pharm final
the abbreviation PRN means:
as desired
which of the following abbreviation means twice daily
bid
the lpn caring for a patient with heart failure is preparing to provide multiple meds. which of the following meds will impact the heart contractility?
digoxin (Cardoxin)
the LPN is assisting in the care of a patient newly diagnosed with Addison's disease. the nurse would expect to see new orders for which of the following?
fludrocortisone acetate (Florinef)
lpn working in a primary care facility would anticipate acyclovir (acivir) would most likely be prescribed for which of the following individuals?
-22 year old patient with genital herpes -48 year old patient with shingles
lpn would expect which of the following individuals to take some type of digestant medication?
-34 year old patient with lactose intolerance -5 year old patient with cystic fibrosis -34 year old patient with lactose intolerance
a nurse would most appropriately administer med via the rectal route to which fo the following clients?
-a 40 year old with severe nausea -a 30 year old with severe vomiting who is unable to keep anything down
while participating in the care of a patient who received gentamicin ophthalmic ( Garamycin), the LPN may suspect ototoxicity if the patient reports which of the following symptoms?
-altered balance -hearing loss -ringing in the ears
which of the following interventions would be helpful for a patient taking claritin (Loratadine) who complains of a dry mouth?
-brushing at least twice daily -sugarless gum or candy -frequent mouth rinses with water
patient reports to the emergency room with symptoms that include sore throat, low grade fever, runny nose, nausea, and stomachache. his blood tests show he is positive for influenza virus. the patient is given a prescription for oseltamivir (tamiflu) and sent home. the nurse will instruct the patient regarding which of the following side effects related to the med?
-confusion -rash
lpn begins taking over the counter antihistamine azelastine (asteline) which of the following side effects may be expected?
-dizziness -sedation
which of the following information items would a nurse expect to see on the prescription label?
-drug dosage -number of pills in the bottle -patient's name and address
while providing care for a patient taking dexamethasone (Decadron) the nurse is aware that this med may mask which of the following symptoms?
-fever associated with pneumonia -inflammation related to a soft tissue injury -redness associated with a local skin irritation
lpn is aware that potassium supplementation is an important component of treatment for patients taking which of the following?
-furosemide ( Lasix) -Chlorthalidone (Hydroton) -Bumetanide (Bumex) -Torsemide (Demadex)
while working in a rehab facility, the nurse recognizes ibuprofen (motrin) should be used cautiously or not at all in patients with which of the following conditions?
-gastrointestinal bleeding -renal compromise
while providing various meds to patients in the long term care facility, the nurse might take which course of action to prevent gastrointestinal side effects
-give patients yogurt to prevent diarrhea -increase paitetns' intake of fiber -provide milk or food with some meds to reduce occurrence of nausea
while providing oral meds, which of the following is true regarding the absorption rate of a med?
-meds level of fat solubility should be high to ensure absorption -a med will be more readily absorbed if it is acidic in nature -absorption will be more rapid if it is provided in liquid form -absorption is slower in the presence of food
a clinical trial nurse is helping to register a patient to a phase II double-blind trial comparing a new med to a placebo. which of the following would the nurse include in the patient teaching?
-neither you, the doctor, nor i will know if you are getting the real med or not -a computer will randomly determine which people get the actual study drug -this trial is designed to determine if a benefit is found when using the drug
which of the following measures are taken to keep the patient safe when dealing with medication orders?
-obtain written or typed orders when possible -read back any verbal order to prevent errors -ensure all prescriptions are accurate and legible -educate the patient about new medication
the student nurse has been assigned to assist in the care of a patient with a history of seizures. the student anticipates which of the following meds may be included in the patients profile?
-phenytoin (Dilantin) -ethosuximide (Zarontin) -topiramate (Topamax)
the nurse educator is teaching the student how to apply a transdermal patch. which actions taken by the student would indicate teaching has been effective?
-student nurse removed a patch that was applied yesterday before applying the new patch -the student nurse wrote teh date and time onteh patch before applying it -the student nurse placed the new patch on the client's right shoulder because the last patch was on the left shoulder -the student nurse shaves an area prior to application
student nurse reviewing antibiotic therapy determines that which of the following meds should not be given during pregnancy due to the risk of altered bone growth and staining of the teeth in the fetus?
-tetracycline (sumycine) -doxycycline (adoxa)
the nurse manager on a surgical unit suspects one of the nurses may be dealing with a substance abuse problem. which of the following symptoms would support this suspicion?
-the individual's uniform is frequently wrinkled or disheveled -the individual has called in sick three times in the past month -the individual has made two med errors in the past week -the individual is irritable and withdrawn -the individual has lost an estimated 10 pounds in the past 8 weeks
while discussing the use of botulinum toxin A (Botox) in treatment of chronic muscle spasms, the nurse recognizes the patient understands the treatment by which of the following statements?
-this treatment usually lasts for 3 to 6 months and then needs to be repeated -the doctor will inject the the muscle with botox to paralyze it so the spasms stop -the treatment team will use a local anesthetic since this treatment can cause significant pain
a nurse working with a patient who is experiencing withdrawal from a med would track which of the following symptoms?
-tremors -hallucinations -emotional distress
to prevent complications form intramuscular injection, a nurse should do which of the following?
-wash hands before preparing injections -apply a bandage after giving the injection -document the site of injection -wash hands when entering a client's room
as the nurse is giving an intramuscular injection, she notes blood returning into the syringe with aspiration. which actions should the nurse take?
