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Package Deal For Prophecy RN Pharmacology A Practice Exams , Questions And Answers...Well Explained Answers
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PHARMACOLOGY PRACTICE EXAM A 2020
A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a ... [Show More] medication administration error? - correct answer furosemide 10.0 mg PO daily A nurse is assisting with the care of a client who has a methicillin resistant staphylococcus aureus (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following changes in the clients condition should the nurse identify as the priority finding to the provider? - correct answer hypotension A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the manual infusion is set to deliver how many gtt/min? - correct answer 31 gtt/min A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which of the following findings is the priority for the nurser to report to the provider? - correct answer oxygen saturation 87% At 0800 hr a nurse initiates a 1,000 mL IV infusion on a client which is running at5 125 mL/hr. It is now 1300 hr. How much fluid is in the IV bag? - correct answer 375 mL A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin alfa for 2 weeks. Which of the following findings should indicate to the nurse that the clients medication is having the de3sired therapeutic effect? - correct answer hemoglobin rises 0.5 g/dL A nurse is reinforcing teaching with the parent of a preschooler who has otitis media. The child has had a low grade fever and irritability for 2 days. Which of the following instructions should the nurse include in the teaching? - correct answer give acetaminophen as needed for discomfort and fever A nurse is reinforcing teaching to a newly licensed nurse about using metoprolol to treat hypertension. Which of the following conditions should the nurse includes as a contraindication for this medication? - correct answer Bradycardia/Second degree Av block a nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected of the medication. - correct answer Dilated bronchioles A nurse is planning to reinforce teaching regarding newborn immunizations with a client who is 24 hr postpartum. Which of the following information should the nurse plan to include? - correct answer your baby will receive the first hepatitis B vaccine before discharge A client comes to an urgent care clinic and announces with great enthusiasm "I am an expert at all things medical as they apply to me and I require zolpidem." The clients pupils are dilated along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication with which of the following substances? - correct answer cocaine A nurse is reinforcing teaching to a client who has a new prescription for colchicine to manage gouty arthritis. Which of the following manifestation should the nurse include as an adverse effect of the medication? - correct answer Abdomen pain A nurse is monitoring a client who is receiving repaglinide for type 2 diabetes mellitus. Which of the following lab tests should the nurse plan to review to obtain information about the long term therapeutic effect of this medication? - correct answer glycosylated HbA1c A nurse is reinforcing teaching With a client who has a prescription fro alendronate. Which of the following client responses indicates to the nurse an understanding of the teaching? - correct answer I will take the medication with 8 ounces of water A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching? - correct answer I will be sure to have blood testes for anemia A nurse is caring for a client who has prescription for an IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make? - correct answer you're medication can't be given IV because it is not water soluble A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after instilling the eyedrops? - correct answer press the nasolcarimal duct A nurse is reinforcing with a client who is using phenylephrine nasal spray three dimes daily and reports rebound congestion. Which of the following instruction should the nurse include to reduce the effect of rebound congestion. - correct answer Discontinue use in the left nostril, then in the right nostril A nurse is reinforcing teaching with a client following placement pf a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over the counter medications is contraindicated while taking oxycodone? - correct answer diphenhydramine A nurse is reinforcing teaching with a client who has seizures and a new prescription for valproic acid. The nurse should instruct the client to report which of the following adverse effects of valproic acid immediately to the provider? - correct answer abdominal pain A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as adverse effects of this medication? - correct answer blurred vision, nausea, and dysrythmia A nurse is reinforcing teaching with a client who has hypertension and a new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching? - correct answer restrict foods high in potassium A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib? - correct answer history of myocardial infraction A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication? - correct answer agranulocytosis A nurse is reinforcing teaching With a client about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to notify the provider? - correct answer muscler pain A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin transdermal patch. Which of the following instruction should the nurse includes? - correct answer Place the patch on a different site for each application