RN Capstone Pharmacology 1

Question 11 of 50

RN Capstone Pharmacology 1 A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review? (Select all that apply.)

• Potassium level
• WBC with differential
• BUN level
• Hemoglobin level
• Glucose level

Question 14 of 50

A nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate. Which of the following instructions should the nurse include in the teaching?

• “Take the medication immediately after a meal.”
• “Drink 8 ounces of milk when taking the medication.”
• “Take the medication before bedtime.”
• “Take one tablet of the medication on the same date each month.”

Question 16 of 50

A nurse is providing teaching to a client who is starting to take finasteride for the treatment of male pattern baldness. Which of the following statements by the client indicates an understanding of the teaching?

• “This medication can increase the size of my prostate gland.”
• “This medication can increase my risk for impotence.”
• “This medication might increase the amount of ejaculate.”
• “This medication should increase my hair growth in 1 month.”

Question 21

A nurse is teaching a client who has a new prescription for hydrochlorothiazide. Which of the following statements should the nurse include?

• “This medication can decrease my blood pressure.”
• “This medication should be taken at bedtime.”
• “This medication can cause your blood sugar to drop.”
• “This medication will increase your potassium levels.”

Question 22

A nurse is assessing a client who is taking atorvastatin. Which of the following findings should the nurse report to the provider?

• Constipation
• Muscle tenderness
• Headache
• Insomnia

Question 23

A nurse is caring for a client who is refusal to take their prescribed medication. Which of the following actions should the nurse take? RN Capstone Pharmacology 1

• Inform the client that they will be discharged if they refuse.
• Ask the client to describe their concerns.
• Administer the medication while the client is sleeping.
• Tell the client’s family about the refusal.

Question 24

A nurse is reviewing the laboratory results of a client who is taking gentamicin. Which of the following laboratory values should the nurse monitor?

• Creatinine
• Serum glucose
• Potassium
• Hemoglobin

Question 25

A nurse is reviewing the medical records of four clients. Which of the following clients is at risk for hypokalemia? (Select all that apply.)

• A client taking prednisone
• A client taking torsemide
• A client taking polystyrene sulfonate
• A client taking hydrochlorothiazide

Question 26

A nurse is reviewing a medication error report. Which of the following is an example of a medication error?

• Administering a medication via the oral route instead of IV.
• Name confusion between two medications with similar sounding names
• Giving a medication 30 minutes before the scheduled time.
• Administering a generic form of a brand-name medication.

Question 27

A nurse is assessing a client who is taking furosemide. Which of the following findings should the nurse report to the provider? (Select all that apply.)

• Muscle weakness
• Fatigue
• Hypertension
• Bradycardia RN Capstone Pharmacology 1

Question 28

A nurse is caring for a client who has depression. Which of the following medications should the nurse expect the provider to prescribe?

• Citalopram
• Haloperidol
• Lithium
• Risperidone

Question 29

A nurse is teaching a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching?

• “I will limit my fluid intake while taking this medication.”
• “I will take this medication on an empty stomach.”
• “I will have my blood checked to monitor the medication levels.”
• “I should stop taking the medication if I feel better.”

Question 33

A nurse is providing teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include?

• “Discard the medication after 1 month.”
• “Take the medication with a full glass of water.”
• “Store unused tablets at room temperature.”
• “Chew the tablet before swallowing.”

Question 34

A nurse is assessing a client who is using a fluticasone inhaler. Which of the following findings should the nurse report to the provider?

• White coating in the mouth
• Dry mouth
• Increased appetite
• Insomnia

Question 35

A nurse is reviewing the laboratory results of a client who is taking clozapine. Which of the following results should the nurse report to the provider?

• Neutrophil count $650/mm^3$ ($2,500$ to $8,000/mm^3$)
• Platelet count $200,000/mm^3$
• Hemoglobin $14 g/dL$
• WBC $6,000/mm^3$

Question 36

A nurse is providing teaching to a client who is taking phenazopyridine. Which of the following instructions should the nurse include?

