Pharmacology 125Final Exam Questions with Answer 100%Correct- Rated A+ Latest Update, Exams of Nursing

Download Pharmacology 125Final Exam Questions with Answer 100%Correct- Rated A+ Latest Update and more Exams Nursing in PDF only on Docsity! Pharmacology 125Final Exam Questions with Answer 100%Correct- Rated A+ Latest Update A client taking linezolid at home for an infected foot ulcer calls the home care nurse to report the onset of watery diarrhea. What is the best nursing action for this client? Select an option, then click Submit. A.Schedule appointments to obtain blood samples for drug peak and trough levels. B.Reassure the client that this is an expected side effect that will resolve in a few days. C.Instruct the client to obtain a stool specimen to be taken to the laboratory for analysis. D.Advise the client to begin taking an over-the- counter antidiarrheal agent. A client with trichomoniasis (Trichomonas vaginalis) receives a prescription for metronidazole. Which instruction is most important for the nurse to include in this client’s teaching plan? Select an option, then click Submit. A.Avoid alcohol consumption. B.Complete the medication regimen. C.Use a barrier contraceptive method. D.Treat partner(s) concurrently. A child with cystic fibrosis is receiving ticarcillin disodium for Pseudomonas pneumonia. Which adverse effect should the nurse report promptly to the health care provider? Select an option, then click Submit. A.Petechiae B.Tinnitus C.Oliguria D.Hypertension Which assessment datum indicates to the nurse that a dose of granisetron administered IV prior to chemotherapy has had the desired effect? Select an option, then click Submit. A.Oral mucosa pink and intact B.Scalp intact without alopecia C.Client denies nausea D.Client denies pain A male client asks the nurse why condoms should not be lubricated with the spermicide nonoxynol-9. Which response is best for the nurse to provide? Select an option, then click Submit. A.The risk of female infertility and spontaneous abortion is linked with nonoxynol-9. D.Increasing weakness and neuropathy A psychiatric client is discharged from the hospital with a prescription for haloperidol. Which instruction should the nurse include in the discharge teaching plan for this client? Select an option, then click Submit. A.Take with antacids to reduce gastrointestinal irritation. B.Use sunglasses and sunscreen when outdoors. C.Eat foods low in fiber and salt. D.Count the pulse before each dose. The health care provider prescribes oral contraceptives for a client who wants to prevent pregnancy. Which information is the most important for the nurse to provide to this client? Select an option, then click Submit. A.Take one pill at the same time every day for the entire pack of pills. B.Use condoms and foam instead of the pill while on any antibiotics. C.Limit sexual intercourse for at least one cycle after starting the pill. D.Use another contraceptive if two or more pills are missed in one cycle. The health care provider prescribes the anticonvulsant carbamazepine for an adolescent client with a seizure disorder. The nurse should instruct the client to notify the health care provider if which condition occurs? Select an option, then click Submit. A.Experiences dry mouth B.Experiences dizziness C.Develops a sore throat D.Develops gingival hyperplasia Which question should the nurse ask a client prior to the initiation of treatment with IV infusions of gentamicin sulfate? Select an option, then click Submit. A.“Are you having difficulty hearing?” B.“Have you ever been diagnosed with cancer?” C.“Do you have any type of diabetes mellitus?” D.“Have you ever had anemia?” A 26-year-old primigravida client is experiencing increasing discomfort and anxiety during the active phase of labor. She requests something for pain. Which analgesic should the nurse anticipate administering? Select an option, then click Submit. A.Butorphanol B.Hydromorphone C.Morphine sulfate D.Codeine sulfate A client who is HIV-positive is receiving epoetin alfa for the management of anemia secondary to zidovudine (AZT) therapy. Which laboratory finding is most important for the nurse to report to the health care provider? Select an option, then click Submit. A.Hematocrit (HCT) of 58% B.Hemoglobin of 10.8 g/dL C.White blood cell count of 5000 mm3 D.Serum potassium level of 5 mEq/L The health care provider has prescribed a low-molecular-weight heparin, enoxaparin prefilled syringe, 30 mg/0.3 mL IV every 12 hours, for a client following hip replacement. Prior to administering the first dose, what is the priority nursing action? Select an option, then click Submit. A.Assess the client’s IV site for signs of inflammation. C.Ventral gluteal D.Deltoid A client with mild parkinsonism is started on oral amantadine. Which information will the nurse include in the client’s teaching plan? Select an option, then click Submit. A.Viral organisms that provide the underlying pathophysiology for parkinsonism are eliminated. B.Acetylcholine in the myoneural junction is enhanced. C.Dopamine in the central nervous system is increased. D.Norepinephrine release is reduced within the peripheral system as the final step in dopamine uptake. A client who has chronic back pain is on long-term pain medication management and asks the nurse why his pain relief therapy is not as effective as it was 2 months ago. How should the nurse respond? Select an option, then click Submit. A.