NCLEX Saunders Pharmacology

NCLEX Saunders Pharmacology Leave the first rating Students also studied Terms in this set (98) Science MedicineNursing Save Saunders Pharm-Immune 103 terms Shamen21Preview Respiratory Saunders 13 terms Khurram_Shehzad5 Preview Saunders Pharm-Respiratory 43 terms Shamen21Preview Saunde 36 terms Sha A client is prescribed imipramine once daily. The nurse determines that additional teaching is needed on the basis of which statement by the client?"I need to avoid alcohol while taking this medication." "I'll take the medication in the morning before breakfast." "I won't notice any medication effects for at least 2 weeks." "I'll be sure to take a missed medication dose as soon as possible unless it is almost time for the next dose." "I'll take the medication in the morning before breakfast." Imipramine is a tricyclic antidepressant. The client should be instructed to take a single daily dose of the medication at bedtime, not in the morning, because of its side effect of sedation. The client should avoid alcohol or other central nervous system depressants during therapy. The medication effects may not be noticed for at least 2 weeks. The client should take the medication exactly as directed, but if a dose is missed the client should take it as soon as possible unless it is almost time for another dose.The nurse notes a persistent, dry cough in an adult client being seen in the ambulatory clinic. When questioned, the client states that the cough began approximately 2 months ago. On further assessment, the nurse learns that the client began taking quinapril shortly before the time that the cough began. How should the nurse interpret the development of the cough?An early indication of heart failure Caused by neutropenia as a result of therapy Caused by a concurrent upper respiratory infection An expected although bothersome side effect of therapy An expected although bothersome side effect of therapy A frequent side effect of therapy with any angiotensin-converting enzyme (ACE) inhibitor, including quinapril, is a persistent, dry cough. In general, the cough does not resolve during the course of medication therapy, so clients should be advised to notify the primary health care provider if the cough becomes very troublesome. The other options are incorrect.

The nurse is analyzing the laboratory studies on a client receiving dantrolene to treat muscle spasms from an injury. Which laboratory test would identify an adverse effect associated with the administration of this medication?Platelet count Creatinine level Liver function tests Blood urea nitrogen level Liver function tests Dose-related liver damage is the most serious adverse effect of dantrolene. To reduce the risk of liver damage, liver function tests should be performed before treatment and throughout the treatment interval. Dantrolene is administered at the lowest effective dosage for the shortest time necessary.A client is taking trihexyphenidyl hydrochloride. The nurse should assess for which side or adverse effect of this medication?Diarrhea Urinary retention Urinary incontinence Excessive perspiration Urinary retention Trihexyphenidyl is an anticholinergic medication used for the treatment of Parkinson's disease. Therefore, it can cause urinary hesitancy and retention, constipation, dry mouth, and decreased sweating.The nurse would anticipate that the primary health care provider (PHCP) would add which medication to the regimen of the client receiving isoniazid?Niacin Pyridoxine Gabapentin Cyanocobalamin Pyridoxine Isoniazid is an antituberculosis medication. Clients receiving isoniazid can develop neuropathy, and the agent of choice to help prevent this adverse effect is pyridoxine, vitamin B6. Niacin is used to lower the cholesterol level. Gabapentin is used to prevent seizures and for peripheral neuropathy, and cyanocobalamin is used to treat anemia.A client has begun therapy with a xanthine bronchodilator. The nurse determines that the client understands dietary alterations if the client states to limit which items while taking this medication? Select all that apply Milk Coffee Oysters Oranges Pineapple Chocolate Coffee Chocolate The nurse teaches the client to limit the intake of xanthine-containing foods while taking a xanthine bronchodilator. These include coffee and chocolate. The other food items are acceptable to consume.

