Download Pharmacy NURS-6521 and more Exams Nursing in PDF only on Docsity!
Pharmacy NURS-
"Drugs do not cure these disorders; they instead enhance quality of life." - ansA nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies? "I broke out in hives and got terribly itchy when I started a new prescription last year." - ansThe nurse's assessment of a community-dwelling adult suggests that the client may have drug allergies that have not been previously documented. What statement by the client would confirm this? "It's important to discuss what herbs you'll be taking with your doctor or the pharmacist to make sure there aren't any interactions." - ansA patient with a diagnosis of nonsmall cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the patient has announced to the nurse his intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this patient's statement? "Quitting smoking will significantly increase the chance that this drug will heal your ulcer." - ansA woman with numerous chronic health problems has been diagnosed with a benign gastric ulcer has begun treatment with ranitidine (Zantac). Which of the following teaching points should the nurse provide to this patient? 10 mg - ansA patient is to take nifedipine (Procardia) 10 mg PO tid. How many milligrams will he take per dose? 15 to 30 minutes. - ansA 68-year-old man complains of a chronic, nonproductive cough. He states that he has to have relief, that he has been coughing every 2 to 3 minutes, and he is worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asks how long it will take for the medicine to work. The nurse will advise him that he should experience therapeutic effects in 150 ml - ansThe nurse practitioner orders Amoxicillin 250 mg/5 ml tid for 10 days? The nurse practitioner would expect the pharmacist to fill the prescription bottle with how many ml? 1500 mg - ansThe nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of
medication patient will take per day? A 78-year-old man who is unable to swallow following an ischemic stroke - ansFor which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications? A 79-year-old male with cardiomegaly - ansA normal maintenance dose for digoxin is 0.125 to 0.5 mg/day. In which of the following patients would the nurse most likely administer a lower-than-normal maintenance dose of digoxin? a dose adjustment should be made if these symptoms persist. - ansA 70-year-old patient has just started taking lorazepam 10 days ago for anxiety issues related the death of her husband. She is staying with her daughter for a couple of weeks. The patient's daughter has noticed that her mother is having difficulty walking and seems to be confused at times and calls the clinic to report this to the nurse. The nurse will inform the daughter that... a higher-than-normal dose of drugs that bind to acid glycoproteins. - ansA 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive... Acute Pain, headache, related to adverse effects of drug therapy - ansA nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? Acute Pain, Headache, related to adverse effects of drug therapy - ansA nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient's care? administer a combination of antiemetics prior to the administration of the drug. - ansAn adult patient who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted patient teaching about the possibility of nausea and vomiting. In order to reduce the patient's risk of severe nausea, the nurse should Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not subsided - ansA 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first when he complains of chest pain?
Blood pressure - ansA patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 mcg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? blood pressure - ansA patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's Blood Pressure (BP) - ansA patient is admitted to the emergency department with severe chest pain. The emergency department physician orders intravenous nitroglycerin 5 cg/min, titrate dose by 5 mcg/min every 3 to 5 minutes per infusion pump as needed. Before administering the nitroglycerin, the nurse should prioritize which of the following assessments? BULK-FORMING (fiber) LAXATIVES - ansMr. Tan is a 69-year-old man who prides himself in maintaining an active lifestyle and a healthy diet that includes adequate fluid intake. However, Mr. Tan states that he has experienced occasional constipation in recent months. What remedy should be the nurse's first suggestion? C-11 drug - ansA physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a ... Carefully assess the patient for infections - ansA nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which of the following actions should the nurse take in order to minimize the potential for adverse drug effects and risks associated with prednisone treatment? Cilia sweep foreign material and mucus upward toward the trachea and larynx where they can then be swallowed. - ansThe lower respiratory system utilizes a number of different mechanisms that confer protection and maintain homeostasis. Which of the following physiological processes protects the lower respiratory system? constipation - ansA 29-year-old woman has been prescribed alosetron (Lotronex) for irritable bowel syndrome. Before starting the drug therapy, the nurse will advise the
patient about which of the following adverse effect(s)? crush the capsule and ask the patient to inhale the vapors - ansA 45-year-old man enters the emergency department complaining of chest pain. The nurse has an order to administer amyl nitrite. The nurse will... Cyclobenzaprine (Flexeril) - ansA nurse is assessing a patient who has come to the emergency department complaining of back spasms. The patient states that he has a history of opioid addiction and does not want to take any drug that "puts me at risk of becoming physically dependent." Which of the following medications would the nurse question, if ordered? decreasing the influx of sodium into neurons. - ansA patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by Determine if the drug is going to make you drowsy before you drive. - ansA patient is in the clinic for seasonal allergic rhinitis. Loratadine (Claritin) is prescribed. Which of the following statements will the nurse include when providing patient education concerning this drug? Digoxin immune fab - ansA 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs? Discontinue the use of alcohol - ansWhich of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)? dizziness - ansA 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that dosage, the patient will need to be carefully monitored for Dizziness - ansA nurse is caring for a patient with chronic angina. The patient is receiving ranolazine (Ranexa) 500 mg PO bid. Which of the following signs or symptoms would the nurse attribute to being a common adverse effect of this medication? don a pair of gloves - ansA nurse has an order to apply nitroglycerin topically, twice a day. The nurse's initial action will be to... falls - ansAn older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides
