Pharm Test 4
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1. The following statement by a client using a beclomethasone (Vanceril) inhaler indicates adequate understanding of its use:
a. “Because it is habit-forming, I will only use it once a day”
b. “If I need to use the drug more often than pres - b. “If I need to use the drug more often than prescribed, I will call my doctor.”
- 2. A dosage of theophylline may need to be increased if a client:
- a. smokes cigarettes
- 3. Mr. B. started on theophylline. You know that your teaching has been successful if he states,
- a. “I will: avoid caffeine.”
- 4. A client started on albuterol (Proventil) should be instructed that she may experience:
- a. tachycardia
- 5. The following statement indicates that your client has a good understanding of the teaching that you have done regarding inhalers:
- a. “The aerosol canister should be shaken well before using.”
- 6. A client with chronic bronchitis is experiencing symptoms of respiratory distress. Which of the following symptoms indicate hypoxia:
- a. expiratory wheezes and cyanosis
- 7. To avoid bronchospasm, the person who experiences acute asthma attacks should be advised to:
- a. use a bronchodilator inhaler prior to exercise
- 8. A client stared on beclomethasone (Vanceril) may need additional teaching if he states the following:
- a. “I will….: not administer a second aerosol medication until an hour after taking this.”
- 9. An expected outcome after the administration of aerosol bronchodilator is decreased dyspnea within:
- a. 1-2 minutes
- 10. When administering sympathomimetic bronchodilators, you can expect the clien to experience:
- a. tachycardia
- 11. Corticosteroids are administered to clients in respiratory distress to:
- a. reduce airway inflammation
- 12. The following indicates that the client is obtaining maximum benefit from the inhaler:
- a. He holds his breath for several seconds after releasing the medication
- 13. The following statement by your client indicates successful teaching concerning diphenhydramine hydrochloride (Benadryl):
- a. “I should not operate heavy machinery when taking this medicine.”
- 14. When diphenhydramine hydrochloride (Benadryl) is administered parenterally, the nurse needs to observe the client for changes in:
- a. blood pressure
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15. An antihistamine that produces significant sedationis:
a. Hydroxyzine (Vistaril)
b. Cyproheptadine (Periactin)
c. promethazine hydrochloride (Phenergan)
d. dimenhydramine (Dramamine) - c. promethazine hydrochloride (Phenergan)
- 16. An overdose of antihistamines can result in:
- a. hallucinations and convulsions
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17. The following are adverse effects of diphenhydramine hydrochloride (Benadryl) except:
a. Constipation
b. Urinary retention
c. Tachycardia
d. Drowsiness - c. Tachycardia
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18. A 14-year-old client receives acetylcysteine (Mucocyst) for which of the following conditions:
a. Severe cough
b. Pulmonary edema associated with heart failure
c. cystic fibrosis
d. respiratory congestion related to chronic asthm - c. cystic fibrosis
- 19. A female client has bronchitis, so the physician orders guaifenesin (Robitussin). The following instructions should be given:
- a. avoid taking alcohol concurrently with this medication
- 20. Acetylcysteine (Mucomyst):
- a. decreases the viscosity of mucous secretions
- 21. The following statements by a client who is to take an antitussive with codeine indicates that your teaching has been effective:
- a. “This medication can cause drowsiness, so I will avoid driving while I use it.”
- 22. The following is a common complaint from a client receiving acetylcysteine (Mucomyst) by nebulizer treatment:
- a. “The mist I breathe in smells and tastes awful.”
- 23. An adverse reaction commonly experienced by persons taking nasal decongestants is:
- a. dry mouth
- 24. Persons taking a narcotic antitussive need to be observed for:
- a. tachycardia
- 25. You should withhold digoxin (Lanoxin) and notify the physician if the clientÂ’s:
- a. pulse is 54 beats per minute
- medication that increases the force of the contractions of the heart has a:
- a. positive inotropic effect
- 27. A loading dose of digoxin (Lanoxin) is ordered. You would recognize that the physician ordered the correct dose if it was:
- a. .75 mg PO q8h X 3 doses
- 28. A client, admitted with atrial fibrillation last evening, was given two doses of digoxin (Lanoxin) totaling 1 mg. His digoxin level this morning is 0.4mg/mL. You know that this is:
- a. lower than a therapeutic level
- 29. The following statement by your client leads you to believe that she understands the teaching that you have done about digoxin:
- a. “I will: take my pulse every day.”
- 30. Cardiac glycosides are used to:
- a. increase the force of the contraction of the heart
- 31. The following would be an adverse effect of quinidine therapy:
- a. diarrhea (headache)
- 32. The following behavior by persons receiving propanolol (Inderal) indicates that your teaching has been successful. They:
- a. report a weight gain of over 2 pounds in 1 week
- 33. Side effects of lidocaine (Xylocaine) therapy that the nurse should be observing for include:
- a. disorientation
- 34. Persons taking a beta-adrenergic blocker such as propanolol (Inderal) for its antiarrhythmic effect should be observed for:
- a. heart failure
- 35. The physician plans on treating your clientÂ’s atrial fibrillation with digoxin (Lanoxin). Prior to initiating treatment, your client should be taught to:
- a. check her pulse daily
- 36. The following statement by your client leads you to believe that she has a good understanding of the teaching that you have done regarding quinidine.
