Pharmacology quizes

A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) _________gtt/min

8

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count.

The nurse assesses the client who has chronic renal failure and notes the following: Crackles auscultated at the lung bases, elevated blood pressure, and weight gain of 2 pounds in one day. Based on these data, which of the following nursing diagnoses is appropriate?

Excess Fluid Volume related to the kidney's inability to maintain fluid balance

The nurse's concern when caring for the client receiving both digitalis (Digoxin) and Furosemide (Lasix) is to:

Monitor potassium levels

Your client's peripheral IV site is warm and red. Your client has an infusion of 1000ml 0.9% Normal Saline with 20 meq of KCL infusing at 50 ml per hour. The patient states his vein feels hard. What local IV complication do you suspect?

Phlebitis

The nurse plans to assess for signs and symptoms of hypocalcemia. Which of the following are most indicative of this electrolyte imbalance?

Positive chvosteks sign

A client is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. Which of the following laboratory findings would be anticipated for the client?

hypokalemia

When teaching a client about the expected outcomes after intravenous administration of Furosemide (Lasix), the nurse would include which outcome?

increased urine output

The nurse prepares to provide ondansetron (Zofran) in orally disintegrating tablet form. Which of the following instructions should the nurse provide?

"Place the tablet on your tongue; it will melt in seconds and then you can swallow."

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

"Take the medication with a full glass of water."

A nurse is observing a licensed practical nurse (LPN) preparing to administer a 2 mL penicillin G injection to a client. Which of the following actions by the LPN require intervention by the nurse?

) The LPN plans to inject the needle 5.08 cm (1 in) below the acromion process.

A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

200

Spironolactone (Aldactone) is prescribed to a client having hypertension. The nurse should monitor the client closely for which of the following drug-related side effects?

Hyperkalemia

Your clients peripheral IV has been in place for several days. Your client complains of burning at the IV site and swelling and a feeling of being cold. She also complains that the IV pump keeps beeping and that it is interfering with her ability to rest. What local IV complication do you suspect?

Infiltration

A client is diagnosed with dilutional hyponatremia. Which intervention will help improve this client's sodium levels?

fluid restriction

A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? Correct Answer

sedation

Your client's IV site is red, warm to touch and the client complains of pain and tenderness at the site. The client has an elevated temperature and is experiencing malaise and fatigue. What systemic IV complication are you concerned may be causing these symptoms?

sepsis

. Which of the following would cause the nurse to intervene for a patient taking PO pantoprazole (Protonix)?

the client chews the tablet

A nurse is teaching a client who has a prescription for long term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?

weight gain

A nurse is teaching a client who has a new prescription for nitroglycerine transdermal patch. Which of the following instructions should the nurse include?

Remove patch each evening

You have just hung an IV antibiotic for your client. After a few minutes infusion your client complains of a headache and states he feels dizzy and faint. As you begin to assess your client you notice he appears anxious. What systemic IV complication do you suspect?

Speed shock

A nurse is planning care for a client who is receiving furosemide. Which of the following interventions should the nurse include in the plan of care? Select all that apply.

Tinnitius recommend eatinga bannana daily elevate the head of the bed monitor blood potassium

You enter your client's room and notice that the IV tubing has become disconnected from your clients IV bag. Your client appears confused and is having difficulty breathing; color is pale with circum oral pallor and poor capillary refill. What systemic IV complication do you suspect?

air embolus

Which of the following drugs would be ineffective in lowering a client's serum potassium level?

aluminum hydroxide

A nurse is teaching a client who upon discharge has an order for digoxin to be taken daily. Which of the following instructions should the nurse include in the teaching?

contact hcp for hr less than 60

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. the nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? Select all that apply.

dry mouth urinary retention drowsiness

You clients Peripheral IV site is red, warm to touch and tender. Your client complains of pain and states it is swollen and this morning when he awoke there was a small amount of drainage seeping through the dressing that he wiped away. What local IV complication do you suspect?

infection

The nurse assesses an elderly client for signs of dehydration. Which of the following findings would be consistent with a diagnosis of dehydration? Correct Answer

postural hypotension

A nurse is teaching a client who has a new prescription for fluticasone. Which of the following instructions should the nurse include?

rinse your mouth after each use of this medication