PHARMACOLOGY :)))
A client who is prescribed rifampin is distressed seeing reddish-orange colored urine. Which response by the nurse would be most appropriate?
"This discoloration is a normal result of the medication."
A CLIENT IS ADMITTED WITH ASTHAMA. WHICH OF THE FOLLOWING MEDICATION SHOULD EXCEPT THAT THE HEALTH CARE PROVIDER PRESCRIBE?
ALBUTEROL
A NURSE IS PREPARING TO ADMISTER INSULING GLARGIONE TOI A CLIENT. WHAT PRECAUTION SHOULD THE NURSE TAKE WHEN ADMINISTERING THIS DRUG "?
AVOID MIXING GLARGINE WITH OTHER INSULING
A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home?
Administer the drug with the first bite of the meal.
A nurse is preparing to administer an antiarrhythmic and determines the drug is a class Ill potassium channel blocker. Which drug would the nurse be most likely to administer?
Amiodarone
A nurse is assessing a client and notes the client has developed swelling of the eyelids, lips and tongue after administration of a prescribed medication. What does the nurse interpret this finding to specifically indicate?
Angioedema
A client is diagnosed with an arrhythmia that involves irregular and rapid atrial contraction and an irregular and inefficient ventricular contraction. The nurse determines this is which type of arrhythmia?
Atrial fibrillation
AFTER TEACHING A GROUP OF NURSING STUDENTS ABOUT VARIOUS OTHALMIC DRUG, THE INSTRUCTUR DETERMINIES THAT THE TEACHING WAS SUCESSEFUL WHN THE STUDENT CORRECTLY CHOOSE WHICH DRUG AS CARBONIC ANHYDRASE INHIBITOR?
BRIZOLAMIDE
A NURSE IS CONDUCTION A TEACHING SESSION FOR A CLIENT NEWLY DIOGNOSE WITH TYPE 2 DIABETES ON THE IMPORTANT OF MONITORING THE BLOOD GLUCOSE. THE NURSE DETERMINES ADDITIONAL TEACHING IS NECESSARY AFTER THE CLIENT MAKES WHICH STATMENT ?
'I SHOULD PRICK THE TIP OF MY FINGER TO GT THE BLOOD'
A NURSE IS TEACHING A CLIENTE ABOUT THE PRESCRIBED POTASIUM REPLACEMENT THERAPY WHICH THE CLIENT AT HOME, AFTER TEACHING THE CLIENT ABOUT THERAPY, THE NURSE DETERMINES THAT ADDITIONAL TEACHING IS WARRANTED WHEN THE CLIENT MAKE WHICJH STATEMENT
'IF I HAVE TROUBLE SWALLOWING THE DRUG, I CAN CRUSH IT"
A health care provider prescribes Synthroid 75 mcg PO daily; Available: Synthroid 0.15 mg tab (scored). How many tab will the nurse administer
0.5
A client is receiving 60 mg of methylprednisolone (Medrol) IM every 8 hours. The nurse has on hand 75 mg/mL How much will the nurse draw up?
0.8
A health care provider prescribes Heparin 4,390 units subq bid; Available: Heparin 5,000 USP units per ml in 10 ml. How many mL will the nurse administer?
0.88
The nurse has on hand enoxaparin (Lovenox) 30 mg/0.3 mL. The nurse needs to administer 1 mg/kg SC. The client weighs 200 pounds. How many mL will the draw into a syringe? [Fill in the blank. Record the answer using one decimal place].
0.9
A pre-op patient is ordered Atropine gr. 1/150 IM. The vial contains Atropine 0.4 mg in 1 ml. How much in ml will you give?
1
The nurse has an order for diphenhydramine hydrochloride (Benadryl) 40 mg IM now. The nurse has on hand Benadryl 25 mg/mL. How many milliliter(s) should the nurse prepare?
1.6
A physician orders 1 unit of packed red blood cells to infuse over 4 hours. The unit of blood contains 250 mL. The drop factor is 10 drops/ 1 ml. A nurse prepares to set the flow rate at how many drops per minute?
10
The nurse has an order for phenobarbital (Luminal) 50 mg PO at bedtime. It is supplied as phenobarbital elixir 20 mg/5 mL. How much in mL will the nurse administer?
12.5
A physician orders heparin sodium, 1300 units/ hour by continuous intravenous (IV) infusion. The pharmacy prepares the medication and delivers an IV bag labeled heparin sodium 20,000 units/ 250 mL D5W. An infusion pump must be used to administer the medication. The nurse sets the infusion pump at how many milliliters per hour to deliver 1300 units/ hour?
