Pharmacology Comprehensive Final

amphotericin B. What labs values do you watch with this mediation? What would you report to the doctor?

potassium: 3.5-5.0

What should you monitor for a patient receiving morphine IV?

respiratory depression (respiratory rate, blood pressure, heart rate)

Which of the following blood products should the nurse anticipate administering for hypovolemic shock?

Albumin

Vancomycin side effects. When would you stop the medication and call the provider?

Allergic reactions: Rash, SOB, diarrhea. Losing hearing

A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?

Any "cillins", cephalosporins

When administering Amphotericin B, what are the side effects?

Electrolyte imbalance

What medications should the nurse plan to have available? (taking morphine IV)

Naloxone

A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. What should the nurse do?

Open capsule and sprinkle on applesauce or get IV order

What would you teach a client who is taking metformin XR for type II diabetes mellitus.

Take with meal, increases fertility, helps control blood sugar, watch diet, exercise, take as prescribed, check blood sugar as prescribed (keep record)

rifampin. Which of the following information should the nurse provide to the patient?

Used to treat TB, may reduce contraceptive effectiveness, take before meals, can take antacid 1hr after taking it

Labs drawn for heparin and the normal values

aptt: 60-80 seconds

You are caring for a client that has an epidural. Which is a priority vital sign to monitor in this patient?

blood pressure? (think ABC's think of highest priority during test)

Adverse effects of zidovudine adverse effects of this medication?

bone marrow supression, alopecia, cardio toxicity, thyroid dysfunction, neuro toxicity, anxiety, depression, flu-like s/s.

metronidazole, what side effects are common findings with this drug?

dark urine, GI: n/v, diarrhea, loss of appetite, neuro toxicity

enfuvirtide to treat HIV infection. What are the adverse reactions?

fever, nausea, bacterial pnuemonia, chills, hypotension

You are the nurse administering propranolol for a patient who has a migraine headache. What is the priority to monitor?

heart rate

What is a nurse's priority when a patient receives too much insulin?

ASSESS the patient, take blood glucose, notify charge nurse

What is the antidote medication for a Tylenol overdose?

Acetylcysteine

Ciprofloxacin adverse reactions

CNS: effects (headache, dizziness) and GI effects (nausea, vomiting)

Phenazopyridine. client education that should be included?

Can cause change in urine color(orange), can stain clothes, used to ease pain from bladder infection

When administering propranolol, nursing actions include (select all that apply)

Check HR, blood pressure, airway

Regular insulin nursing considerations and patient teaching

Discuss risk of hypoglycemia 1-5hr, refridgerate unopened bottles of insulin, bottles being used can stay at room temp. When to eat: After taking regular insulin When to snack: At peak of medication 4-12 hrs

You are the nurse caring for a client who has taken an entire bottle of Valium. Their RR is 4 breaths per minute. You should prepare which medication to administer STAT to this patient?

Flumanezil

Regular insulin and NPH insulin to a client. What is the sequence of events the nurse should follow?

Follow proper protocol for verifying prescription, med, order, etc. Roll NPH inbetween hands, Inject air into NPH insulin, Inject air into Regular insulin, draw up regular insulin, draw up NPH insulin, verify with second nurse, follow protocol for med administration

IV acyclovir nursing administration

Give in IV over 1hr or longer. Give very slowly. Watch for reactions to med

A nurse knows the difference between Gram + and Gram - how?

Gram + turns a purple color and easier to kill, Gram - turns red gram - is more resistant against antibodies because their cell wall is impenetrable (thicker cell wall)

Alteplase therapy nursing considerations

If patient uses NSAIDS concurrently monitor closely for bleeding, thrombolytic medications should be started as soon as possible after onset of manifestations (within 3 hrs), pt should be closely monitored during and after medication administration, obtain baseline v/s and lab work

You are caring for a post-op patient who just recently returned from a spinal fusion. The doctor has prescribed oxycodone every 4 hours (Q4). You have just administered his first dose. One hour later, you enter his room and notice a bottle of Percocet with tablets scattered on his bedside table. Your patient's HR is 50, RR is 4 and is not conscious. After initiating the rapid response team, you can expect to give which medication?

Naloxone

Providing discharge teaching for a client who has a new prescription for warfarin.

Observe for inclusion of Aspirin in OTC medications, pregnancy D, do not use when breastfeeding, maintain a consistent intake of Vitamin K, CoQ-10 should be avoided taken concurrently (discuss with provider), make sure to follow up, make sure safe house (fall risk)

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

PT and INR: Pt: 11-14 secs, INR: 1.1-3.0

A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 20 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.)

0.1mL

A nurse is preparing to administer lidocaine 100 mg IV bolus. Available is lidocaine 400 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.)

0.3mL

A nurse is preparing to administer 220 mg of an antibiotic IM. Available is 3 g/5 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.)

0.4mL

A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)

0.5mL

A nurse is preparing to titrate morphine 6 mg via IV bolus to a client. The amount available is morphine 8 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

0.75mL

A nurse is preparing to administer diphenhydramine 40 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL should the nurse administer? (Round the answer to the nearest whole tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.8mL

A nurse is preparing to administer heparin 4,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.8mL

A nurse is preparing to administer ampicillin 600 mg via intermittent IV bolus over 30 min. Available is 600 mg ampicillin in 50 mL dextrose 5% in water (D5W). The nurse should set the 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.)

100ml/hr

How does a nurse administer subcutaneous heparin to a client.

2 inches away from umbilicus, in subcutaneous tissue 45-90degree, don't massage area

A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15mg/kg PO every 12 hr. Available is cefuroxime sodium oral solution 125mg/5mL. 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.)View Full Question

3.3

A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 100 lbs. How many mg 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.)

45.5

A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?

follow medication protocol, check patient allergies, monitor patient response, give in muscle: ventrogluteal, use 25 gauge 1 inch needle. Watch for seizures

Platelet count levels. What do you monitor if a patient has a high or a low count?

infection and inflammation for high platelets and cancer and anemia for low

Nursing actions for zidovudine to a patient with active HIV infection.

monitor for bone marrow supression, baseline CBC: to watch for anemia, infection

Transfusion reaction symptoms in a client who is receiving blood products

rash, itching, flushed skin, hives, swelling, rise in temp by 1%, fever, flank pain, low blood pressure, anaphylaxis, hypokalemia, sepsis