Pharmacolgy Comp Predictor 45-90

A nurse is caring for a client who has an IV Fluid prescription for 1000mL Lactated Ringers, followed by 1000mL dextrose 5% in 0.9% sodium chloride, then followed by 1000mL detorse 5% in water. The three soluitions are to infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/ml The nurse should adjust the IV flow rate to deliver how many gtt/min? Round to the nearest whole number. )

1000mL x 10gtt/min ------ --------- = 24 hr 60 6.944444444 or 7 gtt/min

A nurse is providing discharge teaching to the parent of a child who is prescribed 10mL of diphenhydramine ( Benadryl ) elixir every 4 hr as needed for an allergic response. How many tsp of diphenhydramine should the nurse instruct the patient to administer per dose.

10mL X 1 Tsp ------ = 2 Tsp 5 mL

A nurse is caring for a client who is to receive 2000 units of heparin by IV bolus. Available is heparin 5000unit/mL. How many mL should the nurse administer? ( Round to the nearest tenth)

2000 Units x 1mL ------ 5000 Units = 0.4 mL

A nurse is preparing to administer digoxin ( Lanoxin ) 10 mcg/kg to a client who weight 209lb. The medication is available as 0.5mg/ml. How many ml should the nurse administer? ( Round the answer to the nearest whole number.)

209lb / 2.2 = 95kg 95kg x 10mcg/kg = 950mcg 950mcg → 0.95 mg 0.95mg X mL/0.5mg = 1.9 ml

A nurse is preparing to administer amoxicillin ( Polymox ) 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20-25 mg/kg/day. Which of the following demonstrates the nurses understanding

20kg x 20 mg/day = ---------- kg 400 mg / 3 time a day 133 mg every 8 hrs 25 kg x 25 mg/day ---------- = kg 500 mg / 3 times a day 166 mg / 3 times a day The nurse contacts the pharmacist to adjust the prescribed dosage.

A Client with a severe infection is prescribed IV vancomycin ( Vancocin ) 1g in 250 mL over 2 hr. The nurse should set the IV pump to infuse at how many mL/hr.

250 mL ---------- = 150mL 2hr

A nurses is administering a unit of RBC ( 350 mL) to a client who has a low hemoglobin. The infusion rate of the unit of blood is started at 42 gtt/min and drop factor of the IV tubing 10 gtt/mL. Calculate the number of minutes to infuse the blood ( Round the answers to the nearest whole number) ?

350ml x 10/mlx 1min /45gtt = 77.777777777 or 78 min

A nurse is preparing to administer haloperidol ( Haldol ) 5 mg IM to a client. Available is haloperidol 20 mg/mL. How many mL should the nurse administer? ( round the answer to the nearest hundredth)

5mg X mL ------- = 20 mg 0.25 mg

A nurse is teaching a client who takes pain medication and was recently prescribed docusate sodium ( Colace ). Which of the following statements indicates the client understands the information. A) I am to have 1-2 soft stools each day? B) I will take the medication for diarrhea C) I drink 4 ounces of water when I take the medication D) I man occasionally take with mineral oil.

A ) I am to have 1-2 soft stools each day.

A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained- release capsules (Nitro-Time ). Which of the following instructions should the nurse include? A) Take one capsule at the onset of Anginal Pain B) Stop taking the medication if side effects are troublesome. C) Take the medications with meals D) Swallow the capsules whole.

A ) Take one capsule at the onset of Anginal Pain A) Take one capsule at the onset of Anginal Pain B) Stop taking the medication if side effects are troublesome. C) Take the medications with meals D) Swallow the capsules whole.

A client tells the nurse she took a dose of dimenhydrinate ( Dramamine) before coming to the health clinic. The nurse determines that the medication is effective when the client reports releif of A) Nausea B) Dry Mouth C) Headache D) Diarrhea

A) A) Nausea A) Nausea B) Dry Mouth C) Headache D) Diarrhea

A nurse is caring for a client who has a prescription for dipenhydramine ( Benadryl ) to releive pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following is an appropriate response by the nurse. A) " Gradually decrease the dose once tolerance to the effect is reached B) Distribute the doses evenly throughout the day C) Take most of the daily dose at bedtime D) Take the medication with meals.