16
A client with acute coronary syndrome is about to take Aspirin gr. X. The bottle contains Aspirin 300 mg tablets. How many tablet (s) should he take?
2
A health care provider prescribes potassium chloride (Klotrix) 0.35 mEq/ Ib po dissolved in 6 oz of orange juice at 8 am; Available: Klotrix 8 mEq/mL. How many mL of Klotrix will the nurse add to the orange juice for a 20.5 Kg patient?
2
The nurse is caring for a client at home who must take magnesium hydroxide/aluminum hydroxide (Maalox) 30 mL PO. How will the nurse instruct the client to measure the dose using a table spoon?
2
The nurse has an IVPB of ranitidine (Zantac) 50 mg in 50 mL D5W to run over 30 minutes. The tubing has a drip factor of 15. How many drops per minute will the nurse set on the IV infusion controller?
25
A health care provider orders cefaclor (Ceclor) 45 mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75 ml stock medication is labeled Ceclor 125 mg/ml. How many mL would the nurse administer per dose?
3.6
A health care provider orders prazosin HCI (Minipress) 3000 micrograms PO (per orem) ac (before meals); Available: Minipress tabs 2 mg (scored). How many tab(s) will the nurse administer in 24 hr?
4.5
The nurse needs to administer amphotericin B (Fungizone) 0.5 mg/kg IV daily to a client with histoplasmosis who weighs 236 pounds. How many milligrams should the nurse expect to administer each day?
53.6
A nurse is caring for a client receiving an oral antiarrhythmic drug. Which apical pulse rate would lead the nurse to withhold the drug and notify the health care provider immediately?
58 beats/min
A client is placed on methadone (Methadose) maintenance therapy of 15 mg/day PO. It is supplied as 10 mg in 5 mL oral solution. How many milliliters should the nurse instruct the client to take?
7.5
A CLIENT IS ADMINISTERED INSULIN LISPRO AT 8AM. THE NURSE WOULD BE ALERT FOR SIGNN AND SYMPTOM OF HYPOGLYCEMIA AT ABOUT WHICH TIME ?
9AM
A CLIENT IS RECIVING PHENEIZINE. WHICH OF THE FALLOWING FOODS SHOULD THE NURSE ASK THE CLIENT TO AVOID WHILE TAKING THIS MEDICATION
AGED CHEESE
A nurse is caring for a hospitalized client with a urinary tract infection (UTI). The nurse is preparing to administer nitrofurantoin, which is a bacteriostatic antibiotic. Which statement best differentiates bacteriostatic and 1 points bactericidal medications?
Bacteriostatic slows or retards the multiplication of bacteria.
A NURSE IS WORKING WITH A NEWLYLICENSED NURSE WHO IS ADMINISTER TO CLIENT. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE IDENTIFY AS AN INDICATOR THAT THE NEWLY HIRED NURSE UNDERSTANDS MEDICATION ERROR PREVENTION?
CHECKING PRESCRIPTION WHEN A SINGLE DOSE REQUIREDADMINITRATIO OF MULTIPLE TABLETS
The nursing instructor is explaining the various drug therapies used to treat UTs. The instructor determines the session is successful when the students correctly point out that which of the following juices is effective for UTI?
Cranberry juice
A NURSE IS REINFORCINF TEACHING WITH A CLIENT WHO IS WITHDRAWING FROM ALCOHOL AND HAS A NEW PRESCRIPTION FOR PROPANOLOL. WHICH OF THE FOLLWING INFORMATION SHOPULD THE NURSE INCLUDE?
DECREASES CRAVINGS
A nurse is evaluating a journal article about class IA antiarrhythmics. The article describes a drug that decreases depolarization and prolongs the refractory period. Which drug is this article most likely referring to?
Disopyramide
The nurse is caring for a client receiving morphine sulfate 10 mg subcutaneously every 4 hours for pain. Because this medication has been prescribed for this client, which nursing action would be included in the plan of care?
Encourage the client to cough and deep-breathe
A NURSE IS ASSISTING IN THE CARE OF CLIENT WHO IS RECIEVING MODARATE SEDATION WITH DIAZEPAM IV. THE CLIENT IS OVERSEDATE. WHICH OF THE FOLLOWING MEDICATION SHOULD THE NURSE EXPECT THE PROVIDER TO PRESCRIBE
FLUMAZENIL
A NURSE HAS DETERMIDED A CLIENT HAS DEVELOPED A HYPOGLYCAMIC REACTION. WHICH INTERVENTION SHOULD THE NURSE PERFORM IF THE CLIENT CAN ADEQUATLE DEMONSTRATE SWALLOING AND GAG REFLEXTION
GIVE ORAL FLUIDS OR CANDY
A nurse is conducting an in-service presentation for a group of nurses about UTs and hospitalized clients. When discussing preventive measures, the nurse would prioritize which action as the primary nursing intervention for prevention of UTIs?
