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PHARMACOLOGY CONTENT
MASTERY REVIEW WITH
CORRECT SOLUTIONS
Question : A nurse is monitoring a client who has just
returned to the unit following surgery. The client received an initial dose of morphine 5 mg IV bolus for pain relief.Which of the following adverse effects should the nurse report immediately to the provider?CORRECT ANSWER: : Respiratory rate 11/minWhen using the airway, breathing, circulation approach to client care, the priority finding is a respiratory rate of 11/min indicating respiratory depression.
Question : A nurse is reinforcing teaching with a client
who is prescribed captopril for hypertension. Which of the following side effects should the nurse instruct the client to report to the provider immediately?CORRECT ANSWER: : Sore throatThe greatest risk to the client is infection related to neutropenia. Unexplained fever, sore throat, and fatigue can indicate an infection and should be immediately reported to the provider.
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Question : A nurse is reinforcing teaching with a client
who has a new prescription for spironolactone for hypertension. Which of the following instructions should the nurse include in the teaching?CORRECT ANSWER: : Restrict foods high in potassium.Spironolactone is a potassium-sparing diuretic, which can cause hyperkalemia. Therefore, the client should restrict foods that are high in potassium.
Question : A nurse is reinforcing teaching with a client
about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to monitor?CORRECT ANSWER: : Muscle painThe nurse should instruct the client to notify the provider if muscle pain or tenderness develops, because this could indicate rhabdomyolysis.
Question : A nurse is performing the third check before
administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse he does not
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want to take the medication now. Which of the following actions should the nurse take?CORRECT ANSWER: : Dispose of the medication with a second nurse as a witness.The nurse must have a witness when disposing of a controlled substance.
Question : A nurse is caring for a client who is prescribed
an IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through his IV line. Which of the following is the correct response by the nurse?CORRECT ANSWER: : "Your medication can't be given IV because it is not water-soluble."Medications cannot be administered IV if they are not water-soluble.
Question : A nurse is assisting with the care of a client
who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings indicats magnesium toxicity?CORRECT ANSWER: : HyporeflexiaMagnesium sulfate depresses neuromuscular activity, leading to
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muscle weakness and paralysis. Therefore, hyporeflexia can indicate magnesium toxicity.
Question : A nurse is reinforcing teaching with a client
who is prescribed a scopolamine patch for motion sickness. Which of the following client statements indicates an understanding of the teaching?CORRECT ANSWER: : "I should place the patch behind my ear."The client should place the scopolamine patch behind the ear.
Question : A nurse is monitoring a client who is receiving
IV amphotericin B. Which of the following findings indicates an adverse reaction to this medication?CORRECT ANSWER: : VertigoOtotoxicity is an adverse effect of amphotericin B. Manifestations of ototoxicity include vertigo, tinnitus, and hearing loss.
Question : A nurse is reinforcing teaching with a client
who is using phenylephrine nasal spray three times daily and reports rebound congestion. Which of the following