“The phenomenon occurs when opiates are used for more than 6 months to relieve pain.” B.“Withdrawal occurs if the drug is not tapered slowly while being discontinued.” C.“Tolerance to medication requires increased drug levels to achieve the same effect.” D.“A consistent dosage with around- the-clock administration is the most effective.” For which clients should the nurse withhold the initial dose of a cyclooxygenase 2 (COX-2) inhibitor until notifying the health care provider? (Select all that apply.) Select option(s), then click Submit. A.A middle-aged adult with a history of tinnitus while taking aspirin B.A middle-aged adult with a history of polycystic ovarian disease C.An older adult with a history of a skin rash while taking glyburide (DiaBeta) D.An adolescent with a history of an anaphylactic reaction to penicillin E.An older adult with a history of gastrointestinal upset while taking naproxen sodium (Naprosyn) F. An adolescent at 34 weeks of gestation experiencing 1+ pitting edema The nurse is preparing to apply a surface anesthetic agent for a client. Which action should the nurse take first to reduce the risk of systemic absorption? Select an option, then click Submit. A.Apply the anesthetic to mucous membranes. B.Limit the area of application to inflamed areas. C.Avoid abraded skin areas when applying the anesthetic. D.Spread the topical agent over a large surface area. A client who is hypertensive receives a prescription for hydrochlorothiazide. When teaching about the side effects of this drug, which symptoms are most important for the nurse to instruct the client to report? Select an option, then click Submit. A.Fatigue and muscle weakness B.Anxiety and heart palpitations C.Abdominal cramping and diarrhea D.Confusion and personality changes To evaluate whether the administration of an antihypertensive C.The area around the sutures is reddened and swollen. D.Respirations decrease to 10 breaths/min. When developing a written nursing care plan for a client receiving chemotherapy for treatment of cancer, the nurse writes, “Assess each voiding for hematuria.” The administration of which type of chemotherapeutic agent would prompt the nurse to add this assessment? A.Vincristine B.Bleomycin sulfate C.Chlorambucil D.Cyclophospham ide Two hours after taking the first dose of penicillin, a client arrives at the emergency department complaining of feeling ill, exhibiting hives, having difficulty breathing, and experiencing hypotension. The nurse will develop an immediate plan of care based on which finding? A.Severe acute anaphylactic response B.Side reaction that should resolve C.Idiosyncratic reaction D.Cumulative drug response Methenamine mandelate is prescribed for a client with a urinary tract infection and renal calculi. Which finding indicates to the nurse that the medication is effective? A.The frequency of urinary tract infections decreases. B.The urine changes color and pain is diminished. C.The dipstick test changes from +1 to trace. D.The daily urinary output increases by 10%. The nurse is preparing a teaching plan for a client who has received a new prescription for levothyroxine sodium. Which instruction should be included? A.“Take this medication with a high-protein snack at bedtime.” D.Develop a teaching plan for the client to self-adjust the dose of medication in response to symptoms. The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anesthesiologist prescribes atropine sulfate, IM STAT. What is the primary purpose for administering this drug to the child at this time? A.Decrease the oral secretions. B.Reduce the child’s anxiety. C.Potentiate the opioid effects. D.Prevent possible peritonitis. A.Thirty minutes after the dose is administered B.Immediately before giving the next dose C.When the next electrolyte levels are drawn D.When the client’s temperature is 98.6°F/37°C. A 3-year-old boy is admitted to the emergency department after ingesting an unknown amount of phenobarbital elixir prescribed for his brother’s seizure disorder. Which nursing action should the nurse take first? A.Place a nasogastric tube. B.Take the child’s vital signs. C.Draw a blood specimen for a phenobarbital level. D.Teach the mother safe medication storage practices. A 67-year-old client is discharged from the hospital with a prescription for digoxin, 0.25 mg daily. Which instruction should the nurse include in this client’s discharge teaching plan? A.Take the medication in the morning before rising. B.Take and record radial pulse rate daily. C.Expect some vision changes caused by the medication. D.Increase intake of foods rich in vitamin K. A client is experiencing an adverse effect of the gastrointestinal stimulant metoclopramide HCl. Which assessment finding would require immediate intervention by the nurse?Rationale: Metoclopramide HCl blocks dopamine