Pharmacology

a client is to receive metoclopramide 15 mg orally before meals. the concentrated solution contains 10 mg/mL. how many milliliters of solution will the nurse administer?

1.5 mL

A client is to receive 0.22 g of zinc sulfate by mouth. each tablet contains 110 mg. how many tablets will the nurse administer? (nearest whole number)

2

Phenytoin suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 mL. How many milliliters will the nurse administer? (nearest whole number)

8 ml

a client with schizophrenia who is receiving an antipsychotic med begins to exhibit a shuffling gait and tremors. the primary health care provider prescribes the anticholinergic med benztropine, 2 mg daily. which sx should the nurse inquire about when assessing the client? a. constipation b. HTN c. increased salivation d. excessive perspiration

a. constipation

which antidepressant medication is a selective monoamine oxidase-B inhibitor? a. selegiline b. phenelzine c. isocarboxazid d. tranylcypromine

a. selegiline

which test would the nurse identify as specific for the dx of MG? a. electromyography b. pyridostigmine test c. edrophonium chloride test d. hx of physical deterioration

c. edrophonium chloride test

which vaccine is used to prevent human papilloma virus infection? a. varivax b. RotaTeq c. gardasil d. hep A vx

c. gardasil

in which category of fluids would the nurse classify an IV soln of 0.45% NaCl? a. isotonic b. isomeric c. hypotonic d. hypertonic

c. hypotonic

a pediatric client with a past hx of chicken pox reports a fever and HA. which med would the nurse avoid giving to the client? a. aspirin b. tetracycline c. nalidixic acid d. chloramphenicol

a. aspirin

a client with a hx of schizophrenia, who responds poorly to meds, is now being treated for acute depression. Which information would the nurse provide inn light of the info elicited from the med list and laboratory results? a. come in for weekly blood tests to monitor for med-induced agranulocytosis b. report incidents of unusual bleeding or easy bruising while taking fluoxetine c. expect to be prescribed only 1 wk's supply of fluoxetine at a time d. consume a high protein diet to offset the risk of anemia while taking clozapine

a. come in for weekly blood tests to monitor for med-induced agranulocytosis

which med is a teratogen that may cause masculinization of a female fetus? a. lithium b. danazol c. nitrofurantoin d. carbamazepine

b. danazol

which med may cause malformations of the male external genitalia? a. etretniate b. dutasteride c. methimazole d. propylthiouracil

b. dutasteride

the nurse understands which vaccine is administered through the intranasal route? a. rotavirus vx b. influenza (live) vx c. varicella virus vx d. HPV

b. influenza (live) vx

Which medication is used to inhibit preterm contractions? a. oxytocin b. nifedipine c. raloxifene d. clomiphene

b. nifedipine

A 2-year old toddler is to have IV abx therapy. Which action will the nurse take to prevent the child from pulling out the IV line? a. keep the arms restrained b. tell the child not to touch the IV site c. cover the IV site with a protective device d. have the parent hold the child continuously

c. cover the IV site with a protective device

which med is indicated for treated OCD? a. imipramine b. lithium salts c. amitriptyline d. clomipramine

d. clomipramine

which statement is true regarding antipsychotic meds? a. all 1st and 2nd gen antipsychotics are equally effective b. 2nd gen antipsychs pose a risk of EPS sx c. 1st gen antipsychs pose a sig risk of metabolic side effects d. clozapine is more effective than other 2nd gen antipsychs

d. clozapine is more effective than other 2nd gen antipsychs

which hormone may cause vaginal carcinoma in a female child after birth? a. estrogen b. progesterone c. androgens d. diethylstilbestrol

d. diethylstilbestrol

the nurse understands which preparations use toxoids but not live viruses? SATA a. rotavirus vx b. varicella virus vx c. mmr vx d. diphtheria, hep B, pertussis, polio, tetanus vx e. diphtheria and tetanus toxoids and acellular pertussis vx

d. diphtheria, hep B, pertussis, polio, tetanus vx e. diphtheria and tetanus toxoids and acellular pertussis vx

which is the most common teratogenic effect associated with thalidomide? a. shortened limbs b. growth delay c. neural tube defects d. cleft lip w/ cleft palate

a. shortened limbs

which med may cause photophobia? a. nifedipine b. alendronate c. clomiphene d. indomethacin

c. clomiphene

the nurse understands which group of ped pop is at higher risk for developing resp complications upon admin of general anesthesia? a. infants b. children c. neonates d. adolescents

c. neonates

which MOA would the nurse identify for levodopa therapy prescribed to a client d/o w/ Parkinson disease? a. blocks the effects of ACh b. increases production of dopamine c. restores the dopamine levels in the brain d. promotes the production of ACh

c. restores the dopamine levels in the brain

which medication may be used to treat postpartum hemorrhage? a. clomiphene b. menotropins c. dinoprostone d. methylergonovine

d. methylergonovine

which med is the 1st choice of med for treatment of ADHD? a. clonidine b. guanfacine c. atomoxetine d. methylphenidate

