PT 2

191. A client is prescribed 2 mg morphine sulfate (Duramorph) IV. The medication is dispensed by the pharmacy in vials labeled morphine sulfate, 10 mg/mL. How many mL should the nurse administer per dose?

0.2 ML

165. A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer to the client? (Round to the nearest tenth.)

0.4

128. A client in the hospital is prescribed digoxin (Lanoxin) 125 mcg. The computerized medication delivery system on the unit dispenses tablets labeled digoxin 0.25 mg. How many tablets should the nurse dispense to the client?

0.5 tablets

196. A nurse prepares to administer a medication to a client who states, "That looks different from the pill I usually take." How should the nurse respond? 1. "Describe what the pill looks like." 2. "This is the medication prescribed by your provider." 3. "This pill is probably from a different lot number than yours at home." 4. "This hospital uses a different manufacturer, but the medication is the same."

1. "Describe what the pill looks like."*** 2. "This is the medication prescribed by your provider." 3. "This pill is probably from a different lot number than yours at home." 4. "This hospital uses a different manufacturer, but the medication is the same."

135. A nurse is caring for a client who reports daily use of acetaminophen (Tylenol) to manage mild knee pain. Which of the following statements by the client should be of most concern to the nurse? 1. "I have a glass of wine before bedtime each evening." 2. "I have my blood checked often due to the heparin I am taking." 3. "I take two regular-strength tablets in the morning and two in the evening." 4. "I take three or four Vicodin ES tablets a day for severe knee and joint pain."

1. "I have a glass of wine before bedtime each evening." 2. "I have my blood checked often due to the heparin I am taking." 3. "I take two regular-strength tablets in the morning and two in the evening." 4. "I take three or four Vicodin ES tablets a day for severe knee and joint pain."***

195. A nurse is assessing a client who has numerous bruises on his upper extremities. The client reports that he has taken warfarin (Coumadin) daily for the past 3 months. Which of the following statements by the client indicates the client needs further teaching? 1. "I have started taking ginger root to treat my joint stiffness." 2. "I take Tylenol whenever I have a headache." 3. "I eat a green salad every night with dinner." 4. "I had my INR checked three weeks ago."

1. "I have started taking ginger root to treat my joint stiffness."*** 2. "I take Tylenol whenever I have a headache." 3. "I eat a green salad every night with dinner." 4. "I had my INR checked three weeks ago."

162. A nurse is reinforcing teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following client statements indicates a need for further teaching? 1. "I will change the needle every 3 days." 2. "I should store all unused insulin in the refrigerator." 3. "If I skip lunch, I will skip my mealtime dose of insulin." 4. "I will adjust my dosages of Lantus insulin according to my blood glucose results."

1. "I will change the needle every 3 days." 2. "I should store all unused insulin in the refrigerator." 3. "If I skip lunch, I will skip my mealtime dose of insulin." 4. "I will adjust my dosages of Lantus insulin according to my blood glucose results." ****

174. A nurse is reinforcing medication instruction to a group of clients. Which of the following statements indicates a need for further clarification? 1. "I will take ibuprofen for arthritis." 2. "I will take morphine sulfate during sickle cell crisis." 3. "I will take propranolol hydrochloride to manage high blood pressure." 4. "I will take aspirin for headaches like I did when I had a stroke."

1. "I will take ibuprofen for arthritis." 2. "I will take morphine sulfate during sickle cell crisis." 3. "I will take propranolol hydrochloride to manage high blood pressure." 4. "I will take aspirin for headaches like I did when I had a stroke."***

159. A nurse is teaching a client about the side effects of taking tamoxifen (Nolvadex) to treat breast cancer. Which client statement indicates understanding of the possible effects? 1. "I won't worry about changes in my hearing because it's temporary." 2. "I can expect to lose some weight while taking this medication." 3. "I'll call my doctor if I notice any unusual menstrual bleeding." 4. "If I have trouble sleeping, I'll let you know."

1. "I won't worry about changes in my hearing because it's temporary." 2. "I can expect to lose some weight while taking this medication." 3. "I'll call my doctor if I notice any unusual menstrual bleeding."*** 4. "If I have trouble sleeping, I'll let you know."

194. A provider prescribes fluoxetine (Prozac) for a client who reports frequent periods of extreme sadness. The nurse teaching the client knows he understands how to take this medication when he makes which of the following statements? 1. "I'll take this medicine at bedtime." 2. "I should not take this medicine with grapefruit juice." 3. "I'll take this medicine with food." 4. "I'll take this medicine first thing in the morning.