receptors in the brain, which can cause the extrapyramidal symptoms associated with Parkinson disease. Reglan has been associated with hypertension, not option A. Option B is often associated with metronidazole, not metoclopramide HCl. Option D, and other vision problems, have not been associated with metoclopramide HCl. A.Dizziness when first getting up B.An unpleasant metallic taste in the mouth C.Parkinson-like symptoms D.Inability to see well at night The nurse performs a client assessment prior to the administration of a prescribed dose of dipyridamole and aspirin antibiotics D.Plant alkaloids A chemotherapeutic regimen with doxorubicin HCl is being planned for a client recently diagnosed with cancer. What diagnostic test results should the nurse review prior to initiating this treatment?Select an option, then click Submit. A.Electrocardiogram (ECG) B.Arterial blood gases (ABGs) C.Serum cholesterol level D.Pelvic ultrasound A client receiving a continuous infusion of heparin IV starts to hemorrhage from an arterial access site. Which medication should the nurse anticipate administering to prevent further heparin-induced hemorrhaging?Select an option, then click Submit. A.Vitamin K1 B.Protamine sulfate C.Warfarin sodium D.Prothrombin The nurse is preparing to administer a secondary infusion of a dobutamine solution to a client. The nurse notes that the solution is brown in color. Which action should the nurse take first? Select an option, then click Submit. A.Verify the prescribed dose with the health care provider. B.Discard the solution and reorder from the pharmacy. C.Dilute the solution with more normal saline until it becomes lighter in color. D.Administer the drug if the solution’s reconstitution time is <24 hours. The health care provider prescribes carbamazepine for a child whose tonic- clonic seizures have been poorly controlled. The nurse informs the mother that the child must have blood tests every week. Which complication is assessed through frequent laboratory testing that the nurse should explain to this mother? Select an option, then click Submit. A.Nephrotoxicity B.Ototoxicity C.Myelosuppression D.Hepatotoxicit A 19-year-old has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent D.Give the first dose of medication after the laboratory reports that the trough has been drawn. The health care provider prescribes ipratropium for a client. An allergic reaction to which other medication would cause the nurse to question the prescription for ipratropium? Select an option, then click Submit. A. Albuterol B. Theophylline C. Metaproteren ol D. Atropine sulfate A child is being treated with mebendazole for pinworms. What dietary information will the nurse relay to the client’s mother? Select an option, then click Submit. A.Lactose-free foods B.High-fat diet C.Vitamin C-enriched foods D.High-fiber diet A client with metastatic cancer reports severe continuous pain. Which route of administration should the nurse use to provide the most effective continuous analgesia? Select an option, then click Submit. A.Oral B.Intravenous C.Transdermal D.Intramuscular A client has started long-term corticosteroid therapy tells the nurse that the daily dose will be taken at bedtime with a snack of crackers and milk. Which is the best response by the nurse? Select an option, then click Submit. A.Advise the client to take the medication in the morning, rather than at bedtime. B.Teach the client that dairy products should not be taken with her medication. C.Tell the client that absorption is improved when taken on an empty stomach. D.Affirm that the client has a safe and effective routine for taking the medication. Methylphenidate is prescribed for daily administration to a 10-year- old child with attention-deficit/hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of this child newly diagnosed with ADHD, which instruction is most important for the nurse to provide to the parents? Select an option, then click Submit. A.Administer the medication in the morning before the child goes to school. B.Plan to implement periodic interruptions in the administration of the drug. C.Attempt to be consistent when setting limits on inappropriate behavior. D.Seek professional counseling if the child’s behavior continues to be disruptive. During administration of theophylline, the nurse should monitor for signs of toxicity. Which symptom would cause the nurse to D.Carbamazepine The nurse is preparing a plan of care for a client receiving the glucocorticoid methylprednisolone. Which assessment finding reflects a problem related to this medication that should be included in the care plan? Select an option, then click Submit. A.Persistent dry cough B.Temperature of 101.3°F/38.5°C. C.Dry mouth and gums D.Impaired gas exchange oxygen saturation of 94% A client who is receiving chlorpromazine HCl to control his psychotic behavior also has a prescription for benztropine. When teaching the client and/or significant others about these medications, what should the nurse explain about the use of benztropine in the treatment plan for this client? Select an option, then click Submit. A.This