pharm practice quiz- Test 4
The order reads: Give calcitonin (Miacalcin) 50 international units subcut daily. The medication is available in a vial that contains 200 international units/mL. How many milliliters will the nurse draw up in the syringe for this dose?
0.25 mL
A 16 year old male is to receive testosterone cypionate, 50mg IM every 2 weeks. The medication is available in 100 mg/mL containers. How man mL will the nurse draw up in the syringe to administer for each dose?
0.5mL per dose
The order reads: Give mannitol 0.5g/kg IV now, over 2 hours. The patient weighs 165lb, and you have a 100mL vial of 20% mannitol. How many grams will the patient receive? How many milliliters of mannitol will you prepare for this infusion?
37.5 grams 187.5 mL
A patient is in pulseless cardiac arrest. Which medication does the nurse anticipate administering? A. Vasopressin B. Desmopressin C. Cosyntropin D. Somatropin
A
The nurse should teach a patient taking an oral corticosteroid to take the medication at what time? A. 8 am B. 12 pm C. 5 pm D. 8 pm
A
Progestins may be used to treat which conditions? (Select all that apply.) A. Endometrial hyperplasia B. Dysfunctional uterine bleeding C. Endometriosis D. Breast cancer E. Amenorrhea
A B C E
The nurse knows that which laboratory tests are used to monitor thyroid hormone replacement therapy? Select all that apply A. Serum TSH B. BUN C. CBC D. Free thyroid hormone levels E. Serum Iodine Levels
A D
A nurse is caring for a patient with decreased triiodothyronine (T3) and thyroxine (T4) and elevated thyroid-stimulating hormone (TSH) levels. The nurse knows the patient is likely suffering from what? A. Thyrotoxicosis B. Hypothyroidism C. Hyperthyroidism D. Graves' disease
B
A patient has been taking finasteride for almost 1 year. The nurse knowns that which is most important to evaluate at this time? A. Complete blood count B. PSA levels C. Blood pressure D. Fluid retention
B
Which statements about levothyroxine [Synthroid] are correct? (Select all that apply.) A.Levothyroxine should be taken with food. B. Levothyroxine can be given by IV but is usually taken orally. C. Levothyroxine brands should not be changed if possible. D. Levothyroxine should be taken at night to avoid adverse effects. E. Levothyroxine can affect the metabolism of other medications.
B C E
Which drugs have an action similar to that of the naturally occurring hormone ADH? Select all that apply A. cosyntropin B. desmopressin C. somatropin D. vasopressin E. octreotide
B D
Which condition does the nurse identify as a late manifestation of hypokalemia? A. Muscle Weakness B. Hypotension C. Palpitations D. Lethargy
C
A 60-year-old woman is taking a bisphosphonate. She calls the clinic and tells the nurse that her stomach has been bothering her and wants to know what she should do. The nurse will instruct her to: A. Take the medication with milk B. Take the medication with breakfast C. Remain upright in a sitting position for at least 10 minutes after taking the medication D. Stop the medication and to come in for an evaluation
D
A patient has been prescribed AndroGel. When providing patient teaching, the nurse will instruct the patient that the gel may be applied to all of the following areas EXCEPT the A. abdomen B. shooulders C. arms D. thighs
D
A patient in the emergency department reports taking sildenafil [Viagra] and nitroglycerin 1 hour before sexual activity. Which finding should the nurse immediately report to the physician? A. White blood cell (WBC) count of 3200 units/L B. Respiratory rate of 26 breaths per minute C. Body temperature of 100.4°F (38°C) D. Blood pressure (BP) of 70/50 mm Hg
D
A patient is about to receive a dose of the nonprotein plasma expander dextran. The nurse knows that this product is indicated for which type of blood loss? A. Slow loss of 20% or less B. Slow loss of 20% to 50% C. Slow loss of 50% or acute loss of 20% D. Loss of 80% or more
D
A patient is taking the metformin for new-onset type 2 DM. When reviewing potential adverse effects, the nurse will include information about: Select all that apply A. Abdominal bloating B. Nausea C. Diarrhea D. Headache E. Weight gain F. Metallic taste
A B C F
When teaching a patient who has a new prescription for thyroid hormone, the nurse will instruct the patient to notify the prescriber if which adverse effects are noted? Select all that apply A. Palpitations B. Weight gain C. Angina D. Fatigue E. Cold intolerance
A C
The order reads: Give methylprednisone 100 mg IV every 6 hours. The drug is available in vials of 80 mg/mL. How many mL will the nurse draw up for each dose?
1.25 mL
A patient with acute adrenal insufficiency is to receive 300 mg/day of hydrocortisone, divided into 3 doses every 8 hours. How many milligrams will the patient receive for each dose?
