Clinical Pharmacology Competency
Assessment for Nurses"
A nurse is preparing to administer ipratropium by metered dose inhaler.
What
adverse effects should the nurse instruct the client to monitor for?
•
Upper respiratory infections, urinary tract infections, the need to
urinate, bloody or cloudy urine, bladder pain, exacerbation of
COPD, wheezing, SOB, cough producing mucus, and tightness in
the chest
A nurse is caring for a client with asthma who asks if montelukast sodium can be
taken for acute asthma symptoms. When should montelukast sodium be taken?
•
It should be taken once at bedtime or two hours before exercise.
A client has a new prescription for salmeterol. The nurse is teaching the client about
adverse effects of the medication. What instructions should the nurse include in this
education?
•
Tachycardia, angina and tremors
A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for
the treatment of asthma. What is a potential adverse effect of this medication and what are
two (2) teaching points to discuss to address these adverse effects?
•
Adverse effects include difficulty speaking hoarseness, and candidiasis. I
would tell the client to rinse their mouth out with water after to prevent
candidiasis. Notify provider if redness, sores, or white patches appear in
their mouth.
A nurse is instructing a client who has a new prescription for nitroglycerin transdermal
patch about administration. What instructions should the nurse include?
•
This patch is for external use only. Apply the patch at the same time
every day to a hairless part of the chest, inner side of the upper arm,
back or shoulder. Make sure the area is clean and dry skin before
applying the patch. Don’t apply the patch to any irritated or damaged
skin. The patch can only be worn for a maximum of 14 hours per day.
Allowing the patient to have 10-12 hours nitrate free. Once the patch
is removed instruct the patient to fold it in half so that medication
doesn’t accidently get transferred to anyone or anything. If a dosed is
missed, apply another patch as soon as possible.
A nurse administering gemfibrozil to a client with elevated cholesterol. What are
adverse effects the nurse should monitor for?
•
Bladder pain, bloody or cloudy urine, cough or hoarseness, difficult,
