1 . A nurse is discussing adverse

1 . A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.) Decreased renal function Multiple health problems Increased rate of absorption Decreased percentage of body fat Polypharmacy 2. A nurse in a provider’s office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication? “I seem to be sleeping more than usual.” ‘I have noticed I’m not as cold as I use to be.” “I am losing weight without dieting. ‘I am taking a laxative for constipation.” 3. A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide. Which of the following values indicates that the client is adhering to the treatment plan? HbA1c 6.8% Positive urinary ketones Creatinine 1.0 mg/dL Total cholesterol 225 mg/dL 4. A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings? Bradypnea Hyperkalemia Tachycardia Rhinitis 5. A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months? Increase in pulse rate Weight loss Increased sleeping Warmer skin 6. A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.) “Insert the entire length of the needle into the skin during injection. “Alternate injection sites between the sides of the abdomen “Grasp the skin between the thumb and forefinger while injecting the medication.” “Expel the air bubble from the prefilled syringe.’ “Massage the insertion site after injecting the medication.’ 7. A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as allergic reaction? Bradycardia Polyuria Hypotension Nausea 8. A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, “I forgot to tell the doctor I take albuterol for asthma.” For which of the following medications should the nurse withhold the dose and notify the provider? Propranolol Montelukast Pantoprazole Isosorbide mononitrate 9. A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching? “Use a nasal decongestant 15 minutes before the medication if you have a stuffy nose. “Administer the medication into one nostril once per week.’ “Plan to self-administer this medication for the next 6 months. “Lie down for 1 hour after administering the medication. 10. A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make? “You should report monthly to have your blood drawn to monitor kidney function while taking medication.” “You should anticipate taking medication to treat your disease for at least the next 3 years. “‘You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease.” “You will need to take two or more medications to treat your disease.” 11. A nurse is providing teaching about the adverse effects of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching? Paresthesias Hematuria Tinnitus Blurred vision 12. A nurse is reviewing the laboratory results of a client who is receiving gentamicin for staphylococcus. Which of the following findings should the nurse report to the provider immediately? Fasting blood glucose 130 mg/dL Creatinine 1.8 mg/dL Potassium 4.5 mEq/L WBC 11.000/mm3 13. A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client? Metronidazole Clarithromycin Vancomycin Ceftriaxone 14. A nurse is assessing a client who has asthma and a prescription for albuterol. The nurse should monitor the client for which of the following adverse effects? Constipation Drowsiness Fever Tachycardia 15. A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect? Excessive salivation Myoclonic seizure Occipital headache Fever 16. A nurse is caring for a client who is to start therapy with lovastatin. The nurse should prepare the client for which of the following diagnostic assessments? Liver function tests Western blot analysis Exercise electrocardiography Pancreatic enzymes

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