100 mg
The nurse is giving an intravenous dose of levothyroxine (Synthroid). The order reads: Give 0.1 mg IV push now. What is the ordered dose in micrograms?
100 micrograms
The order reads: Infuse 1000 mL of normal saline over the next 8 hours. The IV tubing has a drop factor of 15 gtt/mL. Calculate the mL/hour rate, and calculate the drops/minute setting for the IV tubing with this gravity infusion.
125 mL/hr 31 gtt/min
A nurse is developing a plan of care for a patient who has Addison's disease and is taking hydrocortisone [Cortef]. Which of these outcomes should receive priority in the plan? A. At times of stress, the patient increases the glucocorticoid dose. B. The patient wears a Medic Alert bracelet at all times. C. The patient carries an injectable form and an oral form of glucocorticoid. D. The patient divides the daily dose, taking two-thirds of it in the morning and one-third in the afternoon.
A
A patient has been given instructions about levothyroxine [Synthroid]. Which statement by the patient indicates understanding of these instructions? A. "I'll take this medication in the morning so as not to interfere with sleep." B. "I'll plan to double my dose if I gain more than 1 pound per day." C. "It is best to take the medication with food so I don't have any nausea." D. "I'll be glad when I don't have to take this medication in a few months
A
A patient is receiving desmopressin [DDAVP] for the treatment of diabetes insipidus. Which instruction is the priority for a nurse to give the patient? A. "Reduce your water intake to prevent water intoxication." B. "Rotate the nostril you use daily to prevent irritation." C. "Weigh yourself several times each week." D. "You'll quickly see the results of a lower urine amount."
A
When assessing a patient taking testosterone, which laboratory value is most important for the nurse to review? A. Hemoglobin A1C B. Triglycerides C. Potassium D. LDH
D
A 48-year-old man asks the nurse practitioner for a prescription for sildenafil(viagra). He is currently taking transdermal nitroglycerin, hydrochlorothiazide, and potassium supplements for cardiac problems, as well as multivitamin with iron. Which medication would be a cause for concern if taken with the sildenafil? A. Transdermal Nitroglycerin B. Hydrochlorothiazide C. Potassium D. Multivitamin with iron
A
A client receiving a transfusion of packed RBC's suddenly sounds hoarse, begins wheezing, is diaphoretic and short of breath, and reports palpitations. Blood pressure is 76/56. What is the priority nursing action? A. Stop the transfusion B. Infuse the normal saline rapidly to maintain the intravascular volume C. Administer epinephrine and steroids D. Maintain the client's airway and notify the physician
A
A patient is receiving prednisone as part of treatment for severe arthritis. He is also receiving furosemide (a loop diuretic), levothyroxine (for hypothyroidism), and a proton pump inhibitor and antacid (for gastroesophageal reflux disease). Which drug does the nurse identify as most likely to be a concern during the therapy with prednisone? A. Furosemide B. Levothyroxine C. Proton Pump inhibitor D. Antacid
A
A patient who has type 2 diabetes has a glycated hemoglobin A1c (HbA1c) of 10%. The nurse should make which change to the nursing care plan? A. Refer the patient to a diabetes educator because the result reflects poor glycemic control. B. Glycemic control is adequate; no changes are needed. C. Hypoglycemia is a risk; teach the patient the symptoms. D. Instruct the patient to limit activity and weekly exercise.
A
A patient who is taking a thyroid replacement medication tells the nurse that she is starting to experience cold intolerance, depression, constipation, and dry skin. The nurse anticipates that these manifestations are caused by: A. Inadequate doses of the medication B. Possible overdose of the medication C. Worsening of the underlying disease D. Drug interactions with another medication
A
A patient with type 2 diabetes has anew prescription for repaglinide (Prandin). After 1 week, she calls the office to ask what to do, because she keeps missing meals. I work right through lunch sometimes, and I'm not sure whether I need to take it. What do I need to do? What is the nurse's best response? A. You need to try not to skip meals, but if that happens, you will need to skip that dose of prandin B. We will probably need to change your prescription to insulin injections because you can't eat meals on a regular basis C. Go ahead and take the pill when you first remember that you missed it D. Take both pills with the next meal, and try to eat a little extra to make up for what you missed at lunchtime
A
Before administering metformin [Glucophage], the nurse should notify the prescriber about which laboratory value? A. Creatinine (Cr) level of 2.1 mg/dL B. Hemoglobin (Hgb) level of 9.5 gm/dL C. Sodium (Na) level of 131 mEq/dL D. Platelet count of 120,000/mm3
A
During a counseling session for a group of teenage athletes, the use of androgenic steroids is discussed. The nurse will explain that which problem is a rare but devastating effect of androgenic steroid use? A. Peliosis of the liver B. Bradycardia C. Kidney Failure D. Tachydysrhythmias
A
Intravenous therapy is ordered for a patient with a serum sodium of 150 mEq/L. Which of the following does the nurse anticipate administering? A. 0.45% NS B. 0.25% NS C. 3% NS D. 5% NS
A
The nurse has provided patient education regarding therapy with the SERM raloxifine (Evista). Which statement from the patient reflects a good understanding of the instruction? A. When I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel B. I can continue this drug even when traveling as long as I take it with a full glass of water each time C. After I take this drug, I must sit upright for at least 30 minutes D. One advantage of this drug is that it will reduce my hot flashes
A
The nurse is assessing a 64 year old patient who will be starting thyroid replacement therapy. Which statement is true regarding the dosage of thyroid replacement hormones for the older adult? A. thyroid hormone replacement requirements are approximately 25% lower for this age group B. Older adults require higher dosages of thyroid replacement hormone for therapeutic effects C. There is no difference in the dosage of thyroid replacement hormone in older adults vs younger adults D. The dosage of thyroid hormone will depend upon the amount of iodine in the patients diet.