d. methylphenidate

which action is accurate in explaining how neuroleptic medications act in the body to promote mental health for clients d/o w/ schizophrenia? a. they inhibit enzymes at the postsynaptic receptor site b. they decrease serotonin at the postsynaptic receptor site c. they increase dopamine uptake at the postsynaptic receptor site d. they block access to dopamine receptors at the postsynaptic receptor site

d. they block access to dopamine receptors at the postsynaptic receptor site

by which process would TPN on an outpatient basis help a client with Crohn's disease prepare for surgery? a. decreasing fecal bulk b. preventing bowel infection c. providing stimulation of secretions d. maintaining negative nitrogen balance

a. decreasing fecal bulk

which hypothalamic hormone would the nurse identify as helping treat postpartum uterine atony and hemorrhage? a. oxytocin b. indomethacin c. dinoprostone d. methylergonovine

a. oxytocin

The nurse understands which medication may cause gynecological malignancies in females? a. Oxytocin b. Raloxifene c. Thalidomide d. Diethylstilbestrol

d. Diethylstilbestrol

which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis? a. the client will be protected from getting an infection b. sx r/t colitis will decrease slowly over time c. although the medication causes anorexia, weight loss may not occur d. although the med decreases intestinal inflammation, it will not cure the colitis

d. although the med decreases intestinal inflammation, it will not cure the colitis

which action will the nurse take after stopping the abx infusion of a client who becomes restless and flushed, and begins to wheeze during administration of an abx? a. check the client's temp b. take the client's bp c. obtain the client's pulse oximetry d. assess the client's respiratory status

d. assess the client's respiratory status

which toxic effect would the nurse find in a client who has overdosed on isocarboxazid? a. mydriasis b. bradycardia c. hypothermia d. circulatory collapse

d. circulatory collapse

a client is receiving haloperidol for agitation, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to an extrapyramidal tract effect? a. akathisia b. opisthotonos c. oculogyric crisis d. hypertensive crisis

d. hypertensive crisis

which med is specifically responsible for the action of the med ranitidine? a. inhibiting proton pumps b. promoting release of gastrin c. regenerating the gastric mucosa d. inhibiting the histamine at H2 receptors

d. inhibiting the histamine at H2 receptors

which med may lead to bruxism? a. vilazodone b. isocarboxazid c. clomipramine d. levomilnacipran

d. levomilnacipran

which medication would the nurse identify as being used to manage nonmetastatic gestational trophoblastic disease? a. oxytocin b. mifepristone c. dinoprostone d. methylergonovine

c. dinoprostone

Which condition is contraindicated for St. John's wort herbal therapy? a. anxiety b. seizures c. dementia d. cardiac disease

c. dementia

which teratogenic effect is seen because of lithium? a. stillbirth b. shortened limbs c. ebstein anomaly d. neural tube defects

c. ebstein anomaly

colchicine 1200 mcg orally is prescribed for a client with gout. each tablet contains 0.6 mg. how many tablets will the nurse administer?

2 tablets

atenolol 150 mg by mouth is prescribed for a client with hypertension. each tablet contains 50 mg. how many tablets will the nurse administer? (whole #)

3

which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control? a. antiseizure meds will probably be continued for life b. phenytoin prevents any further occurrence of seizures c. this medication needs to be taken during periods of emotional stress d. your antiseizure meds usually can be stopped after a year's absence of seizures

a. antiseizure meds will probably be continued for life

the nurse understands which medication increases the risk of Reye syndrome in children? a. aspirin b. naloxone c. ibuprofen d. acetaminophen

a. aspirin

which condition contraindicates the use of ginseng herbal therapy? a. pregnancy b. schizophrenia c. bipolar depression d. alzheimer disease

a. pregnancy

the nurse understands which vx may cause intussusception in chlidren? a. rotavirus b. hepatitis c. MMR d. diphtheria, tetanus, pertussis

a. rotavirus

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. Which statement by the client indicates the medication has been effective? a. "i have less pain" b. "i have been sleeping better" c. "my blood glucose is under control" d. "my blood pressure is coming down"

b. "i have been sleeping better"

the nurse is planning to administer a modified bacteria immunization to a preschool child. which agent will be administered? a. a toxoid b. a vaccine c. an allergen d. an antitoxin

b. a vaccine

Which mineral deficiency would a nurse suspect in a client who reports tingling in the fingers and around the mouth and exhibits carpopedal spasm and tremors after a surgical thyroidectomy? a. potassium b. calcium c. magnesium d. sodium

b. calcium

which med is indicated to treat shift-work sleep disorder (SWSD)? a. caffeine b. modafinil c. atomoxetine d. methylphenidate

b. modafinil

After surgery, an adolescent has a PCA pump that is set to allow morphine delivery q 6 min. Which statement indicates to the nurse that the family understood instructions a/b PCA pump? a. I'll make sure that she pushes the PCA button q 6 min b. she needs to push the PCA button whenever she needs pain medication c. I'll have to wake her up on a regular basis so she can push the PCA button d. I'll press the PCA button q 6 min so she gets enough pain medication while she's sleeping

b. she needs to push the PCA button whenever she needs pain medication

which medication is administered to women after delivery to prevent postpartum uterine atony and hemorrhage? a. dinoprostone b. miifepristone c. indomethaciin d. methylergonovine

d. methylergonovine