RN Pharmacology A Relias

MD orders 1000 mL of NS over 6 hrs. whats the rate?

166.67

The physician orders 0.5 mg/kg of a medications. The medication is supplied in a 10 mg/mL solution. The person you are caring for weighs 40 kg. How many mL of the drug would you administer?f

2 mL

A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg tablets. How many tablets would you administer?

2.5

lasix ordered at 50 mg IV push. On hand is 20 mg/mL. How many mL to give?

2.5

You receive and order to start a Heparin drip at 18 units/kg/hr for a person weighing 75 kg. The heparin comes in a 500 mL bag with 25,000 units. what is the starting rate of the infusion?

27 mL/hr

pt to receive 5 mg/kg of medication. They weigh 80 kg. how much to give?

400 mg

pt with no known risk factors to TB would need further diagnostic testing to rule out TB if the mantoux test showed an induration of what size?

???

shortly after administering an IV med, person complains of itching and feeling flushed. Hives begun to form on chest. What is the best intervention?

Administer PRN IV diphenhydramine and notify MD

pt has new order for dig. What would be assessed immediately before administering?

Apical HR

A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer?

Calcitonin

pt says they frequently take tylenol at home. which statement is correct?

I should pay attention to OTC drug label

Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct?

I should take extra care when standing up or changing positions.

Which statement, if made by the person you are caring for, reflects the need for further education regarding a new prescriptions of warfarin (Coumadin)?

If I get headaches, aspirin is my best options for pain

what medication is a leukotriene receptor antagonist?

Montelukast

Pt has new script for levothyroxine. What statement made by them is correct?

NOT ::: take at the same time everyday.

pt has epidural infusing at 6mL/hr. begining BP was 92/58 and now their BP is 130/70. what would you do FIRST?

NOT :::: ask the person to rate their pain

Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider?

NOT amiloride

Your patient has been diagnosed with chronic CHF and will be taking Lasix 80 mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient?

NOT tofu, red meat, beans

why would NS be the solution of choice when preparing to administer a blood transfusion?

NS is isotonic

what class of med would you expect ordered for a person with acid reflux?

PPI

You receive report from the off-going nurse that the person being cared for just received their fourth dose of IV vancomycin that was administered over 30 minutes. Upon assessment of them, you notice their face and neck are red and they are itching all over. What would you suspect?

Red man syndrome due to a rapid infusion rate.

What is appropriate education to provide to a person who has received a new prescription for a PPI?

You should not take this medicine at the same time as other medicines.

order placed for sublingual medication. Pt has NG. what is the most appropriate action?

administer the med

what statement is correct for determining you have the correct pt before adminstering a drug?

ask them to state their name and DOB and compare it to the MAR and wrist band

A person is noted to have a penicillin allergy. What medication would you question of ordered by a physician?

ceftriaxone

which med is antiplatelet?

clopidogrel

You are caring for a person with a capillary blood glucose of 33 mg/dL and they are unable to tolerate oral intake. Which of the following would you administer?

dextrose 50% IV push

what medication is incompatible with LR

diazepam

new onset dysrhythmia. What medication might be prescribed for this condition?

diltiazem

Patient refuses a dose of IV medication. What is the MOST approriate action?

document the refusal and notify the MD

A person you are caring for has a known GI bleed. What drug is contraindicated?

enoxaparin (Lovenox)

pt being treated for pain s/p ortho procedure. what order would you question?

eplerenone

which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting?

famotidine

order to give digoxin now. HR is 52. what do you do next?

hold dig and call MD

What is the primary cause of Red man syndrome?

increased histamine production

pt is on morphine PCA and is unresponsive. You suspect narcotic OD. what med to give?

narcan

Which of the following would you question if prescribed for a person taking sildenafil (Viagra?

nitroglycerin

pt has central line who is receiving TPN. What is the most important action to prevent CLABSI?

perform correct sterile technique

you are educating your patient for cyclosporine and a new diet with a potassium intake restriction. What food would you tell them to avoid?

raisins

pt was prescribed a corticosteroid inhaler. What would you include when educating them on the medication?

rinse mouth

pt is on a morphine PCA without a basal infusion rate and is afraid of overdosing. what ed do you provide?

small dose is delivered only when you push the trigger button

A physician's written order for the person you are caring for is as follows: Insulin glargine (Lantus), 10 U, subQ QD. What changes would you suggest for safety and to avoid the use of "do not use" abbreviations?

spell out units and daily

What medication is considered a potassium-sparing diuretic?

spironolactione (Aldactone)

pt has been diagnosted with diabetes and has oral meds ordered. What statement indicates understanding of s&s of hypoglycemia?

sweating, shakes, nervouseness

A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them?

wash your mouth out after taking this medication to avoid staining of the teeth

pt has 4 new scripts and wants to know which one will help with migraines.

Rizatriptan

125 mcg is how many mg?

0.125 mg

order for 4 mg of dexamethasone IV push. The med is supplied in 10mg/mL vial. How many mL do you give?

0.4 mL

MD ordered atropine sulfate 0.6 mg IM before surgery. med is supplied in 0.8 mg/mL. How many mL to give?

0.75 mL

antidote for heparin

protamine sulfate