NCLEX PHARMACOLOGY

Client teaching for clients on dextromethorphan (Benylin), an antitussive agent should include:

Which finding in a patient taking oxymetazoline (Afrin) a topical nasal decongestant spray every 2 hours would indicate that the patient has developed an adverse effect?

Pseudoephedrine (Sudafed) has been ordered as an oral decongestant. Which of the following is a possible side effect of this drug?

A client has been taking a topical steroid nasal decongestants flunisolide (Aerobid), two inhalations a day, for treatment of asthma. He tells the nurse that he has painful, white patches in his mouth. Which response by the nurse would be the most appropriate?

Philip is experiencing vertigo while he is playing basketball and he immediately brought to JRU clinic. Which antihistamine is best prescribed and given for his condition?

The client is experiencing a seasonal allergic rhinitis. The attending doctor prescribes non-sedating antihistamine fexofenadine. Which of the following is the brand name of this drug?

A client is prescribed with guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will:

Ms. Leah, a registered nurse employed in the emergency department prepares to assist in treating a child with acetaminophen (Tylenol) overdose. She checks the medication supply room, anticipating that which of the following medication will be prescribed?

A client is taking aminophylline-theophylline ethylenediamine (Somophyllin), a xanthine bronchodilator. For what should the nurse monitor the client?

The nurse is administering isoproterenol, a beta1 and beta2 agonist. The nurse expects the patient to show which is NOT an effects of this drug?

A client with a chronic obstructive pulmonary disease is prescribed with Ipratropium (Combivent). Upon reviewing the medical history of the patient, the nurse questions the prescription if which of the following is noted?

A nurse is collecting data on a client to the hospital with a diagnosis of a respiratory infection unresponsive to oral antibiotics. The nurse discovers that the client has a history of bronchial asthma and has been taking zafirlukast (Accolate). The nurse assists to develop a plan of care for the client and suggests that a priority includes the monitoring of which of the following choices?

The nurse is preparing to administer beractant (Survanta) toa premature infant who has respiratory distress syndrome. The nurse plans to administer the medication by which route?

A Cromolyn sodium (Intal) inhaler is prescribed to a client with asthma. A nurse provides instructions regarding the side effects of this medication. The nurse tells the client that which undesirable effect is associated with this medication?

Which histamine-2 antagonist is associated with the most drug interactions?

A physician has written an order for ranitidine (Zantac) once daily. The nurse schedules the medications for which of the following times?

The nurse will teach clients that antacids are effective in the treatment of hyperacidity based on which mechanism of action?

Which nursing diagnosis is appropriate for a patient receiving famotidine (Pepcid)? Impaired urinary elimination related to retention. Ineffective peripheral tissue perfusion related to hypertension. Risk for injury related to thrombocytopenia. Risk for infection related to immunosuppression.

The nurse will monitor a client taking an aluminum- containing antacid, such as aluminum hydroxide (Amphojel), for which adverse effect?

How will the nurse describe the action of proton pump inhibitors (PPIs)?

A 74 y.o. Female pt w/ GERD takes over-the-counter meds. For which medication if taken long-term, should the nurse teach about increased risk of fractures?

A client has been prescribed with sucralfate (Carafate) for the treatment of gastric ulcer. The nurse instruct the client that this medication is taken?

A client has been taking Ibuprofen for some quite time and was given misoprostol (Cytotec). Which of the following is exhibiting the therapeutic effect of Cytotec?

A client has been prescribed with pancrelipase (Pancrease), a digestive enzymes. Which of the following symptoms would prompt the nurse that the medication is having its therapeutic effect if which of the following is noted?

A pregnant patient asks the nurse Leah if she can take castor oil for her constipation. How should the nurse respond?

The drug of choice for treating traveler's diarrhea would be which of the following antidiarrheal drugs?

The standard emetic agent in use today, available in pre-dosed packaging for parents to keep at home is which of the following emetic agent?

Prochlorperazine (Compazine) is the antiemetic for choice of which of the following manifestations?

Nursing interventions for the patient receiving an antiemetic drug would probably EXCLUDE:

Photosensitivity is a common adverse effect associated with the use of antiemetic agents. Patient should cautioned to which of the following nursing action?

