NUR 211 Pharm Questions

NUR 211 Pharm Questions

• A client who has increased intracranial pressure is receiving mannitol. Which

of the following findings should the nurse report to the provider.

• Blood glucose 150 mg/dL
• Urine output 40 mL/hr
• Dyspnea
• headache

Answer

• Dyspnea

• A nurse is preparing to administer filgrastim for the first time to a client who

has just undergone a bone marrow transplant. Which of the following interventions is appropriate?

• administer IM in a large muscle mass to prevent injury.
• Insure that the medication is refrigerated just prior to administration.
• Shake the vial gently to mix well before drawing dose.
• Discard vial after removing one dose from the vial.

Answer

• Discard Vial after removing one dose from the vial.

• A nurse is assessing a client who has chronic neutropenia and who has been

receiving filgrastim. Which of the following actions should the nurse take to assess for an adverse effect of Filgrastim.

• Assess for bone pain
• Assess for RLQ pain
• Auscultate for crackles in the base of the lungs
• Auscultate the chest for a hear murmur.

Answer

• Assess for bone pain

• A nurse is preparing to administer cyclophosphamide IV to a client who has

Hodgkin's Disease. Which of the following medications should the nurse ex- pect to administer concurrently with the chemotherapy to prevent an adverse effect with cyclophosphamide? 1 / 4

• Unprotected agent, such as mesna.
• Opiods such as morphine
• Loop diuretic such as furosemide.
• H1 receptor antagonist, such as Diphenhydramine.

Answer

• Unprotected agent, such as mesna

• A nurse is reviewing food interactions with a client who is taking Lev-

odopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include?

• Eat large amounts of protein rich foods with the medication.
• May take the medication with whole grain cereal.
• Consider eating a banana with the medication.
• May take the medication crushed in grapefruit juice.

Answer

• May take medication Crushed in grapefruit juice

• A nurse is teaching a client who has began taking oral Baclofen TID to treat

muscle spasms cause by a spinal chord injury. Which of the following statements by the client indicates a need for further teaching?

• "I will stop taking this medication right away if I develop dizziness."
• "I know the Dr. will gradually increase my dose of this medication for a

while."

• "I'll make sure that I empty my bladder completely while taking this med-

ication."

• "I won't be able to drink alcohol while taking this medication."

Answer

• "I will stop taking this medication right away if I develop dizziness."

• A nurse is evaluating teaching for a client who has RA and is beginning a

prescription for methotrexate. which of the following statements by the client indicates understanding of the teaching?

• "I will be sure to return to the clinic at least once a year to have my blood drawn

while I'm taking methotrexate." 2 / 4

• "I will take this medication on an empty stomach."
• "I'll let the Dr. know if I develop sores in my mouth while taking this

medication."

• I should stop taking oral contraceptives while I'm taking methotrexate."

Answer

• "I'll let the Dr. know if I develop sores in my mouth while taking this

medication."

• A nurse is caring for a client who is beginning a new prescription for

adalimumab for RA. Based on the route of administration of adalimumab, which of the following should the nurse plan to monitor?

• The client's vein for thrombophlebitiis during IV administration.
• The client's subcutaneous site for redness following injection.
• The client's oral mucosa for ulceration after oral administration.
• The client's skin for irritation following removal of transdermal patch.

Answer

• The client's subcutaneous site for redness following injection.

• A nurse is caring for a client who has a new diagnosis of HIV infection and is

beginning combination oral NRTIs (zidovudine). The client asks how medications work to treat HIV. Which of the following responses by the nurse is appropriate?

• "These medications work by blocking HIV entry into cells."
• "these medications work by weakening the cell wall of the HIV virus."
• "These medications work by inhibiting enzymes to prevent HIV

replication."

• "These medications work by preventing protein synthesis within the HIV cell."

Answer

• "These medications work by inhibiting enzymes to prevent HIV replication."

• A nurse is teaching a client who is beginning highly active antiretroviral

therapy (HAART) for HIV infection about ways to prevent medication resistance. Which of the following should the nurse teach the client about 3 / 4

resistance?

• Taking low dosages of antiretrovial medication minimizes resistance.
• Taking one antiretroviral medication at a time minimizes resistance.
• Taking medication at the same time daily without skipping doses minimizes

resistance.

• Changing the medication regimen when adverse effects occur minimizes

resistance.Answer

• Taking medication at the same time daily without skipping doses minimizes

resistance.

Skipping even a few doses of antiretrovial medication can promote medication resistance, which may cause treatment failure. The nurse should emphasize the importance of taking each dose of medication exactly as prescribed.

• A nurse is caring for a client who takes several antiretroviral medications,

including the NRTI zidovudine, the treat HIV. For which of the following adverse effects of zidovudine should the nurse monitor? (SATA)

• Fatigue
• Visual disturbances
• Ataxia
• Hyperventilation
• Vomiting

Answer D & E

Hyperventilation is a finding that may occur if the client develops lactic acidosis, a serious advers effect of zidovudine

Vomiting and other GI effects may occur in the client who takes zidovudine

• A nurse is teaching a client to self-administer nasal drops for allergic rhinitis

symptoms. The nurse should teach the client to lie in which of he following positions to obtain the best effect of the medication?

• supine with head flexed
• Sitting with head in neutral position
• Prone with head extended
• / 4