-withdraw the needle -dispose of the med filled syringe -try again with a new dose and needle
a client who is receiving digoxin (Lanoxin) daily has a serum potassium level of 3.0 mEq/L and is complaining of anorexia. a health care provider orders a digoxin level to rule out digoxin toxicity. a nurse checks the results, knowing that which of the following is the therapeutic serum level for digoxin?
.5 to 2 ng/mL
a student nurse is talking to a respiratory therapist about the various patients receiving nebulizer treatments. which patient is most likely to receive acetylcysteine (Mucomyst)?
19 year old patient with cystic fibrosis
the nurse is preparing to provide an intramuscular injection to a newborn client. which size needle is appropriate for this client?
3/8 inch
student nurse recognizes that citalopram (Celexa) would most likely be taken by which of the following patient?
42 year old patient with a history of depression
the nurse recognizes that which of the following individuals is most likely to be taking calcitonin (Miacalcin)?
44 year old patient with thyroid cancer
while studying for the med exam, the nursing student determines that norepinerphrine (levophed) if given to a patient would be contraindicated for which of the following individuals?
52 year old patient with a bp of 186/94
a nurse working in the orthopedic clinic reviews a list of patient appointments for the day. which of the following patients is most likely to need uric acid level labs to be drawn?
69 year old patient taking zylopirm (allopurinal) for gouty arthritis
lpn working in a long term care facility would use nystatin (Nilstat) for which of the following patients?
75 year old patient who has oral candidiasis
Lpn is caring for a sick child at home who has a bad cough. the nurse would choose an over the counter cough syrup that contained which of the following active ingredients?
dextromethorphan
a nurse is preparing to administer med to a patient who is unable to speak and is not wearing an armband. which of these actions by the nurse is appropriate?
follow the facility's policy on acceptable forms of patient identifiers
an LPN working in a gynecologists office is discussing med use with a patient who takes ferrous sulfate (Feosol). the nurse would assess for which of the following side effects?
gastric irritation
the nurse notes orders for alprazolam (Xanax) .25 mg PO tid. which action by the nurse is best?
give .25 mg alprazolam spaced evenly three times each day
lpn is assisting in the care of a patient who requests a suppository to aid in the passage of constipated stool. which of the following meds ordered on a prn basis would the nurse provide?
glycerine (sorbitol)
the LPN notes that many of the patients in the long term care facility take nisoldipine (Sular). the lpn is aware that in addition to treating hypertension, this med can be used to treat which of the following conditions?
Angina
the nurse caring for an individual takin chlorpropamide (Diabinese) would monitor which of the following lab values to determine treatment effectiveness?
glycosylated hemoglobin
which of the following best describes the role of the DEA in maintaining patient safety?
Indicating which meds are controlled substances and enforcing the laws
a nursing instructor informs a nursing student that the assigned patient has been prescribed a pediculicide medication. the student recognizes the patient has been diagnosed with which of the following?
Lice
the nurse is providing care for patients on the orthopedic unit. which of the following assessment findings would be most concerning to the nurse?
a patient with a fractured pelvis who takes warfarin (Coumadin) and reports having a black tarry stool during the night
while treating a patient who has pinworms with the med pyrantel (antiminth) the nurse is most likely to also provide which of the following additional meds as part of the treatment regimen?
Senna/Docusate (Peri-Colace)
the lpn is reviewing to provide meds and lab values. which of the following patients is most likely to be taking potassium gluconate?
a patient with heart failure taking bumetanide (Bumex)
ultraviolet therapy will be most helpful for which of the following patients?
a 41 year old with psoriasis
the nurse is providing education at a community cholesterol screening event. which of the following individuals will need routine liver function tests as part of their medical follow-up?
a 59 year old patient who takes fenofibric acid (Trilipix)
you are preparing a teaching plan for a patient who is on a treatment regimen that includes laxatives. which adverse reactions are common to bulk forming laxatives and stool softeners?
abdominal cramping and nausea
lpn is visiting her father who has been hospitalized with pneumonia. the lpn recognizes that her father has thick secretions and a frequent cough. which of the following meds might the lpn inquire about to help her father?
acetylcysteine (Mucomyst0
heparin sodium is prescribed for the client. the nurse expects that the HCP will prescribe which of the following to monitor for a therapeutic effect of the medication?
activated partial thromboplastin time (aPTT)
LPN working at the health department provides multiple vaccinations each day. which type of immunity is being transferred to the patients in this process?
active artificial immunity
lpn is discussing weight loss with a coworker who states, ive been taking phentermine (adipex)for a few weeks, and it is really helping with my weight loss. lpn is aware this med has a high potential to result in which of the following?
addiction
the nurse recognizes that a 22g x 1.5 inch needle would be most appropriate for an:
adult intramuscular IM injection
while assisting in the care of a patient receiving a bright yellow iV solution containing thiamine ad other vit B supplements, the LPN concludes the patient is most likely being treated for which of the following?
alcohol withdrawal
the lpn is working with patients in the long term care facility. which of the following individuals is most likely to have frequent vital sign assessment and bp monitoring included in his or her plan of care?
an 84 year old patient who takes quinapril (Accupril)
an lpn working with a patient on long term warfarin (Coumadin) therapy would be most interested in which of the following lab values?
