FINAL

neck veins. The nurse should expect a prescription for which of the following medications?

Furosemide

A patient has been advised to take ibuprofen. When teaching the patient about ibuprofen, which instruction should the nurse include?

-avoid taking aspring with ibuprofen - take with food to reduce gi upset Monitor for bleeding gums Nosebleeds, black tarry stool

A nurse preparing to administer 4000 units of heparin to a client. Available is 10,000 in 1ml. How much should the nurse withdraw from the vial

0.4ml

A patient was recently diagnosed with having a gastric ulcer. The physician ordered the drug sucralfate. The nurse understands that this medication works to do which of the following?

Coat the gastric lining

A 48-year-old male banker is being discharged from the hospital after having been diagnosed with an episode of acute Gout. The nurse plans to provide patient teaching on which of the following medications?

Colchicine

A patient is taking furosemide 40 mg daily for heart failure and hypertension. It is most important for the nurse to assess the patient for the development of which of the following?

low serum potassium, sodium, magnesium, and calcium.

(blank) maintain fluid balance by promoting the reabsorption of sodium from the renal tubules

mineralocorticoids

First pass effect is known as which of the following?

presystemic metabolism

The student nurse correctly responds that a drug's half-life is which of the following?

the time it takes for the amount of a drug's active substance in your body to reduce by half.

Oral antidiabetic drugs are given to treat which of the following conditions

Type 2 diabetes.

A patient has been diagnosed with Alzheimer disease. The patient's daughter asks the nurse what the cause of Alzheimer disease is. The best response by the nurse is "the cause of Alzheimer disease is which of the following?

Unknown

A nurse is teaching a client who has a prescription for long-term use of oral prednisone for the 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 and fluid retention

A patient is experiencing status epilepticus. The nurse anticipate immediate administration of which of the following drugs?

diazepam

Insulin shock can occur when which of the following conditions occurs?

hypoglycemia

What would indicate to the nurse that the child taking methylphenidate requires more teaching?

The child is seen drinking a cola product

The nurse tells the student nurse that the brand name of a drug is which of the following?

Also known as the proprietary name, is chosen by the drug company and is usually a registered trademark.

Drugs that prevent receptor activator and block a response are called which of the following?

Antagonist drugs

A patient is prescribed aspirin, 81 mg, and clopidogrel. The nurse identifies the drug classification of clopidogrel as which of the following types of drugs?

Antiplatelet

The nurse knows that the trough level of a drug occurs when which of the following occurs?

The trough level is the lowest concentration in the patient's bloodstream, therefore, the specimen should be collected just prior to administration of the drug

The nurse knows that drugs that affect the Sympathetic Nervous System are referred to as

adrenergic agonists, or sympathomimetics

Which of the following Adrenergic beta receptors work on the lungs?

beta 2-adrenergic receptor

The nurse knows that drugs that affect the Parasympathetic Nervous System are referred as

cholinergic agonist drugs.

A patient diagnosed with asthma is going home with a prescription for albuterol. In preparation for discharge, the nurse informs the patient that albuterol is being prescribed to do which of the following?

to treat or prevent bronchospasm in patients with asthma, bronchitis, emphysema, and other lung diseases.

The nurse at the clinic is about to administer an intradermal injection to a patient. Which needle and gauge is most appropriate for this procedure?

A tuberculin syringe 1/4 to 1/2 in., 26 or 27 gauge needle

The nurse is assessing a client who takes glipizide for the treatment of type 2 diabetes mellitus. Which of the following findings indicates effectiveness of the medication

Hgb a1c 6.5%

Calcitonin-salmon is used in the treatment of which of the following conditions?

Hypercalcemia

A patient is receiving furosemide. It is important for the nurse to monitor the patient for the development of which of the following complications?

Hypokalemia

Calcitriol Is a vitamin D analogue that promotes calcium absorption in which of the following conditions?

Hypoparathyroidism

A patient has angina pectoris. The patient's BP is 100/60 mm Hg. The nurse administers nitroglycerin 0.4 mg sublingual (SL). It is most important for the nurse to assess the patient for the development of which of the following?

Hypotension

Levothyroxine sodium is the drug of choice for replacement therapy for the treatment of which of the following conditions?

Hypothyroidism

A nurse Is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching

I should let my dentist know I'm taking this medication

A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify which of the following client statements indicates an understanding of the teaching?

