Pharm Ready to Go
A nurse is preparing to administer lactated ringers 400 mL IV bolus to infuse over 3 hr. The drop factor of the Manuel tubing is 20 gtt/ml. the nurse should set the Manuel iv infusion to deliver how many gtt/min?
* 3 hours - 60 x 3 = 180 400/180=2.2 2.2 x 20 = 44 --44 gtt/min
The nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client? A. alendronate B. colchicine C. predniose D. allopurinol
--> A
A Nurse caring for 2 yr old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should nurse take before administering each dose? A. shake the container vigorously B. be sure the child has not eaten within the hour C. perform mouth care D. check the child blood pressure
--> A
A nurse is caring for a 4 y/o child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation? A. offer the child a choice of taking the medication with juice or water B. tell the child it is candy C. hide the medication in a large dish of ice cream D. tell the child he will have to have a shot instead
--> A
A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. how many mL should the nurse administer her dose?
35/75=.4667 nearest tenth = 0.5mL
A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide? A."Apply the ointment in a thin line into the conjunctival sac." B."Ask the child to look down before applying the ointment." C. "Always wipe from the outer to the inner canthus when wiping away secretions." D. "Use a sterile glove and applicator to apply the antibiotic ointment."
--> A
A nurse is providing teaching for a client who has schizophrenia and a new perscrpition for risperidone. Which of the following statments should the nurse include in the teaching? A. increase your fluid and fiber intake to prevent constipation B. have your blood pressure checked frequently for hypertension C. expect to have your blood checked weekly for serum electrolyte imbalances D. increase caloric intake to prevent weight loss
--> A
A nurse is evaluating teaching for a client who has newly diagnosed depressed and a new prescription for bupropion. Which of the following statements by the client indicated understanding of the teaching? A. "I may develop a slow heartbeat while taking Bupropion." B. " I can drink one glass of wine with dinner each day while taking bupropion." C. "I may not notice a lifting in my mood for at least 2 weeks." D. "I should watch for increased salivation and drooling while taking Bupropion"
-->C
A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. What should the nurse include in instructions? A."Limit your fluid intake to meal times." B."Do not take this medication on an empty stomach." C."Increase your daily intake of dietary fiber." D."You can expect swelling of the ankles while taking this medication."
-->C
A nurse is preparing to administer heparin subcutaneously to a client who has DVT's . Which of the following techniques should the nurse use? A. please the skin with an alcohol swab , insert the needle , aspirate , and inject the heparin B. cleanse the skin with an alcohol swab , insert the needle , aspirate , inject the heparin and massage the site C. cleanse the skinwith an alcohol swab, insert the needle, inject the heparin, and observe for bleeding. D.Cleanse the skin with an alcohol swab, insert the needle, inject the heparin, aspirate, and observe for bleeding.
-->C
A nurse is teaching the mother of a child who has cystic fibrosis and has prescription for pancreatic enzymes 3 x a day. Which of the following statements indicates that the mother understands the teaching? A."My child will take the enzymes to improve her metabolism." B."My child will take the enzymes following meals." C."My child will take the enzymes to help digest the fat in foods." D."My child will take the enzymes 2 hours before meals."
-->C
a nurse is providing teaching to a client who has breast cancer about the adverse effects of chemptherpahy. which of the following client statements indicates an understanding of the teaching? A. "I will take the antiemetic as soon as the chemotherapy infusion is complete" B. "I will run my toothbrush in the dishwasher every morning" C. " ill call my doctor if I notice any unusual menstrual bleeding" D." I will avoid crowds to keep from infecting others"
-->C
A nurse in a public clinic is planning a health fair for older adult client in the community. In teaching medication safety, which of the following foods should the nurse advise the client to avoid when taking their prescriptions? A. Carbonated beverages B. Milk C. Orange juice D. Grapefruit juice
-->D
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block? A. vomiting B. tachycardia C. respiratory depression D. hypotension
-->D
A nurse is caring for a client who has pulmonary tuberculosis (TB) and a new prescription for rifampin. Which of the following information should the nurse provide? A. "Treatment with this medication will last for 1 month." B. "This medication can cause insomnia." C. "It is best to take the medication with meals." D. "Urine and other secretions might turn orange."