an international normalized ratio (INR)
student nurse is studying the various types of meds that can be used to treat nausea and vomiting. if asked which classification of these meds can also be used to treat motion sickness, the student nurse would select which of the following?
antihistamines
the lpn is counseling a patient newly diagnosed with glaucoma, while discussing the medications that may increase intraocular pressure, the nurse would instruct the patient to use caution when taking which of the following?
antihistamines
family members at a reunion on the beach return from a long walk with sunburn on their shoulders and feet. which of the following recommendations will the nurse make?
apply cold cloths to the sunburn for 20 mins, then apply aloe vera ointment
the nurse is caring for a patietnt with extensive third degree burns scattered across the left leg and hip. orders for chemical debridement using collagenase (Santyl) are noted. the nurse will take which of the following actions?
apply the collagenase to the blackened, dead tissue within the burned area
a nurse is working for a family practice physician sees a 48 year old patient who reports severe itching of his hands and underarms. exam reveals redness and irritation in the webbing of both hands and axillae.t eh physician orders permethrin (Elimite) cream, a scabicide. the nurse recognizes that teaching has been effective by which of the following statements?
applying this cream between my fingers and arm pits will kill the mites and eggs
the lpn is taking a med history from a patient wit chronic obstructive pulmonary disease (COPD) who reports taking tiotropium (Spirival). the nurse is aware the patient takes this med in what type of formulation?
as an inhaled powder
lpn is caring for a patient who has orders for ketorolac (toradol). the nurse notes the patient has allergies to ibuprofen (nuprin/advil/motrin) and diphenhydramine (benadryl). which of the following actions by the nurse is best?
as the rn to contact the physician for alternative orders for pain control
while reviewing the meds taken by a patient being admitted to a long term care facility, the nurse notes the patient take fluvastatin (Lescol) daily. the nurse should schedule this med:
at bedtime
lpn is assisting a patient prepare for an eye exam. which of the following eye drops will be used to help allow visualization of the retina?
atropine (Atropine Ophthalmic)
the nurse is preparing to administer insulin that was drawn up in the med room. the nurse uses a one-handed scoop method to :
avoid a needle stick
lpn working at a pediatrician's office is talking to the mother of a 6 year old patient who takes imipramine (tofranil) the nurse would include which of the following statements in the patient teaching?
avoid letting your child drink anything containing caffeine in the evening since it can irritate the bladder and increase bedwetting
lpn overhears an individual in the drug store mention im taking something called a z-pack for my sinus infection. the lpn is aware that the med the individual take is
azithromycin
lpn is talking to a family member who was recently given propanolamine/propanolamine (rhindecon) to aid in the treratment of a severe sinus infection. which statement by the nurse is best
be aware that rebound nasal congestion occurs if you take that for more than a few days
while counseling the mother of an 18 month old child diagnosed with a viral infection, the nurse should include which of the following statements in the patients teaching?
be sure not to give the baby anything with aspirin in it
a patient with diabetes mellitus has an order for sliding scale insulin glulisin (Apidra) 2 to 10 units ac based on blood glucose monitoring results. the nurse will need to check the patient's blood sugar:
before each meal
a nurse's teenage daughter tearfully states, i keep getting pimples on my face even though i wash it every day and im not eating any chips or cookies. what can i do? while considering over the counter treatment options, what common ingredient will the nurse most likely find in topical creams and lotions?
benzoyl peroxide
the lpn would instruct a patient using of the following meds that the med may change the color of the eyes?
bimatoprost (Lumigan)
the nurse is caring for a 10 year old child with profound cerebral palsy who takes muscle relaxants and antispasmodics and has continued neck muscle rigidity, which increasingly interferes with his ability to turn his head. which of the following meds is most likely to be added to the child's treatment plan?
botulinum toxin A (botox)
a nurse receives a med order from a provider. the order is illegible. which of these actions by the nurse is the most appropriate?
call the provider to clarify the order
after reviewing a new prescription for theophylline (Slo-Bid) the nurse would ensure the patient understood which of the following?
careful monitoring with blood tests will be necessary
an LPN who works as a travel nurse is preparing to provide a patient with both regular and long acting insulin. which of the following steps should the nurse take?
check the institutional policy regarding mixing of insulin
the nurse is caring for a client who crushes meds and administers them via a gastrostomy tube. which med could safely be included in the client's plan of care?
chewable antacids
while working in a long term care facility the lpn notes an elderly woman is experiencing symptoms of an upper respiratory infection. the lpn reports these findings to the rn and anticipates the rn will seek orders for which of the following meds?
clarithromycin (Biaxin)
lpn is providing care for a patient who reports an allergy to acetaminophen (Tylenol) and penicllin. the patient has orders for morphine 1 mg IM every 2 hours prn for severe pain, and percocet, two tablets every 4 hours prn for moderate pain. the patient reports pain of 4 on a 10 point scale. which of the following actions should the nurse take first?
contact the RN so orders can be clarified
the nurse is assisting in the care of a patient who smokes two packs of cigarettes per day. the patient has been prescribed a 14 mg nicotine patch (NicoDerm). the patient expresses a desire to smoke. which action by the nurse is best?
contact the physician to request an order nicorette gum as needed
the purpose of the controlled substance act of 1970 was to:
control the manufacture, import, distribution, possession, and use of substance with a potential for abuse and addiction
LPN is assisting in care of a patient taking gentamicin (Cidomycin). the nurse would be concerned by which of the following lab values for this patient?
