Nurse should observe most closely for drug toxicity when a client
receives med that has what characteristic - CORRECT ANSWER Narrow therapeutic
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Nurse is conducting DC teaching about anti-anxiety drug diazepam
(valium) - CORRECT ANSWER Evaluate the ingredients of all over-the-counter drugs for alcohol
content
Nursing instruction most important for patient on Zyloprim - CORRECT ANSWER Increase fluid intake
Client getting Tofranil (Imipramine) - CORRECT ANSWER Give medication at night
Magnesium antidote - CORRECT ANSWER Calcium gluconate
Patient with hyperthyroidism taking inderal (propanalol) - CORRECT ANSWER Decreases pulse rate
Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to
900 units what is the - CORRECT ANSWER Mls/hr
Med was ordered 100mg in 4 divided doses in 24 hours available in
25mg, how many will you give every 6 hours - CORRECT ANSWER 1 pill Q6H
Patient on benzos - CORRECT ANSWER Answer is not narcan
Patient Dx with bipolar-how to know if meds are effective - CORRECT ANSWER Family states patient is doing better with manic phases
Patient on Heparin going for surgery in a.m.,-priority - CORRECT ANSWER Assess patient for bleeds
Best time to give patient Abx (I think) - CORRECT ANSWER Time was like 1000, 1400, 1200, and 0400...best to give around the
clock
Medication calculation-patient weighs equal to 16kg-order for Tamiflu
45mg BID - CORRECT ANSWER Must round up-answer is 3.8ml
Peptic ulcer med-what action - CORRECT ANSWER Histamine 2 agonist
Patient on folliculitis medication-what to teach - CORRECT ANSWER Drink with full glass of water
Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes
Peak: .75-1.5 hours
Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours
(IV ok)
Intermediate acting- NPH Onset: 1-2 hours Pea:k 6-12 hours
Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours (DO
NOT MIX) - CORRECT ANSWER
Chlamidia - CORRECT ANSWER Tetracycline
Trichomoniasis - CORRECT ANSWER Flagyl
Candidiasis - CORRECT ANSWER Nystatin
Herpes Simplex 2 - CORRECT ANSWER Acyclovir
Parkinson's disease - CORRECT ANSWER Levodopa/Carbidopa
Phenobarbitol - CORRECT ANSWER Seizures
Preparing to administer a drug to a pt with an infection - CORRECT ANSWER The drug will destroy the microorganism
RN is teaching a pt about a new drug... what's most important to teach
the pt to improve the intensity of the response to the drug - CORRECT ANSWER Take the prescribed dose
A nurse is giving morphine 2 mg IV to a pt after surgery and she has
followed the "six rights of administration"... - CORRECT ANSWER Know the possible reactions to morphine
RN doesn't understand why a pt is to receive a prescribed med - CORRECT ANSWER Verity the reason with the prescribing healthcare provider for use
Administration of schedule IV drug, the RN understands - CORRECT ANSWER The drug has acceptable medical application with low potential for
abuse
Where would a RN direct a pt to obtain more info about prescribed
medications - CORRECT ANSWER A pharmacist
RN is prepared to administer Epinephrine to pt that has a severe allergic
reaction - CORRECT ANSWER IV - no first pass effect
Digoxin has 36-48 hr half life - because of the length of half life, the RN
expects to be dosing this medication - CORRECT ANSWER Once a day
Pt is prescribed Cimetidine (histamine 2 antagonist) to treat gastric ulcer - CORRECT ANSWER Inhibit the action of histamine at receptor sites and block gastric acid
secretion
Drug X has a therapeutic index of 10 and drug Y has an index of 2 - CORRECT ANSWER Drug Y - more potent
A pt taking Digoxin is also prescribed Propanolol. The 2 drugs
combined may cause a serious decrease in HR - CORRECT ANSWER An increased adverse effect
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