A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take? - correct answer determine the clients daily alcohol intake A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsule. Which of the following instructions should the nurse include? - correct answer swallow the medication whole A nurse is collecting data from the parent of a toddler who is about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization? - correct answer gelatin A nursing is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for which of the following manifestation as an adverse effect of this medication. - correct answer increase heart rate A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect?term-48 - correct answer increased tolerance to exercise A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The clients temp increases to 39.1 C (102.4)F. Which of the following actions should the nurse take first? - correct answer stop the transfusion A nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2 months to treat Graves disease. Which of the following findings should the nurse recognize as an indication that the medication is effective? - correct answer pulse 82/min A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching? - correct answer maintain a consistent sodium intake A nurse is collecting data from a client who has Parkinsons disease and is taking levodopa/cardibopa. The nurse should identify which of the following findings as an adverse effect of this medication? - correct answer dark urine A nurse is reinforcing teaching about comfort measures with the parent 10 year old child who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated because of the risk for which of the following conditions? - correct answer reyes syndrome A nurse is reinforcing teaching with a client who has a new prescription for entanercept to treat rheumatoid arthritis. Which of the following instructions about self administering this medication should the nurse include? - correct answer discard any solutions that are cloudy A nurse is caring for a client who has multiple sclerosis and has a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect? - correct answer decreased muscle spasticity A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the client takes fluoxetine. The nurse should notify the provider that the combination of these medications will place the client at risk for which of the following adverse effects? - correct answer tremors A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial infection. Which of the following information from the clients medical recovers should the nurse report to the provider before the clients begins this medication? - correct answer penicillin allergy A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which of the following lab results should indicate to the nurse that the medication has had a therapeutic effect? - correct answer decreased t4 A nurse is reinforcing teaching with a client who has a new prescription for pronaolol. Which of the following information should the nurse include in the teaching? - correct answer if your pulse rate is less than 50 beats per minute notify the provider A nurse is preparing to administer a PRN medication to a group of clients. Which of the following clients should the nurse administer medication to first? - correct answer a client who is attending postoperative physical therapy and requests pain medication A nurse is caring for a client who has a history of psychosis and is taking chlirpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication? - correct answer inform the client to apply sunblock before going outside A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication? - correct answer hyperkalemia A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate 48/min. Which of the following actions should the nurse take? - correct answer withhold the clients medication A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. Which of the following instructions should the nurse include in the teaching? - correct answer you will need to have your liver enzymes monitored after 1 month, you can have nosebleeds while taking this med, you should report any thoughts of harming yourself, you will need to have two negative pregnancy tests prior to taking this med A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/ 5 mL PO. Which of the following actions requires the complication of an incident report? - correct answer administer 25 mL of the syrup A nurse is reinforcing teaching Wirth a client who has a new prescription for ethinyl estradiol/northindrone an oral contraceptive. Which of the following clients statements should indicate to the nurse an understanding of the teaching? - correct answer I will take the medication at the same time each day A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which of the following statements by the client indicate an understanding of the teaching. - correct answer "I should ensure that the insulin is prior to drawing it up" [Show Less]
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PROPHECY RN PHARMACOLOGY A2
pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication run? - correct answer 125ml/hr You are caring for a patient with ... [Show More] diabetes. Humalog insulin is ordered via sliding scale AC and HS. When is the best time to administer Humalog insulin? - correct answer 15 minutes before meal arrives Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your rounds, you notice that your patient is slumped over, unresponsive, with delayed and slow respirations. You suspect narcotic overdose. Which reversal medication would you administer? - correct answer naloxone (Narcan) [Show Less]