Hand hygiene
A NURSE PREPARING TO ADMINISTER INSULING TO THE CLIENT. WHICH INTERVENTION SHOULD THE NURSE PERFOM BEFORE ADMINISTRARING EACH INSULIN DOSE?
INSPECT THE PREVIOUS INJECTION SITE FOR INFLAMATION
A nurse is preparing a teaching session for a client prescribed a sulfonamide for a UTI. Which instruction should the nurse point out in the teaching session?
Increase fluid intake to at least 2000 mL/day.
The nurse has administered glipizide and warfarin to a client. Which finding on assessment should the nurse prioritize?
Increased hypoglycemic effect
A client with a nasogastric tube is prescribed misoprostol, The nurse anticipates administering this drug in which manner?
Liquid formulation
A client arrives at the health care clinic and reports that he has been taking several pills for a headache and severe cough without relief. Which adverse effect should the nurse be aware may develop from this combination?
Liver damage
After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a gastrointestinal stimulant
Metoclopramide
A NURSE IS REINFORCING INTRUSCTION WITH A CLIENT WHO HAS NEW PRESCRIPTION FOR TIMOLOL, HOW TO ADMINISTER EYE DROPS. THE NURSE SHOULD REINFORSE WITH THE CLIENT TO PRESS ON WHICH OF THE FOLLOWING AREAS TO PREVEMT SYSTEMIC ABSORPTION OF THE MEDICATION ?
NASOLACROMAL DUCT
THE CLIENT HAS PRN ORDSER FOIR DANSETRON (ZOFRAN) FOR WHICH CONDITION SHOULD THE NURSE ADMINISTER THIS MEDICATION TO THE POSTOPERATIVE CLIENT
NAUSEA AND VOMITING
A NURSE IS CARING FOR CLIENT WITH DIABETES MELLITUS WHO IS RECIVING AN ORAL ANTIDIABETIC DRUG . WHICH ONGOING ASSESMNT SHOULD THE NURSE PRIORTIZE WHEN CARING FOR CLIENT
OBSERVE THE CLIENT FOR HYPOGLYCEMIC EPISODES
A CLIENT TAKING BISACODY(DULCOLA) WANTS TO OBTAIN A RAPID EFFECT FROM THE MEDICATION.
ON AN EMPTY STOMACH
A client is receiving ethambutol. Which of the following adverse effects should the nurse closely monitor?
Optic neuritis
A client is receiving penicillin G. Which of the following electrolytes should the nurse closely monitor?
Potassium
A client receiving antiarrhythmic therapy develops a new arrhythmia potentially due to the administration of the drug. The nurse predicts this is related to which reaction?
Proarrhythmic
A client admitted to a health care facility with cardiac arrhythmia is prescribed propranolol. Which signs should the nurse prioritize on the ongoing assessment?
Pulse rate
A CLIENT IS RECEIVING FLUTICASONE INHALER, WHICH OF THE FOLLOWING term-8NURSING ACTION IS APPROPRITE AFTER USING THIS MEDICATION?
RINSE THE MOUTH
Each acetaminophen (Tylenol) #3 tablet has 325 mg of acetaminophen and 30 mg codeine. A client is told to take 2 tablets PO every 4 hours for pain. The maximum safe dose of acetaminophen is 4 g/day. The safe dose of codeine 1 points varies with tolerance. Is the dose safe?
SAFE
A nurse is preparing to administer an injection to a nonambulatory client. Which intramuscular (IM) injection site is appropriate for this client, who has muscle atrophy of both upper and lower extremities?
Ventrogluteal
A client is receiving isoniazid. Which of the following vitamins should the nurse encourage the client to take with this medication?
Vitamin B6
A safe maintenance dose of aminophylline is 0.36 mg/kg/hour. It is supplied as 100 mg/100 mL. The client is 130 pounds and is receiving 20 mL/hour. Is the dose safe?
YES
A client is receiving fluoroquinolone antibiotic. Which of the following medications should the nurse expect to see on the client's medication administration record?
ciprofloxacin
A client is receiving aminoglycoside antibiotic. Which of the following medications should the nurse expect to see on the client's medication administration record?
gentamicin