medication will reduce the side effect of urinary retention. B.This drug potentiates the effect of chlorpromazine HCl. C.The benztropine is used to control extrapyramidal symptoms. D.The combined effect of these drugs will modify psychotic behavior. The nurse is teaching a student about the dynamics of medication administration. Which physiologic mechanism will the nurse include in the teaching which explains a drug’s increased metabolism triggered by a disease process? Select an option, then click Submit. A.Selectivity response B.Pharmacokinetics C.Pharmacodynamics D.Pharmacotherapeutics Which nursing action has the highest priority during IV administration of mechlorethamine HCl and actinomycin? Select an option, then click Submit. A.Assess for extravasation at the IV site during infusion. B.Premedicate with antiemetics 30 to 60 minutes before infusion. C.Monitor cardiac rate and rhythm during the IV infusion. D.Check the granulocyte count daily for the presence of neutropenia. The nurse is assessing a stuporous client in the emergency department who is suspected of overdosing with opioids. Which agent should the nurse prepare to administer if the client becomes comatose? Select an option, then click Submit. A.Naloxone hydrochloride B.Atropine sulfate C.Vitamin K D.Flumazenil A 4-year-old child is receiving chemotherapy for acute lymphocytic leukemia. Which laboratory result should the nurse examine to assess the child’s risk for infection? Select an option, then click Submit. A.Neutrophil count B.Platelet count C.Reticulocyte count D.Lymphocyte count A female client is receiving tamoxifen following surgery for breast cancer. She reports to the nurse the onset of hot flashes. Which is the best nursing action? Select an option, then click Submit. A.Instruct the client that hot flashes are a side effect that often occurs with the use of this medication. B.Encourage the client to verbalize her feelings and fears about the recurrence of her breast cancer. C.Help the client schedule an appointment for evaluation of the need to increase the dose of medication. D.Notify the health care provider that the client needs immediate evaluation for medication toxicity. Dopamine, 5 mcg/kg/min, is prescribed for a client who weighs 105 kg. The nurse mixes 400 mg of dopamine in 250 mL D5W for IV administration via an infusion pump. What is the hourly rate that the nurse should set on the pump? Select an option, then click Submit. A. 5 mL/hr B. 10 mL/hr C. 15 mL/hr D. 20 mL/hr Which intervention is most important for a nurse to implement prior to administering atropine PO? Select an option, then click Submit. A.Determine the presence of 5 to 35 bowel sounds/min. B.Provide oral care prior to administration. C.Verify that the client’s tendon reflexes are 2+. D.Use the 0 to 10 scale to rate the pain. The nurse is preparing to administer amphotericin B IV to a client. What laboratory data is most important for the nurse to assess before initiating an IV infusion of this medication? Select an option, then click Submit. A.Serum potassium level B.Platelet count C.Serum creatinine level D.Hemoglobin level A client with metastatic cancer who has been receiving fentanyl for several weeks reports to the nurse that the medication is not effectively controlling the pain. Which action should the nurse initiate? Select an option, then click Submit. A.Instruct the client about the indications of opioid dependence. B.Monitor the client for symptoms of opioid withdrawal. C.Notify the health care provider of the need to increase the dose. D.Administer naloxone per PRN protocol for reversal. A 21-year-old female client is receiving tetracycline for acne. Which client teaching should the nurse include? Select an option, then click Submit. A.Oral contraceptives may not be effective. teaching plan? Select an option, then click Submit. A.Promotion of diuresis to prevent nephrotoxicity B.Reduction or elimination of nausea and vomiting C.Prevention of a secondary hyperuricemia D.Reduction in the risk of an allergic reaction Which statement indicates that client teaching regarding the administration of the chemotherapeutic agent daunorubicin HCl has been effective? Select an option, then click Submit. A.“I should use an astringent mouthwash after every meal.” B.“I will eat high-fiber foods and drink lots of water.” C.“I expect my urine to be red for the next few days.” D.