on the previous shift. At which of the

following times should the nurse plan to complete an incident report about the

error?

After the end of the current shift

After contacting risk management

As soon as the assessment is complete

As soon as the nurse from the previous shift has been informed

17. A nurse is preparing to administer a second unit of packed RBCs to a client who is

experiencing hemorrhagic shock. The nurse should monitor the client for which of

the following manifestation as an indication of circulatory overload?

Chills

Wheezing

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