creatinine =1.8 mg/dL
the lpn is assisting in the admission process for a patient with a history of asthma. in addition to a rescue inhaler, the lpn would expect the patient may take which of the following meds?
cromolyn sodium (intal)
lpn is assisting in care of a patient wiht rheumatoid arthritis who takes celecoxib (celebrex). the patient is on a pureed diet, and the previous nurse on duty reported that the patient had some difficulty with oral pills. which of the following actions by the nurse is best?
crush the med and sprinkle it on applesause
while assisting in the care of a patient with pernicious anemia the LPN would anticipate which of the following meds?
cyanocobalamin (Vit B12) injection monthly
you are teaching a patient about the side effects of diuretics. which health problem is a potential side effect or adverse reaction of any class of diuretic drug?
dehydration
while assisting with the care of a patient with a history of alcohol abuse, the lpn determines the patient's withdrawal symptoms are worsening. which of the following actions should the nurse take next?
determine if the patient has an order for prn diazepam (Valium)
while talking to a cousin who has a history of lupus and takes azathioprine (imuran), lpn learns her cousin has recently been diagnosed with hypertension. the nurse is aware that which of the following meds may interact with the azathioprine (imuran)?
diltiazem (cardizem)
when preparing to administer med through a feeding route, the nurse takes which appropriate action?
dissolves and administers each med separately
which of the following actions should the nurse take if a patient is unable to take an ordered medication?
document that the mediation was help on the MAR and patient's medical record, and notify the provider
you are caring for a patient who is experiencing chronic constipation. which drug would lower the surface tension in the gastrointestinal tract and facilitate the softening of the fecal mass by intestinal fluids?
docusate (colace)
while supporting patients with chronic pain concerns related musculoskeletal disease states, which of the following meds may be used as adjunct therapy?
duloxetine (cymbalta)
an lpn is approached by a friend whose mother was recently diagnosed with alzheimers disease. the friend states, the doctor wants to put her on donepezil (Aricept) right away, but right now she's just occasionally forgetful. we had no idea she had alzheimers and i worry about side effect. which of the following is the best response by the nurse?
early diagnosis and treatment seems to be giving the best results for long term function
while providing care for a patient taking diltiazem (Dilacor) the nurse would monitor for which of the following side effects?
edema
a new lpn is assisting in the admission of a patient in a rehab facility who is being transferred from the hospital after a left hip replacement. the nurse would expect the patient to be taking which of the following meds?
enoxaparin (lovenox)
the nurse is preparing to apply valacycloivr (Valtrex) ointment the shingles lesions located across a patient's left side and lower back. which of the following actions should the nurse take first?
ensure that the skin is clean and dry
the LPN prepares to provide a patient with scheduled Lispro insulin. which action should the nurse take first?
ensure the patient has something to eat within 15 mins of insulin provision
lpn is working with an elderly patient who reports difficulty sleeping. when reviewing the patients record. the nurse notes numerous prn meds. which of the following would the nurse suggest at this time?
eszopiclone (lunesta)
the nurse is caring for a patient who has had a surgical procedure. the physician prescribes ibuprofen (Motrin) 800 mg orally every 8 hours. which of the following actions is most important regarding the ibuprofen order?
evaluate the patient's most recent renal panel lab tests
the lpn working in a long term care facility realizes that one of the patients was taken on an outing without receiving his daily dose of neostigmine (Prostigmin). the nurse provides the patients medication on his return at 4 pm. but would communicate which of the following to the aide caring for the patient?
expect he will be weaker and may need help with eating this evening
in talking to a neighbor who is understanding chemotherapy for breast cancer, the nurse learns the woman's most recent chemotherapy treatment was not given because her white blood cell count was too low. the nurse would expect the woman to also be receiving which of the following meds?
filgrastim (Neupogen)
lpn is talking to a neighbor who recently moved to the area and says my allergies are just crazy here. theyve never been this bad before. the doctor actually gave me this nasal spray to help try and breathe through my nose again. the nurse suspects the physician prescribed
fluticasone (flovent)
while working with a patient who is taking selegiline (Eldepryl) the lpn recognizes the patient understands the required dietary restrictions if the patient selects which of the following lunches?
hamburger with an onion bun, coleslaw, and a glass of milk
the lpn receives an early morning phone call from a patient with heart failure. the patient typically takes digoxin (Digitek), quinapril (Accupril), and valsartan (Diovan). the patient reports flu-like symptoms and states, i havent been able to keep much down for about 2 days. which response by the nurse is best
have you noiticed any greenish halos around lights
lpn is talking to a neighbor who spent multiple days in the hospital on intravenous antibioitcs, including erythromycin, the week before. the individual states, ive had such bad diarrhea all night and it really isnt any better today. which of the following responses by the nurse is best?
have you noticed any blood or pus in the stool?
the nurse is preparing to give a patient the first dose of newly prescribed celecoxib (Celebrex) and notes the patient has an allergy to morphine an sulfa antibiotics. which of the following actions should the nurse take next?
held the med since it is contraindicated for the patient with allergy to sulfa antibiotics
a patient is taking digoxin .125 mg every morning with breakfast for atrial fib. the lpn checks the apical pulse and determines the rate to be 58 beats/min. which of the following actions is appropriate by the LPN?
