Pharmacology
Theophylline (Theo-Dur) tablets are prescribed for a client with chronic airflow limitation, and the nurse instructs the client about the medication. Which statement by the client indicates a need for further teaching? "I will take the medication on an empty stomach." "I will take the medication with food." "I will continue to take the medication even if I am feeling better." "Periodic blood levels will need to be obtained."
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An infant weighing 8 lb is about to receive a blood transfusion of 15 mL/kg of packed red blood cells over 4 hours. What hourly flow rate should the nurse set the infusion pump to deliver? 8 mL/hr 10.6 mL/hr 13.5 mL/hr 15.2 mL/hr
13.5 mL/hr
You need to infuse 1500 mL of D5W over 10 hours. What's the flow rate? 50 mL/hr 100 mL/hr 150 mL/hr 250 mL/hr
150 mL/hr
An infant weighing 2.3 kg is ordered to receive Gentamycin 2.5 mg/kg/dose IV every 12 hours. The pharmacy stocks Gentamycin in a solution of 2 mg/mL. How many milliliters of the solution should the nurse administer for each dose? 3.2 mL 2.6 mL 1.9 mL 2.9 mL
2.9 mL
Your patient needs an infusion of D5W at 75 mL/hr. If the tubing set is calibrated at 20 gtt/min, what's the drip rate? 20 gtt/min 25 gtt/min 50 gtt/min 75 gtt/min
25 gtt/min
If the doctor orders 20 Gm of Magnesium Sulfate in 1000 mL D5W to be infused at 5 Gm/hr, the flow rate in mL/hr is: 2 mL/hr 25 mL/hr 250 mL/hr 300 mL/hr
250 mL/hr
For which of the following clients with peptic ulcer disease is misoprostol (Cytotec) contraindicated? 27 year old pregnant woman 75 year old client with osteoarthritis 37 year old client with a kidney stone 46 year old client with a urinary tract infection
27 year old pregnant woman
The nurse is to administer Rocephin 2 Gm in 500 mL over 10 hours. What hourly flow rate should the nurse set the infusion pump to deliver? 50 mL/hr 65 mL/hr 35 mL/hr 15 mL/hr
50 mL/hr
A client who takes numerous medications is being prepared for surgery. The nurse reviewing the client medication list is most concerned about which medication that increases surgical risk? An antidysrhythmic A sedative-hypnotic A corticosteroid An oral hypoglycemic
A corticosteroid
The nurse should question the rationale for which of the following interventions? Infusion of high volumes of normal saline to restore fluid volume Administration of insulin to treat acute hypokalemia Administration of glucose to treat hypoglycemia. Administration of hydrocortisone to meet cortisol deficits.
Administration of insulin to treat acute hypokalemia
A client is experiencing difficulty breathing, periorbital swelling, flushing, and itching. He had a diagnostic test in which an iodine-based dye was used about an hour earlier. What medication will the nurse anticipate administering immediately? Bronchodilator (Theophyllin [aminophyllin]) Corticosteroid (Decadron [dexamethasone]) Antihistamine (Benadryl [diphenhydramine]) Adrenergic agonist (Adrenalin [epinephrine])
Adrenergic agonist (Adrenalin [epinephrine])
Which of the following reversal agents should the nurse have available in the event of a streptokinase overdose? Protamine sulfate Phytonadione (vitamin K) Aminocaproic acid (Amicar) Epinephrine (Adrenaline)
Amicar
When administering an oral medication to a client, a nurse should Assess the client's ability to swallow Administer the medication with grapefruit juice Not give oral medications to a client with a nasogastric tube in place Crush enteric coated tablets if the client has trouble swallowing
Assess the clients ability to swallow
Which of the following nursing interventions is most effective in promoting excretion of a general anesthetic agent from a postsurgical client? Increase intravenous fluid rate Offer oral fluids as soon as possible Assist to turn, cough, and deep breathe Use passive range-of-motion exercises
Assist to turn cough and deep breathe
A client has been diagnosed with hypertension. Propranolol (Inderal) would be contraindicated in which condition? Asthma Diabetes Angina Dementia
Asthma
Which medication will the nurse have available for emergency treatment of tetany in the client who has had a thyroidectomy? Calcium chloride. Potassium chloride. Magnesium sulfate. Sodium bicarbonate.