1. "I'll take this medicine at bedtime." 2. "I should not take this medicine with grapefruit juice." 3. "I'll take this medicine with food." 4. "I'll take this medicine first thing in the morning."***

143. A nurse 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? 1. "It's okay to have a couple of glasses of wine with dinner." 2. "I'll be sure to eat foods with lots of vitamin K." 3. "I'll take aspirin for my headaches." 4. "I'll use my electric razor for shaving."

1. "It's okay to have a couple of glasses of wine with dinner." 2. "I'll be sure to eat foods with lots of vitamin K." 3. "I'll take aspirin for my headaches." 4. "I'll use my electric razor for shaving."***

140. A nurse is reinforcing teaching with a client whose medication was changed from metoprolol (Lopressor) to metoprolol/hydrochlorothiazide (Lopressor HCT). Which of the following statements by the client indicates understanding of the teaching? 1. "Now I will not have to diet to lose weight." 2. "With the new medication, I should experience fewer side effects." 3. "I will not have to do anything different because it is the same medication." 4. "The extra letters after the name of medication means it is a stronger dose."

1. "Now I will not have to diet to lose weight." 2. "With the new medication, I should experience fewer side effects."**** 3. "I will not have to do anything different because it is the same medication." 4. "The extra letters after the name of medication means it is a stronger dose."

145. 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? 1. "The client has swollen lips." 2. "The client had a small amount of yellow emesis." 3. "The client verbalizes a ringing in the ears." 4. "The client reports constipation with abdominal cramping."

1. "The client has swollen lips." 2. "The client had a small amount of yellow emesis."*** 3. "The client verbalizes a ringing in the ears." 4. "The client reports constipation with abdominal cramping."

190. A nurse who has just admitted a client to an inpatient medical unit notices that the client brought a container of ginkgo biloba with him. When the nurse asks him about it, he says he takes it every day to "help his brain." Which of the following is an appropriate nursing response? 1. "We don't allow anyone to bring their own medications to the hospital with them." 2. "How do you know that this herb is actually helping your brain?" 3. "For now, let's just make sure your doctor is okay with you taking it while you're in the hospital." 4. "Are you aware of the dangers of taking herbal preparations?"

1. "We don't allow anyone to bring their own medications to the hospital with them." 2. "How do you know that this herb is actually helping your brain?" 3. "For now, let's just make sure your doctor is okay with you taking it while you're in the hospital."**** 4. "Are you aware of the dangers of taking herbal preparations?"

168. A nurse is preparing to administer potassium chloride (KCL). The provider prescribes potassium chloride (KCL) 20 mEq suspension PO daily. The bottle is labeled KCL elixir, 10 mEq/mL. How many milliliters should the nurse administer? 1. 1 mL 2. 1.5 mL 3. 2 mL 4. 2.5 mL

1. 1 mL 2. 1.5 mL 3. 2 mL*** 4. 2.5 mL

163. A nurse on a medical unit is caring for a client who has angina pectoris and reports chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers sublingual nitroglycerin (Nitrostat). After 5 min, the client states that his chest pain is now a 2. Which of the following actions should the nurse take? 1. Administer another nitroglycerin tablet. 2. Measure the client's blood pressure. 3. Check the client's apical heart rate. 4. Obtain an ECG

1. Administer another nitroglycerin tablet. 2. Measure the client's blood pressure. 3. Check the client's apical heart rate. 4. Obtain an ECG

160. A nurse is teaching about ferrous iron to a parent of a child with iron deficiency anemia. Which of the following should be included in the teaching? 1. Administer ferrous iron with milk 2. Administer ferrous iron with meals 3. Administer ferrous iron with fruit juice 4. Administer ferrous iron with yogurt

1. Administer ferrous iron with milk 2. Administer ferrous iron with meals 3. Administer ferrous iron with fruit juice*** 4. Administer ferrous iron with yogurt

171. A nurse is talking with a client who is about to start using transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. Which of the following is an appropriate instruction for this medication therapy? 1. Apply a new transdermal patch once a week. 2. Apply the transdermal patch in the morning. 3. Apply the transdermal patch below the level of the waist. 4. Wait 24 hr to apply a new patch if the applied patch falls off.

1. Apply a new transdermal patch once a week. 2. Apply the transdermal patch in the morning.*** 3. Apply the transdermal patch below the level of the waist. 4. Wait 24 hr to apply a new patch if the applied patch falls off.