hold the drug and notify the HCP
an lpn working in an outpatient clinic is counseling a patient with cerumen buildup. which of the following over the counter products would be appropriate to assist with this concern?
hydrogen peroxide
nurse is counseling a patient who will begin taking diazepam (valium). which of the following statements indicates further teaching is requried?
i can drink alcohol as often as i choose
while talking to a patient at the weight loss center who is taking pnentermine (zantryl) the lpn would be most concerned by which the following statements?
i just started taking this along with my other diet meds, and i really hope it can help
lpn working in a rehab center is assisting in the care of a patient with a hip replacement who frequently has issues with incontinence. the patient is started on oxybutynin (ditropan) which of the following statements indicates further teaching is necessary?
i know this med might make my urine turn bright orange
the nurse is providing instructions for a patient who will begin taking docosanol 10% (Abreva) for HSV 1 infection. which of the following indicates that further teaching is necessary?
i should apply this med once daily
a patient with newly diagnosed type 2 diabetes has been instructed on self administration of insulin. which of the following statements indicates patient teaching has been effective?
i should check my blood sugar at least three times a day and keep a record of results
nurse is caring for a patient who is receiving a loop diuretic for the treatment of heart failure. which statement indicates that the patient has an accurate understanding of nutritional requirements associated with loop diuretics?
i should increase the amount of potassium in my diet by eating foods like bananas
lpn working at a family practice office receives a call from the parent of a 4 year old patient who states i think shes swallowed my fathers pills. what response by the nurse is best?
i suggest you call poison control
nurse prepares to provide scopolamine (scopace). which of the following instructions should the nurse provide?
i will place this patch behind your ear, and the medication will be absorbed through your skin
a nurse reinforces discharge instructions to a post operative client who is taking warfarin sodium (Coumadin). which statement, if made by the client reflectis the need for further teaching?
i will take enteric coated aspirin for my headaches because it is coated
the LPN receives a phone call from a relative who reports her mother has been rushed to the emergency department and is being treated for shock. the LPN knows the medical team will work to accomplish which of the following goals first?
id the cause of the shock
a nurse is preparing meds for a patient. the nurse is unfamiliar with one of the meds the patient is to receive. the best action for the nurse to take is to:
look u the med in an approved drug book or electronic database, and then call the provider if there appear to be any errors
the nurse provides a patient who was admitted with gastrooesophageal reflux a dose of intravaneous pantoprazole (Protonix). fifteen minutes later, the patient calls for help and is gasping for breath. emergency measures are instituted, and the patient is tranferred to the intensive care unit. which action should be included in the nurse's follow-up activitites?
identify the episode as an adverse reaction and ensure it is reported to the FDA
when preparing to provide morning meds, the LPN would give levothyroxine (Synthroid) ordered daily in which of the following ways?
in the morning before breakfast an without any other med
a patient newly prescribed hydrochlorothiazide (Esidrix) daily should be instructed to take this med at what time?
in the morning with or without food
an lpn working in an ophthalmologists office is working with a patient diagnosed with uveitis who has been given a prescription for dexamethasone (AK-Dex) the nurse is aware this med will assist with which of the following concerns?
inflammation
an injection made into the skin layer is called an
intradermal injection
while counseling a patient who takes bisacodyl (peri-colace) the nurse determines further teaching is required by which of the following statements?
it bulks up my stool and absorbs water, so i ahve to really increase my fluid intake
lpn answers the phone call of a patient who has been taking prednisolone (Prelone) for the treatment of an acute flare of systemic lupus erythematosus. the patient says the doctor said something about stopping this med but i cant remember what she said. which response by the nurse is best?
it is important to taper steroid meds slowly. what does the label say?
lpn is talking to a patient who experiences water diarrhea frequently with menstruation. which of the following is an over the counter med that would be useful for short term use in this scenario?
loperamide (imodium)
while helping to clean a patient with pneumonia who is incontinent, nurse notes the patient groin folds are red, inflamed and excoriated, and whitish discharge is noted from the vagina. which of the following meds would the nurse anticipate being ordered?
monistat cream
while working with a 35 year old woman who started taking methimazole (Tapazole), the nurse would expect to find which of the following interventions in the plan of care?
monitor for signs and symptoms of hyperthyroidism or hypothyroidism
when asked by a patient taking ibuprofen (motrin) 800mg postoperatively after a robotic hyperectomy why the physician ordered this med the best response by the nurse is:
motrin will help reduce both pain and inflammation after surgery
while reviewing meds for a patient with multiple sclerosis, the student recognizes that baclofen (Lioresal) is given for which of the following symptoms?
muscle spasticity
nurse is providing a follow-up phone call to a patient who recently started taking fexofenadine (allegra). which of the following statements by the patient would indicate the med has been effective?
my nose isnt running and itchy all the time now
while visiting a friend in the intensive care unit who experienced an acute myocardial infarction, the LPN notes there is an IV infusing with norepinephrine (Levophed). the LPN is aware that long term use of this med can cause which of the following?
necrosis and fingers and toes
the nurse is reviewing meds taken hoe by a patient diagnosed with myasthenia gravis a year ago. which of the following meds would the nurse anticipate the patient takes?
neostigmine (Prostigmin)
lpn working in a long term care facility notes that a 92 year old woman has last 3 pounds in the past week. which of the following would the nurse request be added to the treatment plan?
