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Pharmacology for Nurses

Review Questions

Pharmacology for NursesReview Questions
1.
A client is receiving trimethoprim and sulfamethoxazole for a urinary tract infection. The nurse should monitor the client for which potential adverse effect?
  1. Photosensitivity
  2. Hypoglycemia
  3. Tinnitus
  4. Hypertension
2.
The health care provider prescribes phenazopyridine hydrochloride 200 mg orally three times daily for a client with urinary tract discomfort. The available tablets are 100 mg each. How many tablets should the nurse administer per dose?
  1. 1 tablet
  2. 2 tablets
  3. 3 tablets
  4. 4 tablets
3.
A 65-year-old male client presents to the urology clinic with lower urinary tract symptoms including frequency and hesitancy. After a thorough assessment, the client is diagnosed with benign prostatic hyperplasia (BPH) and is prescribed tadalafil. The client is concerned about the effectiveness of tadalafil for BPH. What information should the nurse include in their response to address the client’s concerns?
  1. Tadalafil primarily treats BPH by reducing prostate size.
  2. Tadalafil is not effective for treating BPH and is primarily used for erectile dysfunction.
  3. Tadalafil can help improve BPH symptoms by relaxing the muscles in the prostate and bladder neck.
  4. Tadalafil is the first-line treatment for BPH and is recommended for all clients with this condition.
4.
A nurse is caring for a client with an overactive bladder who is prescribed oxybutynin. Which adverse effect will the nurse include when educating the client about this medication?
  1. Diarrhea
  2. Urinary urgency
  3. Dry mouth
  4. Restlessness
5.
A nurse is caring for a client with urinary tract discomfort. The health care provider prescribes phenazopyridine hydrochloride. The nurse instructs the client that this drug is classified as an:
  1. Antispasmodic drug
  2. Analgesic drug
  3. Anti-infective drug
  4. Anticholinergic drug
6.
The nurse is providing discharge teaching for a client who has a new prescription for tadalafil. The nurse will caution the client about which of the following side effects?
  1. Angioedema
  2. Urinary urgency
  3. Hemolytic anemia
  4. Vasomotor response
7.
Which statement accurately describes the pharmacologic action of mirabegron?
  1. Stimulates the alpha-adrenergic receptors
  2. Inhibits acetylcholinesterase activity
  3. Relaxes smooth muscle in the bladder
  4. Blocks angiotensin II receptors
8.
Which of the following is the potential effect of trimethoprim and sulfamethoxazole on potassium levels in a client?
  1. Hyperkalemia
  2. Hypokalemia
  3. No effect on potassium levels
  4. Variable effect on potassium levels
9.
A nurse is providing discharge instructions to a client who has been prescribed, concomitantly with fosfomycin, phenazopyridine hydrochloride for symptomatic relief of urinary pain and discomfort. Which statement by the client indicates a need for further education regarding the use of phenazopyridine hydrochloride?
  1. “I should expect my urine to turn orange or reddish in color.”
  2. “I will take this medication with meals to minimize stomach upset.”
  3. “I understand that this medication may stain my contact lenses.”
  4. “I will continue taking this medication until my symptoms completely resolve.”
10.
A client with a history of narrow angle glaucoma has been prescribed solifenacin succinate for overactive bladder. The nurse should take which action regarding the medication?
  1. Administer the medication as prescribed and monitor the client’s intraocular pressure closely
  2. Administer a reduced dosage of the medication to prevent glaucoma exacerbation
  3. Do not administer the medication, and notify the health care provider
  4. Explain to the client that this medication is contraindicated in glaucoma
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