- a. “I will: take the medication with meals.”
- 37. A client is admitted with uncontrolled chest pain. He is currently taking nitroglycerin (Nitro-Bid). His physician orders nifedipine (Procardai) added to his regimen. You should observe the client for:
- a. hypotension
- 38. The following condition may preclude the use of beta-adrenergic blockers:
- a. heart failure
- 39. Beta-adrenergic blockers help to control angina but can cause:
- a. decreased contraction of the heart
- 40. Your client can expect relief of chest pain when she takes nitroglycerin in:
- a. 1-3 minutes
- 41. Vasopressor drugs are useful in treating:
- a. hypotension resulting from decreased cardiac output
- 42. A client in your unit has a gunshot wound. His family is very concerned about him and questions why the dobutamine (Dobutrex) is being used. Your best reply is:
- a. “We want to slow down Mr. G.’s heart rate and increase his blood pressure, and this drug will do that.”
- 43. Mr. J. is started on an IV drip of dopamine (Intropin) for hypotension after open heart surgery. Identify which of these adverse effects you will be assessing for:
- a. tachycardia (bradycardia).
- 44. Mr. P. is being treted for hypotension with dopamine (Intropin) and begins to complain of chest pain. Which of the following antianginal drugs would you question if they were ordered:
- a. propanolol (Inderal)
- 45. The following statement by a client leads you to believe he has understood the teaching you had done regarding dobutamine (Dobutrex):
- a. “They will be monitoring my pulse, blood pressure, and urinary output frequently.”
- 46. The major advantage of dobutamine (Dobutrex) over dopamine (Intropin) for clients in cardiogenic shock is:
- a. it does not product systemic vasoconstriction.
- 47. When assessing a client, the following disorder from a clientÂ’s history would be a contraindication for the use of calcium channel blockers:
- a. heart failure
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48. A client is receiving captopril (Capoten). Identify which of the following problems it might be used to treat:
a. chronic hypertension
b. venous thrombosis
c. hypertensive crisis
d. unstable angina pectoris - a. chronic hypertension
- 49. The physician prescribes captopril (Capoten) for your client. You know that your teaching has been effective if your client says, “I will:
- a. make sure that I rise slowly from a supine position.”
- 50. The following represents the most important outcome for Mr. J., who has recently been diagnosed with hypertension:
- a. evidence of a diastolic BP below 90.
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51. Persons experiencing both hypertension and angina are best treated with:
a. beta-adrenergic blockers
b. direct-acting casodilators
c. thiazide diuretics
d. ACE inhibitors - a. beta-adrenergic blockers
- 52. Angiotensin-converting enzyme (ACE) inhibitors work by:
- a. blocking the enzyme that converts angiotensin I to angiotensin II
- 53. Diuretics and albumin are used together to treat edema that occurs because of:
- a. decreased plasma osmotic pressure
- 54. The following statement by your client makes you believe that she understands your teaching about diuretics:
- a. “I will weight myself once a week and report significant changes.”
- 55. Mrs. B. is started on furosemide (Lasix) 40 mg daily. You will check her lab values on a regular basis because you know a side effect of this medication is:
- a. hyponatremia
- 56. When administering intravenous furosemide (Lasix), you will administer it slowly, because if it is administered rapidly, it can cause:
- a. hearing loss.
- 57. Spironlactone (Aldactone) should not be administered to persons with:
- a. elevated serum levels.
- 58. Which of the following is an osmotic diuretic:
- a. mannitol (Osmitrol).
- 59. The following may be an indication that the nurse is giving IV push furosemide (Lasix) too rapidly:
- a. the client states that his ears are “plugged up.”
- 60. A common side effect that a client receiving furosemide (Lasix) for hypertension could experience is:
- a. abdominal and leg cramps
- 61. A client receives IV heparin 5000 U 1h. A partial thromboplastin time (PTT) is drawn a half an hour before the 8:00 am dose; the PTT is at 92 seconds. The most appropriate action would be to:
- a. hold the dose and call the result to the physician
- 62. The effects of warfarin sodium (Coumadin) are monitored by the following lab test:
- a. PT
- 63. Bleeding resulting from the administration of heparin is treated with:
- a. protamine sulfate
- 65. You know that your teaching about Coumadin is successful if your client states:
- a. “I will not dring alcoholic beverages.”
- 66. A client receiving Coumadin has blood in his urinary drainage bag this morning. After reporting your observations to the physician, you will administer:
- a. Vitamin K
- 67. Your client, admitted with thrombophlebitis, is being sent home on Lovenox. He has a good understanding of why Lovenox is being used if he states that it will:
- a. prevent the blood from clotting