nutritional supplementation with boost with meals and at bedtime
lpn is helping to prepare a teaching plan for a patient who is beginning treatment wit an antacid. the lpn verifies that the patient understands that it is most appropriate to take the antacid at which time?
one hour after each meal and a bedtime
the nurse receives orders to begin spirinolactone (Aldactone) daily with the first dose to start today. which of the following assessments is the highest priority within the first 2 to 4 hrs after provision?
orthostatic hypotension
the nurse is providing care for a patient with a history of mitral valve replacement. the patient is taking ticlopidine (Ticlid). the nurse recognizes the med is effective by which of the following pateint outcomes?
patient has no symptoms of a clot formation
lpn is caring for a patient at the long term care facility who has a history of heart failure and routinely takes furosemide (lasix). the nurse will be most concerned by which of the following assessment findings?
patients apical pulse is irregular
lpn is providing care for a patient in the long term care facility who reports pain with urination and a frequent need to void. the nurse anticipates which of the following meds would be added to the patient's treatment regimen?
phenazopyridine (Pyridium)
under the supervision of a RN, an LPN is providing patients with instructions for administering eye drops to their young child, who has been diagnosed with pink eye. the nurse correctly tells the parent:
place the drop in the middle part of the space created when you pull down the lower lid
the lpn is assisting in the care of a patient newly prescribed warfarin (Coumadin). the nurse recognizes that teaching is effective if the patient chooses which of the following meals?
pork chop, baked potato with butter, cooked carrots, and a sliced apple
which of the following lab test must be carfully monitored in a patient taking a loop diuretic?
potassium level
a client with diabetes mellitus visits the health care clinic. the client's diabetes previously had been controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. which med, if added to the client's regimen, may have contributed to teh hyperglycemia?
prednisone
the LPN is providing care for a patient in a rehab facility with angina pectoris with a prn order for sublingual nitroglycerin (Nitrostat) up to 3 times in 30 minutes. the patient reports chest pain and her BP=155/72. five minutes after administering the Nitrostat, the patient's blood pressure is 124/60, and chest pain is not relieved. what action should the nurse take next?
provide a second dose of nitroglycerin (Nitrostat)
lpn is caring for a patient who reports taking ipratropium (atrovent) and budesonide (Pulmicort) inhalers. which action by the nurse is best?
provide the ipratropium first, and then the budesonide
LPN is called into the room of a patient with known cardiac disease 7:30 am. the patient reports heavy pressure and chest pain. which action by the nurse is best?
provide the patient nitroglycerin sublingual scheduled prn
lpn is taking a dose of multisymptom cold med and is aware that which of the following active ingredients will help reduce nasal congestion?
pseudoephedrine
lpn working in a phsycisans office receives a call from a patient who was prescribed a transdermal scopolamine patch for use during a long trip. the patient reports we got home yesterday and i took the patch off, but now im feeling a little dizzy and nauseated. which of the following actions should the nurse take?
reassure the patient that side effects will subside in about a day
the student nurse is preparing the proved 25 mg meperidine (Demerol) IM for pain. the Pyxis is loaded with prefilled 50 mg meperidine syringes. the supervising nurse appropriately intervenes if the student nurse:
recaps the needle after the injection
how do histamine (h2) receptor antagonists help prevent or heal gastric ulcers?
reducing the stimulation of cells that procedure acid in the stomach
a co-worker tearfully confides that she is struggling with a growing dependence on sleeping medication and other drugs to maintain her work schedule on the night shift. which action by the nurse is best?
refer the co-worker to the employee assistance program
a home health nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. the client asks the nurse how to store the unopened vials of insulin. the nurse tells the client to:
refrigerate the insulin
the lpn performs a routine finger stick to check glucose and obtains a reading of 279 /dL. the lPN would anticipate standing orders to provide sliding scale coverage with which of the following types of insulin?
regular
the lpn is preparing to give intermediate acting insulin and notices that the vial is cloudy and dated with an open date of 1 week ago. which action should the nurse take?
roll the bottle between the fingers prior to drawing up the dose
lpn is working with a patient who has ulcerative colitis and is taking bismuth subsalicylate (pepto-bismol). the nurse would caution the patient about taking other over the counter products that contain which of the following?
salicylate (aspirin)
while shopping for an over the counter cough suppressant, the nurse ids the med will be calssified as a:
schedule V med
nurse prepares to admit a 71 year old adult patient with a long standing history of rheumatoid arthritis who has been taking ibuprofen (motrin) 600 mg tid for many years. the nurse would be most concerned if the patient reported which of the following symptoms?
sharp, stabbing pain in the midepigastric region
lpn is preparing for a gastroscopy procedure. in addition to remaining npo, the nurse is aware that which of the following may be given preprocedure to help relieve gas formation?
simethicone (flatulex)
which of these diuretics is potassium sparing?
spironolactone
prewritten standardized instructions for patients whose medical care is similar are called:
standing orders
which of the following is the correct way to abbreviate subcutaneous?
subcut
patient is taking a nonsteroidal anti-inflammatory (NSAID) drug regularly for arthritic pain. which drug can help protect the patients gastrointestinal mucosa from the effects of an NSAID drug?
sucralfate
a nurse correctly recognizes that a liquid med with undissolved particles is an
suspension and should be shaken before use
the nurse is preparing to pass morning medications, including newly prescribed bisoprolol (Zebeta), for a patient with a history of myocardial infarction. which action should the nurse take first?