I will use this medication for short period of time

A patient receiving warfarin therapy is being discharged. Which information will the nurse include when teaching a patient about warfarin therapy?

INR results should be between 2-3

Glucagon does which of the following?

Increase blood sugar

A patient with Myasthenia Gravis is prescribed neostigmine. The nurse knows that the medication is effective when the patient experiences which of the following?

Increased muscle strength

When teaching a patient who has been prescribed metoprolol about side/adverse effects, which is the highest priority teaching point?

Instruct the patient how to take a pulse.

The purpose of (Blank) is to reduce the excessive secretion of thyroid hormones by inhibiting thyroid secretion

Iodine

The nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client.

Levothyroxine

The patient develops a deep vein thrombosis. The nurse anticipates the administration of which medication?

Low molecular weight heparin

The nurse knows that a drug is at peak when which of the following occurs?

Maximum therapitic responses

The nurse knows that the process by which the body chemically changes drugs into a form that can be excreted from the body is known as which of the following?

Metabolism

A patient received atropine as a preoperative medication 30 minutes ago. The nurse evaluates the medication as effective if the patient states,

My mouth feels dry

The nurse assesses a patient receiving morphine via a PCA pump. The patient has a respiratory rate of 6 breaths/min. The nurse anticipates administration of which of the following drugs?

Naloxone

Which medications are most likely to be indluded in a dual drug therapy program for peptic ulcer disease from H. pylori?

Omeprazole and clarithromycin

Oral antidiabetic drugs are also known as which type of drugs?

Oral hypoglycemic drugs

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious Which of the following actions should the nurse take first

Perform a capillary blood glucose test.

The nurse knows that the study of the effects of drugs on the body is also known as which of the following

Pharmacodynamics

Pharmacogenetics is also known as which of the following?

Pharmacogenomics

The movement of the drug from the bloodstream to the body tissues is also known as which of the following?

Pharmacokinetics or Drug Distribution

A patient is on heparin therapy secondary to deep vein thromboses. The nurse has which medication hand as an antidote case it is needed?

Protamine sulfate

Diuretics are used in the treatment of all the following except which of the following?

Pulmonary Embolism

A nurse administers baclofen to a child with cerebral palsy. They understand that this drug is being given to do which of the following?

Reduce muscle spasticity

A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the following is an expected outcome for this client?

Reduce pain

A nurse who is administering atorvastatin calcium realizes the importance of monitoring for which serious adverse reaction?

Rhabdomyolysis

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

Rinse your mouth after each use of this medication

Which statement will the nurse include when teaching a patient about loop diuretics?

Rise slowly from a lying or sitting to standing position to prevent dizziness

A patient with multiple sclerosis is being treated with large doses of corticosteroids. Which nursing diagnosis would be the priority at this time?

Risk for infection

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

Sedation

Which laboratory test is most important for the nurse to monitor when a patient is receiving lithium?

Serum electrolytes

A patient is prescribed rivastigmine for Alzheimer's Disease. The nurse teaches the patient that this drug is being given for which of the following reasons?

Slows the disease process

Insulin is usually administered via which of the following routes

Subcutaneous

(Blank) can enhance the effects of antidiabetic drugs and can cause hypoglycemia

Sulfonylureas

A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include?

Take the medication with food to avoid GI upset.

A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching?

Take this medication in the evening

The nurse rotates the insulin injection sites to prevent which of the following from occurring?

lipodystrophy

A nurse is administering digoxin, 0.125 mg, to a patient. Which nursing interventions should the nurse implement? (select all that apply)

-Check apical pulse rate before administration -Monitor patient's serum digoxin level -Instruct patient to report pulse rate <60

A nurse is transfusing a unit of packed red blood cells (PRBCS) to a client who has anemia due to chemotherapy. The client reports a sudden headache and chills. The client's temperature is 2 F higher than the baseline reading. In addition to notifying the provider, which of the following actions should the nurse take? (select all that apply)

-Stop the transfusion -Remove the blood bag and tubing from the IV catheter -Obtain a urine specimen

A patient is to receive 50mg of meperidine. The medication comes in a concentration of 100 mg/ml. how much should nurse administer?