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RN PHARMACOLOGY 2019 A
A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia which of the following actions should the nurse plan to... [Show More] take? - correct answer d. monitor the client for constipation A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. which of the following adverse effects should the nurse include in the teachings - correct answer Dry mouth Blurred vision Dry eyes a nurse is assessing a client after administering a second dose of cefazolin IV. the nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? - correct answer Epinephrine A nurse is assessing a client 1 hr after administering morphine for pain. the nurse should Identify which of the following findings as the best indication that the morphine has been effective? - correct answer the client rates pain as 3 on a scale from 0-10 a nurse is teaching a client about cyclobenzaprine. which of the following client statements should indicate to the nurse that the teaching is effective? - correct answer I will taper off the medication before discontinuing it A nurse is preparing to admin medication to a client who has gout. the nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. which of the following actions should the nurse take first? - correct answer Obtain the clients blood pressure A nurse is preparing to administer heparin sub q to a client. Which of the following actions should the nurse plan to take? - correct answer Admin the medication outside the 5- cm (2-in) radius of the umbilicus. A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? - correct answer Hot flashes A nurse is reviewing the laboratory results of a client who is taking digoxin for heart failure. which of the following results should the nurse report to the provider? - correct answer Potassium level 2.5 mEq/L A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. which of the following actions of sucralfate should the nurse include in the teaching? - correct answer Forms a protective barrier over ulcers A nurse is assessing a client who has myasthenia graves and is taking neostigmine. which of the following finings should indicate to the nurse that the client is experiencing an adverse effect? - correct answer Miosis A nurse is preparing to administer Ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb. how many mg should the nurse administer per dose? - correct answer 300 mg A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. the nurse should report which of the following findings to the provider as and AE of the medication - correct answer Tinnitus A nurse is teaching a group of unit nurses about medication reconciliation. which of the following information should the nurse include in the teaching? - correct answer A transition in care requires the nurse to conduct medication reconciliation. a nurse is caring for a client who is experiencing acute alcohol withdrawal. for which of the following client outcomes would the nurse admin chlordiazepoxide - correct answer Prevent delirium tremens A nurse is reviewing the lab results for a client who is receiving heparin via continuous IV infusion for DVT. the nurse should discontinue the medication infusion for which of the following client findings? - correct answer Platelets 96,000/mm3 A nurse admins a dose of metformin to a client instead of prescribed dose of metoclopramide. which of the following actions should the nurse take first? - correct answer Check the clients Blood glucose A nurse in an emergency department is caring for a client who has myasthenia graves and is in a cholinergic crisis. which of the following medications should the nurse plan to admin? - correct answer Atropine A nurse is caring for a client who is receiving filgrastim. which of the following findings should the nurse document to indicate the effectiveness of the therapy? - correct answer Increased Neutrophil count A nurse in an emergency department is caring for a client who has heroin toxicity. the client is unresponsive with pinpoint pupils and a RR of 6/ min. which of the following medications should the nurse plan to admin? - correct answer Naloxone A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. which of the following information should the nurse include in the instructions? - correct answer Take one tablet at onset of migraine A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should ID which of the following statements as an indication that the client understands the teaching? - correct answer I should sit up for 30 min after taking the risedronate a nurse is collecting a medication history from a client who has a new prescription for lithium. the nurse should ID that the client should discontinue which of the following over the counter medications? - correct answer Ibuprofen A nurse is planning for a care client who is prescribed metoclopramide following bowel surgery. for which of the following AE should the nurse monitor? - correct answer Sedation A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. for which of the following AE should the nurse instruct the client to monitor and report? - correct answer Tingling of the fingers A nurse is planning care for a client who has hypertension and is to start taking metoprolol. which of the following interventions should the nurse include in the plan of care? - correct answer Determine apical pulse prior to admin A nurse in an Emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate admin? - correct answer Flumazenil A nurse is administering donepezil to a client who has Alzheimers disease. which of the following findings should