A
The nurse should monitor for which adverse effect after administering hydrochlorothiazide [HydroDIURIL] and digoxin [Lanoxin] to a patient? A. Digoxin toxicity B. Decreased diuretic effect C. Dehydration D. Heart failure
A
The patient is being discharged home with furosemide (Lasix). When providing discharge teaching, which instruction will the nurse include? A. Avoid prolonged exposure to the sun B. Avoid foods high in potassium C. Stop taking the medication if you feel dizzy D. Weigh yourself once a week and report a gain or loss of more than 1 lb
A
When monitoring laboratory test results for patients receiving loop and thiazide diuretics, the nurse knows to look for: A. Decreased serum levels of potassium B. Increased serum levels of calcium C. Decreased serum levels of glucose D. Increased serum levels of sodium
A
When teaching a patient who has been prescribed a daily dose of prednisone, the nurse knows that the patient will be told to take the medication at which time of the day to help reduce adrenal suppression? A. morning B. lunch C. Dinner D. Bedtime
A
Which action by the nurse is most appropriate for the patient receiving an infusion of packed red blood cells? A. Flush the IV line with normal saline before the blood is added to the infusion B. Flush the IV line with dextrose before the blood is added to the infusion C. Check the patient's vital signs once the infusion is completed D. Anticipate that flushed skin and fever are expected reactions to a blood transfusion
A
Which instruction should the nurse provide when teaching a patient to mix regular insulin and NPH insulin in the same syringe? A. "Draw up the clear regular insulin first, followed by the cloudy NPH insulin." B. "It is not necessary to rotate the NPH insulin vial when it is mixed with regular insulin." C. "The order of drawing up insulin does not matter as long as the insulin is refrigerated." D. "Rotate subcutaneous injection sites each day among the arm, thigh, and abdomen."
A
Which intravenous (IV) fluid would be most appropriate for treating isotonic volume contraction? A. 0.9% sodium chloride B. 5% dextrose and water C. 0.225% sodium chloride D. 3% sodium chloride and water
A
Which is the most appropriate timing regarding a nurse's administration of a rapid-acting insulin to a hospitalized patient? A. 15 mins prior to a meal B. 30 mins prior to a meal C. 1 hour prior to a meal D. The timing does not matter
A
Which manifestations should a nurse investigate first when monitoring a patient who is taking levothyroxine [Synthroid]? A. Tachycardia B. Tremors C. Insomnia D. Irritability
A
Which of the following should the nurse include when teaching a patient about glucocorticoid therapy? A. Do not abruptly stop taking the drug B. Take the medication on an empty stomach C. Avoid use of anti ulcer medications when taking glucocorticoids D. When used long term, alternate-day dosing of glucocorticoids will help minimize thyroid suppression
A
When assessing a patient who has Cushing's syndrome, a nurse associates which clinical manifestations with this disorder? (Select all that apply.) A. Osteoporosis B. Moon face C. Glycosuria D. Ketonuria E. Mood swings
A B C E
An older adult patient has been discharged following treatment for a mild case of heart failure. He will be taking a loop diuretic. Which instructions from the nurse are appropriate? Select all that apply. A. Take the diuretic at the same time each morning B. Take the diuretic only if you notice swelling in your feet C. Be sure to stand up slowly because the medicine may make you feel dizzy if you stand up quickly D. Drink at least 8 glasses of water each day E. Here is a list of foods that are high in potassium; you need to avoid these F. Please call your doctor immediately if you notice muscle weakness or increased dizziness
A C F
A patient calls the clinic because she realized she missed one dose of an oral contraceptive. Which statement from the nurse is appropriate? Select all that applies A. Ahead and take the missed dose now, along with today's dose B. Don't worry, you are still protected from pregnancy C. Please come to the clinic for a reevaluation of your therapy D. Wait 7 days, and then start a new pack of pills E. You will need to use a backup form of contraceptives concurrently for 7 days
A E
A patient has been prescribed Testoderm transdermal patches for hypogonadism. The nurse should teach the patient to: A. Apply the patch to the upper arm B. Apply the patch to clean, dry scrotal skin that has been shaved for optimal skin contact C. Shave the skin of the calf and apply the patch. D. Discontinue use of the patch if the skin is uncomfortable
B
A patient is hypokalemic and will be receiving IV potassium. The patient is not on a heart monitor. How should the nurse administer the potassium replacement? A. IV push B. No more than 10 mEq/hr C. No more than 20 mEq/hr D. 40 mEq/hr
