NR328 Med-surg Pharmacology Evolve

A healthcare provider prescribes 250 mg of a medication. The vial reads 500 mg/mL. How much medication should the nurse administer? Include a leading zero if applicable. Record your answer using one decimal place. _____ mL

0.5

A client who is receiving chemotherapy for lung cancer has nausea and vomiting because of the therapy. The client wants to know if it is true that smoking marijuana will help. What is the nurse's best response?

"There are some tetrahydrocannabinol (THC)-based medications that contain marijuana that control chemotherapy-induced nausea and vomiting in some people."

A client is diagnosed with pulmonary tuberculosis, and the healthcare provider prescribes a combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the drug is effective when the client reports which action as most important?

"continue taking the medicine even after i feel better"

A client with myasthenia gravis has been receiving neostigmine and asks about its action. What information about its action should the nurse consider when formulating a response?

blocks the action of cholinesterase

A client with systemic lupus erythematosus is taking prednisone. The nurse anticipates that the steroid may cause hypokalemia. What food will the nurse encourage the client to eat?

broccoli

The health care provider prescribes an oral hypoglycemic for the client with type 2 diabetes. What will the nurse need to consider when developing the teaching plan?

clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control

A nurse is evaluating the results of treatment with erythropoietin. Which assessment finding indicates an improvement in the underlying condition being treated?

decreased pallor

What is the priority goal for a client with asthma who is being discharged from the hospital with prescriptions for inhaled bronchodilators?

demonstrates use of metered dose inhaler

The healthcare provider prescribes 1 liter of intravenous (IV) fluid to infuse over 4 hours for a client admitted for a urinary tract infection and hyponatremia. The tubing drop factor is 10 drops/mL. At what rate will the nurse infuse the medications?

42 gtts/min

A client is receiving warfarin for a pulmonary embolism. Which drug is often contraindicated when taking warfarin?

acetylsalicylic acid

A client with lymphosarcoma is receiving allopurinol and methotrexate. The nurse can help the client prevent complications related to uric acid nephropathy by administering which drug in relation to fluid intake?

allopurinol and increased fluid intake

Prednisone is prescribed for a client with an exacerbation of colitis. What does the nurse teach the client before administering the first dose?

although the medication decreases inflammation it will not cure colitis

The nurse is preparing to administer a subcutaneous dose of 15 units of lispro insulin to a client. Choose the proper syringe for this injection.

option 2 says units on syringe

Which relationship does the nurse consider reflective of the relationship of naloxone to morphine sulfate?

protamine sulfate to heparin

A healthcare provider prescribes a diuretic for a client with hypertension. What should the nurse include in the teaching when explaining how diuretics reduce blood pressure?

reduces circulating blood volume (vasodilators relax smooth muscle)

A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. What does the nurse identify as the drug's mechanism of action?

restores the dopamine levels in the brain

Tissue plasminogen activator (t-PA) is to be administered to a client in the emergency department. Which is the priority nursing assessment? (thrombolytic agent)

signs of bleeding (risk of hemorrhage)

A client presents with extensive lesions due to psoriasis. Which intervention does the nurse anticipate from the healthcare provider?

topical application of steroids

A nurse is caring for a client who is receiving an intravenous (IV) infusion. What should the nurse do first if the IV infusion infiltrates?

discontinue the infusion

A client is receiving metoprolol. Which side effect should the nurse teach the client to expect?

dizziness with strenuous activity

What should the nurse monitor when a client is receiving a platelet aggregation inhibitor such as clopidogrel?

epistaxis

A client with arthritis is taking large doses of aspirin. What symptom does the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?

hearing disturbances (ringing in the ears, ottotoxicity, tinnitus).

At 4:30 pm, a client who is receiving NPH insulin every morning states, "I feel very nervous." The nurse observes that the client's skin is moist and cool. What is the nurse's most accurate interpretation of what the client is likely experiencing?

hypoglycemia

A client with type 1 diabetes receives 30 units of NPH insulin at 7 am. At 3:30 pm the client becomes diaphoretic, weak, and pale. What does the nurse determine that these physiologic responses are associated with?

hypoglycemic reaction