A client with multiple sclerosis is receiving baclofen. The nurse assessing the client monitors for which finding as an indication of a primarytherapeutic response to the medication?Decreased nausea Decreased muscle spasms Increased muscle tone and strength Increased range of motion of all extremities Decreased muscle spasms Baclofen is a skeletal muscle relaxant and acts at the spinal cord level to decrease the frequency and amplitude of muscle spasms in clients with spinal cord injuries or diseases or with multiple sclerosis. Increased muscle tone and strength and increased range of motion of all extremities are not directly related to the effects of this medication. Decreased nausea is an incorrect option.A female client with carcinoma of the breast is admitted to the hospital for treatment with intravenously administered doxorubicin. The client tells the nurse that she has been told by her friends that she is going to lose all her hair. What is the most appropriate nursing response?"Your friends are correct." "You will not lose your hair." "Hair loss may occur, but it will grow back just as it is now." "Hair loss may occur, and it will grow back, but it may have a different color or texture." "Hair loss may occur, and it will grow back, but it may have a different color or texture." Alopecia (hair loss) can occur after the administration of many antineoplastic medications. Alopecia is reversible, but the new hair growth may have a different color and texture. Therefore, options 1, 2, and 3 are incorrect.A client with a diagnosis of rheumatoid arthritis is taking sulindac. The primary health care provider prescribes misoprostol for the client. The nurse explains that this medication has been prescribed for which purpose?To enhance the effects of the sulindac To prepare the client for weaning off the sulindac To prevent further development of arthritic nodules To prevent gastric complications such as ulcer disease To prevent gastric complications such as ulcer disease Sulindac is a nonsteroidal anti-inflammatory drug (NSAID). Misoprostol, a synthetic prostaglandin E1 analogue, may be prescribed to be taken concurrently with sulindac to prevent gastric complications such as ulcer disease. The remaining options are incorrect.The nurse is preparing to administer albuterol to a client.Which parameters should the nurse assess before and during therapy?Nausea and vomiting Headache and level of consciousness Lung sounds and presence of dyspnea Urine output and blood urea nitrogen level Lung sounds and presence of dyspnea Albuterol is an adrenergic bronchodilator. The nurse assesses respiratory pattern, lung sounds, pulse, and blood pressure before and during therapy. The nurse also notes the color, character, and amount of sputum.

Capecitabine has been prescribed for a client with breast cancer. The nurse should tell the client that which blood test will be done periodically while the client is taking this medication?Liver function tests Bilirubin level assay Complete blood count (CBC) Triglyceride level determination Complete blood count (CBC) Capecitabine is an antimetabolite used to treat metastatic breast cancer that is resistant to other therapy. Bone marrow depression can occur from the use of this medication, and a CBC and blood chemistry studies should be done periodically.Liver function tests, bilirubin level assay, and triglyceride levels are unnecessary.The client has a prescription to receive pirbuterol 2 puffs and beclomethasone dipropionate 2 puffs by metered- dose inhaler. The nurse plans to give these medications in which way to ensure effectiveness?Administering the pirbuterol before the beclomethasone Alternating a single puff of each hourly, beginning with the beclomethasone Alternating a single puff of beclomethasone with pirbuterol, repeating the steps Administering the pirbuterol, waiting 30 minutes, and administering the beclomethasone Administering the pirbuterol before the beclomethasone Pirbuterol is a bronchodilator. Beclomethasone is a glucocorticoid.Bronchodilators are administered before glucocorticoids when both are to be given on the same time schedule. This allows for widening of the air passages by the bronchodilator, which then makes the glucocorticoid more effective.A hospitalized client with coronary artery disease complains of substernal chest pain. After assessing the client's heart rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg sublingually. After 5 minutes the client states, "My chest still hurts." Which actions should the nurse take? Select all that apply.Call a Code Blue.Contact the client's family.Assess the client's pain level.Check the client's blood pressure.Contact the primary health care provider (PHCP).Administer a second nitroglycerin, 0.4 mg sublingually.Assess the client's pain level.Check the client's blood pressure.Administer a second nitroglycerin, 0.4 mg sublingually.The usual guidelines for administering nitroglycerin tablets for chest pain to a hospitalized client include administering 1 tablet every 5 minutes PRN (as needed) for chest pain, for a total dose of 3 tablets. If the client does not obtain relief after taking a third dose of nitroglycerin, the PHCP is notified. Because the client is still complaining of chest pain, the nurse would administer a second nitroglycerin tablet. The nurse would assess the client's pain level and check the client's blood pressure before administering each nitroglycerin dose. There are no data in the question that indicate the need to call a Code Blue. In addition, it is not necessary to contact the client's family unless he or she has requested this.