Test 1 Pharmacology

A nurse is reinforcing teaching for a client owho has new prescription for sublingual nitroglycerin. Which of the instruction should the nurse include?

" If your mouth is dry, take a sip of water before putting the tablet under your tongue."

A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which action should the nurse take?

Apply gentle pressure with a finger to the tragus of the ear

A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which instructions should the nurse provide?

Discard regular insulin if it appears cloudy

A nurse is preparing to administer heparin subcutaneously to a client. Which is an appropriate action by the nurse?

Inject the medication into the abdomen above the level of the iliac crest

A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which action should the nurse take?

Insert the needle at a 90 degree angle

A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsule. Which instruction should the nurse include?

Take 1 capsule at the onset of anginal pain

A nurse is preparing an injection using a single dose glass ampoule. Which action should the nurse take?

Use a filter needle to draw up the medication

A nurse is caring for a client who is postoperative and receiving fentanyl via patient controlles analgesia. The client has a prescription for naloxone. The nurse understands that the purpose of naloxone is:

block the effects of opioids on the central nervous system

A nurse is reviewing the components of medication recinciliation with a newly licensed nurse. Which information should the nurse include in the teaching?

"A nurse should write verbal order in the medical record for medications the client was taking at home."

A nurse observes a newly licensed nurse adminster enoxaparin subcutaneously using a pre-filled syringe. Which indicates appropriate medication administration?

Administering the injection 6.35 cm (2.5 in) from the umbillicus

A nurse is preparing to administer ear drops to a 2 year-old toddler who has an ear infection and small amount of purulent drainage visible around the ear. Which technique shouls the nurse use when instilling the medication?

Apply clean gloves and clean the outer ear prior to instilling drops

A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which action should the nurse plan to take?

Choose a 25 gauge needle

A nurse receives a new prescription from the provider that reads "Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast." How many syringes should the nurse prepare?

2

A nurse is reinforcing teaching with a client who is to start taking calcium carbonate as a calcium supplement. Which food should the nurse instruct the client to consume to increase the absorption of calcium?

2% cottage cheese

A nurse is reinforcing teaching with the client who has chronic open at angle glucoma. The client has been prescribed pilocartine ophthalmic solution. Which of the following statement by the client demonstrates and understanding of the teaching?

I should expect to have blurred vision up to 2 hrs after using medication

A nurse is caring for a client who tells him he does not want to take his morning medication. Which action should the nurse take?

Document the client's refusal of the medication

A nurse is preparing to administer a bisacodyl 10 mg suppository for a client . Which actions should the nurse take? (select all that apply)

Lubricate index finger Insert suppository just beyond internal sphincter

A nurse is assissting with the admission of a client to the medical unit. The client's valuables include a container of ginko biloba. The client states that he takes a dose each day to improve his memory. Which statement should the nurse make?

"I will check with your doctor to be sure it's okay for you to take it while you're in the hospital."

A nurse is reinforcing teaching a client who has a new prescription for gentamycin ointment to treat a skin infection. Which statement by the client indicates an understanding of the teaching?

"I'll wash the area with soap and water before I apply the cream."

A nurse is caring for a client who states, "I am not going to take my medication anymore." Which response should the nurse make?

"Tell me more about this decision."

A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/ml. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.)

1.5

A nurs observes a newly licensed nurse administer enoxaparin suncutaneously using a pre-filled syringe. Which indicates appropriate medication administration?

Administering the injection 6.35 cm (2.5 in) from the umbilicus

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which position while in bed?

Dorsal recumbent

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which instruction should the nurse give the client?

Shace excess hair from skin before applying a nitroglycerin patch

A nurse is reinforcing teaching with a client who has prescription for oral suspension phenytoin. Which information should the nurse include in the teaching?

Shake the suspension prior to pouring the medication

A nurse is preparing to administer a rectal suppository to a client. The nurse should instruct the client to lie in which position while in bed?

Sim's

A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which is the priority nursing action?

Check the client's vital signs

A nurse is reinforcing teaching with a client with bacterial comjunctivitis of the right eye, and prescriptin for an antibiotic ophthalmic ointment. Which statement should the nurse make?

"Apply the ointment in a thin line into the conjuctival sac."

A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." How should the nurse responds?

"Describe what the pill usually looks like."

A nurse is preparing to administer enteric-coated aspirin to an older adult client who had a cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following response should the nurse make?

"If I crush it you might experience a stomach ache or indigestion."

A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which client statement by the client indicates a nedd for further teaching?

"It's okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it."

A nurse is caring for a client who routinely drinks alcohol. Which information shhould the nurse provide the client about alcohol comsumption?

"Medication is metabolized faster when alcohol is consumed regurlarly"

A nurse is caring for an 8 year-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter. Which statement by the client's mother indicates that the nurse should check the site for signs of infiltration?

"My baby's fingers are looking swollen."

A nurse is caring for a client who is receiving IV tobramycin and has a prescription for peak and trough bloof levels with the next dose scheduled for 1800. The nurse should expect the lab to draw lood samples at which time?

1745 and 1830

A nurse is preparing to administer morning insulin to a client who has prescription for 14 units of regular insulin and 28 units of NPH insulin sucutaneously daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

42 units

A nurse is preparing to use a Z-track technique to administer a medication to a client. Which action the nurse plan to take?

Aspirate for 5 to 10 seconds

A nurse on a medical unit is planning to administer a nicotine transdermal patch to a female client. Which action should the nurse plan to include?

Date, time, and initial the patch after before applying to the client

A nurse is planning to instill ear drops to a toddler and must straighten the ear canal by pulling the auricle of the ear. The nurse should plan to pull the auricle in which direction?

Down and backward

A nurse is preparing to administer eardrops to a 2 year-old child. The nurse should pull the auricle in which direction when instilling the medication?

Down and backward

A nurse is preparing to administer timolol ophthalmic drops to a client who has glucoma. Which action should the nurse plan to take?

Drop the prescribed amount of medication into the conjunctival sac

A nurse is monitoring a client's IV site. The nurse should report which findings as manifestations of phlebitis? (Select all that apply)

Erythema at the insertion site Blistering around the insertion site Warmth at insertion site

A nurse is caring for a postoperative client who is receiving fantanyl. Which medication should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?

Naloxone

A nurse is preparing to administer heparin intravenously to a client. Which action should the nurse take?

Obtain an infusion pump to regulate the continous flow of the medication

A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which action should the nurse plan to take?

Pinch the skin up at the chosen site with the nondominant hand before inserting the needle

A nurse is reinforcing teaching with a newly licensed nurse regarding sources of medication information. Which resources should the nurse include as reliable refenrences for the nurse to use to evaluate medication information? (Select all that apply.)

Published journals Phamacist Physician's Desk Reference

The nurse is preparing to administer ear drops to an adult client. Which action should the nurse plan to take?

Pull the pinna upward and backward

A nurse is collecting data on a client who has a prescription for morphine. The nurse should recognize that which data is priority to obtain before administering this medication?

Respiratory rate