142. A nurse is caring for a client who has a diagnosis of diabetes mellitus and hypertension and recently began taking propranolol (Inderal). When the client reports dizziness upon standing, the nurse should perform which of the following actions? 1. Auscultate lung sounds bilaterally. 2. Check the heart rate and capillary refill. 3. Monitor blood pressure lying, sitting, and standing 4. Obtain a capillary glucose level with a glucometer.

1. Auscultate lung sounds bilaterally. 2. Check the heart rate and capillary refill. 3. Monitor blood pressure lying, sitting, and standing.*** 4. Obtain a capillary glucose level with a glucometer.

197. A nurse is teaching a client who has multiple sclerosis about starting therapy with baclofen (Lioresal). Which of the following instructions should the nurse include? 1. Avoid driving until the drug's effects are evident. 2. Take the medication on an empty stomach. 3. Stop taking the drug immediately for headache. 4. Expect to develop diarrhea initially

1. Avoid driving until the drug's effects are evident.*** 2. Take the medication on an empty stomach. 3. Stop taking the drug immediately for headache. 4. Expect to develop diarrhea initially

131. A nurse is caring for a client who is to 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? 1. Bicarbonate 2. Chloride 3. Potassium 4. Phosphate

1. Bicarbonate 2. Chloride 3. Potassium** 4. Phosphate

133. A nurse is giving discharge instructions to a client who has asthma and is about to start taking zileuton (Zyflo). The nurse should tell the client to report which of the following adverse effects to the provider? 1. Blurred vision 2. Headache 3. Diarrhea 4. Abdominal pain

1. Blurred vision 2. Headache 3. Diarrhea 4. Abdominal pain***

146. A nurse is instilling ear drops to a young child and must straighten the ear canal by pulling the auricle of the ear. The nurse will pull the auricle in which directions? 1. Down and backward. 2. Down and outward. 3. Upward and backward. 4. Upward and outward.

1. Down and backward.** 2. Down and outward. 3. Upward and backward. 4. Upward and outward.

137. A nurse is preparing to teach a client how to draw up regular insulin and neutral protamine hagedorn (NPH) insulin into the same syringe. Which of the following instructions is appropriate for the nurse to provide? 1. Draw up the NPH insulin into the syringe first. 2. Inject air into the regular insulin first. 3. Shake the NPH insulin until it is well mixed. 4. Discard any regular insulin that appears cloudy.

1. Draw up the NPH insulin into the syringe first. 2. Inject air into the regular insulin first. 3. Shake the NPH insulin until it is well mixed. 4. Discard any regular insulin that appears cloudy.****

198. A nurse is giving discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects? 1. Drowsiness 2. Constipation 3. Oliguria 4. Tachycardia

1. Drowsiness 2. Constipation 3. Oliguria 4. Tachycardia***

161. A nurse is preparing to administer prednisone (Deltasone) to a client for treatment of rheumatoid arthritis. Which of the following indicates effective therapy? 1. Elevated blood glucose 2. Improved range of motion 3. Increased blood pressure 4. Improved long-term memory

1. Elevated blood glucose 2. Improved range of motion*** 3. Increased blood pressure 4. Improved long-term memory

181. Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medications should the nurse have on hand in the event of an overdose? 1. Epinephrine 2. Atropine 3. Protamine 4. Vitamin k

1. Epinephrine 2. Atropine 3. Protamine 4. Vitamin k****

182. A nurse is monitoring a client's IV site. Which of the following findings are associated with phlebitis and should be reported to the RN? (Select all that apply.) 1. Erythema 2. Damp dressing 3. Throbbing 4. Warmth at insertion site 5. Streak formation

1. Erythema*** 2. Damp dressing 3. Throbbing*** 4. Warmth at insertion site*** 5. Streak formation***

127. A client has developed agranulocytosis as a result of taking propylthiouracil (PTU) to treat hyperthyroidism. When preparing to counsel the client, the nurse should base her instructions on the fact that the client is at serious risk for which of the following? 1. Excessive bleeding 2. Ecchymosis 3. Infection 4. Hyperglycemia

1. Excessive bleeding 2. Ecchymosis 3. Infection*** 4. Hyperglycemia

176. A client who is taking digoxin (Lanoxin) develops ECG changes and other indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer? 1. Fab antibody fragments (Digibind) 2. Flumazenil (Mazicon) 3. Acetylcysteine (Mucomyst) 4. Naloxone (Narcan)

