Pharm homework 2

Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains 0.6 mg. How many tablets should the nurse administer? Record your answer using a whole number. _____

20.6 X 1000 = 6001200/600 = 2

A client receiving the medication buspirone is admitted to the hospital with the diagnosis of possible hepatitis. The nurse identifies that the client's sclerae look yellow. What will be the nurse's initial action? A. Withhold the medication. B. Give the buspirone with milk. C. Reduce the dosage of the medication. D. Ensure that the medication can be given parenterally.

A. Withhold the medication.

During the administration of total parenteral nutrition (TPN), an assessment of the client reveals a bounding pulse, distended jugular veins, dyspnea, and cough. What is the priority nursing intervention? A. Restart the client's infusion at another site. B. Slow the rate of the client's infusion of the TPN. C. Interrupt the client's infusion and notify the healthcare provider. D. Obtain the vital signs and continue monitoring the client's status

C.The client is experiencing pulmonary edema because of a fluid volume excess. The high concentration of TPN precipitates a fluid shift from the interstitial compartment into the intravascular compartment. Fluid will continue to be infused, which will continue to increase the intravascular volume.

A nurse is assessing an adolescent after the administration of epinephrine. What side effect is most important for the nurse to identify?

Tachycardia Rationale: Epinephrine is a sympathetic nervous system stimulant that causes tachycardia. Hyperglycemia, not hypoglycemia, may result. The pupils will be dilated, not constricted. Epinephrine is more likely to cause hypertension than hypotension.

The health care provider (HCP) has prescribed guaifenesin 300 mg four times a day. The dosage strength of the liquid is 200 mg/5 mL. How many milliliters should the nurse administer for each dose? Record your answer using one decimal place.

7.5

The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the healthcare provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule? With a meal Only at bedtime At a specific time prescribed Until symptoms are gone

At a specific time prescribed

The registered nurse is teaching the nursing student about the interventions to be followed while caring for a client undergoing treatment with anxiolytic drugs. Which statement made by the nursing student indicates the need for further teaching?" I should monitor vital signs of the client." "I should check the client's oral cavities for cheeking of drugs."" I should encourage the client to use compression stockings."" I should encourage the client to change positions quickly."

"I should encourage the client to change positions quickly."

The nurse is caring for a client admitted for a severe kidney infection and hyponatremia. The health care provider prescribes ceftriaxone (Rocephin) 1 gram to be administered intravenously over 30 minutes. The intravenous (IV) piggyback contains 50 mL. The IV tubing drop factor is 15 drops/mL. At what rate should the nurse infuse the medication?

25 drops/min

What medication does the nurse expect to administer to actively reverse the overdose sedative effects of benzodiazepines? 1Lithium 2Flumazenil 3Methadone 4Chlorpromazine

2Flumazenil is the drug of choice in the management of overdose when a benzodiazepine is the only agent ingested by a client not at risk for seizure activity. Flumazenil medication competitively inhibits activity at benzodiazepine recognition sites on gamma-aminobutyric acid-benzodiazepine receptor complexes. Lithium is used in the treatment of mood disorders. Methadone is used for narcotic addiction withdrawal. Chlorpromazine is contraindicated in the presence of central nervous system depressants.

A nurse administers sodium polystyrene sulfonate to a client with chronic renal failure. Which finding provides evidence that the intervention is effective?

Potassium decreases to 4.2 mEq/L (4.2 mmol/L

A client with the diagnosis of schizophrenia is given one of the antipsychotic drugs. The nurse understands that antipsychotic drugs can cause extrapyramidal side effects. Which effect is cause for the greatest concern? Akathisia Tardive dyskinesia Parkinsonian syndrome Acute dystonic reaction

Tardive dyskinesia (Tardive dyskinesia, an extrapyramidal response characterized by vermicular movements and protrusion of the tongue, chewing and puckering movements of the mouth, and puffing of the cheeks, is often irreversible, even when the antipsychotic medication is withdrawn. Akathisia, motor restlessness, usually can be treated with antiparkinsonian or anticholinergic drugs while the antipsychotic medication is continued. Parkinsonian syndrome (a disorder featuring signs and symptoms of Parkinson disease such as resting tremors, muscle weakness, reduced movement, and festinating gait) can usually be treated with antiparkinsonian or anticholinergic drugs while the antipsychotic medication is continued. Dystonia, impairment of muscle tonus, can usually be treated with antiparkinsonian or anticholinergic drugs while the antipsychotic medication is continued.)

A client is scheduled to receive an intravenous (IV) solution of lactated Ringer to run at 150 mL/hr. To deliver the solution, the nurse plans to use an administration set that delivers 15 gtt/mL. At how many drops per minute should the nurse set the IV to administer the prescribed amount of fluid? Record your answer using a whole number. ___ gtt/min.

38

A client with schizophrenia, undifferentiated type, is receiving a typical antipsychotic/neuroleptic. The nurse will assess for which extrapyramidal effects? Shuffling gait, tremors, and restlessness Nausea, vomiting, and muscle cramps Drowsiness, disorientation, and slurred speech Tachycardia, urine retention, and constipation

Shuffling gait, tremors, and restlessness

A healthcare provider prescribes 20 mEq potassium chloride to be given to a client over an 8-hour period by IV drip in 1000 mL of D5W. The IV equipment is calibrated at 10 drops per milliliter. At how many drops per minute should the nurse regulate the IV? Record your answer using a whole number. ___ drops/minute

21 drops/minute

A client is on antipsychotic therapy for schizophrenia. During a follow-up visit, the nurse suspects acute akathisia. Which symptoms in the client support the nurse's suspicion? Select all that apply. A. Rigidity B. Anxiety C. Agitation D. Stooped posture E. Restless movement

ANS: B, C, EAkathisia is an extrapyramidal effect of antipsychotic medications. Akathisia is characterized by anxiety, agitation, and restless movement. Rigidity and stooped posture are manifestations of Parkinsonism.

Haloperidol 100 mg intramuscularly (IM) stat has been prescribed for a client who is battered and agitated after a street brawl. What does the nurse conclude after reviewing the prescription? A. The medication is appropriate and should be given as prescribed. B. The medication is inappropriate because it takes one week for antidepressants to be effective. C. The dose is more than recommended. D. The route of administration is incorrect.

C. The dose is more than recommended.

A client with a dysrhythmia is admitted to telemetry for observation. In the morning, the client asks for a cup of coffee. What is the nurse's best response?

Coffee has caffeine, which can affect your heart. It should be avoided."

A client presents to the emergency department with weakness and dizziness. The blood pressure is 90/60 mm Hg, pulse is 92 and weak, and body weight reflects a 3-pound (1.4 kilogram) loss in two days. The weather has been hot. Which condition should the nurse conclude is the priority for this client? 1Deficient fluid volume 2Impaired skin integrity 3Inadequate nutritional intake 4Decreased participation in activities

Deficient fluid volume

A client is treated with lorazepam for status epilepticus. What effect of lorazepam does the nurse consider therapeutic? 1Slows cardiac contractions 2Dilates tracheobronchial structures 3Depresses the central nervous system (CNS) 4Provides amnesia for the convulsive episode

Depresses the central nervous system (CNS)

which organ has only beta-1 receptors? Bladder Liver Heart Pancreas

Heart