take the patient's pulse and bp
an LPN is working in a family practice office talks to a patient who recently received sodium iodine 131 for the treatment of hyperthyroidism. which of the following assessments by the nurse is best?
take the patients vital signs and note any tachycardia
lpn is preparing to go on a mission trip overseas to an area where malaria is prevalent. which action by the nurse is best?
talk to her physician about taking atovaquone/proguanil (Malarone)
an lpn is assisting a physician with the removal of a foreign object from the eye of a 29 year old individual. the lpn anticipates the physician will use which of the following meds?
tetracaine (Altacaine)
the nurse is working with a patient who was recently started on insulin therapy. the patient's young daughter asks, why do you have to give her a shot? why cant you just give her a pill? which of the following responses by the nurse is best?
the acid in your mother's stomach would destroy this med, so it cant be swallowed
a nurse is preparing to administer a elixir to the client. under which circumstance should the nurse withhold the medication and notify the prescribing health car provider?
the client has a history of alcoholism
while working with a patient who has extensive third degree burns, the nurse applies becaplermin (Regranex) gel to the patients wound bed. the patient asks, what will that do? which of the following responses is best?
the gel helps new tissues grow within the wound bed and increase healing
while visiting a friend who has recently been diagnosed with a brain tumor, the lpn notes the patient is receiving iv mannitol (osmitrol). which of the following will the nurse conclude based on the provision of this med?
the med is being given to decrease swelling in the brain caused by the tumor
upon admission an 85 year old patient reports taking alendronate sodium (Fosamax) once weekly but states, i cant remember why i take that one i just know i take i take it on monday. the best response by the nurse would be
the medication helps strengthen your bones and prevent fractures
the nurse is providing care to a client with colorectal cancer who typically takes sustained release morphine (MS contin), furosemide (Lasix), and metoprolol (Lopressor). the client's wife reports that because the client has bad mouth sores and has a hard time swallowing pill, she has crushed the pills and given him his meds in ice cream. which statement by the nurse reflects the nursing priority?
the morphine tablets shouldn't be crushed because that releases all of the med at once
which of these should the nurse check when retrieving a med from its storage bin?
the name of the med
a provider is attempting to give a verbal med order to a nurse in the hallway outside the patient's room. which of these actions by the nurse is the most appropriate?
the nurse acknowledges the order, but asks the provider to make sure to write the order in teh patient's medical record before leaving
a nurse receives an order to perform a task that appears to be outside the scope of nursing practice. which of these organizations should the nurse consult for more information?
the nurse's state board of nursing
nurse is assisting in the care of a 35 year old man who is diagnosed with depression. the patient is interested in starting treatment with selegiline (Eldepryl). which of the following factors would be of the most concern to the health care team?
the patient has a history of heart disease
a nurse working in an outpatient psychiatric clinic assists with the care of a 24 year old patient with schizophrenia who started taking chlorpromzine (Thorazine) 3 days ago. which of the following should be reported to the physician immediately?
the patient is blinking rapidly and making odd facial movements involuntarily
the lpn is caring for a patient 1 day after a total hip replacement . the patient has orders for a dilaudid PCA machine and has reported his pain is well controlled. the nurse would be most concerned by which of the following current findings?
the patient is difficult to arouse with a respiratory rate of 10.
the lpn is working with a patient whose med list includes lithium. the lpn would be most concerned by which of the folloiwng?
the patient reports blurry vision and sensitivity to lightcon
which of the following would cause the nurse to intervene for a patient taking pantoprazole ( protonix)?
the patient reports having just taken a tums for heartburn
lpn is instructing a patient how to take the prescribed theophylline (TheoCap) which of the following actions by the patient ensure the patient understood the instructions?
the patient takes the med daily on an empty stomach with a glass of water
an LPN provides a dose of nitroglycerin (Nitroquick) spray. which of the following would the nurse expect?
the patient's BP will be decreased
patient with newly diagnosed hypertension is prescribed a thiazide diuretic. patient asks how thiazide diuretic drugs reduce high blood pressure. what is your best response?
thiazide diuretics reduce blood volume and relax vascular smooth muscle in the arterioles reducing blood pressure
the nurse prepares to provide guaifenesin (Mucinex) as ordered the patient asks what is this for? which of the following responses by the nurse is best
this helps thin the mucus so it is easier for you to cough upvarenclien
the lpn provides a patient with daily Lente insulin at bedtime. the patient states ive never really understood why i take insulin at night when i eat during the day. which response by the nurse is best?
this is a long acting insulin that lasts 18 to 24 hours for sustained control of your sugar
the lpn is providing med to a patient recently diagnosed with atrial fib who has been prescribed quinidine (Cardioquin) 300 mg every 6 hrs. which of the following statements would the nurse include in the patient teaching?
this med alters sodium exchange in the heart muscle to block irregular rhythms
lpn is counseling a patient who is taking bupropion (wellbutrin) which of the following statements is most important to include in the teaching?
this med can cause people to think about killing themselves, so it is imperative that you notify the doctor if you have any thoughts like that
lpn is preparing to provide brimonidine tartrate (Alphagen P) eye drops to a patient with glaucoma. which of the followng instructions would the LPN include in the patient teaching?