1. Fab antibody fragments (Digibind)*** 2. Flumazenil (Mazicon) 3. Acetylcysteine (Mucomyst) 4. Naloxone (Narcan)

129. A nurse is giving a presentation about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? 1. Furosemide (Lasix) 2. Hydrochlorothiazide (HCTZ) 3. Mannitol (Osmitrol) 4. Spironolactone (Aldactone)

1. Furosemide (Lasix) 2. Hydrochlorothiazide (HCTZ) 3. Mannitol (Osmitrol) 4. Spironolactone (Aldactone)***

139. A nurse is providing teaching to a client who has diabetes mellitus and has a new prescription for chlorpropamide (Diabinese). The nurse should teach the client to avoid consumption of which of the following while taking this medication? 1. Grapefruit 2. Milk 3. Alcohol 4. Shellfish

1. Grapefruit 2. Milk 3. Alcohol*** 4. Shellfish

154. A nurse is caring for a client who has a diagnosis of pulmonary embolism (PE). Which of the following should the nurse report to the provider? 1. Hematocrit 45% 2. Partial thromboplastin time (PTT) 55 seconds 3. WBC count 8000 4. Platelets 74,000

1. Hematocrit 45% 2. Partial thromboplastin time (PTT) 55 seconds 3. WBC count 8000 4. Platelets 74,000***

199. A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following manifestations should suggest to the nurse that the client may have taken an overdose of levothyroxine? 1. Insomnia 2. Constipation 3. Drowsiness 4. Hypoactive deep-tendon reflexes

1. Insomnia*** 2. Constipation 3. Drowsiness 4. Hypoactive deep-tendon reflexes

166. 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? 1. Lactated Ringer's solution 2. 0.9% sodium chloride 3. Dextrose 5% in water 4. Dextrose 5% in 0.45% sodium chloride

1. Lactated Ringer's solution 2. 0.9% sodium chloride** 3. Dextrose 5% in water 4. Dextrose 5% in 0.45% sodium chloride

187. A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client? 1. Leuprolide (Lupron) 2. Cyclophosphamide (Cytoxan) 3. Finasteride (Proscar) 4. Tamoxifen (Nolvadex)

1. Leuprolide (Lupron)*** 2. Cyclophosphamide (Cytoxan) 3. Finasteride (Proscar) 4. Tamoxifen (Nolvadex)

188. A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse plan to administer? 1. Methadone (Dolophine) 2. Disulfiram (Antabuse) 3. Lorazepam (Ativan) 4. Topiramate (Topamax)

1. Methadone (Dolophine) 2. Disulfiram (Antabuse) 3. Lorazepam (Ativan)*** 4. Topiramate (Topamax)

180. A nurse is caring for an adolescent client who has a sarcoma of the femur and is admitted for chemotherapy. The client is to receive ifosfamide (Ifex) and mesna (Mesnex). The nurse should assess for which of the following manifestations of a serious adverse reaction? 1. Painful urination and hematuria 2. Dependent edema and dyspnea 3. Fatigue and muscle weakness 4. Paresthesia and paralysis

1. Painful urination and hematuria*** 2. Dependent edema and dyspnea 3. Fatigue and muscle weakness 4. Paresthesia and paralysis

172. A nurse is preparing to administer lisinopril (Prinivil). Which of the following findings should be reported to the provider immediately? 1. Rash and impaired sense of taste 2. Swelling of the tongue and oral pharynx 3. Decreased blood pressure and pulse rate 4. Low urine output and white blood cell count

1. Rash and impaired sense of taste 2. Swelling of the tongue and oral pharynx*** 3. Decreased blood pressure and pulse rate 4. Low urine output and white blood cell count

164. A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication? 1. Report of recent migraine headaches. 2. History of gastric ulcers. 3. Current diagnosis of glaucoma. 4. Prior reports of amenorrhea.

1. Report of recent migraine headaches. 2. History of gastric ulcers.*** 3. Current diagnosis of glaucoma. 4. Prior reports of amenorrhea.

