Pharmacology Final Exam

The client tells the nurse that she has been taking phenytoin (Dilantin) for 2 years and is still having too many side effects. She wants to stop taking it. What is the best response by the nurse?

While caring for a male client who has been using anabolic steroids, the nurse must monitor for which adverse effect?

A 9-year-old who is taking amphetamine sulfate (Adderall) for treatment of ADHD is seen in the clinic for routine follow-up. The nurse will automatically perform which functions?

What are the four phases of pharmacokinetics that a drug goes through?

All of the following are common effects of atropine EXCEPT:

The client has heart failure and receives digoxin (Lanoxin). Prior to discharge, what will the best teaching plan of then nurse include?

The nurse caring for a client receiving furosemide (Lasix) recognizes which assessment findings as indicating that the client is experiencing side effects of this medication?

The client is receiving valproic acid (Depakene)for treatment of seizures. The client has also been taking a daily 81 mg aspirin tablet prophylactically for a cardiac condition. Because of the use of these two drugs, the nurse closely observes the client for which occurrence?

A client newly diagnosed with depression is given a prescription for an antidepressant. The nurse understands that the medication prescribed affects what neurotransmitter that is associated with anxiety, impulsive behavior, and suicidal ideation?

Angiotensin-converting enzyme (ACE) inhibitor drugs prevent ACE from breaking down which of the following substances, resulting in some of the adverse effects of ACE inhibitors?

The client asks the nurse why it is important to continue using table salt when taking her prescribed lithium (Eskalith). What is the best response by the nurse?

An antibiotic classifies ad bacteriocidal protein synthesis inhibitor:

Which of the effects below would indicate a sympathetic influence?

Which laboratory value will the nurse monitor to determine the therapeutic levels of levothyroxine (Synthroid)?

THe nurse administers a medication that binds to a beta receptor on the cardiac muscle, resulting in stimulation of the receptor. The nurse anticipates that the client will experience which effect?

The nurse should question an order for propranolol (Inderal) in treatment of hypertension when the client has which associated disorder?

Penicillin's antibacterial activity is based on its:

The nurse is reviewing the concept of a drug's half-life for a student nurse, explaining that it is the time it takes for what to happen?

A client with diabetes is prescribed prednisone for acute asthma exacerbation. THe client asks if the medication will affect the blood sugar. The nurse's best response is:

Angiotensin-converting enzyme (ACE) inhibitor drugs function in the control of blood pressure:

A client who was stung by a bee is treated with an EpiPen auto-injection. The nurse monitors for which major therapeutic effect?

The client asks the nurse why there aren't better drugs for HIV infection when so much money is spent on research. What is the best response by the nurse?

A client being treated for breast cancer is prescribed tamoxifen. What should the nurse instruct the client about this medication's mechanism of action?

The client receives several chemotherapeutic agents as treatments for cancer. The client asks the nurse why he needs so many drugs. What is the best response by the nurse?

When administering a protein-bound drug to a client, what can the nurse expect?

The nurse was very busy and unfamiliar with a new medication, but administered it anyway. Later the nurse looked up the medication. How would the nurse manager evaluate this behavior?

A client is receiving antibiotic treatment for a wound abscess. What does the nurse recognize that drug distribution to this area requires, in order to be effective?

A client has decided to use the transdermal delivery method of contraception. What would contraindicate the use of this method?

A client recovering from surgery is prescribed zolpidem (Ambien) for sleep. The client is scheduled for physical therapy at 8PM. What should the nurse do when providing the client with this medication?

The client has smoked a pack of cigarettes per day for 20 years. The client also takes oral contraceptives. In implementing a teaching plan, what is the most important information for the nurse to include?

Discharge teaching for the client prescribed an anticholinergic drug would include:

Which of the following is part of protocol to reduce perinatal transmission of HIV?

The spouse of a client with Parkinson's disease asks how taking medication will help with symptoms/ What is the nurse's best response?

A client with an extensive history of alcoholism is having coronary bypass surgery. While administering anesthesia, the certified nurse anesthetist notes that the client requires greater than usual amounts of the drug. The nurse correctly evaluates this response as what phenomenon?

A client has been taking oral antibiotic therapy for 3 days when she develops diarrhea. The most likely cause of the diarrhea is:

A client has been started on diltiazem (Cardizem), a substrate of the cytochrome CYP3A4 isoenzyme system in the liver. The client also takes phenobarbital, an inducer of the CYP3A4 isoenzyme system, for seizures. What does the nurse recognize about diltiazem?

When reviewing a male client's medication history, the nurse realizes that sidenafil (VIagra) would be contraindicated when taken with what medication?

A client diagnosed with insomnia, triggered by anxiety, is prescribed paroxetine (Paxil). When the client asks the nurse why an antidepressant has been prescribed, the nurse's response is:

Which client would require the administration of prophylactic antibiotics?

An advantage of using a broad-spectrum antibiotic is that:

A client has been ordered a loading dose of a cardiac glycoside for an exacerbation of heart failure. When the client comments, "I usually take a much lower does," how does the nurse respond?

If asked to recommend a delivery method of birth control, for which client would the nurse suggest the use of Depo Provera?

A nurse administers an IV antihypertensive medication, causing an immediate reduction in blood pressure. The baroreceptors respond by attempting to return blood pressure back to normal. The resulting accelerated heart rate is known as:

Before administering a drug, what pertinent information must the nurse obtain from the client?

A client with a history of depression is taking cyclosporine to prevent organ rejection. However, recent tests indicate the medication is losing effectiveness. The nurse should ask if the client is taking which herbal supplement?

First-generation cephalosporins are the most effective of this class of antibiotics against:

In the postoperative client, the nurse recognizes that bethanecol (urecholine) might be given to treat which condition?

A client who takes atorvastatin (Lipitor) daily has been prescribed erythromycin for sinusitis. To prevent consequences of an adverse effect of this combination of drugs, it is most important for the nurse to monitor this client for:

A client with a history of angina has been given a prescription for nitroglycerin sublingual tablets. The nurse instructs the client to have some medication available whenever away from home. What else does the nurse suggest?

A client is prescribed insulin via the intravenous (IV) route. Which insulin will the nurse administer to this client?