the nurse report to the provider immediately? - correct answer Dyspnea A nurse is caring for a client who is in labor. the client is receiving oxytocin by continuous IV infusion with a maintenance iv solution. the external FHR monitor indicates late decelerations. which of the following actions should the nurse take first? - correct answer Turn the client to a side lying position A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. which of the following instructions should the nurse include in the teaching plan? - correct answer Expect lifelong therapy avoid taking medication with GF juice Report muscle pain to the provider A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary emboli. which of the following findings should the nurse ID as an AE of the medication and report to the provider? - correct answer Blood in the urine A nurse is assessing a client who is taking prophythiouracil for the treatment of Graves disease. which of the following findings should the nurse ID as an indication that the medication has been effective - correct answer increase in ability to focus A nurse is assessing a client who is post op following an outpatient endoscopy procedure using midazlolam. the nurse should monitor for which of the following findings as an indication that the client is ready for discharge? - correct answer the clients capnography has returned to baseline A nurse is providing discharge teaching about handling mediation to a client who is to continue taking oral trans mucosal fentanyl raspberry flavored lozenges on a stick. which of the info should the nurse include in the teaching? - correct answer Store unused medication sticks in a storage container A nurse is providing teaching to a client who has MS and a new prescription for methylprednisone. which of the following instructions should the nurse include - correct answer Blood glucose levels will be monitored during therapy avoid contact with people who have known infections GF juice can increase the effects of the medication A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a flucticason inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following AE of the medication - correct answer Oral candidiasis a nurse is caring for a client who has cancer and is taking oral morphine and docustate sodium. the nurse should instruct the client that taking the docustate sodium daily can minimize which of the following AE - correct answer constipation A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? - correct answer insomnia A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? - correct answer Aspirin will increase the chances of bleeding A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? - correct answer "I will take the patch off right after my evening meal." A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? - correct answer 0830 A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? - correct answer I should tell my provider if I develop a sore throat A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? - correct answer Digoxin A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? - correct answer rinse mouth after A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages? - correct answer 2 months A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? - correct answer Acetylcysteine A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? - correct answer U waves A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? - correct answer "I have tendonitis, so I haven't been able to exercise." A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? HR - correct answer Heart rate A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? - correct answer Report yellowing of the skin A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? - correct answer decreased respirations may occur A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? - correct answer Carbamazepine A nurse at a clinic is providing follow up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? - correct answer Sexual Dysfunction A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answer 100 gtt/min A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? - correct answer Bibasilar crackles A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? - correct answer pregnancy test A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)? - correct answer Morphine 5 mg subcut every 4 hr PRN severe pain a nurse is assessing a client who has schizophrenia and and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation can of neuroleptic malignant syndrome? - correct answer temp. of 39.7 a nurse is preparing to administer medications to a client who tells the nurse I don't want to take my fluid pill until I get home today. which of the following actions should the nurse take - correct answer document refusal and inform clients provider [Show Less]
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PROPHECY RN PHARMACOLOGY A
