Pharm 154 quizzes

A nurse is teaching a health class for girls at the local high school and explains the primary goal of female sex hormones is what?

to prepare the body for pregnancy.

The nurse is caring for a woman with a new prescription for oral contraceptives. What outcome would be most important for the nurse to evaluate?

The patient can verbalize how and when to take medication even if a pill is missed.

A nurse is taking care of a woman receiving an abortifacient. The nurse is aware that the most serious adverse effect is what?

Uterine rupture

A patient is receiving oxytocin. The nurse would know that this drug is used for the purpose of what?

Stimulating uterine contractions

What is the indication for use of magnesium sulfate in a pregnant woman?

To prevent premature labor and delivery.

A patient is in the clinic for a follow-up visit after having been on estradiol (Estrace) for hormone replacement therapy for 3 months. Which report by the patient would immediately concern the nurse?

Smoking a pack of cigarettes per day

The nurse is caring for an infertile couple who will take clomiphene (Clomid) to become pregnant. How would the nurse describe the actions of this drug?

It affects follicle-stimulating hormone (FSH) and luteinizing hormone (LH) release to stimulate ovulation

An older male patient, who has difficulty swallowing pills and tablets, will begin taking an androgen. What drug would the nurse identify as a good choice for this patient?

Testosterone (Androderm)

A 9-year-old boy is taking testosterone injections for treatment of hypogonadism. What should be measured every 6 months on this child?

Hand and wrist radiographs

What therapeutic effect will the nurse assess for in the male patient taking anabolic steroids?

Increase in red blood cells (RBCs) and hemoglobin

A 69-year-old man is prescribed testosterone. The patient is found to have hypertension and a history of congestive heart failure after assessment by the nurse. What is this patient at increased risk for?

Fluid retention

A patient has been prescribed sildenafil citrate. What should the nurse teach the patient about this medication?

The drug should be taken 1 hour before attempting intercourse.

For what reason might the nurse administer sildenafil to a woman?

Pulmonary arterial hypertension

A pregnant woman is helping her elderly father with taking his medications. He is taking dutasteride (Avodart). The nurse will instruct the daughter to do what?

Avoid touching any crushed or broken tablets.

The mother of a child diagnosed with attention-deficit syndrome receives a prescription for a central nervous system (CNS) stimulant to treat her child. The mother asks the nurse, "I don't understand why we're giving a stimulant to calm him down?" What is

It helps the reticular activating system (RAS), a part of the brain, to be more selective in response to incoming stimuli.

The nurse is teaching the mother of a child diagnosed with attention-deficit hyperactivity disorder how to administer methylphenidate (Ritalin). When would the nurse instruct the mother to administer this drug?

Administer at breakfast every day.

A child was diagnosed with attention-deficit hyperactivity disorder and methylphenidate was prescribed for treatment to be taken once a day in a sustained release form. On future visits what is a priority nursing assessment for this child?

Weight and height

A nurse is providing discharge teaching for a patient who will be going home on cyclobenzaprine (Flexeril) prescribed for his acute musculoskeletal pain. The nurse will stress that the patient should avoid what?

Drinking alcohol

A patient is admitted to the unit with central spasticity after a terrible motor vehicle accident. The doctor places an intrathecal delivery pump. What medication can be administered via this route to treat the central spasticity?

Baclofen (Lioresal)

What drug would the nurse expect to administer to the patient experiencing malignant hyperthermia?

Dantrolene

The nurse anticipates what generalized response to the patient's cellular injury

inflammation

An adolescent comes to the free clinic with complaints of allergic rhinitis. The adolescent asks the nurse what makes his nose get so stuffy. What is the nurse's best response?

The inside of the nose swells because of the dilation of the blood vessels.

The nurse is caring for a 66-pound child with orders for choline magnesium trisalicylate (Tricosal). The orders read 50mg/kg/d PO in two divided doses. How many milligrams will the patient receive per dose?

750 mg

A nurse is assessing a patient in a physician's office. The patient reports that he has chronic headaches and states that he has been taking 9-10 extra strength Tylenol (acetaminophen 500 mg) every day. what will the nurse evaluate?

hepatic function

A nurse is assessing a patient who has been taking nonsteroidal anti-inflammatory drugs (NSAID). What statement by the patient indicates to the nurse that the patient has a good understanding of the use of this therapy.

I asked my doctor to check for blood in my stool regularly

A mother has brought her 6-year-old child to the clinic. The child has a fever of 102.8 and is diagnosed with influenza. What medication will nurse suggest for this child?

acetaminophen (Tylenol)

What medication used to treat rheumatic arthritis not only has anti-inflammatory effects but is also used in premature infants to close a patient ductus arteriosus?

indomethacin (Indocin)

When non-steroidal anti-inflammatory drugs are combined with loop diuretic, there is a potential for what?

Decreased diuretic effect

A patient diagnosed with rheumatoid arthritis also reports pain secondary to fibromyalgia, and dysmenorrhea with painful cramping during menses. What drug would be most effective in treating all three of this patient's problems?

naproxen (Naprosyn)

The patient receives lidocaine as a local anesthetic before insertion of a chest tube. After the procedure the patient tells the nurse "The area is still numb. How long will this last?" What is the nurse's best response?

2 hours

A geriatric patient received a narcotic analgesic before leaving the post-anesthesia care unit to return to the regular unit. What is the priority nursing action for the nurse receiving the patient on the regular unit?

Put the rails up and place bed in low position

A patient with migraine headaches is changed from an ergot to a prescription for a triptan. The nurse has completed teaching related to the drug. What statement would indicate she has a clear understanding of the new drug?

I should not experience as many adverse effects from my new medication

Before administering an ergot drug to a patient for the first time, the nurse would assess the patient's currently prescribed medications for what drug?

Beta adrenergic blockers

The nurse is caring for a patient who is receiving an opioid analgesic. What are the nurse's priority assessments?

Level of consciousness and respiratory rate

The nurse is caring for a patient experiencing postoperative pain. The physician orders 2.5mg of morphine IV every 2 hours. Morphine is supplied in 10mg/mL vials. The nurse will administer _______ mL.

0.25

What drug might the nurse administer for both analgesic and antitussive effects?

codeine

The nurse administers a narcotic analgesic to the postoperative patient. What is the best way for the nurse to evaluate response to the medication?

Use a pain assessment tool before and 30 minutes after administration.

The nurse is providing care for a man diagnosed with osteoporosis. what drug will the nurse administer that is the only drug approved for treatment in men?

alendronate (Fosamax)

The nurse is teaching the patient how to take his newly prescribed alendronate (Fosamax) and includes what teaching points

Take the drug with a full glass of water
Remain upright for at least 30 minutes after taking the medication
Take the drug in the morning

A patient with Paget's disease cakes the clinic and tells the nurse that she is experiencing flushing of the face and hands and a rash. The patient states that she is taking calcitonin salmon (Calcimar) for her Paget's disease. What is the nurse's best re

This is a common adverse effect of your medication and will lessen with time.