Pharmacology Review Skills
a nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. the nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero?)
75 ml/hr
A nurse is preparing to administer liquid famotidine (antihistamine and antacid) 20mg PO every 6 hr for a client who has GERD. Available is famotidine 40mg/5ml. How many mL should the nurse administer?
2.5 mL
a nurse is preparing to administer liquid mycostatin 600,000 units PO TID. Available is mycostatin 100,000 unit/mL. How many mL should the nurse administer per dose?
6 mL (600,000/100,000)
A nurse is preparing to administer cefazolin IVPB over 20 min. Available is cefazolin 1 g in 100 ml of dextrose 5% in water D5W. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the IV infusion to deliver how many gtt/min. (round to whole number)
75 gtt/min
Metronidazole
Antibiotic (ole) SE: metallic taste in mouth
Hemolytic reaction nursing interventions
Immediately stop the transfusion and get a urine and blood specimen, flush with normal saline
A nurse is reviewing laboratory results for a client who is receiving heparin (anticoagulants) via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings?
Platelets 74,000 mm^3
A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
decrease the infusion rate on IV
A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which medications should the nurse plan to administer for DVT prophylaxis?
enoxaparin subcu
What is a sign of fat overload syndrome
fever
A nurse is providing discharge teaching to a client who has pulmonary TB and a new prescription for rifampin. Which of the following instructions should the nurse include?
"Expect your urine and other secretions to be orange while taking this medication."
What med should you have on hand when administering morphine/opiods
naloxone
A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis?
-erythema, throbbing, warmth at insertion site, streak formation
A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth . Use a leading zero if it applies. Do not use a trailing zero.)
0.2 ml
Nursing interventions for suclrafate (antacid)
Administer on an empty stomach without fluids for better absorption
A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?
a relief of gastrointestinal pain
A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering the medication, the nurse should complete which priority assessment?
respiratory rate
A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. The client reports chills and back pain, what should the nurse do first
stop the infusion
A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?
"I will store med at room temperature
A nurse is assessing an older client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? SELECT ALL THAT APPLY 1. Bounding pulse 2. Pitting edema 3. Swelling at the IV site 4. Urine-specific gravity greater than 1.030 5. Crackles upon auscultation
1, 2, 5
A nurse is caring for a client who is has a pulmonary embolism and has a new prescription for enoxaparin 1.5 kg/kg/dose subcutaneous every 12 hr. The client weighs 245 lb. How many mg should the nurse administer per dose? (Round to whole number)
167 mg
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take
Insert the needle at a 90° angle.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via a peripherally inserted central catheter (PICC) line. When assessing the client, the nurse notes that the client's arm seems swollen above the PICC insertion site. Which action should the nurse take first?
Measure the circumference of both upper arms
A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. Which adverse effect should then nurse monitor?
headache
a nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. the nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication
red colored urine
A nurse is caring for a client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D5W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr?
125 ml/hr (250/2)
A nurse is caring for a 1-month old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus 3x daily. How many mg should the nurse administer per dose (round to nearest tenth)
175 mg
A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is indicated for which infection?
methicillin-resistant staphylococcus aureus
