Pharmacology Passpoint

A client has been receiving oxytocin to augment her labor. The nurse notes that contractions are lasting 100 seconds. Which immediate action should the nurse take?

Stop the oxytocin

The nurse is administering penicillin V potassium to a child with cellulitis. The child weighs 27.5 lb (12.5 kg). The order reads penicillin V potassium 40 mg/kg/day PO divided every 6 hours. How many milligrams should this child receive with each dose? Record the answer as a whole number.

125

A client calls the clinic worried about experiencing new symptoms after taking antipsychotic medicine. The client reports persistent, uncontrollable restlessness of the limbs and head despite improvement in psychotic symptoms. What is the most appropriate intervention by the nurse?

Direct the client to see the provider for medication to address these side effects.

A client with a history of schizophrenia presents to the emergency department accompanied by police officers after assaulting a neighbor. The client is agitated and combative and cannot be reoriented. What prescribed medication should the nurse prioritize administering to the client?

Haloperidol

A nurse is assessing a client with bipolar disorder. The client tells the nurse that the family health care provider prescribed lithium. Which symptom would indicate that the client is developing lithium toxicity?

lethargy

A client has been receiving oxytocin to augment her labor. The nurse notes that contractions are lasting 100 seconds. Which immediate action should the nurse take? Notify the provider. Stop the oxytocin infusion. Monitor fetal heart tones as usual. Turn the client on her left side.

report black and tarry stools to the health care provider

The nurse is caring for a client who is receiving paroxetine for a major depressive disorder. What is the nurse's most important intervention?

Ask about sleeping difficulties.

Which assessment should a nurse do prior to administering disulfiram to a client with a history of alcohol abuse? Assess the client's nutritional status. Assess when the client's last alcoholic beverage was consumed. Assess whether the client admits to a problem with alcohol. Assess the client's commitment to attend Alcoholics Anonymous (AA) meetings.

The nurse is checking the blood sugar level of a pregnant client who is at 33 weeks' gestation. This client has had type 1 diabetes since she was 12 years old. Which fasting glucose value would indicate to the nurse that this client's disease is controlled?

A nurse is administering haloperidol to a client experiencing psychosis. What are the mostappropriate nursing interventions to manage potential adverse effects? Select all that apply. monitor for urticaria review subcutaneous drug administration with the client monitor blood glucose levels provide the client with hard candy provide the client an opportunity to pace monitor vital signs, especially temperature

-monitor vital signs, especially temperature -provide the client with hard candy

The nurse is preparing to administer digoxin to an infant who weighs 13.7 lb (6.2 kg). The practitioner has ordered 25 mcg/kg divided in three doses with one-half of the total dose for the initial dose, then one-quarter of the total dose for each of two subsequent doses given at eight-hour intervals. The medication comes in an oral solution of 0.05 mg/ml. How many milliliters would the nurse give for the second dose? Record your answer using two decimal places.

0.78

A client with deep vein thrombosis (DVT) has an IV infusion of heparin sodium infusing at 1,500 units/hr. The concentration in the bag is 25,000 units/500 ml. How many milliliters should the nurse document as intake from this infusion following an 8-hr shift? Record your answer using a whole number.

240

The nurse is checking the blood sugar level of a pregnant client who is at 33 weeks' gestation. This client has had type 1 diabetes since she was 12 years old. Which fasting glucose value would indicate to the nurse that this client's disease is controlled? 45 mg/dl (2.5 mmol/L) 85 mg/dl (4.7 mmol/L) 120 mg/dl (6.7 mmol/L) 136 mg/dl (7.6 mmol/L)

85mg/dl

The chart entry for a client with bipolar disorder reads:2/101300The client reported a rash on the chest and back. The client denies food, environmental or other allergies. Vital signs: T 98.2, P 88 R 22, BP 128/78.Based on this chart entry, the nurse reviews the client's current medications. Which medication would the nurses suspect as the cause of the rash? quetiapine diphenhydramine lamotrigine trazadone

Lamotrigine

A 47-year-old client has been taking prescribed medication for an intestinal ulcer. During a routine office visit for blood pressure monitoring, the client reports he is no longer able to have sexual intercourse with his spouse. The nurse determines that this is most likely the result of: stressful lifestyle. ulcer medication. advancing age. high blood pressure.

Ulcer medication

A client has been prescribed neomycin and polymyxin B sulfates and hydrocortisone otic suspension, two drops in the right ear. What action is most important for the nurse take when instilling the medication?

Verify the proper client and route.

A client being treated for an asthma attack is not responding and deemed to be in status asthmaticus. The nurse administers the prescribed treatments to accomplish what primary goal? maintenance of independent ventilation an oxygen saturation above 95% a respiratory rate below 24 breaths per minute breath sounds free of adventitia

maintenance of independent ventilation

The family of a client in rehabilitation following heroin withdrawal asks a nurse why the client is receiving naltrexone. What is the nurse's best response?

to help reverse withdrawal symptoms