0.5 ml

A nurse is preparing to administer heparin 8000 units subcutaneously every 12 hr. Available is heparin injection 10,000 units/ml. How many ml should the nurse administer per dose? (round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.8ml

Order: Allopurinol 450 mg po daily. On hand: Allopurinol 300mg tablets. What will the nurse administer?

1.5

A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1hr. The drop factor of the manual IV tubing is 15gtt/ml. The nurse should set the manual IV infusion to deliver how many gtts/min?

100gtts/min

A nurse is caring for a client who has an order for 3.000 mL of dextrose 5% in 0.45% sodium chloride to infuse IV over 24 hr. The nurse initiates an IV infusion of 1,000ml of this fluid at 0800. At what time should the nurse prepare to initiate the second 1000 ml bag

1600

Anurse is preparing is preparing to administero.9% sodium chloride 1,500mL to infuse over 8 hr to client who postoperative. The nurse should set the IV pump to deliver how many mL/hr?

187.5 ml/hr

On assessment, the nurse notices that a patient with congestive heart failure has gained 5 pounds in 1 week. The nurse calculates this weight gain as how much fluid?

2L

Order: Amoxicillin 500mg po q8h Available: 125mg per capsule How many Capsules will the nurse administer?

4

A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?

4 ml

A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube.The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solutions 25mg/5ml. How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies.

50 ml

A nurse is adding up a patient's intake and output. Intake includes 180ml of coffee, 4 ounces of gelatin, 12-ounce can of soda, and 120 ml of water. What is the patient's total intake?

780 mL

nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10mg/1ml. how many ml should the nurse administer? (round the answer to nearest whole number. Do not use a trailing zero)

8 mL

A nurse is preparing to administer digoxin to a patient. which laboratory result is the nurse most concerned about?

<60 bpm

Drugs that activate receptors and produce a desired response are called which of the following?

Agonist

The nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Alcohol increases the chance of phenytoin toxicity

An elderly patient has been diagnosed with chronic gout. As his nurse, you anticipate that the physician will order which one of the following medications?

Allopurinol

Which of the following medications would the nurse expect the physician to order for a patient who is experiencing muscle spasms?

Baclofen

After using a glucocorticoid inhaler, a patient asks his nurse why he must rinse his mouth out after using the glucocorticoid inhaler. The nurse should inform the patient that rinsing his mouth is advised for which of the following reasons?

Decrease risk of infection

The nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome?

Decrease spasticity

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include?

Discard regular insulin if cloudy as it should be clear. NPH insulin is the one that has a cloudy appearance since it is a suspension that needs to be rolled between your hands mix.

patient is receiving an angiotensin 2 receptor blocker. It is most important for the nurse to assess the patient for which of the following side effects?

Dizziness

The movement of the drug into the bloodstream after it is administered is identified by the nurse as which of the following?

Drug absorption

When drug levels exceed the therapeutic range, the nurse recognizes this as which of the following?

Drug toxicity or drug overdose

The length of time it takes a drug to exert a therapeutic effect is also known as which of the following?

Duration of action

The patient is ordered cimetidine. It is most important for the nurse to teach the patient about what dietary needs?

Eat foods rich in Vitamin B12

The nurse knows that the pharmacokinetic phase describes which of the following:

Excretion Absorption Metabolism Distribution

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?

Expect the NPH insulin level to peak in 6 to 14 hr.

A patient refuses to take the prescribed medication. Which of the following is the nurse's best response to the patient?

Explain the risk of not taking the medication.

The nurse knows the importance of administering the right medication to the patient and that drugs have many names. It is therefore most important that drugs be By which name?

Generic

The nurse has just administered the morning dose of a patient's lispro (Humalog) insulin. Just after the injection, the dietary department calls to inform the patient care unit that breakfast trays will be 45mins late. What will the nurse do next?

Give the patient food, such as cereal and skim milk, and juice.

The nurse is providing discharge teaching to a patient who is going home on nifedipine. The nurse notes that the patient understands the teaching which she says that she will remove which of the following food items from her diet tray?

Grapefruit Juice

Propylthiouracil (PTU) is a drug of choice for which of the following conditions?

Graves disease and hyperthyroidism

The nurse is administering medications and identifies which of the following drugs as a calcium channel blocker that is used to treat dysrhythmias?

HINT: Very Nice Drugs. Verapamil, Nifedipine, Diltiazem