Passpoint: Pharmacology and Medication Management Week 2

A nurse is teaching a client about tricyclic antidepressants. The nurse determines that teaching has been effective when the client states:

"Improvement in my mood will take up to 28 days."

An unresponsive 41 lb (18.6 kg) child, with supraventricular tachycardia, is prescribed oral amiodarone 5 mg/kg. It comes as a solution of 150 mg/3 ml. How many milliliters should be given? Record your answer using one decimal place.

1.9 ml

A client is receiving spironolactone to treat hypertension. Which instruction should the nurse provide?

Avoid salt substitutes

Which medication will the nurse administer to a client who experienced a thrombotic stroke two days ago?

Aspirin

A client diagnosed with uncomplicated rheumatoid arthritis is receiving naproxen. Which medication would require further intervention by the nurse prior to administration?

Dabigatran

A definitive diagnosis of pulmonary embolism has been made for a client. Which medication would the nurse anticipate for this client?

Heparin

The nurse makes initial rounds for his clients. Five medication are scheduled for administration at the same time to five different clients. Which medication should the nurse administer first after initial rounds?

Morphine sulfate to a client with a myocardial infarction reporting chest pain

The nurse is performing discharge teaching for a school-aged child who experienced an asthma attack. What is the most important information the nurse can provide this client about the prescription for budesonide?

Rinse the mouth after using this medication.

The client tells the nurse that she frequently experiences nausea and vomiting after receiving radiation and chemotherapy. The nurse adapts the plan of care to include antiemetics. What is the most appropriate time for the administration of the medication?

Thirty minutes before therapy begins

While administering medication, the client tells the nurse, "I've never seen this pill before." The nurse should:

check the medication orders.

The nurse is caring for a client receiving digoxin. Which symptoms would the nurse anticipate with a digoxin level of 2.3 ng/dl (0.08 nmol/l)? Select all that apply.

Seeing halos around bright objects, Photophobia, Drowsiness, Nausea

How should the nurse proceed when instilling neomycin and polymyxin B sulfates and hydrocortisone optic suspension, two drops in the right ear?

Verify the proper client and route

Which oral medication would the nurse anticipate being prescribed to prevent further thrombus formation?

Warfarin

A 20-month-old toddler has been treated with permethrin for scabies. The toddler's mother asks, "Is this medication working? My child is still itching." Which response, by a nurse, is most appropriate?

Pruritus can be present for weeks after treatment

The effectiveness of selective serotonin reuptake inhibitor (SSRIs) therapy, in a client with post traumatic stress disorder (PTSD), can be verified when the client states:

"I'm sleeping better now."

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 nurse is caring for a child taking prednisone following a heart transplant. His pre-surgical weight was 25.6 lb (11.6 kg). The practitioner orders the child to receive 2 mg/kg/day divided every six hours. The oral solution comes prepared as 5 mg/5ml. How many milliliters will the child receive with each dose? Record your answer using one decimal place.

5.8 mL

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 infusion

The nurse is caring for a client with Reye syndrome who is receiving pancuronium bromide. What is the most important intervention for the nurse to include in the plan of care?

Applying artificial tears as needed

A depressed client, who is taking fluoxetine, tells the nurse that he has difficulty sleeping at night, is often sleepy during the day, and does not feel like doing anything. What is the nurse's best response?

Ask the prescriber whether the medication can be given early in the day

The nurse initiates the treatment for a delayed hypersensitivity reaction. What is the most appropriate treatment?

Corticosteroids

A client has been prescribed sertraline. Which adverse effects are most important for the nurse to communicate to this client? Select all that apply.

Dry mouth, sleep disturbances, and agitation

The nurse is preparing to administer IV insulin to a client diagnosed with diabetic ketoacidosis (DKA). What will the nurse monitor while the client is receiving this intervention?

Hypokalemia and hypoglycemia

The nurse is providing discharge instructions for a client who is receiving chemotherapeutic medications. Which intervention is most important to prevent hemorrhagic cystitis?

Increasing fluid intake

A neonate is admitted to the neonatal intensive care unit with persistent pulmonary hypertension. Which medication should the nurse anticipate for this neonate?

Inhaled nitric oxide

A client with chronic obstructive bronchitis asks the nurse why he is receiving diuretic therapy. What is the nurse's best response?

To reduce fluid volume and reduce oxygen demand