Which of the following is NOT a therapeutic use of leuprolide (Lupron), a hypothalmic releasing factors agent?

The following are the nursing intervention for client taking leuprolide (Lupron), except:

Somatropin (Nutropin, Saizen), an anterior pituitary hormone agent is a genetically engineered growth hormone that is used for which of the following choices?

The nurse administers bromocriptine (Parlodel), a growth hormone antagonist to client who is undergoing detoxification for amphetamine abuse. Which of the following is the correct rationale of giving this drug to this client?

You are administering desmopressin (DDAVP) tablet to a client with diabetes insipidus. Which is your priority nursing diagnosis for a client receiving this drug?

The level II JRU nursing students is caring for a client with diabetes insipidus who is receiving vasopressin (Pitressin). What therapeutic effect does the JRU nursing students expect from this drug?

Leonard is using a glucocorticoid to treat his dermatitis. Which drug and type of method of administration will be used?

A client with acute asthma is prescribed short-term flunisolide (Aero-Bid) therapy. Which of the following is the expected outcome for the use of glucocorticoids in client with asthma?

Based on the JRU student nurse's knowledge acquired during zoom reporting about glucocorticoids, what instructions should be given emphasis for this drug?

Mineralocorticoids are used to maintain electrolyte balance in situations of adrenal insufficiency. Mineralocorticoids

Clients who are taking corticosteroids usually report all of the following except:

The client diagnosed with hypothyroidism is prescribed the thyroid hormone levothyroxine (Synthroid). Which assessment data indicate the medication has been effective?

Assessing a client's knowledge of his or her thyroid replacement therapy would show good understanding is the client stated:

Administration of propylthiouracil (PTU), an antithyroid agent would include giving this drug of which of the following action?

A client with hyperthyroidism has been given methiamazole (Tapazole), an antithyroid agent. The following are the nursing considerations appropriate with this medication, EXCEPT:

A client has begun taking calcitrol (Rocaltrol). Which of the following is a nursing implication of this drug?

Which of the following group of biphosphonate agents is a drug of choice for the treatment of post- menopausal osteoporosis?

A client who is receiving a biphosphate for the treatment of menopausal osteoporosis should be taught

Insulins are classified by their effect and duration. Which of the following insulins is classified as an intermediate acting insulin with therapeutic duration of 24 hours?

Insulin is available is available in several forms, which differ in which of the following choices?

The doctor prescribes to administer regular insulin and NPH insulin at a.c.. Which of the following priority nursing action would the nurse perform?

A client who is started on metformin (Glucophage), a nonsulfonylureas agent and glyburide (DiaBeta), a sulfonylurea agent would have initially presented which of the following symptoms?

A client at the community has been prescribed diazoxide (Proglycem, Hyperstat) for hypoglycemia due to hyperinsulinism. What adverse reactions to the drug should the nurse monitor for in the client?

Mrs. Lauderil is being discharged home on hydrochlorothiazide (HydroDiuril) for treatment of hypertension. Which of the following statements by the client indicates she understood your discharge teaching about this medication?

The JRU level Il nursing students is reviewing the medciations that have ordered for a client for whom a loop diuretic has just been prescribed. The loop diuretic may have a possible interaction with which of the following medications?

Which statement needs to be included when the nurse provides client education for a patient with heart failure who is taking daily doses of spironolactone, a potassium sparing diuretic?

Which of the following is the most widely used diuretic for increased intracranial pressure (ICP?

A businesswoman who is leaving on a business trip the next day tells the nurse she knows she has cystitis and does not want to have to "mess" with medicine while she is gone. What drug would be a good choice for this client?

The nurse is assessing a client who is taking oxybutynin (Ditropan), an urinary tract antispasmodic. What would be the priority nursing assessment for this client?

A client is taking phenazopyridine (Azo-Standard), a urinary tract analgesic and ciprofloxacin (Cipro), a urinary tract anti-infective for a cystitis. What is the most important instruction the nurse needs to provide to the client concerning this drug combination?

A client is taking pentosan polysulfate sodium (Elmiron), a bladder protectant to decrease pain and discomfort associated with interstitial cystitis. What medication class may cause an adverse reaction when used with Elmiron?

