Precautions and Contraindications
A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons?
A. To determine drug-food interactions.
B. To determine if dosage modification is indicated.
C. To determine how the drug is absorbed.
D. To determine availability
B. To determine if dosage modification is indicated.
Convert 7.1L to mL
7100mL
A client with glaucoma asks you about taking oxybutynin, a muscarinic antagonist, to manage an overactive bladder. You explain that glaucoma is a contraindication for taking oxybutynin. Primary care providers should not prescribe contraindicated drugs because of their potential for which of the following?
A. Drug tolerance
B. Drug dependence
C. Interactions with other drugs
D. Serious adverse reactions
D. Serious adverse reactions
A nurse is caring for a client who was prescribed an antidepressant based on it's ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client?
A. Pharmacologic Action
B. Chemical Stability
C. Route
D. Adverse Effects
A. Pharmacologic Action
When reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways?
A. It begins with a lower-case letter
B. It is listed in parenthesis along with the trade name.
C. There are both letters and numbers in the name.
D. The chemical name is listed in parenthesis before the generic name.
A. It begins with a lower-case letter
A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states the drug can be administered but identifies certain risks. Which of the following terms describes these risks?
A. Contraindications
B. Precautions
C. Paradoxical Effects
D. Adverse Effects
B. Precautions
Order: Penicillin 250 mg IM one time
Supply: Rocephin 500mg/15mL
Give:
7.5 mL
A nurse is teaching a client about adverse effects of digoxin. Which of the following statements should the nurse include in their teaching?
A. "Adverse effects are the intended effects of the medication."
B. "Adverse effects indicate a severe allergy to the medication."
C. "Decrease your medication dose if adverse effects occur."
D. "Contact your provider if adverse effects occur."
D. "Contact your provider if adverse effects occur."
A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following?
A. Therapeutic Effect
B. Adverse Reaction
C. Contraindication
D. Precaution
A. Therapeutic Effect
A nurse is teaching a client about naproxen enteric coated tablets. Which of the following statements should the nurse include in the teaching?
A. "Drug absorption occurs in the stomach."
B. "You should expect immediate absorption of the drug."
C. "You should allow the tablet to dissolve in your mouth."
D. "Do not crush or chew the tablet."
D. "Do not crush or chew the tablet."
A nurse is preparing to a drug to client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug?
A. Adverse Effects
B. Contraindications
C. Implementation
D. Black Box Warning
B. Contraindications
12:00 midnight =
0000
A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug?
A. Adverse Effects
B. Paradoxical Effects
C. Therapeutic Effects
D. Toxicity
A. Adverse Effects
A nurse is preparing to administer a drug to a client. In which of the following sections of a drug book should the nurse look to determine if the drug has more then one use?
A. Adverse Effects
B. Indications
C. Pharmacokinetics
D. Nursing Implications
B. Indications
You are helping a client learn how to give himself an insulin injection. Which of the following is the best method for evaluating effective learning?
A. Verbally quiz a family member.
B. Instruct the client to complete a written test.
C. Have the client demonstrate an insulin injection.
D. Ask the client several key questions about the procedure.
C. Have the client demonstrate an insulin injection.
A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following?
A. Maternal Bleeding
B. Maternal Blood Clots
C. Gestational Diabetes Mellitus
D. Fetal Malformation
D. Fetal Malformation
The provider orders penicillin 500 mg IM every six hours. The drug label reads penicillin equivalent to 1.0 g. Add 2.0 ml of sterile water for injection to yield 750 mg/ml.
How many milliliters should the client receive?
0.67mL
A nurse is obtaining a clients health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make?
A. "Itching is an expected adverse effect of amoxicillin."
B. "Itching can indicate amoxicillin toxicity."
C. "Itching can indicate a hypersensitivity to amoxicillin."
D. "Itching can result from dry skin, which is often caused by amoxicillin."
C. "Itching can indicate a hypersensitivity to amoxicillin."
A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching?
A. "This will increase the effects of normal cellular function."
B. "This prevents cells in your body from preforming certain actions."
C. "This prevents hormones in your body from attaching to cell receptor sites."
D. "This minimizes the risk that medications you take will become toxic."
A. "This will increase the effects of normal cellular function."
A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage?
A. Liquid suspension
B. Immediate-release capsule
C. Extended-release capsule
D. Powder form
C. Extended-release capsule
A nurse is caring for a client who is post-partum and breast feeding. The client asks the nurse about the effects of taking over-the-counter drugs will have on her newborn. Which of the following should the nurse consider when recommending a drug for the client? (Select all that apply)
A. The newborns weight
B. How much breast milk the newborn consumes each day.
C. Whether or the benefits to the client outweigh the risks to the newborn.
D. The properties of the drug.
E. The route of administration of the drug.
A. The newborns weight
B. How much breast milk the newborn consumes each day.
C. Whether or the benefits to the client outweigh the risks to the newborn.
D. The properties of the drug.
4 TBS =
How many ml?
60mL
A nurse is caring for a client who arrives at an emergency department following a bee sting. Which of the following findings indicates an anaphylactic reaction? (Select all that apply)
A. Low blood pressure
B. Wheezing
C. Bradycardia
D. Peripheral Edema
E. Difficulty swallowing
A. Low blood pressure
B. Wheezing
E. Difficulty swallowing
A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause an additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? (Select all that apply)
A. Clients can achieve desired effects with the use of lower dosages.
B. Taking the two drugs together can reduce the effects of one or both drugs.
C. Taking the two drugs together can potentiate the effects of one or both drugs.
D. The two drugs can produce an action that neither one would produce alone.
E. Both drugs have similar action.
A. Clients can achieve desired effects with the use of lower dosages.
E. Both drugs have similar action.
A nurse is obtaining a clients health history and discovers that the client takes loratadine, an over the counter drug. The nurse should identify that which of the followings correct regarding over-the-counter drugs? (Select all that apply)
A. They do not require the supervision of a nurse.
B. They can interact with other drugs.
C. They should be included in a clients drug history assessment.
D. They are less effective then prescription drugs.
E. They do not cause toxicity
A. They do not require the supervision of a nurse.
B. They can interact with other drugs.
C. They should be included in a clients drug history assessment.