B
A patient is taken to the trauma unit after a motorcycle accident. It is estimated that he has lost 30% of his blood volume and he is in hypovolemic shock. The nurse anticipates a transfusion with which blood product? A. PRBCs B. Whole Blood C. Cryoprecipitate D. FFP
B
A patient is taking an amino glycoside antibiotic for pneumonia, and will also be taking the loop diuretic furosemide (Lasix) due to fluid overload. The nurse will monitor carefully for which potential effect from the interaction of these two drugs? A. Nephrotoxicity B. Ototoxicity C. Pulmonary fibrosis D. Hepatotoxicity
B
A patient is taking an inhaled corticosteroid for asthma. After the patient takes a dose of the inhaler, the nurse's priority should be to: A. Listen to the patient's breath sounds B. Have the patient rinse his mouth with warm water C. Instruct the patient to cough and deep breathe D. Take the patient's apical pulse for 1 minute
B
A patient who has a new diagnosis of type 2 DM asks the nurse about a new insulin that can be inhaled. 'is there a reason I can't take that drug?' Which condition, if present in the patient, would be a concern? A. Atrial Fibrillation B. Chronic Lung Disease C. Hypothyroidsim D. Rheumatioid Arthritis
B
A patient will be receiving somatotropin. The nurse expects that the patient has which disorder? A. Adrenocortical insufficiency B. Hypopituitary Dwarfism C. Esophageal Varices D. Septic Shock
B
During long-term corticosteroid therapy, the nurse will monitor the patient for bushings syndrome, which is manifested by: A. weight loss B. Moon face C. Hypotension D. thickened hair growth
B
The nurse is teaching a patient who has a new prescription for the antithyroid drug propylthiouracil. Which statement by the nurse is correct? A. There are no food restriction while on this drug B. You need to avoid foods high in iodine, such as iodized salt, seafood, and soy products C. This drug is given to raise the thyroid hormone levels in your blood D. Take this drug in the morning on an empty stomach
B
The patient is ordered furosemide (Lasix). Before administering furosemide, it is most important for the nurse to assess the patient for allergies to which drugs class? A. Aminoglycosides B. Sulfonamides C. Macrolides D. Penicillins
B
When administering octreotide (Sandostatin) to a patient, it is most important for the nurse to assess which parameter? A. Urine Output B. Blood Sugar C. Liver Function Tests D. Electrocardiogram
B
When assessing a patient who is about to receive an albumin infusion, the nurse knows that a contraindication for albumin would be: A. Acute liver failure B. Heart failure C. Severe burns D. Fluid-volume deficit
B
When checking a patient's finger stick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient is awake but states he feels a bit 'cloudy-headed'. After double-checking the patient's glucose level and getting the same result, which action is most appropriate? A. Administer two packets of table sugar B. Administer oral glucose in the form of a semisolid gel C. Administer 50% dextrose IV push D. Administer the morning dose of lispro insulin
B
When monitoring for a therapeutic response to prednisone, the nurse will look for which potential outcome? A. Increased lymphocyte levels B. Decreased inflammation C. Increased growth characteristics D. Decrease in Cushing's syndrome characterisitics
B
When teaching a patient who is taking oral contraceptive therapy for the first time, the nurse relates that adverse effects may include which of the following? A. Dizziness B. Nausea C. Tingling in the extremities D. Polyuria
B
Which finding in a patient taking levothyroxine [Synthroid] and warfarin [Coumadin] would require follow-up by a nurse? A. Cardiac dysrhythmias B. Excessive bruising C. Weight loss of 5 kg D. Shortness of breath
B
Which solution should the nurse administer with packed red blood cells? A. Lactated Ringer's Solution B. 0.9% NS C. D5W D. 0.45% NS
B
Which statement needs to be included when the nurse provides patient education for a patient with heart failure who is taking daily doses for a patient with heart failure who is taking daily doses of spironolactone (Aldactone)? A. Be sure to eat foods that are high in potassium B. Avoid foods that are high in potassium C. Avoid grapefruit juice while taking this medication D. A low-fiber diet will help prevent adverse effects of this medication
B
While preparing an infusion of mannitol (Osmitrol), the nurse noises small crystals in the IV tubing. The most appropriate action by the nurse is to: A. Administer the infusion slowly B. Discard the solution and obtain another bag of medication C. Obtain a filter and then infuse the solution D. Return the fluid to the IV bag to dissolve the crystals
B
