Pharm 167 Exam 2 Quizzes
The nurse is caring for a patient who is prescribed long-term aspirin therapy to prevent a stroke. Which parameters should the nurse assess as a result of this prescription? Select all that apply.
- Hemoglobin - Platelet Count - Activated Partial Thromboplastin time (aPTT)
During a postpartum assessment, the nurse notes a boggy uterus and increased uterine bleeding. Which drug should the nurse anticipate will be prescribed?
Oxytocin
What is the difference between postpartum psychosis and postpartum depression?
Postpartum psychosis is identified by a patient having suicidal or homicidal thoughts.
The patient is exhibiting excessive guilt, anxiety, and depression four to six weeks postpartum. What class of medications would you anticipate the physician to order?
SSRI
A patient who has been receiving an infusion of heparin has an activated partial thromboplastin time (aPTT) of 120 seconds. What is the nurse's first action?
Shut off the heparin drip
The nurse assesses the patient's activated partial thromboplastin time (aPTT) to determine the effectiveness of the heparin regimen and notes that it is 35 seconds. How will the nurse interpret this value?
The aPTT is significantly decreased.
A postpartum patient who has a severe infection in her incision being given gentamicin (an aminoglycoside) therapy, the nurse will monitor the patient for which indicators of potential toxicity?
Tinnitus and rising BUN levels
A postpartum client who experienced postpartum depression has been taking daily doses of Fluoxetine for 6 months and has asked for information from the nurse about going off the medication. What should the nurse emphasize in the information session?
Urge the client to consult with the health care provider and so they can taper the medication to avoid discontinuation syndrome.
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse?
"Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
What education and discharge information for a patient receiving an antilipemic medication would the nurse include for the patient?
"Continue your exercise program, and maintain a diet high in omega-3 fatty acids."
Which statement, made by the patient, demonstrates a knowledge deficit regarding colestipol (Colestid)?
"I should mix and stir the powder in a small amount of fluid as possible in order to maintain potency of the medication."
The nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that FURTHER teaching is needed?
"I will flush the eyes after instilling the ointment."
What teaching would the nurse provide to a patient receiving tetanus toxoid?
"Soreness at the injection site is a common reaction."
What instructions are given to a patient who is prescribed oral iron tablets?
"Take the iron tablet with plenty of fluids."
A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be:
"The vitamin K will protect the newborn from bleeding."
The current immunization for tetanus and diphtheria toxoids and pertussis, Tdap, is administered to people in which age range?
11-12 years of age and older
A 45 year old patient arrives at the clinic with a wound inflicted by a rusty nail. After checking the patient's history, the nurse finds that the patient last received the tetanus booster about 10 years earlier. What is the most appropriate nursing action in this situation?
Administer Tdap.
Identify the most important question to ask a patient about an antibiotic prescription.
Allergies
What is the priority nursing assessment to monitor when administering vaccinations?
Anaphylaxis
A 12-month-old infant has received a MMR vaccine and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What will the nurse suggest?
Apply warm compresses to the injection site.
A patient with warfarin toxicity is prescribed vitamin K. Which nursing assessment ensures patient safety?
Assess the prothrombin time of the patient.
A postpartum patient is admitted with a fever of 102.8° F (39.3° C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence?
Blood and urine cultures, antibiotic dose
An allergy to which substance is listed as a contraindication to the administration of an immunizing drug?
Egg
A nurse is assessing an athlete who has been admitted for cardiac arrest. The investigation reports reveal increased blood viscosity. Which drug did the patient likely receive?
Epoetin alfa
What drug is given for postpartum depression?
Fluoxetine
Which vaccination is recommended in the prevention of a virus that is known to cause cervical cancer?
Human papillomavirus vaccine
A patient is receiving methylergonovine IM after a vaginal delivery. Which postpartum assessment is the nurse's priority to prevent complications of therapy?
Hypertension
The nurse is monitoring a patient receiving alteplase for treatment of an arterial embolism in the left leg. Which finding indicates that the therapy is effective?
Left leg warm to touch
Which medication helps reduce postpartum uterine hemorrhage?
Methylergonovine
The nurse is assessing a patient who has been taking warfarin and vitamin K1 for the past week. The lab reports reveal that the patient has developed venous thromboembolism. What vitamin ingestion may be the reason for this finding?
Vitamin K