A client has been taking finasteride (Proscar) for almost a year. The nurse knows that which is the most important to evaluate at this time?

A client is receiving treatment for acute short-term anxiety with a benzodiazepine such as alprazolam, diazepam and lorazepam. The nurse should teach the client which of the following action?

Which of the following is the brand name of "diazepam"?

A client has just been started on phenobarbital to reduce seizures. Which statement by the client indicate knowledge of what this drug does to them?

A client who is having a tonic-clonic seizures is prescribes a barbiturate agents, an agents ending with the word "barbital". During administration of this group of drug, it is important for the nurse to monitor the possible adverse effect of which of the following?

A client Who has been taking buspirone (BuSpar) for two (2) months returns to the clinic for a follow-up. The nurse determines that the medication is effective if there is an absent display of which of the following?

Zolpidem (Ambien) belongs to which of the following class of drugs:

Which of the following is a tricyclic antidepressant?

Tricyclic antidepressants act by blocking:

The risk of experiencing serotonin syndrome when SSRI's are given with monoamine oxidase inhibitors (MAO) such as phenelzine (Nardil). Serotonin syndrome is best characterized in which of the following manifestations?

A nurse provides instructions to a client taking fluoxetine (Prozac), a selective serotonin reuptake inhibitors (SSRI) antidepressant. The nurse tells the client to take the medication at what possible time?

Doctor Luigi prescribes other antidepressant and write in the prescription pad the brand name Effexor. Which of the following is the generic name of this drug?

A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg p.o. Twice a day. During a discharge teaching session, the nurse should provide which instruction to the client?

The following are the typical antipsychotic drugs EXCEPT:

A 49-year-old patient diagnosed with schizophrenia at 22 years old is prescribed risperidone (Risperdal), atypical antipsycotic agent. Which nursing assessment is the priority for this patient?

A prescription for which medication would require the nurse to monitor the client for potential development of the side effect of hypothyroidism?

The nurse is caring for a client with bipolar disorder who is taking lithium (Lithobid). Which abnormal laboratory value is MOST essential for the nurse to collaborate to the attending doctor because this client is taking lithium?

A 10-year-old client with attention deficit hyperactivity disorder (ADHD) has been placed on the stimulant methylphenidate. The nurse knows that the teaching has been effective when the client's parents state what?

Which of the following medication is effective 70% to 80% of children with attention deficit hyperactivity disorder (ADHD)?

A patient with a history of epilepsy is taking phenytoin (Dilantin). The patient's morning labs are back, and the patient's Phenytoin level is 7 mcg/mL. Based on this finding, the nurse will?

The nurse instructs a patient receiving phenytoin (Dilantin) to visit the dentist regularly and perform frequent oral hygiene. What common adverse effect is the nurse educating the patient about for this medication?

A client is prescribed phenobarbital (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication most likely will be prescribed:

A patient will begin taking the antiepileptic drug ethosuximide (Zarontin) and asks the nurse whether to take the drug with or without food. The nurse will counsel the patient to take this medication:

A client has an order for valproic acid (Depakene) orally once a day. The nurse plans to

A client is taking carbamazepine (Tegretol) asks the nurse what to do if he misses one dose. The nurse responds that this drug should be

A nurse has given medication instructions to a client beginning anticonvulsant therapy with carbamazepine (Tegretol). The nurse determines that the client understand the use of the medication if the client agrees

Instruction: Match the following drugs (left side) according to its drug classification (right side)

A nurse is preparing a client for a procedure requiring conscious sedation. The nurse will administer which of the following short acting benzodiazepines and also classified as nonbarbiturate general anesthetics?

A nurse is assisting an anesthesiologist in the delivery of nitrous oxide by face mask to a client during the induction of anesthesia. Which of the following is the priority nursing action?

Which nonbarbiturate anesthetic when used with halothane (Fluothane) can cause severe cardiac depression?

A client has an allergy to procaine (Novocaine). What local anesthetic would be safe to administer to this client?

The nurse anticipates an increased risk of malignant hyperthermia when inhalation anesthetics are combined with which of the following neuromuscular junction blocking agents?