breakdown. Which of the following nursing diagnoses would be most appropriate? increased blood pressure - ansA diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse's immediate attention? increased HR and decrease BP - ansAn expected outcome for a patient who has just taken sublingual nitroglycerin should be inhibits cholesterol synthesis - ansA patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect. The nurse will explain that lovastatin lowers cholesterol levels because it... Integrating the new drug into the patient's existing schedule promotes adherence. - ansA 79-year-old woman who takes several medications for a variety of chronic health problems has been prescribed an oral antiplatelet aggregator that is to be taken once daily. The nurse has encouraged the woman to take the pill at the same time of day that she takes some of her other medications. What is the most likely rationale for the nurse's advice? intranasal - ansA 79-year-old woman with a medical history that includes osteoporosis has recently moved to a long-term care facility. Medication reconciliation indicates that the woman has been taking calcitonin, salmon for several years. The nurse should recognize that the most likely route for the administration of this drug is Is there a need for the drug in treating the presenting problem? Is this the best drug for the presenting problem? Can the patient take the prescribed drug? - ansA nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply. keep the tablets in the original dark bottle. - ansA patient is being discharged home with a prescription for sublingual nitroglycerin. The nurse will instruct the patient and family to... Late afternoon - ansA patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic
reaction? liver damage - ansA patient with mild low back pain has been advised to take acetaminophen. The nurse will inform him that excessive intake of acetaminophen may result in Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed. - ansA patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states Medication History - ansA 75-year-old woman is prescribed magnesium hydroxide for constipation. The nurse's assessment reveals that the patient is being treated for rheumatoid arthritis and hypertension. The patient lives in assisted living and is on a low- sodium diet. Before the magnesium hydroxide therapy begins, it will be most important for the nurse to assess the patient's Monitor glucose levels closely - ansA patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? monitor the patient's blood pressure - ansA clinic nurse has been assigned a 49-year- old female patient who has a history of diabetes. A recent diagnosis of hypertension has been made, and the patient has been prescribed a thiazide diuretic and labetalol. The patient will be scheduled to return to the clinic once a month for the next 6 months. A priority action by the nurse will be to Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker. - ansMr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa). Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? Nitrate tolerance - ansA nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for ... notify the clinic if the stools are black or if there is evidence of blood. - ansA patient on 5-FU calls the clinic and reports that he has between five and seven loose bowel movements daily. The nurse will instruct the patient to
Routes of Administration - ansWhat critical piece of information is missing from the following medication order: Amoxicillin 250 mg every 8 hours? she must be prepared to show identification when buying a drug that contains pseudoephedrine. - ansA patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that skin surrounding the potential IV site. - ansA patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note the Slow the rate of the infusion - ansA patient is brought to the emergency department in hypertensive crisis. Nitroprusside is administered intravenously. The patient experiences diaphoresis and dizziness. Which of the following is the appropriate action by the nurse? swallow the tablet with milk or food. - ansA 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to... Take it on an empty stomach, 1 hour before or 2 hours after meals - ansA patient with bronchial asthma is prescribed a sustained-release preparation of theophylline. To help minimize the adverse effects of the drug, which of the following should the nurse suggest? take their medication at the prescribed times. - ansIn order to promote therapeutic drug effects, the nurse should always encourage patients to Taking several drugs simultaneously - ansA nurse is teaching an older adult patient about polypharmacy. Which of the following statements best describe this term? Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation. - ansA 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation. The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements?
The amount of alcohol consumption - ansA 24-year-old factory worker has been prescribed guaifenesin for the first time. Which of the following will be a priority assessment by the nurse before the patient's first dose? The amount of grapefruit or orange juice she has during the day - ansA female patient calls the clinic and reports that since she has been taking dextromethorphan (Robitussin), she has been extremely drowsy and dizzy. The nurse will question the patient about which of the following? The man may be experiencing nephrotoxic effects of aspirin - ansA 70-year-old man who enjoys good health began taking low-dose aspirin several months ago based on recommendations that he read in a magazine article. During the man's most recent visit to his care provider, routine blood work was ordered and the results indicated an unprecedented rise in the man's serum creatinine and blood urea nitrogen (BUN) levels. How should a nurse best interpret these findings? The patient's angina may necessitate the use of a calcium channel blocker - ansA recent episode of chest pain while doing yard work prompted a 70-year-old man to seek care and he has been subsequently diagnosed with chronic stable angina. The nurse should recognize what guiding principle in the treatment of this patient's angina? The patient's protein deficit will likely increase the levels of the free drug in his blood. - ansA homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? The resident's apical heart rate is 112 beats/minute with a regular rhythm - ansFollowing an assessment by her primary care provider, a 70-year- old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? The woman will be more susceptible to hypotension than a young patient. - ansFrequent episodes of exercise-related chest pain have caused a 79-year-old woman to use her prescribed nitroglycerin spray several times in recent weeks. This patient's age will have what effect on her use of nitroglycerin? They affect cancerous cells during a particular phase of cellular reproduction. - ansPrior to administering a dose of 5-FU to a patient with pancreatic cancer, the nurse is conducting the necessary drug research. The nurse is aware that 5-FU