While taking a history of a 68 year old female patient who is receiving estrogen therapy as part of palliative treatment for advanced breast cancer, which assessment finding would be of most concern to the nurse? A. The patient is on transdermal opioids for cancer pain B. The patient smokes 1 pack of cigarettes a day C. The patient drinks a glass of wine one evening a week D. The patient has a history of osteoporosis
B
The nurse is administering an IV solution that contains potassium chloride to a patient in the critical care unit who has a severely decreased serum potassium level. Which actions by the nurse are appropriate? Select all that apply A. Administer the potassium by slow IV bolus B. Administer the potassium at a rate no faster than 20 mEq/hr C. Monitor the patient's cardiac rhythm with a heart monitor D. Use an infusion pump for the administration of IV potassium chloride E. Administer the potassium IV push
B C D
During long-term corticosteroid therapy, the nurse will monitor the patients laboratory results for adverse side effects, such as: select all that apply A. Increased serum potassium levels B. Decreased serum potassium levels C. Increased sodium levels D. Decreased sodium levels E. Hyperglycemia F. Hypoglycemia
B C E
The nurse is preparing to administer somatotropin (Humatrope) and will monitor the patient for which adverse effects? Select all that apply A. Increased Blood Pressure B. Headache C. Flulike Syndrome D. Nausea E. Hyperglycemia F. Fever
B C E
When the Testoderm form of testosterone is ordered to treat hypogonadism in a teenage boy, which instructions by the nurse are correct? Select all that apply A. Place the patch on clean, dry skin on the back , upper arms, abdomen, or thighs B. Place the patch on clean, dry scrotal skin that has been shaved C. Place the patch on clean, dry scrotal skin, but do not shave the skin first D. Place the patch on any clean, dry, nondairy area of the body E. Remove the old patch before applying a new patch
B E
A male patient who has a history of type 2 DM is admitted to the medical unit with a diagnosis of pneumonia. The patient has many questions regarding his care and asks the nurse why everyone keeps telling him about HbA1C. The nurse will inform the patient that HbA1C provides information regarding: A. Which type of DM the patient has B. If he has an infection C. Patient compliance with treatment regimen for several months previously D. Current fasting blood glucose level
C
A patient is asking about the use of saw palmetto for prostate health. The nurse tells him that drugs that interact with swaddles palmetto include: A. acetaminophen B. nitrates C. non steroidal anti-inflammatory drugs D. antihypertensive drugs
C
A patient is taking fludrocortisone [Florinef]. A nurse should recognize that the patient is at risk for developing an electrolyte imbalance if the patient reports which symptom? A. Syncope B. Weight loss C. Muscle weakness D. Numbness and tingling
C
A patient is taking glipizide [Glucotrol] and a beta-adrenergic medication. A nurse is teaching hypoglycemia awareness and should warn the patient about the presence of which symptom? A. Vomiting B. Muscle cramps C. Tachycardia D. Chills
C
A patient who is near term gestation is receiving oxytocin [Pitocin]. Which response should the nurse expect if the medication is having the desired therapeutic effect? A. Decreased force of uterine contraction B. Promotion of cervical ripening C. Stimulation of uterine smooth muscle D. Inhibition of milk ejection reflex
C
A patient who took NPH insulin at 0800 reports feeling weak and tremulous at 1700. Which action should the nurse take? A. Take the patient's blood pressure. B. Give the patient's PRN dose of insulin. C. Check the patient's capillary blood sugar. D. Advise the patient to lie down with the legs elevated.
C
A patient with type 2 diabetes is scheduled for magnetic resonance imaging with contrast dye. The nurse reviews the orders and notices that the patient is receiving metformin. Which action by the nurse is appropriate? A. Proceed with the MRI as scheduled B. Notify the radiology department that the patient is receiving metformin C. Expect to hold the metformin the day of the test and for 48 hours after the test is performed D. Call the prescriber regarding holding the metformin for 2 days before the MRI is performed
C
A woman comes into the emergency department. She says that she is pregnant and that she is having contractions every 3 minutes but she is not due yet. She is very upset. While assessing her vital signs and fetal heart tones, what is the most important question the nurse must ask the patient? A. What were you doing when the contractions started? B. Are you preregistered at this hospital to give birth? C. How many weeks have you been pregnant? D. Have you felt the baby move today?
