Pharm Final 2019- Claudia NCLEX
A nurse teaching a patient about sublingual Nitroglycerin. What patient statement indicates that teaching was successful?
"If my chest pain does not go away after 15 minutes after taking a dose, I should call 911."
A pt presents to the ED with hypotension due to an over dose of enalapril how will the nurse expect to treat the hypotension?
Administer normal saline
A patient is having difficulty remembering to take a prescribed drug three times a day. What forms of drug should the nurse recommend to increase adherence?
Extended-release tablet
Metoprolol increases sympathetic stimulation of the heart , thus increasing cardiac workload.
False
Montelukast should be taken at least 3 hours before activity to prevent exercise-induced bronchospasm.
False
Reteplase and heparin are compatible and may be combined in the same solution.
False
Systemic absorption of timolol can mask symptoms of hyperglycemia.
False
A patient is brought to the emergency department with a serum blood sugar 42. What drug will the nurse expect to administer to the patient?
Glucagon
Atropine may be used to reverse bradycardia caused by diltiazem overdose.
True
a health care provider has prescribed cyclobenzaprine. for which pt would the nurse question the order?
a 4 yr old with a broken arm
A pt presents the the ED overdosed on benztropine. what medication will the nurse expect to administer?
physostigmine
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mg PO daily. availability is dig PO 0.25 mg/tablets. how many tabs will the nurse administer per dose?
0.5
A nurse is preparing to administer antibiotics X over 20 min. Available is antibiotic X in 50 ml of 0.9% sodium chloride. The drop factor of the manual IV tubing is 20 gtt/ml. The nurse should set the manual iv infusion to deliver how many gtt/min.
50
A nurse is administering Normal Serum Albumin. Which signs of allergy will the nurse monitor for? Select all that apply.
Fever Chills Rash Dyspnea
What condition is alendronate not approved for?
Pathological fractures
A nurse is administering Dopamine IV to a patient and notes that the IV has become infiltrated. What medication will the nurse administer to the infiltrated area as soon as possible?
Phentolamine
Doxazosin works by dilating arteries and veins and is capable of causing a rapid fall in bp?
true
A nurse is teaching a Patient about A new prescription for lantanoprost. what will the nurse include in the teaching? SATA
-remove contact lenses before instilling eyedrop -do not reinsert contact lens for 15 minute after instillation -avoid touching the eye with any part of the eyedropper to avoid cross contamination -wait 5 minutes before or after instillation of a different eye prescription to administer eyedrops
What is the primary use of taking the Specialty Supplement Glucosamine?
Reduces symptoms of arthritis
A nurse is teaching a patient about alendronate. What is the priority focus when teaching this medication?
Remain in an upright position for at least 30 mins after a dose
A nurse is reconstituting Reteplase before administration. What is the correct way to reconstitute the medication?
Swirl the vial
The nurse is caring for a patient who is hospitalized with chest pain. When should instruction about drugs and discharge planning begin?
as soon as possible
which patient condition is allopurinol not used for ?
bone marrow depression
A nurse is obtaining a patient's health history. The patient states that he has no allergies but developed some mild itching while taking amoxicillin. What information should the nurse explain to the patient?
Itching can indicate hypersensitivity to amoxicillin
A nurse is caring for a patient at an urgent care following a bee sting. What findings indicate an anaphylactic reaction? Select all that apply.
Low blood pressure Wheezing Difficulty swallowing
Donepezil is used to treat severe Alzheimer's dementia.
True
What information should nurses consider when calculating drug dosages for infants and children compared with adults?
older children have faster metabolic rates
A patient is brought to the emergency department after an opioid overdose. What drug will the nurse expect to administer to the patient?
naloxone
The nurse is teaching about albuterol. what will the nurse teaching the patient 1st?
proper use of the inhaler
A nurse is preparing to administer ampicillin 500 mg via intermittent IV bolus over 30 min. Avalible is 500 m ampicillin in 50 ml dextrose 5% in water. the nurse should set the pump to deliver how many ml/hr?
100
A nurse is preparing to administer 40 mEq of potasium chloride in 45% sodium chloride 500 ml IV to infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many ml/hr? (nearest whole number)
125
A patient who reports chronic pain states that his fentanyl topical patch is no longer effective for pain relief. What should the nurse suspect?
tolerance to the drug
Enalapril may produce a first dose phenomenon, resulting in profound hypotension, which may result in syncope.
true
A nurse is preparing to administer 250 mg of an antibiotic IM. available is 3g/5ml. How many ml should the nurse administer per dose? (nearest tenth).