Calcium Chloride
Which of the following foods should be avoided by a client who is taking an MAOI? Fresh vegetables Cheese Apples Grilled steak
Cheese
A client taking colchicines to prevent acute gout attacks calls his primary care provider reporting diarrhea, nausea, and vomiting. Which of the following instructions should the client be given? Take an antacid, and call back in the morning Get plenty of rest to prevent dehydration Stop taking the medication, and come in to see his primary care provider now Take the medication every other day until the symptoms subside
Coronary artery disease
A nurse is providing teaching to a client starting omeprazole (Prilosec) for management of GERD. The nurse knows teaching has been effective when the client states that this medication works by Improving gastric motility Decreasing the production of gastric acid Neutralizing gastric acid Antagonizing serotonin receptors
Decreasing the production of gastric acid
Which of the following signs of toxicity should a client be monitored for when receiving magnesium sulfate by intravenous route? Constipation Increased respiratory rate Depressed deep tendon reflexes Peripheral edema
Depressed deep tendon reflexes
A client is taking acetaminophen (Tylenol) on a consistent basis. Which of the following client findings indicates possible acetaminophen toxicity? White blood cell count of 5,500/mm³ Platelet count of 350,000/mm³ Direct bilirubin 2.0 mg/dL Aspartate aminotransferase of 30 units/L
Direct bilirubin 2.0 mg/dL
A patient who weighs 55 kg is receiving a medication at the rate of 30 mL/hr. The concentration of the medication is 400 mg in 500 mL of D5W. The recommended dose range for the drug is 2 - 5 mcg/kg/min. The patient receiving a safe dose. True False
False
Which of the following side effects should a client taking furosemide (Lasix) for hypertension be assessed for? Visual disturbances Hearing loss Tremors Restlessness
Hearing Loss
Laxatives containing sodium are contraindicated for which of the following client conditions? Hypertension Arthritis Depression Seizure disorder
Hpertension
Which of the following statements made by the client indicates that she has understood discharge teaching in the proper use of salmeterol (Serevent)? "I will use this medication every 6 hours." "I will take a dose of this medicine when I notice I am wheezing." "I will take this medication regularly every 12 hours." "I will use this medication when I am having an asthma attack."
I will take this medication regularly every 12 hours
A postop cardiac bypass patient has Nipride infusing at 30 gtts/min (30 mL/hr). The solution strength is 100 mg Nipride in 500 mL of D5W. Calculate the mg/hr and mcg/min infusing. IV will infuse at 4 mg/hr or 100 mcg/min. IV will infuse at 6 mg/hr or 110 mcg/min. IV will infuse at 6 mg/hr or 100 mcg/min. IV will infuse at 4 mg/hr or 110 mcg/min.
IV will infuse at 6 mg/hr or 100 mcg/min.
Clients taking metformin (Glucophage) should be monitored for: Lactic acidosis Hypertension Hyperlipidemia Respiratory alkalosis
Lactic acidosis
Which medications may be included in the medical treatment plan of care for a client experiencing a severe exacerbation of SLE? Chlordiazepoxide (Librium) Ampicillin (Amoxil) Acyclovir (Zovirax) Methotrexate (Mexate)
Methotrexate(Mexate)
When taking a client's medication history, a nurse knows that Smoking will have no effect on medication action Over-the-counter medications need to be included Most medications are not affected by the use of alcohol Use of herbal products usually has no effect on prescribed medications
Over-the-counter medications need to be included
Teaching for a client taking high doses of phenytoin (Dilantin) for a seizure disorder should include Taking the medication with an antacid to prevent GI upset Practicing good hygiene, using a soft toothbrush, and flossing daily Using an OTC sleeping aid if difficulty sleeping Limiting alcohol intake to two glasses of wine
Practicing good hygiene, using a soft toothbrush, and flossing daily
The nurse knows that the main action of thrombolytic medications is to: Prevent thrombus formation Suppress platelet aggregation Suppress the action of vitamin K. Remove the thrombus that has already formed
Remove the thrombus that has already formed
Terbutaline (Brethine) is indicated in preterm labor to: Stop uterine contractions Prevent bleeding Promote placental blood flow Increase prostaglandin production
Stop Uterine contractions
A client taking colchicines to prevent acute gout attacks calls his primary care provider reporting diarrhea, nausea, and vomiting. Which of the following instructions should the client be given? Take an antacid, and call back in the morning Get plenty of rest to prevent dehydration Stop taking the medication, and come in to see his primary care provider now Take the medication every other day until the symptoms subside
Stop taking the medication and come in to see his primary care provider now
Calculate the hourly dosage infusing with a 25 mL/hr rate from a 1 L D₅ ¼ NS with 45,000 Unit Heparin solution. The Heparin solution will be infusing at _1120_ Units/hr. The Heparin solution will be infusing at _1100_ Units/hr. The Heparin solution will be infusing at _1125_ Units/hr. The Heparin solution will be infusing at _1150_ Units/hr.