A) Gradually decrease the dose once tolerance to the effect is reached. A) " Gradually decrease the dose once tolerance to the effect is reached B) Distribute the doses evenly throughout the day C) Take most of the daily dose at bedtime D) Take the medication with meals.

Which of the following are appropriate references for the nurse to use to ensure safe medication administration. A) Internet B) Published Journals C) Pharmacists D) Physicians Desk Reference E) Pharmaceutical Sales Representative

A,C, D A) Internet B) Published Journals C) Pharmacists D) Physicians Desk Reference E) Pharmaceutical Sales Representative

A nurse is providing discharge teaching a client who was prescribed verapamil ( Calan ) for angina. Which of the follow information should the nurse include. A) Take with a daily Aspirin B) Take between meals C) Sprinkle capsule contents on food D) Lowers Cholesterol.

Answer : A) Take with a daily Aspirin B) Take between meals C) Sprinkle capsule contents on food D) Lowers Cholesterol.

A nurse is reinforcing the controlled substance guidelines with a newly liscensed nurse. Which of the following should the nurse include in the teaching ( Select all that apply) A) Count each dose of narcotics in inventory B) Match number of available doses to record C) Sign acceptance of narcotic count if correct D) Check each client MAR to ensure matching records. E) Confirm that wasted narcotics are identified on the report form.

Answer : A) Count each dose of narcotics in inventory B) Match number of available doses to record C) Sign acceptance of narcotic count if correct D) Check each client MAR to ensure matching records. E) Confirm that wasted narcotics are identified on the report form.

A nurse is caring for a client who is receiving liothyronine ( Cytomel ) for treatment of hyperthyroidism. Which of the following should the nurse recognize as a therapeutic response. A ) Loss of appetite B) Increased in daily weight C) Improvement of overall mood D) Decreased in body temperature.

Answer: A ) Loss of appetite B) Increased in daily weight C) Improvement of overall mood D) Decreased in body temperature.

A nurse is talking with a client who is about to start taking captopril ( Capoten ) to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects. A) Do not use salt substitutes while taking this medication. B) Eat a meal before taking the medication C) Count your pulse rate before taking the medication D) Expect to gain weight while taking this medication

Answer: A) Do not use salt substitutes while taking this medication B) Eat a meal before taking the medication C) Count your pulse rate before taking the medication D) Expect to gain weight while taking this medication.

A nurse is talking with a client who is about to start taking allopurinol ( Zyloprim ) to treat gout. Which of the following statements indicates that the client understand how to take this medium. A) " If I get a rash, I will take my Usual antihistamine B) " I need to drink at least 3 Quarts of water a day" C) I should take the medicine on an empty stomach D) If I get a fever, I will take some asparin

Answer: A ) If I get a rash I will take my usual antihistamine A) " If I get a rash, I will take my Usual antihistamine B) " I need to drink at least 3 Quarts of water a day" C) I should take the medicine on an empty stomach D) If I get a fever, I will take some asparin

A nurse is caring for a client who has a prescription for oral erythromycin ( E-Mycin ). Which of the following statements is appropriate for the nurse to document regarding expected side effects of this medication. A) The Client has swollen lips B) The Client had a small amount of yellow emesis C) The client verbalizes a ringing in the ears D) The Client reports constipation with abdominal cramping.

Answer: A) The Client has swollen lips B) The Client had a small amount of yellow emesis C) The client verbalizes a ringing in the ears D) The Client reports constipation with abdominal cramping.

A nurse is preparing to administer a bisacodyl ( Dulcolax ) 10 mg suppository. Which of the following are correct administration guidelines for the nurse to implement? ( Select all those that apply ) A) Don Sterile gloves B) Lubricate index finger C) Use a rectal applicator for insertion D) Position client supine with knees bent E) Insert suppository just beyond internal sphincter.

Answer: A , E A) Don Sterile gloves B) Lubricate index finger C) Use a rectal applicator for insertion D) Position client supine with knees bent E) Insert suppository just beyond internal sphincter.