0.4
A med nurse is administering Atenolol to a patient. What would cause the nurse to hold the medication?
pulse less than 60
The following prescription is given for Sliding Scale Insulin 50 - 100 = 0 units 101 - 150 = 1 unit 151 - 200 = 2 units 201 - 250 = 3 units 251 - 300 = 4 units 301 - 350 = 5 units > 351 = Call the health care provider The patient's blood glucose level is 75. How many units of insulin will the nurse administer?
0
a nurse is preparing to admin morphone sulfate 2 mg iv bolus. avalible is morphine sulfate 10mg/ml. How many ml should the nurse admin per dose?
0.2
A nurse is preparing to administer heprin 3000 units by IV bolus. Availible is heprin injection 5000 units/ml. How many ml should the nurse administer?
0.6
A nurse is going to administer Normal Serum Albumin. What size IV cannula will the nurse administer this medication through?
20 g
A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over 24 hr using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
35
The following prescription is given for Sliding Scale Insulin 50 - 100 = 0 units 101 - 150 = 1 unit 151 - 200 = 2 units 201 - 250 = 3 units 251 - 300 = 4 units 301 - 350 = 5 units > 351 = Call the health care provider The patient's blood glucose level is 275. How many units of insulin will the nurse administer?
4
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D5 lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 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.)
50
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 solution 25 mg/5 mL. How many mL 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.)
50
Before administering Digoxing to a pt, the nurse notes a pulse of 56. what will the nurse do next?
hold the med and notify the hcp
During an admission assessment, the nurse asks the patient about culture and religion. Which culture/religion would most likely refuse administration of Normal Serum Albumin?
Jehovas witnes
Match the therapeutic class to the medication. Question Correct Match Selected Match Procainamide Propranolol Amiodarone verapamil
Procainamide -Class IA Propranolol - Class II Amiodarone- Class III verapamil-Class IV
A patient taking Heparin is brought to the emergency department with manifestations of a gastrointestinal bleed. What medication will the nurse expect to administer the patient?
Protamine sulfate
Which drug is in category A on the FDA Pregnancy Category Ratings?
insulin
The nurse is teaching a patient about a new prescription for fluticasone. What information will the nurse include in the teaching?
Take two sprays in each nostril, twice daily
Raloxifene increased the risk of venous thrombembolism and death from strokes.
True
A nurse on a stoke unit notes that a pt is having muscle spasms in their neck. during sbar report to the hcp what med will the nurse recommend to relieve the muscle spams?
dantrolene sodium
a nurse is monitoring lab results on a pt taking Digoxin. the nurse notes that the serum dig level is 3.0 what med will the nurse expect to administer?
digibind
When teaching a patient about taking naproxen, enteric-coated tablets, what information should the nurse include?
do not crush or chew tablet
what hypertension medication is also used to treat prostatic hyperplasia?
doxazosin
The nurse is caring for a patient who has a history of renal insufficiency and is taking lithium carbonate. What should the nurse monitor for?
drug toxcicity
What is the primary use of the herb Horny Goat Weed?
enhance sexual function
a pt is starting a new prescription of nifedipine. what adverse effects will the nurse monitor the pt for? sata
headache dizziness peripheral edema flushing
Hydroxychloroquine must be stored in a safe place because it is very toxic to children.
true
The therapeutic range of serum Warfarin levels varies from 1 to 10 mcg/mL to achieve an INR value of 2 to 3.
true
What patient conditions are calcium salts contraindicated for? SATA
-Ventricular fibrillation -metastatic bone cancer -renal calculi -hyper calcium
The following prescription is given for Sliding Scale Insulin 50 - 100 = 0 units 101 - 150 = 1 unit 151 - 200 = 2 units 201 - 250 = 3 units 251 - 300 = 4 units 301 - 350 = 5 units > 351 = Call the health care provider The patient's blood glucose level is 325. How many units of insulin will the nurse administer?
5
a nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hrs to a toddler that wt 30 lbs . available is amoxicillin 200mg/5ml suspension. how many ml should the nurse admin?
5.6
what are early signs of levodopa toxcity?
spasmodic eye winking and muscle twitching
what medication improves the survival rate in pt when given 24hrs of an acute MI
lisinopril
Calcitrol (vitamin D) is used off-label to treat rickets?