150. A nurse is caring for a client who has supraventricular tachycardia. In addition to an electrocardiogram, which of the following assessment parameters should the nurse monitor closely during IV administration of verapamil (Calan)? 1. Respiratory rate 2. Blood pressure 3. Urine output 4. Level of consciousness

1. Respiratory rate 2. Blood pressure*** 3. Urine output 4. Level of consciousness

192. A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best determines therapeutic client response to this medication? 1. Stable vital signs 2. 0 rating on pain scale 3. No nausea with good appetite 4. Improved output with decreased peripheral edema

1. Stable vital signs 2. 0 rating on pain scale*** 3. No nausea with good appetite 4. Improved output with decreased peripheral edema

183. A client who has left ventricular failure and a high pulmonary capillary wedge pressure (PCWP) is receiving dopamine IV to improve ventricular function. Which of the following changes indicates to the nurse that the medication is having a therapeutic effect? 1. Systolic blood pressure increases. 2. QRS width increases. 3. Apical heart rate increases. 4. PCWP increases.

1. Systolic blood pressure increases.*** 2. QRS width increases. 3. Apical heart rate increases. 4. PCWP increases.

185. A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide (Lasix). Which of the following instructions should the nurse include? 1. Take aspirin if headaches develop. 2. Eat foods that contain plenty of potassium. 3. Expect some swelling in the hands and feet. 4. Take the medication at bedtime.

1. Take aspirin if headaches develop. 2. Eat foods that contain plenty of potassium.*** 3. Expect some swelling in the hands and feet. 4. Take the medication at bedtime.

136. 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.) 1. The medication will increase the amount of mucus. 2. The medication will prevent wheezing. 3. The medication will open the airways. 4. The medication will reduce inflammation. 5. The medication will decrease coughing episodes.

1. The medication will increase the amount of mucus. 2. The medication will prevent wheezing.*** 3. The medication will open the airways.*** 4. The medication will reduce inflammation. 5. The medication will decrease coughing episodes.***

179. Which of the following should be recognized by the nurse as part of the medication reconciliation process? 1. The nurse writes a prescription to resume home medications not prescribed by the provider. 2. A list of medications received during the hospitalization. 3. Reconciliation occurs only during admission and discharge from a health care facility. 4. The documented list includes all medications taken by the client.

1. The nurse writes a prescription to resume home medications not prescribed by the provider. 2. A list of medications received during the hospitalization. 3. Reconciliation occurs only during admission and discharge from a health care facility. 4. The documented list includes all medications taken by the client.****

149. A nurse is caring for a client who is in renal failure with an elevated serum phosphorous level and is to be started on aluminum hydroxide (Amphojel). The client asks the nurse about potential side effects. The nurse should explain to the client that a common side effect of aluminum-based antacids is 1. constipation 2. Metallic taste 3. Headache 4. Diarrhea

1. constipation*** 2. Metallic taste 3. Headache 4. Diarrhea

173. An older adult client's provider prescribes aspirin, 650 mg/q6h PO to treat rheumatoid arthritis. The nurse should teach the client that a possible adverse effect of aspirin therapy is 1. constipation. 2. bleeding. 3. blurred vision. 4. insomnia.

1. constipation. 2. bleeding.*** 3. blurred vision. 4. insomnia.

156. A client is about to start taking aluminum hydroxide (Amphojel) to treat heartburn. The nurse should explain to the client that this medication can cause 1. constipation. 2. flatulence. 3. hypertension. 4. headache.

1. constipation.*** 2. flatulence. 3. hypertension. 4. headache.

153. A client who has angina pectoris is experiencing chest pain and has taken three nitroglycerin tablets sublingually. The client reports relief from the chest pain but now reports a headache. The nurse should explain to the client that this symptom 1. could mean an allergy to the medication. 2. is an expected side effect of the medication 3. indicates tolerance to the medication. 4. is probably a result of anxiety about the chest pain.

1. could mean an allergy to the medication. 2. is an expected side effect of the medication.*** 3. indicates tolerance to the medication. 4. is probably a result of anxiety about the chest pain.

125. A nurse is instructing a hospitalized client who has asthma about how to use an albuterol (Proventil) inhaler. The nurse should recognize that the client understands how to use the inhaler when the client demonstrates by 1. holding a breath for 10 seconds after inhaling the medication 2. taking a deep breath just prior to releasing the medication from the inhaler. 3. exhaling as the medication is released from the inhaler. 4. waiting 5 min between inhalations.

1. holding a breath for 10 seconds after inhaling the medication.*** 2. taking a deep breath just prior to releasing the medication from the inhaler. 3. exhaling as the medication is released from the inhaler. 4. waiting 5 min between inhalations.

126. A nurse is instructing a pediatric client and his and family about how methylphenidate (Ritalin) will help manage attention-deficit hyperactivity disorder (ADHD). The nurse should explain that this medication therapy will help 1. increase focus. 2. promote rest. 3. improve appetite. 4. prevent panic.

