pharmacology exam

A client has been diagnosed with hypertension. Propranol (Inderol) would be contraindicated in which condition?
Diabetes
Asthma
Angina
Dementia

A nurse caring for a client being treated with nitrofurantoin (Macrodantin) for a UTI of the bladder should ask the client specifically about resolution of which of the following symptoms during ongoing assessment? Select all that apply
Burning on pain during urination
Urgency
Polydipsia
Frequency

A patient taking Fosfomycin (Monurol) for chronic urinary tract infection notes symptoms of a bladder infection. Which other medication could be interfering with the anti-infective’s effectiveness?
Metoclopramide (Reglan)
Warfaring (Coumadin)
Simvastatin (Zocor)
Phenazopyridine (Pyridium)

A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin sodium (Coumadin). The client’s prothrombin (reference 10-13) time is 20 seconds. How would the nurse interpret these results?
Client results are lower than the needed therapeutic level
Client results are higher than the therapeutic range
Client needs to have test repeated
Client results are within the therapeutic range

A client is prescribed losartan (Cozaar). The nurse teaches the client that an angiotensin II receptor blocker (ARB) acts by doing what?
Inhibiting angiotensin-converting enzyme
Promoting the release of aldosterone
Blocking angiotensin II from angiotensin receptors
Preventing the release of angiotensin I

A client complains of epigastric pain, yellow skin pigment, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis may be appropriate for this client?

Disturbed body image
Chronic low self-esteem
Anticipatory grieving
Impaired swallowing

 

The nurse administering a cholinergic-blocking drug to a patient who is experiencing drug-induced extrapyramidal effects would assess for which therapeutic effect?
Increased heart rate
Decreased bronchial secretions
Decreased muscle rigidity and tremors
Decreased GI motility and peristalsis

A client develops atrial fibrillation with a ventricular rate of 140 beats/minutes and signs of decreased cardiac output. Which of the following medications would the nurse first anticipate administering?
Warfarin (Coumadin)
Lidocaine (Xylocaine)
Diltiazam (Cardizem)
Atropine sulfate

A client is admitted to a hospital with acute myocardial infarction and is started on tissue plasminogen activator (tPA, Activase) by infusion. Of the following parameters, which one would a nurse determine requires the least frequent assessment to detect complications of therapy with tissue plasminogen activator?
Neurological signs
Presence of bowel sounds
Blood pressure and pulse
Complaints of abdominal and back pain

 

A client returns to the clinic two weeks after discharge from the hospital. He is taking warfarin sodium (Coumadin) 2 mg PO daily. Which of the following statements indicates that further teaching is necessary?
“I take aspirin when I have a headache”
“I use sunscreen when I go outside”
“I take Mylanta if my stomach gets upset”
“I have been taking an antihistamine before bed”

A female client visits the clinic with complaints of right calf tenderness and pain. It would be MOST important for the nurse to ask which of the following question?
“Have you had any fractures in the last year?”
“Do you exercise excessively?”
“What type of birth control do you use?”
“Are you under a lot of stress?”

A client with atrial fibrillation is receiving a continuous heparin infusion at 10000 units/hr. the nurse would determine that the client is receiving the therapeutic effect based on which of the following results?
Prothrombin time of 12.5 seconds (reference PT 10-13).
Activated partial thromboplastin time of 28 seconds (reference 25-36).
Activated partial thromboplastin time of 60 seconds (reference 25-36).
Activated partial thromboplastin time of 120 seconds (Reference 25-36).

 

 

A client with coronary artery disease complains of substernal chest pain. After assessing the client’s heart rate and blood pressure, a nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, “My chest still hurts.” Select the appropriate actions that the nurse should take. (Select all that apply).
Assess the client’s pain level
Check the client’s blood pressure
Contact a physician
Call a code blue
Administer a second nitroglycerin, 0.4mg, sublingually
Contact the client’s family

A client with pulmonary edema has been on diuretic therapy. The client has an order for additional furosemide (Lasix) in the amount of 40 mg intravenous push. Knowing that the client will also be started on digoxin (Lanoxin), the nurse should review which laboratory results?
Creatinine level
Sodium level
Potassium level
Magnesium level

As part of treatment for early heart failure, a client is started on an angiotensin0converting enzyme (ACE) inhibitor. The nurse will monitor the client’s laboratory work for which potential effect?
Hypoglycemia
Proteinuria
Hyperkalemia
Agranulocytosis

Clients in AV block and sinus bradycardia should not receive?
Amiodarone
Vasopressin
Beta-blockers
Diuretics
Which of the following would a nurse expect to be prescribed for a patient experiencing bladder spasm?
Phenazopyridine
Oxybutynin
Alfuzosin
Nitrofurantoin

 

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