Exam 4 NCLEX Questions Pharmacology

Exam 4 NCLEX Questions Pharmacology Leave the first rating Students also studied Terms in this set (75) Save Chapter 40 Antiviral agents NCLEX ...18 terms jessica_byrd58 Preview Pharmacology NCLEX Questions 49 terms notnursingPreview Pharmacology NCLEX Questions 58 terms adrianna_lanePreview Pharma 88 terms ash The nurse receives laboratory values for a client with a theophylline level of 14 mcg/mL. How does the nurse interpret this theophylline level?A.) Toxic B.) Therapeutic C.) Sub-therapeutic D.) Life threatening B Discharge teaching to a patient receiving a beta-agonist bronchodilator should emphasize reporting which side effect?A.) Tachycardia B.) Nonproductive cough C.) Hypoglycemia D.) Sedation A Which herbal product, when taken with theophylline, can decrease theophylline's serum drug levels?A.) Garlic B.) Echinacea C.) Peppermint oil D.) St. John's wort D The nurse is providing care to a client prescribed a Nonselective adrenergic agonist bronchodilator. Which condition documented in the client's medical history would alert the nurse to question this prescription?A.) Thrombocytopenia B.) Coronary artery disease C.) Mycobacterium tuberculosis D.) Chronic obstructive Pulmonary Disease B

The nurse is providing education to a client taking two different bronchodilator medications. The nurse identifies which characteristics as the advantage of salmeterol over other beta-2 agonists such as albuterol?A.) Quicker peak action B.) Shorter onset of action C.) Extended time of action D.) Longer duration of action D Client teaching regarding the use of leukotriene receptor antagonist (LTRAs) drug such as zafirlukast would include which statement by the nurse?A.) "It will take about 3 or 4 weeks before you notice a therapeutic effect." B.) "Take the medication when you are short of breath and begin wheezing." C.) "This medication works by preventing the inflammation that causes your asthma attacks." D.) "Increase fiber and fluid in your diet to prevent the common adverse effect of constipation." C What is the role of corticosteroids in the treatment of acute respiratory disorders?A.) They decrease inflammation.B.) They directly dilate the bronchi C.) They stimulate the immune system D.) They increase gas exchange in the alveoli A Which statement by a client best indicates an understanding of teaching on fluisolide?A.) "I will rinse my mouth with water after each use." B.) "I will wash the plastic inhaler casing once a month." C.) "I will take two puffs to treat an acute asthma attack." D.) "I will not use my albuterol inhaler while I am taking AeroBid." A Which statement by the nurse should be included when teaching a client about the proper use of metered-dose inhalers?A.) "After you inhale the medication once, repeat until you obtain relief." B.) "Wait 1 to 2 minutes before you take a second puff of the same drug." C.) "Make sure that you puff out air several times after you inhale the medication." D.) "Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler." B

The nurse performs discharge teaching with a client who is prescribed the anticholinergic inhaler ipratropium bromide. Which statement by the client indicates to the nurse that teaching has been successful?A.) "I will not drink grapefruit juice while taking this drug." B.) "I may gain weight as a result of taking this medication." C.) "This inhaler is not to be use alone to treat an acute asthma attack." D.) Nausea and vomiting are common adverse effects of this medication." C Which laboratory value would the nurse assess before administering zafirlukast to a client?A.) Liver enzymes B.) Cardiac enzymes C.) Renal function tests D.) Compete blood count A What is the priority assessment data for a client prescribed antibiotic therapy?A.) Allergies B.) Immunizations C.) History of seizures D.) Cardiac dysrhythmias A What information should the nurse include in discharge teaching for a client prescribed doxycycline?A.) "Keep the remainder of the medication in case of recurrence." B.) "Take the medication until you have no fever and feel better." C.) "Apply sunscreen or wear protective clothing when outdoors." D.) "Take the medication with milk to minimize gastrointestinal upset" C Which adverse effect can result if tetracycline is administered to children younger than 8 years of age?A.) Drug-induced neurotoxicity B.) Delayed growth development C.) Gastrointestinal and rectal bleeding D.) Permanent discoloration of the teeth D A client who is allergic to penicillin is at increased risk for an allergy to which drug?A.) Erythromycin B.) Gentamicin C.) Cefazolin sodium D.) Demeclocycline C

When planning care for a client receiving a sulfonamide antibiotic, it is important for the nurse to perform which intervention?A.) Encourage fluid intake of 2000 to 3000 mL/day B.) Avoid direct sun exposure and tanning beds C.) Take the medication with dairy products such as milk and yogurt D.) Advise the client to report any tinnitus to the healthcare provider A When administering a nonsteroidal anti-inflammatory drug and penicillin drug together, the displacement of the penicillin antibiotic from the protein-binding sites will result in which effect?A.) Increased free drug in blood B.) Decreased free drug in blood C.) No change in free drug in blood D.) Absence of free drug in the blood A During antibiotic therapy, the nurse will assess the client for a condition that may occur because of the disruption of normal flora. The nurse knows this as what condition?A.) Organ toxicity B.) Superinfection C.) Hypersensitivity D.) Allergic reaction B A client prescribed azithromycin expresses concern regarding GI upset that was experienced when previously prescribed an erythromycin antibiotic. What is the nurse's best response?A.) "Take an over-the-counter antiemetic to lessen nausea." B.) "Stop taking the drug if you experience heartburn and diarrhea." C.) "I will call the health care provider and request a different antibiotic." D.) "This drug is like erythromycin with less gastrointestinal adverse effects." D In an effort to prevent superinfections of the GI tract such as Clostridium difficile, the nurse will instruct clients to eat which foods?A.) Multigrain wheat bread B.) Raw fruits and vegetables C.) Cultured dairy products such as yogurt D.) Low-fat meats such as chicken and pork C