C
A woman in labor is on an oxytocin infusion. The nurse notes that her contractions are close to 100 seconds apart and are lasting 1.25 seconds. The mother's blood pressure has increased to 130/98 mmHg, and the fetal heart rate decreases during the contractions. The woman states, "wow, this medicine is sure hurrying things alone!" The nurse's next action will be to: A. Continue to monitor the labor, which is progressing nicely B. Offer comfort measures during the contractions C. Stop the infusion, administer oxygen, have her line on her left side, and notify the physician immediately D. Take the patient to the delivery area is imminent
C
A woman who has type 2 DM is now pregnant. She wants to know whether to take her oral anti diabetic medication. What instructions will she receive? A. She should continue the anti diabetic medication at the same dosage B. The anti-diabetic medication dosage will be increased gradually throughout her pregnancy C. She will be switched to insulin therapy while she is pregnant D. She will not receive any anti diabetic medication while pregnant and will need to monitor her dietary intake closely
C
After the 0700 report, the day shift nurse notices that a patient has a 0730 dose of insulin due and goes to the automated dispensing machine to retrieve the insulin. The nurse sees that the night shift nurse had removed the 0730 dose of insulin, but the medication administration record has not been signed by the nurse. The patient is confused and says she "thinks" the nurse gave her the insulin. The patient's blood glucose level is 142 mg/dL. What will the day shift nurse do? A. Give the insulin because it was not signed off B. Hold the insulin because the patient thinks she received it, and it is recorded in the machine C. Ask the charge nurse at home to clarify whether the insulin was given D. Report this to the nursing supervisor
C
The nurse enters the patient's room to complete the discharge process and finds the patient to be lying in bed unresponsive and breathing. The patient has a blood glucose reading of 48 mg/dL. What is the most appropriate response by the nurse? A. Place a packet of table sugar in the patient's mouth B. Start cardiopulmonary resuscitation C. Roll the patient to the side and administer the ordered glucagon D. Have the patient drink OJ
C
The nurse has provided teaching about oral corticosteroid therapy to a patient. Which statement by the patient shows a need for more teaching? A. I will report any fever or sore throat symptoms B. I will stay away from anyone who has a cold or infection C. I can stop this medication if I have severe adverse effects D. I will take this drug with food or milk
C
The nurse is assessing a patient who is to receive dinoprostone (Prostin E2). Which condition would be a contraindication to the use of this drug? A. Pregnancy at 15 weeks' gestation B. GI upset or ulcer disease C. Ectopic pregnancy D. Incomplete abortion
C
The nurse is caring for a patient receiving IV therapy with a 3% sodium chloride infusion at 75 mL/hr. The nurse should closely monitor for which adverse effect of treatment? A. Blood urea nitrogen of 22 mg/dL B. Tenting of the skin and dry mucous membranes C. Distended neck veins and ankle edema D. Sodium level of 140 mEq/L
C
The nurse is caring for a patient with heart failure who needs a diuretic. Which agent is likely to be chosen, because it has been shown to greatly reduce mortality in patients with heart failure? A. Furosemide [Lasix] B. Hydrochlorothiazide [HydroDIURIL] C. Spironolactone [Aldactone] D. Mannitol [Osmitrol]
C
The nurse is discussing therapy with clomiphene (Clomid) with a husband and wife who are considering trying this drug as part of treatment for infertility. It is important that they be informed of which possible effect of this drug? A. Increased menstrual flow B. Increased menstrual cramping C. Multiple pregnancy (twins or more) D. Sedation
C
The nurse is performing an assessment of a patient who is asking for a prescription for sildenafil (Viagra). Which finding would be a contratindication to its use? A. 65 years of age B. History of thyroid disease C. Medication list that includes nitrates D. Medication list that includes saw palmetto
C
The nurse is preparing to administer IV potassium to a patient with hypokalemia. Which prescription is the most appropriate? A. Potassium chloride 30 mEq in 100 mL IV over 1 hour B. Potassium chloride 10 mEq in 100 mL IV over 30 minutes C. Potassium chloride 10 mEq in 100 mL IV over 1 hour D. Potassium chloride 10 mEq IV push over 1 minute
C
The nurse is reviewing the medication list for a patient and notes that finasteride 1 mg daily is on the list. This drug is for which of these problems? A. Benign prostatic hypertrophy B. Erectile dysfunction C. Alopecia in male patients D. Alopecia in male and female patients
C
The nurse is teaching a patient who has a new prescription for spironolactone [Aldactone]. Which statement by the patient indicates that the teaching was effective? A. "I will use salt substitutes to lower my sodium intake." B. "I will increase my intake of foods that are high in potassium." C. "I will call my doctor if I begin having menstrual irregularities." D. "I will take this medication at bedtime each evening."
