Second Pharmocology test
The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is noted? 1. A clotting time of 10 minutes 2. An ammonia level of 20 mcg/dL 3. A platelet count of 50,000/mm3 4. A white blood cell count of 5,000/mm3
3
The evening nurse reviews the nursing documentation in the clients chart and notes that the day nurse has documented that client has a stage II pressure ulcer in the sacral area. Which of the following would the nurse expect to note on assessment of the client's sacral area? 1. Intact skin 2. Full-thickness skin loss 3. Exposed bone, tendon, or muscle 4. Partial-thickness skin loss of the dermis
4
Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to do which of the following before administrating chemotherapy? 1. Measure abdominal girth 2. Calculate Body Mass Index 3. Ask the client about his or her height and weight 4. Weigh and measure the client on the day of drug administration
4
Rh (D) immune globulin (RhoGAM) is prescribed for a woman following delivery of a newborn infant and the nurse provides information to the woman about the purpose of the medication. The nurse determines that the woman understands the purpose of the medication if the woman states that it will protect her next baby from which of the following? 1. Having Rh- positive blood 2. Developing a rubella infection 3. Developing physiological jaundice 4. Being affected by Rh incompatibility
4
Prednisone (Deltasone) is prescribed for a client with diabetes mellitus who is taking NPH insulin daily. Which of the following prescription changes does the nurse anticipate during therapy with the prednisone? 1. An additional dose of prednisone daily 2. A decreased amount of daily NPH insulin 3. An increased amount of daily NPH insulin 4. The addition of an oral hypoglycemic medication daily
3
The client has a PRN order for loperamide hydrochloride (Imodium). For which condition should the nurse plan to administer this medication? 1. Constipation 2. Abdominal pain 3. An episode of diarrhea 4. Hermatest - positive nasogastric tube drainage
3
A nurse is preparing to administer a dose of naxolone hydrochloride (Narcan) intravenously to a client with an intravenous opioid overdose. The nurse plans to have which of the following available as supportive equipment in case it is needed? 1. Nasogastric tube 2.Paracentesis tray 3. Resuscitation equipment 4. Central Line insertion tray
3
A nurse performs an admission assessment on a client who visits a healthcare clinic for the first time. The client tells the nurse that propylthouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of: 1. Myxedema 2. Grave's Disease 3. Addison's Disease 4. Cushing's Disease
2
A physician's prescription reads phenytoin (Dilantin) 0.2g orally twice. The medication label states 100mg capsules. A nurse prepares how many capsules to administer one dose? ___ capsules https://books.google.com.pr/books?id=wphk09gCIvoC&pg=PA196&lpg=PA196&dq=A+physician%27s+prescription+reads+phenytoin+%28Dilantin%29+0.2g+orally+twice.+The+medication+label+states+100mg+capsules.+A+nurse+prepares+how+many+capsules+to+administer+one+dose?&source=bl&ots=DHhgCbK0tz&sig=VbS-9q7w4gvWsqy6Mtc_R9k2MfA&hl=es&sa=X&ei=ddlcVYOVEcmngwS71YGgDg&ved=0CB4Q6AEwAA#v=onepage&q=A%20physician's%20prescription%20reads%20phenytoin%20(Dilantin)%200.2g%20orally%20twice.%20The%20medication%20label%20states%20100mg%20capsules.%20A%20nurse%20prepares%20how%20many%20capsules%20to%20administer%20one%20dose%3F&f=false
2
The client has been taking Omeprazole (Prilosec) for four weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reports the absence of which symptom? 1. Diarrhea 2. Heartburn 3. Flatulence 4. Constipation
2
The nurse prepares to care for a client with acute cellulitis of the lower leg. The nurse anticipates that which of the following will be prescribed for the client? 1. Cold compress to the affected area 2. Warm compresses to the affected area 3. Intermittent heat lamp treatment four times daily 4. Alternating hot and cold compresses continuously
2
A physician's prescription reads 1000 ml normal saline (NS) to infuse over 12 hours. The drip factor is 15 drops ( gtt)/1 ml. A nurse prepares to set the flow rate at how many drops per minutes? (Round answer to the nearest whole number.) ___ drops per minute
21
A 31-week preterm labor client dilated 4cm has been started on magnesium sulfate and contractions have stopped. If the client's labor can be inhibited for the next 48 hours, what medication does the nurse anticipate will be prescribed? 1. Nalbuphine (Nubain) 2. Mispoprosal (Cytotec) 3. Bethamethasone (Celestone) 4. Rh(D) immune globulin (RhoGAM)
3
A nurse is preparing to administer albuterol (Proventil) to a client. The nurse assesses which of the following parameters before and during therapy? 1. Nausea and vomiting 2. Urine output and blood urea nitrogen level 3. Headache and level of consciousness 4. Lung sounds and presence of dyspnea
4
A physician prescribes 1000mL D5W to infuse at a rate of 125mL. h. A nurse determines that it will take how many hours for 1L to infuse? ___ hours
8