“I should use sunscreen when I spend time outdoors.” In addition to nitrate therapy, a client is receiving nifedipine, 10 mg PO every 6 hours. The nurse should plan to observe for which common side effect of this treatment regimen? Select an option, then click Submit. A.Hypotension B.Hyperkalemia C.Hypocalcemia D.Seizures A client is prescribed a cholinesterase inhibitor, and a family member asks the nurse how this medication works. Which pharmacophysiologic explanation should the nurse use to describe this class of drug? Select an option, then click Submit. A.Promotes excretion of neurotoxins B.Slows nerve cell degeneration C.Improves nerve impulse transmission D.Stimulates nerve cell regeneration The charge nurse is reviewing the admission history and physical data for four clients newly admitted to the unit. Which client is at greatest risk for adverse reactions to medications? Select an option, then click Submit. A.30-year-old man with a fracture B.7-year-old child with an ear infection C.75-year-old woman with liver disease D.50-year-old man with an upper respiratory tract infection In administering the antiinfective agent chloramphenicol IV to a client with bacterial meningitis, the nurse observes the client closely for signs of bone marrow depression. Which laboratory data would be most important for the nurse to monitor? Select an option, then click Submit. A.Platelet count B.Blood urea nitrogen level C.Culture and sensitivity bought some of this liquid at the pharmacy and gave my child a half-ounce.” The nurse sees that the bottle contains loperamide. What is the next nursing action? Select an option, then click Submit. A. Tell the mother never to give this drug to her toddler. B. Ask if any other siblings have experienced diarrhea. C. Take the child’s oral and tympanic temperatures. D. Ask the mother when the child last voided. Amoxicillin, 500 mg PO every 8 hours, is prescribed for a client with an infection. The drug is available in a suspension of 125 mg/5 mL. How many milliliters should the nurse administer with each dose? mL Rationale: 500 mg/x mL = 125 mg/5 mL 125x = 2500 x = 20 mL A client who has trouble swallowing pills intermittently has been prescribed venlafaxine (XR) for depression. The medication comes in capsule form. What should the nurse include in the discharge teaching plan for this client? Select an option, then click Submit. A.Capsule contents can be sprinkled on pudding or applesauce. B.Chew the medication thoroughly to enhance absorption. C.Take the medication with a large glass of water or juice. D.Contact the health care provider for another form of medication. A client is being discharged with a prescription for sulfasalazine to treat ulcerative colitis. Which instruction should the nurse provide to this client prior to discharge? Select an option, then click Submit. A.Maintain good oral hygiene. B.Take the medication 30 minutes before a meal. C.Discontinue use of the drug gradually. D.Drink at least eight glasses of fluid a day. Following the administration of sublingual nitroglycerin, which assessment finding indicates to the nurse that the medication was effective? Select an option, then click Submit. A. Decrease in level of chest pain B. Clear bilateral breath sounds C. Increase in blood pressure D. Increase in urinary output A 45-year-old female client is receiving alprazolam for anxiety. Which client behavior would indicate that the drug is effective? Select an option, then click Submit. A.Personal hygiene is maintained by the client for the first time in a week. B.The client has an average resting heart rate of 120 beats/min. C.The staff observes the client sitting in the day room reading a book. D.The nurse records that the client lost 2 lb of body weight in the past week. A client with a dislocated shoulder is being prepared for a closed manual reduction using conscious sedation. Which medication should the nurse explain as a sedative used during the procedure? receive the tissue plasminogen activator alteplase. The nurse would be correct in providing which explanation to the client regarding the purpose of this drug? Select an option, then click Submit. A.This drug is a nitrate that promotes vasodilation of the coronary arteries. B.This drug is a clot buster that dissolves clots within a coronary artery. C.This drug is a blood thinner that will help prevent the formation of a new clot. D.This drug is a volume expander that improves myocardial perfusion by increasing output. A primigravida at 34 weeks of gestation is admitted to labor and delivery in preterm labor. She is started on a terbutaline sulfate continuous IV infusion via pump. This therapy is ineffective, and the baby is delivered vaginally. For which complication should the nurse monitor in this infant during the first few hours after delivery? Select an option, then click Submit. A.Hypokalemia B.Hypermagnesia C.Hypoglycemia D.Hypernatremia A client with viral influenza is receiving vitamin C, 3000 mg PO daily, and acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse calls the health care provider to report that the client has developed diarrhea. Which change in prescriptions should the nurse anticipate? Select an option, then click Submit. A.Change the acetaminophen to ibuprofen. B.Change the elixir to an injectable route. C.Decrease the dose of vitamin C. D.Begin treatment with an antibiotic. A client who is HIV-positive is receiving combination therapy with the antiviral medication zidovudine. Which instruction should the nurse include in this client’s teaching plan? Select an option, then click Submit. A.Take the drug as prescribed to cure HIV infections. B.Use the drug to reduce the risk of transmitting HIV to sexual contacts. C.Return to the clinic every 2 weeks for blood counts. D.Report to the health care provider immediately if dizziness is experienced. The nurse is administering