The Heparin solution will be infusing at _1125_ Units/hr.
An IV is ordered to infuse at a rate of 125 mL/hr using a set calibrated at 10 gtt/mL. Calculate the gtts/min flow rate. The IV flow rate is ___ 18_______ gtts/min The IV flow rate is __ 20 _____ gtts/min The IV flow rate is ___ 14____ ___ gtts/min The IV flow rate is ___ 19____ ___ gtts/min
The IV flow rate is __ 20 _____ gtts/min
An IV is ordered for a patient. The IV is 1000 mL D₅W to infuse 8 hours on a set calibrated at 20 gtts/mL. The IV will infuse at ___ 42___ __ gtts/min The IV will infuse at _____24________ gtts/min. The IV will infuse at _____46________ gtts/min. The IV will infuse at _____40________ gtts/min.
The IV will infuse at ___ 42___ __ gtts/min
How much fluid should you give a 44 lb patient over 24 hours to meet his maintenance needs? The child should receive 1000 mL in 24 hours to meet his fluid maintenance needs. The child should receive 1500 mL in 24 hours to meet his fluid maintenance needs. The child should receive 1550 mL in 24 hours to meet his fluid maintenance needs. The child should receive 1050 mL in 24 hours to meet his fluid maintenance needs.
The child should receive 1500 mL in 24 hours to meet his fluid maintenance needs.
An IV was started at 1450 with an infusion time of 3 hours 10 minutes. What is the completion time? The completion time is 1835. The completion time is 1830. The completion time is 1800. The completion time is 1735.
The completion time is 1800.
A patient is to receive 250 mL of PRBCs over 4 hours. The drop factor of the tubing is 10 gtt/mL. What's the drip rate in drops per minute: The drip factor is _22__ gtt/min The drip factor is _12__ gtt/min The drip factor is _10__ gtt/min The drip factor is _14__ gtt/min
The drip factor is _10__ gtt/min
Neosynephrine 50 mg in 250 mL of D5W is used to infuse a dosage of 200 mcg/min. Calculate the flow rate in mL/hr The flow rate is at __ _ 58____ mL/hr The flow rate is at ___ 62____ mL/hr The flow rate is at ___ 60____ mL/hr The flow rate is at ___ 68____ mL/hr
The flow rate is at ___ 60____ mL/hr
The order is D5W 900 mL IV in 6 hours. The drop factor is 10 gtt/mL. You would expect that after 3 hours, about 450 mL (half the total infusion of 900 mL) would be left in the bag. However, only 240 mL remain. Recalculate the flow rate in gtt/min so that the infusion will finish on time. The new flow rate would be 12 gtt/min The new flow rate would be 14 gtt/min The new flow rate would be 13.5 gtt/min The new flow rate would be 13 gtt/min
The new flow rate would be 13 gtt/min
Order; Humulin R 50 U in 500 mL NS infuse at 1 mL/min IVPB. How many units per hr is the patient receiving? The patient is receiving 6 units per hr. The patient is receiving 7 units per hr. The patient is receiving 4 units per hr. The patient is receiving 8 units per hr.
The patient is receiving 6 units per hr.
A client is taking carbamazepine (Tegretol) for neuralgic pain. Which of the following indicates that the client is experiencing ad adverse effect? White blood cell count of 3,500/mm³ Serum creatinine of 1.1 mg/dL Sodium 140 mEq/L Hemoglobin 13 g/dL
White blood cell count of 3,500/mm³
A client taking sucralfate (Carafate) for peptic ulcer disease has been started on phenytoin (Dilantin) to control seizures. Which of the following should be included in the client's teaching? Take both of these medications at the same time. Take sucralfate with a glass of milk Allow a 2-hour interval between these medications Chew the sucralfate thoroughly before swallowing
allow a 2 hour interval between these medications
A client took her usual NPH insulin dose at 6:00 A.M., her lunch is delayed until 1:00 P.M., and she begins to feel weak. Which of the following actions demonstrates to the nurse an adequate understanding? The client administers an extra 4 units of regular insulin. administers an additional 4 units of NPH insulin. goes and takes a nap. drinks a cup of milk and then eats her lunch.
drinks a cup of milk and then eats her lunch