this med dilates blood vessels in your eye and decreases pressure within the eyeball
lpn is talking to a patient newly prescribed nedocromil (Tilade) who asks why do i have to take this med? why cant i just take my inhaler when i have an asthma attack? which of the following responses by the nurse is best?
this med helps decrease your bodys reaction to things that set off an asthma attack
the LPN is assisting in the care of a patient who is recovering from a myocardial infarction and was newly started on clopidogrel (Plavix). the nurse would include which of the following statements in the patient teaching?
this med helps prevent platelets from sticking together and forming clots
a student nurse is preparing to pass meds on the rehab unit. which statement would be included in the patient teaching for an individual taking metaxalone (Skelaxin)?
this med helps reduce the spasticity in your muscles
an lpn is preparing to provide eye drops for an elderly patient in a long term care facility. the patient is ordered restasis. which of the following statements should the nurse include in the teaching?
this med helps relieve the chronic dryness in your eyes
lPN providing multiple med for a patient with numerous comorbid conditions would include which of the following statements while educating the patient about colchicine (Colcrys)?
this med helps the pain you have due to gout
the lpn is assisting a patient newly diagnosed with influenza who has been given a prescription for oseltamivir (tamiflu). the nurse recognizes the patient is aware of potential side effect by which of the following statements?
this med my cause nervousness or difficulty sleeping
how many times should the nurse check a med before administering it to a patient?
three
the following order is written for a 28 year old patient with asthma: triamcinolone acetonide (nasacort) 2 sprays each nostril bid. the nurse will instruct the patient to take this med:
twice daily with 2 sprays in each nostril
a nurse is preparing to give meds to a patient. how many patient identifiers must be used prior to administering the meds?
two
lpn is assisting in the care of patient recently diagnosed with cholecystitis. surgeons have determined the patient is not able to face surgery at the time. lpn anticipates the patient will be given which of the following meds?
ursodiol (actigall)
sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. a nurse reviews the clients medical record and would question the prescription if which of the following is noted in the client's history?
use of nitroglycerin
which of the following is considered an essential step for the nurse to follow while withdrawing med from an ampule?
using a filtered needle to withdraw med
the lpn attempting to stop smoking and has tried to quit cold turkey multiple times. this time he is willing to seek help and wants to use a med that will make his desire to smoke fade away, which of the following meds will the physician most likely prescribe?
varenicline (Chantix)
a client with severe acne is seen in the clinic and the HCP prescribes isotretinoin. the nurse reviews the clients med record and would contract the HCP if the client is taking which med?
vit A
while providing a calcium supplement to a patient with osteopenia, the nurse would also counsel the patient to ensure sufficient intake of which additonal supplement?
vit D
nurse is caring for a patient with shingles lesions across the back and flank. the patient's daughter asks, i see the doctor started a new med called pregabalin (Lyrica) but i thought that was for seizures. why is my dad taking that med? which of the following responses by the nurse is best?
we often use that medication to help with neuropathic pain conditions like shingles
the nurse is provinding care for a 32 year old suspected bowel obstruction who is receiving intramuscular injections of narcotic pain med. the client states, i hate shots. why cant i just take a pill? the nurse could best respond with:
we want to avoid giving the med that your have to digest
patient has been prescribed furosemide (lasix) for the treatment of heart failure. which statement made by the patient indicates the need for more teaching?
when i travel long distances i will plan to skin my diuretic that day
a nurse working in the emergency department is assisting in the care of a patient who came in with symptoms of a cerebral vascular accident (CVA). as the team considers the use of tissue plasminogen activator (tPA), the nurse recognizes the most important assessment would be:
when the symptoms of stroke begin
while working to assist with the admission of a patient to a rehab center, the LPN notes the patient takes the following meds: flunisolide (Nasalide) Nasal spray daily, lamotrigin (Lamictal) extended release by mouth once daily and betaxolol (Btoptic S) eye drops twice daily. based on this information which of the following questions should the nurse ask first?
when were you diagnosed with glaucoma?
while working in a primary care physician's office, the lPN is collecting history data for a patient who takes sargramostim (Leukine). the nurse would be most interested in which of the following lab results for this patient?
white blood cell count
while caring for a patient inthe pediatric clinic the nurse notes the physician has prescribed otic benzocaine (americaine otic) for a child. the LPN instructions tot he childs parents will be based on an understanding that this med:
will help numb the inner ear and relieve pain
patient has been prescribed phenazophyridine as part of treatment for a urinary tract infection. which manifestation warrants the nurse's immediate intervention?
yellow sclera
a patient with a compressed disc in the lumbar region takes vicodin every 6 hours for pain control. the patient tells the nurse, this pain med just doesnt seem to be working anymore. which response by the nurse is best?
you may be developing a tolerance to the med
while talking to a neighbor who is planning a cruise, the lpn is told my husband really wants to go on this trip but im a little worried about this because i get so motion sick when im in the car for long periods or have to fly. which response by the nurse is best?
you may want to ask your doctor to prescribe some dimenhydrinate (Dramamine)
lpn discusses the use of calcium carbonate (tums) antacids with a patient who suffers from chronic heartburn. lpn would include which of the following instructions in the patient teaching?
you should drink a glass of water or milk after chewing the tablets
the lpn is assisting with the care of a 38 year old woman newly prescribed levothyroxine (Levothroid). the nurse should include which of the following statements in the patient teaching?
you should take this med at roughly the same time each day