the early morning dose of insulin aspart, 5 units subcutaneously, to a client with diabetes mellitus type 1. The client’s fingerstick serum glucose level is 140 mg/dL. Considering the onset of insulin aspart, when should the nurse ensure that the client’s breakfast be given? Select an option, then click Submit. A.5 minutes after subcutaneous administration B.30 minutes after subcutaneous administration C.1 to 2 hours after administration D.At any time because of a flat peak of action B.Assess respiratory status and breath sounds often. C.Monitor blood pressure each shift to screen for hypertension. D.Administer most medications after meals to decrease gastrointestinal irritation. An older client is receiving a water-soluble drug that is more than the average dose for a young adult. Which action should the nurse implement first? Select an option, then click Submit. A.Obtain a prescription for lower medication dosages. B.Determine the drug’s serum levels for toxicity. C.Start IV fluids to decrease the serum drug levels. D.Hold the next dosage and notify the health care provider. The health care provider prescribes the H2 antagonist famotidine, 20 mg PO in the morning and at bedtime. Which statement regarding the action of H2 antagonists offers the correct rationale for administering the medication at bedtime? Select an option, then click Submit. A.Gastric acid secreted at night is buffered, preventing pepsin formation. B.Hydrochloric acid secreted during the night is blocked. C.The drug relaxes stomach muscles at night to reduce acid. D.Ingestion of the medication at night offers a sedative effect, promoting sleep. A client receives an antihypertensive agent daily. Which action is most important for the nurse to implement prior to administering the medication? Select an option, then click Submit. A.Verify the expiration date. B.Obtain the client’s blood pressure. C.Determine the client’s history of adverse reactions. D.Review the client’s medical record for a change in drug route. A client is taking famotidine. Which client statement should the nurse further assess because it may indicate that the client is experiencing a side effect of this drug? Select an option, then click Submit. A. “I have heartburn whenever I lie down.” B. “I am never hungry. I’ve lost weight in the past 2 weeks.” C. “I have a funny metallic taste in my mouth.” D. “I seem to be having difficulty thinking clearly.” A client receives a prescription for theophylline PO to be initiated in the morning after the dose of theophylline IV is complete. The nurse determines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this information, which action should the nurse take first? Select an option, then click Submit. A.Hold the theophylline dose and notify the health care provider. B.Start the client on a half-dose of theophylline PO. C.The theophylline dose can be initiated as planned. D.The client is not ready to be weaned from the IV to the PO route. converted. C.The doses should be the same unless the pain is not well controlled. D.Oral forms of drugs must pass through the liver first, where more of the dose is metabolized. The nurse has completed diabetic teaching for a client who was newly diagnosed with diabetes mellitus. Which statement by this client would indicate to the nurse that further teaching is needed? Select an option, then click Submit. A.“Regular insulin can be stored at room temperature for 30 days.” B.“My legs, arms, and abdomen are all good sites to inject my insulin.” C.“I will always carry hard candies to treat hypoglycemic reactions.” D.“When I exercise, I should plan to increase my insulin dosage.” Which instructions should the nurse provide to an adolescent female client who is initiating treatment with isotretinoin for acne vulgaris? (Select all that apply.) Select option(s), then click Submit. A.“Notify the health care provider immediately if you think you are pregnant.” B.“If your acne gets worse, stop the medication and call the health care provider.” C.“Take a daily multiple vitamin to prevent deficiencies and promote dermal healing.” D.“Dermabrasion for deep acne scars should be postponed for 1 month after therapy is stopped.” E.“If you begin crying more than usual and feel sad, stop the drug and call the health care provider.” F. “Before, during, and after therapy, two effective forms of birth control must be used at the same time.” A client is receiving oral griseofulvin for a persistent tinea corporis infection. Which client statement indicates to the nurse an understanding of the medication regimen? Select an option, then click Submit. A.“I might feel some tingling in my fingers.” B.“This is the worse bacterial infection I’ve ever had.” C.“I will need to take the medication for 7 days.” D.“My urine will probably turn brown due to this drug.” A client is receiving antiinfective drug therapy for a postoperative infection. Which complaint should alert the nurse to the possibility that the client has contracted a superinfection? Select an option, then click Submit. A.“My mouth feels sore.” B.“I have a headache.” C.“My ears feel plugged up.” D.“I feel constipated.”