A client is about to start using getamicin ( Garamycin ) cream to treat a serious skin infection. Which of the following instructions should the nurse include when talking with the client about using this preparation. A) I'll was the area with soap and water before I apply the cream B) After I apply the cream, I will leave the area open to the air C) I can expect a little blurry vision while I'm using this cream D) I should apply the cream to large areas around the infection.

Answer: A) I'll wash the area with water before I apply the cream A) I'll was the area with soap and water before I apply the cream B) After I apply the cream, I will leave the area open to the air C) I can expect a little blurry vision while I'm using this cream D) I should apply the cream to large areas around the infection.

A nurse is preparing a medication and is converting 0.8 grams to milligrams. The nurse should do which of the following ? A) Move the decimal point 3 places to the right B) Move the decimal point 3 places to the left C) Move the decimal point 2 places to the right D) Move the decimal point 2 places to the left.

Answer: A) Move the decimal point 3 places to the right. A) Move the decimal point 3 places to the right B) Move the decimal point 3 places to the left C) Move the decimal point 2 places to the right D) Move the decimal point 2 places to the left.

A nurse is caring for a client who has systemic lupus erythematosus and is about to start taking hydroxychloroquine ( Plaquenil ) to reduce skin inflammation. The nurse should instruct the client to report which of the following as an indication of a toxic reaction to this medication? A) Muscle Cramps B) Decreased visual acuity C) Cardiac dysrhythmias D) Joint Pain

Answer: A) Muscle Cramps A) Muscle Cramps B) Decreased visual acuity C) Cardiac dysrhythmias D) Joint Pain

A client has a new presciption for transdermal nitroglycerin ( Nitro-Dur ) to treat angina pectoris. When talking with the patient about using this drug, the nurse should include which of the following instructions. ( Select all that apply ) A) Apply the patch to a hairless area and rotate sites. B) Apply a new patch each morning C) Remove the patch for 10 to 12 hr daily D) Apply the patch to dry skin and cover the area with plastic wrap E) Apply a new patch at the onset of anginal pain

Answer: A,B, E A) Apply the patch to a hairless area and rotate sites. B) Apply a new patch each morning C) Remove the patch for 10 to 12 hr daily D) Apply the patch to dry skin and cover the area with plastic wrap E) Apply a new patch at the onset of anginal pain

A client is taking Ibuprofen ( Advil, Motrin ) to treat hip pain. The nurse should teach the client that , to minimize gastric mucosal irritation, she should take this medication at which of the following times? A) At bedtime B) Immediately after a meal C) On arising D) On the empty stomach

Answer: B) Immediately after a meal A) At bedtime B) Immediately after a meal C) On arising D) On the empty stomach

Following surgery, a client has a prescription for nalbuphine ( Nubain ) for moderate to severe pain. The nursing caring for the client should check for possible adverse reactions by assessing for which of the following findings. A) Blurred Vision B) Joint Pain C) Anorexia D) Oliguria

Answer: B) Joint Pain A) Blurred Vision B) Joint Pain C) Anorexia D) Oliguria

A nurse is assessing a client who comes to the clinic for a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. Which of the following is a contraindication for the client to receiving the live attenuated influenza vaccine ( LAIV )? A) Just turned 62 B) Smokes one pack of cigarettes a day C) Has a history of myocardial infarction D) Recent traveled to Europe

Answer: B) Smokes one pack of Cigarettes a day A) Just turned 62 B) Smokes one pack of cigarettes a day C) Has a history of myocardial infarction D) Recent traveled to Europe

A nurse is preparing to administer heparin to a client via the deep subcutaneous ( Intrafat ) route. Which of the following is an appropriate action for administering this medication. A) Use a 22-gauge needle to inject the medication. B) Use a 1- inch needle to inject the medication C) Inject the medication into the abdomen above the level of the iliac crest D) Massage the injection site after administration of the medication.

Answer: B) Use a 1 inch needle to inject the medication. A) Use a 22-gauge needle to inject the medication. B) Use a 1- inch needle to inject the medication C) Inject the medication into the abdomen above the level of the iliac crest D) Massage the injection site after administration of the medication.

