PHARM Practice Set 6

A nurse is assessing an older client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? SELECT ALL THAT APPLY 1. Bounding pulse 2. Pitting edema 3. Swelling at the IV site 4. Urine-specific gravity greater than 1.030 5. Crackles upon auscultation

1. Bounding pulse 2. Pitting edema 5. Crackles upon auscultation

A nurse is preparing to administer potassium chloride (KCl) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take? 1. Give the ordered KCl as prescribed. 2. Omit the KCL dose and document it was not given. 3. Hold the prescribed dose and notify the provider of the serum potassium level. 4. Call the lab to verify the client's results.

1. Give the ordered KCl as prescribed.

a nurse is caring for a client who is prescribed tetracycline 2 grams daily po in four divided doses every 6 hr. available is tetracycline 250 mg capsules. how many capsules should the nurse administer per dose?

2 caps

a nurse is preparing to administer fluoxetine 30 mg PO daily to a client. the amount available is fluoxetine 10 mg/tablet. how many tablets should the nurse administer per dose?

3 tablets

A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. the nurse should set the manual IV infusion to deliver how many drops/min?

31 gtts/min

A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours?

5 hr

a nurse is preparing to administer liquid mycostatin 600,000 units PO TID. Available is mycostatin 100,000 unit/mL. How many mL should the nurse administer per dose?

6 mL

a nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. which of the following actions should the nurse take first? a. clamp the catheter b. position the client in left lateral trendelenburg c. initiate oxygen therapy d. auscultate breath sounds

a. clamp the catheter

a nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. which of the following instructions should the nurse include in the teaching? a. don't take antihistamines with this med b. take the med on an empty stomach c. stop taking the med immediately for a headache d. expect to develop diarrhea initially

a. don't take antihistamines with this med

a nurse is caring for a 2 year-old child who has seizures and is receiving phenytoin in suspension form. which of the following actions should the nurse take before administering each dose? a. shake the container vigorously b. be sure the child has not eaten w/i the hour c. perform mouth care d. check the child's blood pressure

a. shake the container vigorously

A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.) a. Spread the cream over the lateral surface of both forearms. b. Apply to intact skin. c. Apply the medication an hour before the procedure begins. d. Cleanse the skin prior to procedure. e. Use a visual pain rating scale to evaluate effectiveness of the treatment.

b. Apply to intact skin. c. Apply the medication an hour before the procedure begins. d. Cleanse the skin prior to procedure. e. Use a visual pain rating scale to evaluate effectiveness of the treatment.

a nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. which of the following actions should the nurse plan to take? a. administer the med at 100 mg/min b. administer a saline solution after injection c. hold the injection if seizure activity is present d. dilute the medication with dextrose 5% in water

b. administer a saline solution after injection

a nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. which of the following information should the nurse provide? a. phenytoin turns urine blue b. alcohol increases the change of phenytoin toxicity c. avoid flossing the teeth to prevent gum irritation d. take an antacid with the med if indigestion occurs

b. alcohol increases the change of phenytoin toxicity

a nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. which of the following laboratory values is the priority for the nurse to assess? a. amylase b. creatinine c. AST d. ADH

c. AST

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer? a. lisinopril b. digoxin c. furosemide d. potassium iodide

c. furosemide

a nurse i providing teaching to a client who has a new diagnosis of parkinson's disease. on which of the following medications should the nurse prepare to instruct the client? a. piperacillin/tazobactam b. levothyroxine c. levodopa/caridopa d. carbamazepine

c. levodopa/caridopa

a nurse is teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor for a report which of the following adverse effects of this medication? a. metallic taste b. diarrhea c. skin rash d. anxiety

c. skin rash

a nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. the client asks the nurse how he can minimize the daytime sedation he is experiencing. which of the following responses should the nurse give? a. gradually decrease the dose once tolerance to the effect is reached b. distribute the doses evenly throughout the day c. take most of the daily dose at bedtime d. take the medication with meals

c. take most of the daily dose at bedtime

A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication? a. Decrease bulk in the diet to counteract the adverse effect of diarrhea. b. Take the medication with dairy products to increase absorption. c. Reduce sodium intake. d. Drink a glass of water after taking the medication

d. Drink a glass of water after taking the medication

a nurse is preparing to administer phenytoin 50 mg by intermittent IV bolus to a client who has a seizure disorder. which of the following actions should the nurse take? a. slow the injection if the med crystallizes b. dilute the med before injecting c. follow the iv injection with sterile water d. administer the med over 1 min

d. administer the med over 1 min

a nurse is preparing to use the z-track technique to administer a medication to a client. which of the following is an appropriate action during this procedure? a. pull the skin 1.3 cm (1/2 inch) to the side b. insert the needle slowly and gently c. use a 45 degree angle of insertion d. aspirate for 5 to 10 seconds

d. aspirate for 5 to 10 seconds

a nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. which of the following complications should the nurse suspect? a. catheter occlusion b. catheter rupture c. catheter dislodgment d. catheter migration

d. catheter migration

A nurse is teaching medication safety to a group of healthy older adults at a community center. The nurse explains that due to the high frequency of food-drug interactions, the clients should avoid taking their medications with which of the following? a. carbonated beverage b. milk c. OJ d. grapefruit juice

d. grapefruit juice

a nurse is teaching an adolescent about medication therapy with oral acetylcysteine. which of the following information should the nurse include in the teaching? a. you should avoid eating eggs b. your mouth will become dry c. it is necessary to monitor your serum electrolyte levels d. this medication has a very unusual odor

d. this medication has a very unusual odor

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? a. i will notify my doctor before taking any other meds b. i have made an appointment to see my dentist next week c. i know that i cannot switch brands of this medication d. i'll be glad when i can stop taking this med e. i'll be glad the i can stop taking this med

e. i'll be glad the i can stop taking this med