reo 2
The nurse is educating the parents of a 2-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 client is on several medications to control hypertension. As the nurse reviews the mechanism of action for each medication, what statement does the nurse use to describe how furosemide treats hypertension?
"It inhibits reabsorption of sodium and water in the loop of Henle."
The parents of a client with cystic fibrosis ask the nurse why supplemental pancreatic enzymes are needed. What is the best response by the nurse?
"Pancreatic enzymes promote absorption of nutrients and fat."
A client who weighs 207 lb (94.1 kg) is to receive 1.5 mg/kg of gentamicin sulfate intravenously three times each day. How many milligrams of medication should the nurse administer for each dose? Round to the nearest whole number.
141
A 5-year-old child has been placed on phenytoin for tonic-clonic seizures. The child weighs 42 lb (19.1 kg), and the maintenance dose prescribed for this child is 7.5 mg/kg/day. How many milligrams should the child receive each day? Record your answer using a whole number.
143
A nurse needs to give a pediatric client furosemide orally before one unit of packed red blood cells. How many mL should the nurse give? Record the answer using a whole number. Order: Furosemide 3 mg/kg/dose orally Dose on hand: Furosemide 40 mg/5 mL Client's weight: 40 kg
15
A pediatric client is to receive furosemide 4 mg/kg/day in 1 daily dose. The client weighs 20 kg. The oral solution comes as 8mg/ml. How many teaspoons should be administered in each dose? Record your answer using a whole number.
2
Oral methylprednisolone was recently started for a 10-year-old client with asthma. The client begins to vomit and reports that the stomach hurts. Which nursing intervention is appropriate?
Call the health care provider to change the medication form to I.V.
A client with lung cancer has developed an intractable, nonproductive cough that is unrelieved by nonopioid antitussive agents. The health care provider orders codeine, 10 mg PO every 4 hours. Which statement accurately describes codeine?
It's a centrally-acting antitussive and can cause dependence.
The client is admitted for a myocardial infarction and has a heparin drip infusing. Which signs and symptoms would prompt the nurse to stop the infusion and notify the prescribing health care provider?
New onset bleeding from client's rectum
While receiving heparin to treat a pulmonary embolus, a client passes bright red urine. What should the nurse do first?
Prepare to administer protamine sulfate.
A 5-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.
The nurse is caring for four clients who will all be undergoing moderate sedation procedures today. The health care provider (HCP) has ordered midazolam to be given to all four clients. The nurse notifies the HCP to clarify the prescription for which client?
a 30-year-old client who is pregnant
A client with cystic fibrosis develops pneumonia. To decrease the viscosity of respiratory secretions, the physician orders acetylcysteine. Before administering the first dose, the nurse checks the client's history for asthma. Acetylcysteine must be used cautiously in a client with asthma because it
may induce bronchospasm.
The nurse receives an order to administer morphine to a client with an acute myocardial infarction. What is the purpose of this medication?
to decrease myocardial oxygen demand
Which physical assessment data would alert the nurse to a possible mild toxic reaction in a client receiving lithium?
vomiting and diarrhea
The child's provider orders 720 ml of total parenteral nutrition (TPN) to be infused over the next 24 hours. The nurse will record TPN intake of how many milliliters at the end of the eight hour shift? Record your answer using a whole number.
240
The nurse is caring for a client with peripheral arterial occlusive disease (PAD). What nursing intervention is most appropriate to reduce platelet aggregation and promote circulation?
Administer clopidogrel.
A client with rheumatoid arthritis reports gastrointestinal irritation after taking piroxicam. To prevent gastrointestinal upset, the nurse should provide which instruction?
"Take piroxicam with food or an antacid."
The client was recently diagnosed with a hiatal hernia. The healthcare provider orders an antacid that has reduced adverse effects. What should the nurse include in the client's teaching about the side effects of antacids?
"The major side effect of an antacid is diarrhea."
A 7-year-old boy with a fractured right femur has been admitted to the pediatric unit following a car accident. The provider orders morphine 0.02 mg/kg I.V. for severe pain control. The client weighs 52 lb (23.6 kg) and is experiencing pain of 9 out of 10 on the pain scale. What dosage of morphine should the nurse administer to this client? Record your answer using two decimal places.
0.47
A client who weighs 187 lb (85 kg) has an order to receive enoxaparin 1 mg/kg. This drug is available in a concentration of 30 mg/0.3 mL. What dose would the nurse administer in milliliters? Record your answer to two decimal places.
0.85
A client is ordered a dose of epoetin alfa to treat anemia related to chemotherapy. The recommended dose is 150 units/kg. The client weighs 60 kg. The vial is labeled 10,000 units/ml. How many milliliters of epoetin alfa would the nurse administer? Record your answer using one decimal place.
0.9
The nurse is teaching a client with asthma to administer Zyflo CR 1200 mg orally twice a day. The drug is available in 600-mg tablets. How many tablets will the nurse teach the client to take at each dose?
2
The primary care provider prescribes an IV of oxytocin 30 units in 500 mL of normal saline to run at 2 milliunits/minute. At what hourly rate should the nurse set the pump? Record your answer using a whole number.
2
A nurse is caring for an infant who weighs 8 kg and is ordered to receive ampicillin 25 mg/kg intravenously every 6 hours. How many milligrams would a nurse administer per dose? Record the answer as a whole number.
200
A 10-year-old client with asthma is prescribed 2 mg of albuterol syrup four times per day. The syrup is available as a formulation of 2 mg/5 mL. How many milliliters of syrup should the nurse administer with each dose? Record the answer as a whole number.
5
After undergoing small-bowel resection, a client is prescribed metronidazole 500 mg intravenously. The mixed solution is 100 ml. The nurse is to administer the drug over 30 minutes. The drop factor of the available intravenous tubing is 15 gtt/ml. What is the drip rate in drops per minute? Record your answer using a whole number. (For example: 62)
50
The nurse will administer a dosage of captopril at 1.5 mg/kg/day, in divided doses, q12h, to an infant who weighs 10 kg. How much would the nurse give per dose? Record your answer using one decimal place.
7.5
A physician orders an intravenous infusion of dextrose 5% in quarter-normal saline solution (D5.25 NSS) to be infused at 7 ml/kg/hour for a 10-month-old infant. The infant weighs 22 lb (10 kg). How many milliliters of the ordered solution would the nurse infuse each hour? Record your answer using a whole number.
70
A health care provider prescribes intravenous heparin 25,000 units in 250 ml of normal saline solution to infuse at 600 units/hour for a client who suffered an acute myocardial infarction (MI). After 6 hours of heparin therapy, the client's partial thromboplastin time is subtherapeutic. The health care provider orders the infusion to be increased to 800 units/hour. The nurse would set the infusion pump to deliver how many milliliters per hour? Record your answer using a whole number.
8
The client is admitted to the medical/surgical unit for treatment of acute thrombophlebitis of the right calf. The client is administered 5000 units of heparin IV, followed by 1000 units of IV heparin per hour. Which action by the nurse is most appropriate if the client receives too much heparin?
Administer protamine sulfate.
The client who is 28 weeks gestation is at the obstetric (OB) clinic reviewing lab work. The human immunodeficiency virus (HIV) test is positive, and treatment is indicated. Which medication should the nurse expect to administer that will help to prevent transmission of the virus to the fetus?
zidovudine