A nurse is teaching a client with multipule sclerosis who has a new prescription for dantrolene ( Dantrium). Which of the following client statements indicates that the client understands the teaching A) I need to apply a sunscreen when I go outside B) I can take pain medications when I'm taking this drug C) I should take this medication when my spasms are bad. D) My muscle strength should improve a lot in 2 - 3 days

Answer: C ) I should take this medication when my spasms are bad. A) I need to apply a sunscreen when I go outside B) I can take pain medications when I'm taking this drug C) I should take this medication when my spasms are bad. D) My muscle strength should improve a lot in 2 - 3 days

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer. A) Lisinopril ( Zestril ) B) Digoxin ( Lanoxin ) C) Furosemide ( Lasix ) D) Potassium Iodide ( SSKI)

Answer: C) Furosemide ( Lasix ) A) Lisinopril ( Zestril ) B) Digoxin ( Lanoxin ) C) Furosemide ( Lasix ) D) Potassium Iodide ( SSKI)

A nurse is talking with a client who is about to undergo hip arthroplasty. The nurse explains that the surgeon will prescribe anticoagulants therapy to prevent deep- vein thrombosis postoperatively. The nurse should explain that the client will not require frequent clotting time determinations because the surgeon plans to prescribe which of the following medications. A) Aspirin B) Enoxaparin ( Lovenox ) C) Heparin D) Warfarin ( Coumadin )

Answer: C) Heparin A) Aspirin B) Enoxaparin ( Lovenox ) C) Heparin D) Warfarin ( Coumadin )

A nurse is caring for a client who is begin therapy ( furosemide ) Lasix. The nurse notes that the client has not been receiving supplemental electrolytes. Which laboratory value is a priority for the nurse to check before administering furosemide? A) Bicarbonate B) Chloride C) Potassium D) Phosphate

Answer: C) Potassium A) Bicarbonate B) Chloride C) Potassium D) Phosphate

A nursing is providing discharge teaching to a client who will be taking warfarin ( Coumadin ) at home. Which of the following statements indicates that the client understands the effects of this medication. A) " It's okay to have a couple of glasses of wine with dinner" B) ILL be sure to eat foods with lots of Vitamin K C) ILL take aspirin for my headaches D) ILL use my electric razor for shaving.

Answer: D A) " It's okay to have a couple of glasses of wine with dinner" B) ILL be sure to eat foods with lots of Vitamin K C) ILL take aspirin for my headaches D) ILL use my electric razor for shaving.

A client experienced angioedema in response to losartan ( Cozaar ). Which of the following data indicates a therapeutic response A) Respiration are Unlabored B) Client reports decreased groin pain of 3 on a Scale of 1-10 C) Blood Pressure when arising from resting position is at premedicated levels D) Client tolerates ordered dose of medication with no greater than 1+ peripheral edema

Answer: D) Client tolerates ordered dose of medication with no greater than 1+ peripheral edema A) Respiration are Unlabored B) Client reports decreased groin pain of 3 on a Scale of 1-10 C) Blood Pressure when arising from resting position is at premedicated levels D) Client tolerates ordered dose of medication with no greater than 1+ peripheral edema

A nurse is to administer subcutaneous short acting insulin combined with long acting insulin to the client before he eats breakfast at 8:00AM. Which of the follwoing A) Give the Insulin at 7:00 B) Give the insulin when the breakfast arrives C) Give the insulin one half hour after breakfast with other routine medicines D) Give the insulin levels at 7:30 after checking the blood glucose level results.

Answer: D) Give the insulin levels at 7:30 after checking the blood glucose level results. A) Give the Insulin at 7:00 B) Give the insulin when the breakfast arrives C) Give the insulin one half hour after breakfast with other routine medicines D) Give the insulin levels at 7:30 after checking the blood glucose level results.

A charge nurse is evaluation the care of a newly licensed nurse as he cares for a client who is receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the newly licensed nurse requires intervention by the charge nurse. A) The nurse initiates an infusion of 0.9% sodium chloride B) The nurse collects a urine specimen C) The nurse sends a blood specimen to the laboratory. D) The nurse starts the transfusion of another unit of blood product.