C
The nurse monitoring a patient for a therapeutic response to oral antidiabetic drugs will look for: A. fewer episodes of DKA B. weight loss of 5 lbs C. Hemoglobin A1C of less than 7% D. Glucose level of 150 mg/dL
C
The nurse plans to closely monitor for which clinical manifestation after administering furosemide [Lasix]? The nurse plans to closely monitor for which clinical manifestation after administering furosemide [Lasix]? A. Decreased pulse B. Decreased temperature C. Decreased blood pressure D. Decreased respiratory rate
C
The patient was taking metformin before this hospitalization. To facilitate better glucose control, the patient has been switched to insulin therapy while hospitalized. The patient asks the nurse why it is so important to time meals with the insulin injection and to give him an example of a long-acting insulin? A. Insulin glulisine (Apidra) B. Insulin isophane suspension (NPH) C. Insulin detemir (Levemir) D. Regular Insulin (Humulin R)
C
To help with the insomnia associated with thyroid hormone replacement therapy, the nurse will teach the patient to: A. Take half the dose at lunchtime and the other half 2 hours later B. Use a sedative to assist with falling asleep C. Take the dose upon awakening in the morning D. Reduce the dosage as needed if sleep is impaired
C
Two days after admission, the nurse is reviewing laboratory results of the patient. Which is the most common electrolyte finding resulting from the administration of furosemide (Lasix)? A. Hypocalcemia B. Hypophosphatemia C. Hypokalemia D. Hypomagnesemia
C
When monitoring the laboratory values for a patient who is taking antithyroid drugs, the nurse knows to watch for: A. increased platelet counts B. increased white blood cell counts C. increased blood urea nitrogen level D. increased blood glucose levels
C
When preparing an IV solution that contains potassium, the nurse knows that a contraindication to the potassium infusion would be: A. Diarrhea B. Serum sodium level of 145 mEq/L C. Serum potassium level of 5.6 mEq/L D. Dehydration
C
When the nurse is checking the laboratory data for a patient taking spironolactone (Aldactone), which result would be a potential concern? A. Serum sodium level of 140 mEq/L B. Serum calcium level of 10.2 mg/dL C. Serum potassium level of 5.8 mEq/L D. Serum magnesium level of 2.0 mg/dL
C
Which factor should a nurse recognize as one that would increase the risk of thromboembolic phenomena arising from OC use? A. Alcohol consumption B. Asthma C. Smoking D. Noncompliance
C
Which of the following statements regarding colloid administration does the nurse identify as being true? A. Colloids enhance the oxygen-carrying capacity of the blood B. Colloids increase the coagulation properties of blood C. Dextran therapy can cause anaphylaxis or renal failure D. Colloids are contraindicated in the treatment of hypovolemia
C
Which statement is appropriate for the nurse to include in patient teaching regarding type 2 DM? A. Insulin injections are never used with type 2 B. You don't need to measure your blood glucose levels because you are not taking insulin C. A person with type 2 DM still has functioning beta cells in his or her pancreas D. Patients with type 2 DM usually have better control over their diabetes than those with type 1
C
Which teaching is appropriate for a patient who is taking an inhaled glucocorticoid for asthma? A. Exhale while pushing in on the canister of the inhaler B. Blow your nose after takin the medication C. Rinse your mouth thoroughly after taking the medication D. Do not eat immediately after taking the medication
C
When monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insidious, which assessment finding will the nurse look for as an indication that the medication therapy is successful? A. Increased insulin levels B. Decreased diarrhea C. Improved nasal patency D. Decreased thirst
D
A patient taking sildenafil [Viagra] asks a nurse what action to take if priapism occurs. Which response should the nurse make? A. "Take an additional half-strength dose of sildenafil." B. "The condition usually resolves in 12 hours or less." C. "Wait until the following day and notify the doctor." D. "Seek emergency help, because permanent damage can occur."