-->D
When providing discharge instructions to a patient with asthma who 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? A. Drowsiness B. constipation C. oliguria D.tachycardia
-->D
A nurse is teaching a client who has stable angina and new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include? (SATA) A.Apply the patch to a hairless area and rotate sites. B.Apply a new patch each morning. C.Remove the patch for 10 to 12 hr daily. D.Apply the patch to dry skin and cover the area with plastic wrap. E. Apply a new patch at the onset of anginal pain.
--> A , B , C
A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following medications should the nurse plan to administer for DVT prophylaxis? A. Aspirin PO B. Enoxaparin subcutaneous C. Heparin infusion D. Warfarin PO
--> B
A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration? A. Institutional policies regarding routine medication administration times B. Specific characteristics of the medications C. Schedule of administration that the client follows at home D. Time at which the medication can be available from the pharmacy
--> B
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply). A. Prostaglandin E2 B. Indomethacin C. Magnesium sulfate D. Methylergonovine E. Oxytocin
--> B,C
A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress? A.The client demonstrated an allergic response to the medication. B.The client experienced a common side effect to the medication. C. The client consumed alcohol while taking the medication. D. The client took an overdose of the medication.
--> C
A nurse is assessing an IV infusion site on an infant's left hand. Which of the following findings should the nurse identify as an indication of an infiltration? A. blood in the IV tubing B. absence of blanching at the insertion site C. edema in the palm of the hand D. warmth around the insertion site
--> C
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give? A. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level." B. "A pharmacist is the person to answer that question." C. "Heparin does not dissolve clots. It stops new clots from forming." D. "The oral medication you will take after this IV will dissolve the clot."
--> C
A nurse is providing discharge teaching to a patient who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? A. Sedation B. increased appetite C. white coating in the mouth D. dry oral mucous membranes
--> C
A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? A. Saw palmetto B. cranberry C. soy D. garlic
--> C
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate ? A. withholding the medication if the heart rate is above 100/min B. instructing the client to eat foods that are low in potassium C. measuring apical pulse rate for 30 sec before administration D. evaluating the client for nausea , vomiting and anorexia
--> D
A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider? A. blurred vision B. palpitations C. constipation D. depression
--> D
A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following medications should the nurse suspect is contributing to the client's falls? A. the client takes alprazolam B. the client has a nonslip bath mat in the shower C. the client uses a raised toilet seat D. the client wears fitted slippers
-->A
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medications? A. Analgesic B. anti-inflammatory C. antiplatelet aggregate D. antipyretic
-->C
A nurse in a providers clinic is caring for a client who reports erectile dysfuntion and requests a prescription for Sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking Sildenafil? A.Isosorbide B.Phenytoin C.Metronidazole D. Prednisone
-->A
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A. tell the client to blow her nose gently before the instillation B. assist the client to a side-lying position C. hold the dropper 2cm above the naris D. instruct the client to stay in the same position for 2 min
-->A
A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? A.Thyroid hormone assay B.Liver function tests C.Erythrocyte sedimentation rate D.Brain natriuretic peptide
-->A
A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide? A."The medication relieves nausea by promoting gastric emptying." B."The medication works by decreasing gastric acid secretions." C."The medication relieves nausea by slowing peristalsis." D."The medication works by relaxing gastric muscles."
-->A
A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored? A. visual acuity B. skin color C. urine ouput D. cardiac rhythm
-->A
A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following actions is the nurse's priority? A. stopping the transfusion B. covering the patient with a blanket C. notify the provider D. assessing the clients skin for a rash
-->A
A nurse is preparing ro administer blood to a client. The unit of blood on hand is type o negative and the client has type A positive blood. Which of the following actions should the nurse take? A. administer the blood as ordered B. contact the provider for further orders C. notify the blood bank D. complete and incident report
-->A
A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide? A.Wash the affected area with soap and water before applying cream. B. Increase intake of fluids while using this medication. C. The medication might cause temporary blurred vision. D. Apply the cream to large areas around the infection.