Answer: D) The nurse starts the transfusion of another unit of blood product. A) The nurse initiates an infusion of 0.9% sodium chloride B) The nurse collects a urine specimen C) The nurse sends a blood specimen to the laboratory. D) The nurse starts the transfusion of another unit of blood product.

A provider is discharging a client who has pulmonary tuberculosis with a prescription for rifampin ( Rifadin). The nurse should include which of the following information in the clients discharge teaching. A) Purified protein derivative skin test results will improve in 3 months B) This medication can cause insomnia C) It is best to take the medication with meals D) Urine and other secretions will turn orange.

Answer: Urine and Other secretions will turn orange A) Purified protein derivative skin test results will improve in 3 months B) This medication can cause insomnia C) It is best to take the medication with meals D) Urine and other secretions will turn orange.

A nurse is caring for a client who asks how albuterol ( Proventil ) helps his breathing. Which of the following should the nurse include in the response? ( Select all that Apply) A ) The medication will increase the amount of mucus B) The medication will prevent wheezing C) The medication will open the airways D) The medication will reduce inflammation E) The medication will decrease coughing episodes.

Answers : B, C, E A ) The medication will increase the amount of mucus B) The medication will prevent wheezing C) The medication will open the airways D) The medication will reduce inflammation E) The medication will decrease coughing episodes.

A nurse is reinforcing teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following clients statements indicates a need for further teaching. A) I will change the needle every 3 days B) I should store all unused insulin in the refrigerator C) If I skip lunch, I will skip my mealtime dose of insulin. D) I will adjust my dosages of Lantus insulin according to my blood glucose results.

Answers: A I will change the needle every 3 days A) I will change the needle every 3 days B) I should store all unused insulin in the refrigerator C) If I skip lunch, I will skip my mealtime dose of insulin. D) I will adjust my dosages of Lantus insulin according to my blood glucose results.

A nurse is talking with a clinet who has peptic ulcer disease and is starting therapy with sucralfate ( Carafate ). The nurse should instruct the client to take the medication A) With an Antacid B) I hr before meals C) With food or milk D) Immediately after meals

Answers: B) I hr before meals A) With an Antacid B) I hr before meals C) With food or milk D) Immediately after meals

A Client is to receive a unit of packed red blood cells. The nurse should prime the blood administration tubing using which of the following IV Solutions A ) Lactated Ringer's Solution B) 0.9% Sodium Chloride C) Dextrose 5% in water D) Dextrose 5% in 0.45% sodium chloride.

B) 0.9% Sodium Chloride

A nures is preparing to administer prednisone ( Deltasone ) to a client for treatment of rheumatiod arthritis. Which of the following indicates effective therapy. A) Elevated Blood Preasure B) Improved Range of Motion C) Increased blood preasure D) Improved long- term memory.

B) Improve Ranged of Motion

A nurse is preparing to administer potassium chloride ( KCL ). The nurse reviews the clients serum potassium level results and discovers the clients potassium level is 5.2 mEq/L. Which of the following actions should the nurse take. A) Give the ordered KCL as prescribed B) Omit the KCL dose and document it was not given C) Call the prescribing physician and inform her of the client's serum potassium level results. D) Call the lab to verify the client's results.

C ) Call the prescribing physician and inform her of the client's serum potassium level results.

A nurse is caring for a client. The client states, " I don't want to take my medication." Which of the following actions should the nurse take. A) Tell the client the physician want's the client to take the medicine B) Ask the client why the client refuse to take the medication C) Explain the purpose for the medication D) Document that the client refuses the medication.

D) Document that the client refuses to medication A) Tell the client the physician want's the client to take the medicine B) Ask the client why the client refuse to take the medication C) Explain the purpose for the medication D) Document that the client refuses the medication.

Calculate the drops per minute of an IV bolus of 500ml if LR to be infused over 3 hours using 20 drop/ml tubing

V x gtt/ min -- --------- T 60 500 ml X 20 gtt/min ------ ----------- 3 hr 60 = 55.555555555555 or 56 gtt/min