Adaptive Learning Powered by prepU HCC2 HESI REM PHARM PART 2

A client was diagnosed with type 2 diabetes mellitus five years ago, and has now started insulin therapy. What is the most important information to teach the client?

"Your diabetes was not controlled with several drugs, so insulin therapy is the next step."

A client, who weighs 165 lb (75 kg), with a pulmonary embolus, is ordered to receive heparin 20 units/kg/hr by IV infusion. How many units of heparin should the client receive each hour?

1,500

Therapy for Kawasaki disease includes a single dose of IV gamma globulin, prescribed at 2 g/kg. The child weighs 32 lb (14.5 kg). How many grams should this child receive? Record your answer using a whole number.

29

The nurse is planning care for a client receiving IV magnesium sulfate for hypertension. Which medication should the nurse have available for an emergency?

Calcium gluconate

Which medication is routinely given to the neonate within one hour of birth?

Erythromycin ophthalmic ointment

Atropine is being administered to a child with sinus bradycardia. Which information is most accurate about the administration of this medication?

Increases heart rate

The nurse is admitting a client diagnosed with diabetic ketoacidosis (DKA). What is the nurse's priority intervention?

Intravenous insulin

What should the nurse teach a client receiving vitamin D therapy for hypoparathyroidism?

Vitamin D is taken to increase absorption of calcium.

The nurse has provided teaching for a client who will be taking lorazepam upon discharge. The nurse determines that teaching was effective when the client states the need to avoid:

alcohol

The nurse is educating the parents of a two-year-old child with neonatal bronchopulmonary dysplasia (chronic lung disease) who is placed on furosemide. Which statement by the parents best indicates an understanding of this medication?

"I need to make sure my child eats foods rich in potassium."

A nurse is caring for a client with AIDS. The client is receiving zidovudine. The client asked the nurse, "How does this drug work?" The nurse determines that teaching is effective when the client makes which statement?

"It suppresses the replication of HIV virus."

A client has just started treatment with rifampin for tuberculosis. Which statement indicates that the client has a good understanding of his medication?

"My urine will look orange because of the medication."

A client has just received a renal transplant, and has started cyclosporine therapy. What is the most important information for the nurse to share with this client?

"Report any fever, a flushed feeling, or lethargy."

A client has primary insomnia and requires pharmacological assistance to sleep. The health care provider prescribes secobarbital sodium 75 mg/po/hs. The nurse has secobarbital sodium 25 mg tablets on hand. How many tablets should the nurse administer to the client? Record your answer using a whole number.

3

A client with pneumonia is ordered ampicillin 200 mg/q4h. The vial is labeled 500 mg/10 ml. How many milliliters of the fluid contains the dose ordered? Record your answer using a whole number.

4

Erythromycin is given to a six-year-old child before dental work to prevent endocarditis. The child weighs 44 lb (20 kg). The order is for 20 mg/kg by mouth two hours before the dental appointment. The bottle comes concentrated as 400 mg/5 ml. How many milliliters should the child receive? Record your answer using a whole number.

5

A client with renal insufficiency is being treated with intravenous antibiotics. Which laboratory value should be monitored closely?

Blood urea nitrogen (BUN) and creatinine levels

An adolescent client ingests a large number of acetaminophen tablets in an attempt to commit suicide. Which laboratory result is most consistent with acetaminophen overdose?

Elevated liver enzyme levels

A client with a dependent personality disorder is taking fluoxetine for depression. Which instruction should be included in client teaching?

Expect three to four weeks to go by before the medication is effective

The parents of an eight-month-old child with iron deficiency anemia have not been compliant with the administration of oral iron supplements. The child must now receive an iron dextran injection. How should the nurse administer this injection?

Intramuscularly using the z-track method

A client, who was recently hospitalized, has constipation related to her medical regimen. Which medication may contribute to this problem?

Iron

Which statement best describes the action of furosemide for the treatment of hypertension?

It inhibits reabsorption of sodium and water in the loop of Henle.

A client reports a dry mouth two days after starting therapy with trihexyphenidyl for Parkinson's disease. What is the best action by the nurse?

Offer the client ice chips and frequent sips of water

A five-year-old child, diagnosed with cerebral palsy, has just been prescribed oral baclofen. Which assessment finding, by the nurse, would indicate effective drug therapy?

The child is exhibiting less spasticity.

A client has been prescribed corticosteroids. The nurse would also anticipate an order for:

blood glucose checks every 6 hours.