1. increase focus. *** 2. promote rest. 3. improve appetite. 4. prevent panic.

186. A nurse in a regional oncology center is recording the dose of doxorubicin (Adriamycin) that a client receives with each visit. The nurse should know that this medication has a maximum lifetime cumulative dose range due to the risk for irreversible 1. myelosuppression. 2. alopecia. 3. cardiomyopathy. 4. Paresthesia.

1. myelosuppression. 2. alopecia. 3. cardiomyopathy.*** 4. Paresthesia.

193. A hospice nurse makes weekly visits to a client who has terminal cancer. For several weeks, the client has been taking morphine sulfate for pain relief. At today's visit, the client reports to the nurse that the usual dose of morphine does not seem to be working. The nurse should understand that the most likely explanation is that the client has 1. not been taking the medication properly. 2. experienced episodes of confusion. 3. become addicted to the medication. 4. developed a tolerance to the medication.

1. not been taking the medication properly. 2. experienced episodes of confusion. 3. become addicted to the medication. 4. developed a tolerance to the medication.***

155. A nurse is interviewing a client during a yearly health assessment. The client reports occasionally taking several over-the-counter (OTC) medications, including H2 -blockers, as needed. When evaluating the effectiveness of H2 -blocker therapy, the nurse should assess for 1. relief of heartburn 2. cessation of diarrhea. 3. passage of flatus. 4. absence of constipation.

1. relief of heartburn.*** 2. cessation of diarrhea. 3. passage of flatus. 4. absence of constipation.

141. A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse should explain that the most common side effect of this medication is 1. sedation. 2. anxiety. 3. insomnia. 4. bradycardia.

1. sedation.*** 2. anxiety. 3. insomnia. 4. bradycardia.

175. A nurse is talking with a client who has peptic ulcer disease and is starting therapy with sucralfate (Carafate). The nurse should instruct the client to take the medication 1. with an antacid. 2. 1 hr before meals. 3. with food or milk. 4. immediately after meals.

1. with an antacid. 2. 1 hr before meals.*** 3. with food or milk. 4. immediately after meals.

158. A client is prescribed 300 mg clindamycin (Cleocin) IV to infuse over 30 min. The medication comes premixed in a 50 mL bag. At how many mL/hr should the nurse set the IV pump?

100

147. A provider prescribes lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

120

144. A provider prescribes 400 mg of dopamine (Intropin) to infuse in 250 mL of dextrose 5% in water at the rate of 300 mcg/kg/hr for a client who weighs 80 kg and requires hemodynamic support. The nurse should set the IV pump to deliver how many mL/hr to the client? (Round to the nearest whole number.)

15

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

2

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

2

130. A client is prescribed a heparin IV infusion at 1,200 units/hr. Heparin comes premixed from the pharmacy in 25,000 units per 500 mL D5W. At how many mL/hr should the nurse set the IV pump?

24

132. A nurse is monitoring the flow rate of an IV solution prescribed to infuse at 100 mL/hr using a drop factor of 15 gtt/mL. The nurse should ensure the flow rate is set to infuse how many gtt/min? (Round the answer to the nearest whole number.)

25

169. A nurse is preparing to administer lidocaine 2 g in dextrose 5% in water 500 mL IV to infuse at the rate of 2 mg/min. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number.)

30

184. A nurse is caring for a client who is 6 feet tall, weighs 190 lb, and has a body surface area of 2.1 m2. The client is prescribed cisplatin (Platinol). The appropriate dose for this medication is 20 mg/m2. How many mg is an appropriate dose to administer to the client?

42

151. A provider prescribes an IV medication to infuse in 50 mL of 0.9% sodium chloride over 20 min. The drop factor on the manual IV tubing is 20 gtt/mL. The nurse should adjust the IV flow rate to deliver how many gtt/min to the client? (Round to the nearest whole number.)

50

134. Calculate the drops per minute of an IV bolus of 500 ml of LR to be infused over 3 hr using 20 drop/mL tubing. (Round the answer to the nearest whole number.)

56

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

56

148. A nurse is preparing to administer amoxicillin (Amoxil) 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

7

189. A provider prescribes an IV medication to infuse in 100 mL of dextrose 5% in water over 20 min. The drop factor on the manual IV tubing is 15gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min to the client? (Round to the nearest whole number.)

75

167. A nurse 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 is 10 gtt/mL. Calculate the number of minutes to infuse the blood. (Round the answer to the nearest whole number.)

83