Question 1

The client taking buspirone hydrochloride (BuSpar) for 1 month is scheduled for a follow-up appointment. The nurse gathers data from the client and interprets that the medication is effective if the client reports an absence of:

Accepted Answer

Buspirone hydrochloride (BuSpar) is primarily used for the treatment of generalized anxiety disorder (GAD), making the absence of palpitations and anxiety an indicator of its effectiveness. It is not primarily used for treating delusions, paranoid thoughts, or alcohol withdrawal symptoms.

Question 2

The nurse employed in the mental health clinic is interviewing a female client who has had clomipramine hydrochloride (Anafranil) prescribed. The nurse interprets that the client is noncompliant with taking the medication as prescribed if the cl ient exhibits which of the following behaviors?

Accepted Answer

Frequently checking her purse for her keys could indicate obsessive-compulsive behaviors, suggesting that the medication, which is used to treat obsessive-compulsive disorder (OCD), may not be taken as prescribed or is not effective. The other options are potential side effects of the medication or nonspecific symptoms.

Question 3

The client has been started on medication therapy with alprazolam (Xanax). When the nurse teaches the client that the medication should not be discontinued abruptly, the client asks why. The nurse should incorporate which of the following when formulating a reply?

Accepted Answer

Abrupt discontinuation of alprazolam, a benzodiazepine, can lead to rebound central nervous system (CNS) excitation, which may manifest as increased anxiety, agitation, or even seizure activity. This is due to the body's dependence on the medication for maintaining certain levels of neural inhibition.

Question 4

The client with schizophrenia has been started on medication therapy with clozapine (Clozaril). The nurse reviews the results of laboratory studies for this client to detect which of the following adverse effects of this medication?

Accepted Answer

Clozapine (Clozaril) can cause agranulocytosis, a potentially life-threatening decrease in white blood cells (WBCs), which makes monitoring the WBC count crucial for patients on this medication.

Question 5

The nurse is preparing to administer a 50-mcg dose of medication to a client. The medication is available in 100 mcg/5 mL. How many mL should the nurse administer?

Accepted Answer

The answer of The nurse is preparing to administer a...

Question 6

A client is prescribed to receive metoclopramide (Reglan) 5 mg IV. How many milliliters should the nurse administer if the available concentration is 10 mg/2 mL?

Accepted Answer

The answer of A client is prescribed to receive metoclopramide...

Question 7

The nurse is assigned to care for a client with metastatic breast cancer who is taking tamoxifen citrate (Soltamox). The nurse plans to monitor for which of the following changes in laboratory values for this client? Select all that apply.

Accepted Answer

The answer of The nurse is assigned to care for...

Question 8

When teaching the client with adrenal insufficiency about cortisone (Cortone), the nurse should include which of the following? Select all that apply.

Accepted Answer

The answer of When teaching the client with adrenal insufficiency...

Question 9

The client has begun therapy with oxtriphylline. The nurse determines that the client understands dietary alterations if the client states to limit which of the following while taking this medication? Select all that apply.

Accepted Answer

The answer of The client has begun therapy with oxtriphylline....

Question 10

The nurse has provided discharge instructions to a client being placed on long-term anticoagulant therapy with warfarin (Coumadin). Adequate learning would be evident if the client makes which of the following statements? Select all that apply.

Accepted Answer

The client should inform their dentist about taking Coumadin due to the risk of bleeding (A). Regular blood level checks are necessary to monitor the effectiveness and safety of warfarin therapy (D). Reporting signs of bleeding, such as blood in urine or stool, is crucial as it may indicate excessive anticoagulation (E).

Question 11

The nurse is assisting in the care of a client being discharged on phenytoin (Dilantin), 100 mg 3 times daily, for seizure control. When providing client teaching about this medication, the nurse should be sure to include which of the following points? Select all that apply.

Accepted Answer

Phenytoin can cause gingival hyperplasia, making it important to use a soft toothbrush. Alcohol can interfere with the drug's effectiveness and increase CNS depression. Phenytoin can also alter the color of urine to pink, red, or brown, which is not harmful but should be expected.

Question 12

The client with schizophrenia has been started on medication therapy with clozapine (Clozaril). Which of the following are side effects of this medication? Select all that apply.

Accepted Answer

The answer of The client with schizophrenia has been started...

Question 13

The client has begun taking phenelzine (Nardil). At the initiation of therapy, which of the following items does the nurse teach the client to allow in the diet? Select all that apply.

Accepted Answer

Phenelzine is a monoamine oxidase inhibitor (MAOI), and patients taking it should avoid foods high in tyramine to prevent hypertensive crises. Carrots, radishes, sweet potatoes, and squash are low in tyramine and are safe to consume.

Question 14

The nurse has a prescription to administer a dose of iron by a parenteral route to an assigned client. Which of the following would the nurse implement to administer this medication correctly via the intramuscular route? Select all that apply.

Accepted Answer

The Z-track method is used to prevent staining and irritation from iron injections. Aspirating checks for blood return, ensuring the needle is not in a blood vessel. An air lock helps to ensure the full dose is administered and prevents leakage. Changing the needle prevents tracking of the medication through subcutaneous tissues.

Quiz 7: Pharmacology

The client taking buspirone hydrochloride (BuSpar) for 1 month is scheduled for a follow-up appointment. The nurse gathers data from the client and interprets that the medication is effective if the client reports an absence of:

The nurse employed in the mental health clinic is interviewing a female client who has had clomipramine hydrochloride (Anafranil) prescribed. The nurse interprets that the client is noncompliant with taking the medication as prescribed if the cl ient exhibits which of the following behaviors?

The client has been started on medication therapy with alprazolam (Xanax) . When the nurse teaches the client that the medication should not be discontinued abruptly, the client asks why. The nurse should incorporate which of the following when formulating a reply?

The client with schizophrenia has been started on medication therapy with clozapine (Clozaril) . The nurse reviews the results of laboratory studies for this client to detect which of the following adverse effects of this medication?

The nurse is preparing to administer a 50-mcg dose of medication to a client. The medication is available in 100 mcg/5 mL. How many mL should the nurse administer?

A client is prescribed to receive metoclopramide (Reglan) 5 mg IV. How many milliliters should the nurse administer if the available concentration is 10 mg/2 mL?

The nurse is assigned to care for a client with metastatic breast cancer who is taking tamoxifen citrate (Soltamox) . The nurse plans to monitor for which of the following changes in laboratory values for this client? Select all that apply.

When teaching the client with adrenal insufficiency about cortisone (Cortone) , the nurse should include which of the following? Select all that apply.

The client has begun therapy with oxtriphylline. The nurse determines that the client understands dietary alterations if the client states to limit which of the following while taking this medication? Select all that apply.

The nurse has provided discharge instructions to a client being placed on long-term anticoagulant therapy with warfarin (Coumadin) . Adequate learning would be evident if the client makes which of the following statements? Select all that apply.

The nurse is assisting in the care of a client being discharged on phenytoin (Dilantin) , 100 mg 3 times daily, for seizure control. When providing client teaching about this medication, the nurse should be sure to include which of the following points? Select all that apply.

The client with schizophrenia has been started on medication therapy with clozapine (Clozaril) . Which of the following are side effects of this medication? Select all that apply.

The client has begun taking phenelzine (Nardil) . At the initiation of therapy, which of the following items does the nurse teach the client to allow in the diet? Select all that apply.

The nurse has a prescription to administer a dose of iron by a parenteral route to an assigned client. Which of the following would the nurse implement to administer this medication correctly via the intramuscular route? Select all that apply.