D
A patient who has diabetes insipidus is receiving desmopressin [DDAVP]. Which laboratory test should a nurse obtain to evaluate the effectiveness of the medication? A. Urine ketones B. Blood urea nitrogen (BUN) C. Creatinine D. Urine specific gravity
D
A patient with a creatinine clearance of 20 mL/min is admitted to the medical-surgical unit. The patient is in need of rapid diuresis. Which class of diuretic does the nurse anticipate administering? A. Potassium sparing B. Thiazide C. Osmotic D. Loop
D
A patient with diabetes has a new prescription for a thiazide diuretic. Which statement will the nurse include when teaching the patient about the thiazide drug? A. There is nothing for you to be concerned about when you are taking the thiazide drug B. Be sure to avoid foods that are high in potassium C. You need to take the thiazide at night to avoid interactions with the diabetes medicine D. Monitor your blood glucose level closely, because the thiazide diuretic may cause the levels to increase
D
A patient with type 1 DM is admitted to the medical unit with an acute exacerbation of chronic obstructive pulmonary disease. He is placed on IV piggyback antibiotics, nebulizer treatments with albuterol, and an IV corticosteroid, and he is also taking a proton pump inhibitor for gastroesophageal reflux disease. He takes a dose of glargine insulin every evening. This evening the nurse notes that his blood glucose level is 170 mg/dL. The next morning, his fasting glucose level is 202 mg/dL. What is the most likely cause of his elevated glucose levels? A. The albuterol B. The antibiotics C. The proton pump inhibitor D. The corticosteroid
D
A woman has not taken her oral contraceptive since Monday. It is now Wednesday morning. What should she do now to prevent pregnancy? A. Take the two missing doses as soon as possible B. Continue the drug as if no doses were missed C. Start over with a new monthly pack of oral contraceptives D. Resume the drug but also use a second form of birth control
D
The nurse caring for a patient taking furosemide [Lasix] is reviewing the patient's most recent laboratory results, which are: sodium, 136 mEq/L; potassium, 3.1 mEq/L; chloride, 100 mEq/L; blood urea nitrogen, 15 mg/dL. What is the nurse's best action? A. Administer lasix as ordered. B. Place the patient on a cardiac monitor C. Begin a 24-hour urine collection D. Hold the lasix and notify the physician
D
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 45 minutes late. What will the nurse do next? A. Inform the patient of the delay B. Check the patient's blood glucose levels C. Call the dietary department to send a tray immediately D. Give the patient food, such as cereal, skim milk, and juice
D
The nurse is preparing an infusion for a patient who has a deficiency in clotting factors. Which type of infusion is most appropriate? A. Albumin 5% B. Packed RBCs C. Whole blood D. Fresh Frozen Plasma
D
The nurse is reviewing the medication list for a patient who will be starting therapy with somatotropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatotropin? A. Nonsteroidal anti-inflammatory drug for arthritis B. Antidepressant drug C. Penicillin D. Glucocortoid
D
The nurse is reviewing the medications that have been ordered for a patient for whom a loop diuretic has just been prescribed. The loop diuretic may have a possible interaction with which of the following? A. Vitamin D B. Warfarin C. Penicillins D. NSAIDs
D
The nurse is reviewing the use of obstetric drugs. Which situation is an indication for an oxytocin (Pitocin) infusion? A. Termination of a pregnancy at 12 weeks B. Hypertonic uterus C. Cervical stenosis in a patient who is in labor D. Induction of labor at full term
D
The nurse is teaching a patient about the possible adverse effect of priapism, which may occur when taking erectile dysfunction drugs. The nurse emphasizes that, if this occurs, themes important action is to: A. stay in bed until the erection ceases B. apply an ice pack for 30 minutes C. turn toward his left side and rest D. seek medical attention immediately
D
The patient is being discharged home with insulin aspart (NovoLog) and insulin isoprene suspension (NPH). Which information does the nurse include when providing discharge teaching to the patient? A. Store the insulins in the refrigerator B. Shake the insulins for 1 full minute before use C. Administer the injection at a 30-degree angle to your skin D. Draw up the insulin aspart (NovoLog) first and then draw up the insulin isoprene suspension (NPH) into the same syringe
D
The pharmacy has called a patient to notify her that the current brand of thyroid replacement hormone is on back order. The patient calls the clinic to ask what to do. Which is the best response by the nurse? A. Go ahead and take the other brand that the pharmacy has available for now B. you can stop the medication until your current brand is available C. You can split the thyroid pills that you have left so that they will last longer D. Let me ask your prescriber what needs to be done; we will need to watch how you do if you switch brands
D
Which information will the nurse include when teaching a patient about thyroid replacement therapy? A. Take the medication before bed B. You will experience beneficial effects of the drug after 1 week of treatment C. Stop taking the drug if you experience insomnia D. Take the medication on an empty stomach
D
Which of the following outcomes would the nurse anticipate after infusion of 25 % albumin to a client in hypovolemic shock? A.Increase in heart rate B. Decrease in temperature C. Decreased in peripheral perfusion D. Increase in blood pressure
D
Which would be the best menu choice for a patient who is taking an antithyroid medication? A. A seafood platter B. Sushi C. Tofu burger D. Pasta with marinara sauce
D
While monitoring a patient who is receiving an infusion of a crystalloid solution, the nurse will monitor for which potential problem? A. Bradycardia B. Hypotension C. Decreased skin turgor D. Fluid overload
D