True
Abrupt withdraw from levodopa can result in Parkinson's like symptoms.
true
The nurse is administering calcium salts to patient with hypocalcemia. When will the nurse administer this medication PO?
1 hour after meals
A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weights 198 lb. How many mg should the nurse administer with each dose?
675
A nurse is preparing to administer cefazolin IVPB over 20 min. Available is cefazolin 1 g in 100 ml of dextrose 5% in water. the drop factor of the manual iv tubing is 15 gtt/ml. the nurse should set the iv infusion to deliver how many drops a min? nearset whole number
75
Salmonella and E. coli are in which category of Infectious Agents?
B
A nurse is caring for a patient on a Diltiazem IV drip. What equipment would the nurse keep available during this medication administration?
Cardioversion equipment
The nurse is caring for a patient who is receiving nitroglycerin IV and is changing to the oral form of the drug. Why will the oral dose be higher than the IV dose?
Decreased bioavailability because of the first-pass effect
Why are Infants at risk for drug toxicity? Select all that apply.
Decreased liver enzymes Reduced kidney perfusion Reduced liver perfusion
The nurse is teaching a patient about Beclomethasone. What is the priority focus for this teach?
Do not use this medication is you are experiencing an acute asthma attack
When teaching a patient about that vancomycin, the nurse explains the need to check periodic blood levels of the drug to monitor serum peak and trough. What do peak and trough level help monitor? Select all that apply.
Drug toxicity Minimum effective dose Constant therapeutic level
The nurse is caring for 4 patients. For which patient would the nurse question an order for Dextromethorphan?
Patient with emphysema
A nurse is caring for a patient taking Heparin. The patient's nose begins bleeding large amounts of blood and cannot be stopped. What medication will the nurse expect to administer?
Protamine sulfate
A nurse is teaching a patient with a new prescription of oxymetazoline. What is priority for the nurse to teach?
Rebound congestion is common is used longer than 3-5 days.
A nurse on a Med Surg unit is caring for a post op patient. Which medication order would the nurse question?
Reteplase
An older patient who has hypertension is prescribed enalapril, a drug that is eliminated by the kidneys. Before the patient begins the drug, the nurse should assess which lab value?
Serum creatinine
Norepinephrine is a powerful vasoconstrictor; thus, continuous monitoring of the patient's blood pressure is required to prevent the development of hypertension.
True
When ipratropium is combined with albuterol, it is a first line drug for treating bronchospasms due to COPD.
True
a nurse is preparing to administer milrinone IV. what equipment will the nurse need to administer this med?
a microdrip and an infusion pump
A nurse is caring for a patient who is having cardiac dysrhythmias and is taking digoxin. The nurse recognizes that which route of administration has the fastest rate of absorption?
iv
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets 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.)
0.5
The following prescription is given for Sliding Scale Insulin 50 - 100 = 0 units 101 - 150 = 1 unit 151 - 200 = 2 units 201 - 250 = 3 units 251 - 300 = 4 units 301 - 350 = 5 units > 351 = Call the health care provider The patient's blood glucose level is 110. How many units of insulin will the nurse administer?
1
a nurse is preparing ti administer clindamycin 300 mg by iv bolus over 30 mins to a client who has a staphyloccoci infection. avalible is clindamycin premixed in 50 ml sodium chloride. the nurse should set the iv pump to deliver how many ml/hr?
100
A nurse is caring for a client is who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
24
A nurse is caring for patient who requires diphenhydramine IV. To reduce the risk of shock, at what rate will the nurse set the IV pump?
25 mg/min
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D5 lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 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.)
4
A nurse is passing medications. What is the nurses priority intervention before administering lisinopril?
assess blood pressure
A nurse is passing medications. what is the nurses priority intervention before administering digoxin?
assess pulse
a nurse is caring for a pt taking nifedipine. which item would the nurse remove from the pts lunch tray?
grapefruit juice
which medication, when in a parenteral formulation, is for the treatment of hypertensive emergency?
hydralazine
For IV administration of Nitroglycerin, use a glass IV bottle and special IV tubing because plastic absorbs nitrates significantly, thus reducing the patient dose.
true
The nurse is teaching a patient taking ipratropium. What will the nurse teaching the patient regarding administration of the medication?
wait 2-3 mins between doses