Which of the following medications is known to cause orange-colored urine? - correct answer phenazopyridine (Pyridium) You are ordered to give digoxin. ... [Show More] Your patient's vital signs are as follows: Blood Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you do next? - correct answer Hold digoxin and call the provider Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: - correct answer Normal Saline is an isotonic solution and prevents cell hemolysis Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer? - correct answer 400mg Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - correct answer Increase risk of digoxin toxicity The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the patient? - correct answer Increase daily water intake Which of the following medications will crystalize when mixed with D5NS? - correct answer phenytoin (Dilantin) Which of the following medications should be questioned by the nurse, if ordered by the provider to treat a patient's complaint of nausea and vomiting? - correct answer famotidine (Pepcid) Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continuously. The patient's blood pressure at the beginning of your shift was 92/58 with a heart rate of 68. You noticed the patient's blood pressures have been around 130/70. What should you do FIRST? - correct answer Check infusion rate to confirm 6ml/hr, then notify anesthesia provider The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency? - correct answer prednisone (Deltasone) When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize that it should be given over two minutes to avoid: - correct answer tinnitus A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum calcium level is 13mg/dl. Which medication should the nurse prepare to administer as prescribed to the patient? - correct answer calcintonin (Miacalcin) A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The nurse determines that the patient understands the MOST effective use of the medication if the patient states that he or she will: - correct answer take the medication with a full glass of water Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - correct answer Anti-inflammatory, anti-pyretic, decrease platelet aggregation Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the pharmacy as 2 G Vancomycin in 250ml normal saline. At what rate will the IV medication run? - correct answer 125ml/hr Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews the patient's medical record and would question the prescription if which of the following is noted in the history? - correct answer Use of nitroglycerin While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse notices diversity of food items. Which of the following foods would be a concern? - correct answer Spinach Your patient is receiving vancomycin (Vancocin) 500mg IV every 12 hours. As a nurse, you understand that the PRIMARY rationale for monitoring serum levels of vancomycin is that: - correct answer It can cause nephrotoxicity Convert 1.2 milligrams to micrograms - correct answer 1200 mcg You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale AC and HS. When is the best time to administer Humalog insulin? - correct answer 15 minutes before meal arrives A provider orders one liter of NS to be infused over four hours. At what rate would you set the IV pump? - correct answer 250ml/hr *WRONG* Which medication is used to treat iron toxicity? - correct answer A) digoxin immune fab (Digibind) B) Naloxone (Narcan) C) Mephyton (Vitamin K) D) *WRONG* deferoxamine (Digibind) Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? - correct answer bumetanide (Bumex) Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your rounds, you notice that your patient is slumped over, unresponsive, with delayed and slow respirations. You suspect narcotic overdose. Which reversal medication would you administer? - correct answer naloxone (Narcan) A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications will the nurse administer if the patient is unable to tolerate PO? - correct answer Dextrose 50% IV push When a patient has pernicious anemia, the nurse would expect to give them: - correct answer Vitamin B12 *WRONG* Which of the following anticoagulant is MOST commonly administered for DVT prophylaxis in a patient who has undergone a hip replacement? - correct answer A)*WRONG* heparin B) enoxaparin C) aspirin D) warfarin Which of the following is considered an antiplatelet medication? - correct answer clopidogrel (Plavix) Sildenaphil(viagra) is prescribed to treat a patient with erectile dysfuction. A nurse reviews the patient's medical record and would question the prescription of which of the following is noted in the history? - correct answer Use of Nitroglycerin Which of the following medications should be held today considering that your patient received IV contract two hours ago fir a CT scan? - correct answer Metformin (Glucophage) The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the patient? - correct answer Increase daily water intake Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting signs and symptoms of tardive dyskinesia, Which of the following long-term medications is more likely the etiology of the problem? - correct answer chlorpromazine (Thorazine) When caring for a patient with a central line who is receiving TPN, what is the MOST important action on the part of the nurse to prevent CLABSI? - correct answer Perform correct sterile technique for dressing change at the CVC site "Red Man" Syndrome may occur during the administration of vancomycin (Vancocin), primarily due to - correct answer An increase in histamine production Your patient has been diagnosed with. chronic CHF and will be taking Lasix 80mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient? - correct answer Bananas, spinach, raisins [Show Less]
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RN PHARMACOLOGY A RELIAS