• “This medication will turn your urine blue.”
• “Increase your fluid intake.”
• “Take the medication on an empty stomach.”
• “Discontinue the medication if your urine changes color.”

Question 37

A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medications should the nurse expect to administer?

• Naloxone
• Bisacodyl
• Flumazenil
• Pentazocine

Question 38

RN Capstone Pharmacology 1. A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler?

• “You should gargle with water after each use of this inhaler.”
• “There is no need to use a spacer for this inhaler.”
• “You should use this inhaler for any acute incidents of shortness of breath.”
• “Use the beclomethasone inhaler before using your albuterol inhaler to increase absorption.”

Question 39

A nurse is caring for a client who has hypertension and nephropathy due to type 2 diabetes mellitus. The nurse should expect to administer which of the following medications to slow the progression of the nephropathy? RN Capstone Pharmacology 1

• Sitagliptin
• Glipizide
• Metoprolol
• Losartan

Question 40

A nurse is caring for a client following a bronchoscopy with moderate sedation. Which of the following actions should the nurse take? (Select all that apply.)

• Assess the client’s gag reflex before offering oral intake
• Listen to the client’s breath sounds
• Monitor the client’s oxygen saturation
• Monitor the client for manifestations of bleeding
• Assess the client’s puncture site
• Observe the client for manifestations of a pneumothorax

Question 41

A nurse is talking with a client who has a new prescription for an ipratropium inhaler to treat exercise-induced bronchospasm. Which of the following client statements should the nurse report to the provider? RN Capstone Pharmacology 1

• “I hope this new medication won’t make my high blood pressure worse.”
• “I want to keep using my albuterol when I feel like I need it.”
• “I am allergic to atropine.”
• “I usually have a glass of red wine with dinner.”

Question 42

A nurse is caring for a client who has a prescription for metoclopramide. Which of the following outcomes should the nurse use to evaluate the effectiveness of this medication?

• Suppressed cough
• Relaxed muscles
• Reduced nausea
• Decreased pain

Question 43

A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?

• Vomiting
• Dilated pupils
• Bruising
• Peripheral edema

Question 44

A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching?

• “I should not crush this medication before taking it.”
• “I should discontinue this medication when my symptoms subside.”
• “I will need to have regular eye exams while taking this medication.”
• “If I miss a dose of my medication, I can take a double dose the next time.”

Question 45

A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?

• Decreased excretion of urine sodium
• Increased urinary output
• Decreased serum glucose
• Increased blood pressure

Question 46

A nurse is preparing to administer medications to a client who has type 1 diabetes mellitus. The client takes lispro insulin and has a new prescription for pramlintide. Which of the following actions should the nurse take?

• Monitor the client for weight gain.
• Monitor for hypoglycemia for 3 hr after pramlintide administration.
• Inject the pramlintide in the client’s upper arm.
• Administer pramlintide 30 min prior to a meal.

Question 47

A nurse is caring for a client who is receiving an IV infusion of heparin. Which of the following findings should indicate to the nurse the client is at risk for hemorrhage? (Select all that apply.)

• Thrombocytopenia
• Neutropenia
• Hypokalemia
• Hyperglycemia
• Fever
• Dark stools

Question 48

A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch to treat angina. Which of the following instructions should the nurse include? RN Capstone Pharmacology 1

• “Apply a new patch if you have chest pain.”
• “Remove the patch for 10 to 12 hours each day.”
• “Apply the patch to the same site as the previous patch.”
• “Massage the patch into the skin after application.”

Question 49

A nurse is assessing a client who has been taking digoxin for 1 month. Which of the following findings should the nurse report to the provider as an indication of digoxin toxicity? (Select all that apply.)

• Fatigue
• Nausea
• Blurred vision
• Digoxin 2.2 ng/mL
• Heart rate 55/min

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Question 50

A nurse is reviewing the medical record of a client who has a new prescription for a combined oral contraceptive (COC). Which of the following findings in the client’s health history should the nurse identify as a contraindication to taking a COC?

• History of migraines with aura
• History of seasonal allergies
• History of appendectomy
• BMI of 24