-->A
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? A. "I will store the medication at room temperature." B."I will take the medicine every morning on an empty stomach." C."I will spit the medication out after swishing it around my mouth." D."I will only need to take this medication for a few days."
-->A
A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? A. decreased sodium level B. decreased phosphate level C. decreased potassium level D. decreased chloride level
-->A
A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A. Hot flashes B.Urinary retention C.Constipation D.Bradycardia
-->A
The nurse caring who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer? A. fab antibody fragments B. flumanzenil c.Acetylcysteine D. naloxone
-->A
a nurse is caring for a client who has hypertension and a new prescription for captopril. which of the following instructions should the nurse provide? A. Do not use salt substitutes while taking this medication B. Take the medication with food C.Count your pulse rate before taking the medication D.Expect to gain weight while taking this medication.
-->A
A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications. Findings include muscle rigidity, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring? A.Tardive dyskinesia B.Neuroleptic malignant syndrome C.Acute dystonia D.Pseudoparkinsonism
-->B
A nurse is caring for a client who has heart failure and is receiving iv furosemide. The nurse should monitor the client for which of the following electrolyte imbalances? A. Hypernatremia B. Hyperuricemia C.Hypercalcemia D.Hyperchloremia
-->B
A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having improved appetite , but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take? A. speak to the provider about adding an MAOI to current medication regimen B. explain that antidepressants often take several weeks to be fully effective C. tell the client that the provider will need change citalopram to a different medication D. recommend a slew study to be done on the client
-->B
A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse have available to reverse heparin's effects? A. Viatmin K B. protamine sulfate C. Acetylcysteine D. Deferasirox
-->B
A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? A.alleviate Helicobacter pylori B.Relief of gastrointestinal pain C.Prevention of opportunistic infections D.Improvement of impaired vision
-->B
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include in the teaching? A.take an antiemetic 1 hr following administration. B.Drink 2 to 3 L of water per day. C.Take the medication with an NSAID. D.Rinse mouth 2 times per day with an alcohol based mouthwash.
-->B
A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions? A. Warm the ointment by placing the tube in glass of hot tap water B. Cleanse the eye with a wet cotton ball in a direction towards the inner canthus before applying the ointment C. Discard the first bead of ointment before each application D. Instruct your child to squeeze his eyes shut following application
-->C
A nurse is caring for a client who has a prescription for diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following is an appropriate response by the nurse? A. "Gradually decrease the dose once tolerance to the effect is reached." B."Distribute the doses evenly throughout the day." C."Take most of the daily dose at bedtime." D."Take the medication with meals."
-->C
A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? A. Draw a trough level at 0900 and a peak level at 2100. B. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. C. Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose. D. Draw a peak level at 0900 and a trough level at 2100.
-->C
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication? A. the leukocyte count B. the platelet count C. the hematocrit (Hct) D. the erythrocyte sedimentation rate (ESR)
-->C
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects? A. Iron B. glucagon C. protamine D. vitamin K
-->C
A nurse is caring for a client who is postoperative from a total hip arthroplasty. the nurse should anticipate which of the following prescriptions for this client? A. aspirin B. clopidogrel C.enoxaprin D. aleteplase
-->C
A nurse is providing teaching for a client who has a new prescription for clozapine (Clozaril). Which of the following client statements indicates a need for further teaching? A."This medication will help prevent seizures." B."This medication will be administered by intramuscular injection every 2 weeks." C."I should expect to develop ringing in my ears while taking this medication D."I will rise slowly from a lying position to prevent fainting while taking this medication."
-->D
A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained release capsules. Which of the following instructions should the nurse include? A. Take 1 capsule at the onset of anginal pain B. Stop the medication If the side effects are troublesome C. take the medication with meals D. swallow the capsules whole
-->D
a nurse is caring for a client who has endometriosis ad will receive depot injections of leuprolide. the client asks about the effects of this medication. which of the following information should the nurse give the client. A. menstruation will become regular B. vaginal recreations will increase C. hot flashes are common D. hair loss is common
-->c