what medication is a leukotriene receptor antagonist? - correct answer Montelukast Which statement made by a person regarding hydrochlorothiazide (HCTZ)... [Show More] is correct? - correct answer I should take extra care when standing up or changing positions. A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg tablets. How many tablets would you administer? - correct answer 2.5 What medication is considered a potassium-sparing diuretic? - correct answer spironolactione (Aldactone) 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? - correct answer Red man syndrome due to a rapid infusion rate. Which of the following would you question if prescribed for a person taking sildenafil (Viagra? - correct answer nitroglycerin 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? - correct answer dextrose 50% IV push 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? - correct answer spell out units and daily Which statement, if made by the person you are caring for, reflects the need for further education regarding a new prescriptions of warfarin (Coumadin)? - correct answer If I get headaches, aspirin is my best options for pain A person is noted to have a penicillin allergy. What medication would you question of ordered by a physician? - correct answer ceftriaxone 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? - correct answer 27 mL/hr 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 - correct answer 2 mL A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer? - correct answer Calcitonin A person you are caring for has a known GI bleed. What drug is contraindicated? - correct answer enoxaparin (Lovenox) A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them? - correct answer wash your mouth out after taking this medication to avoid staining of the teeth What is appropriate education to provide to a person who has received a new prescription for a PPI? - correct answer You should not take this medicine at the same time as other medicines. Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? - correct answer 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? - correct answer NOT tofu, red meat, beans which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting? - correct answer famotidine shortly after administering an IV med, person complains of itching and feeling flushed. Hives begun to form on chest. What is the best intervention? - correct answer Administer PRN IV diphenhydramine and notify MD Patient refuses a dose of IV medication. What is the MOST approriate action? - correct answer document the refusal and notify the MD you receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare? - correct answer pt has central line who is receiving TPN. What is the most important action to prevent CLABSI? - correct answer perform correct sterile technique order placed for sublingual medication. Pt has NG. what is the most appropriate action? - correct answer administer the med pt was prescribed a corticosteroid inhaler. What would you include when educating them on the medication? - correct answer rinse mouth what medication is incompatible with LR - correct answer diazepam new onset dysrhythmia. What medication might be prescribed for this condition? - correct answer diltiazem you are educating your patient for cyclosporine and a new diet with a potassium intake restriction. What food would you tell them to avoid? - correct answer raisins pt being treated for pain s/p ortho procedure. what order would you question? - correct answer eplerenone order for 4 mg of dexamethasone IV push. The med is supplied in 10mg/mL vial. How many mL do you give? - correct answer 0.4 mL pt is on a morphine PCA without a basal infusion rate and is afraid of overdosing. what ed do you provide? - correct answer small dose is delivered only when you push the trigger button pt has been diagnosted with diabetes and has oral meds ordered. What statement indicates understanding of s&s of hypoglycemia? - correct answer sweating, shakes, nervouseness what class of med would you expect ordered for a person with acid reflux? - correct answer PPI pt has epidural infusing at 6mL/hr. begining BP was 92/58 and now their BP is 130/70. what would you do FIRST? - correct answer NOT :::: ask the person to rate their pain order to give digoxin now. HR is 52. what do you do next? - correct answer hold dig and call MD What is the primary cause of Red man syndrome? - correct answer increased histamine production why would NS be the solution of choice when preparing to administer a blood transfusion? - correct answer NS is isotonic 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? - correct answer ??? what statement is correct for determining you have the correct pt before adminstering a drug? - correct answer ask them to state their name and DOB and compare it to the MAR and wrist band pt is on morphine PCA and is unresponsive. You suspect narcotic OD. what med to give? - correct answer narcan Pt has new script for levothyroxine. What statement made by them is correct? - correct answer NOT ::: take at the same time everyday. MD orders 1000 mL of NS over 6 hrs. whats the rate? - correct answer 166.67 125 mcg is how many mg? - correct answer 0.125 mg pt to receive 5 mg/kg of medication. They weigh 80 kg. how much to give? - correct answer 400 mg pt has new order for dig. What would be assessed immediately before administering? - correct answer Apical HR antidote for heparin - correct answer protamine sulfate lasix ordered at 50 mg IV push. On hand is 20 mg/mL. How many mL to give? - correct answer 2.5 pt has 4 new scripts and wants to know which one will help with migraines. - correct answer Rizatriptan pt says they frequently take tylenol at home. which statement is correct? - correct answer I should pay attention to OTC drug label which med is antiplatelet? - correct answer clopidogrel MD ordered atropine sulfate 0.6 mg IM before surgery. med is supplied in 0.8 mg/mL. How many mL to give? - correct answer 0.75 mL [Show Less]
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