Kaplan Pharmacology Parenteral Therapy B – Flashcards
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A nurse counsels a client receiving alendronate (Fosamax). What is the most important instruction for the nurse to include to prevent esophageal ulceration?
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Swallow the medication with a full glass of water and remain upright for 30 mins.
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The nurse cares for a patient hospitalized for treatment of an abdominal gunshot wound. History reveals the pt has been enrolled in a methadone maintenance clinic for the past 2 years. The nurse notices the patient has no orders for continuation of methadone. The nurse anticipates which of the following will occur?
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The patient will experience nausea, vomiting, and stomach cramps.
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The physician orders digoxin (Lanoxin) 0.125 mg daily for a pt. The nurse instructs the patient about out to take digoxin. The nurse determines further teaching is necessary if the patient makes which of the following statements?
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If my pulse is under 60, I should take digoxin and then take my pulse again in one hour.
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The nurse understands that which of the following is a side effect of prednisone (Deltasone) use in a patient diagnosed with systemic lupus erythematosous (SLE)?
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Alteration of mental status.
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The nurse recognizes which of the following drugs is NOT used for the treatment of the treatment of pulmonary emboli?
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Streptomycin.
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The nurse knows the Vitamin B12 is found naturally in many foods. Which foods contain the LEAST amount of B12?
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Chocolate. B12 is found in meats, seafood, fermented cheeses.
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The camp nurse knows that which medication is commonly used in the treatment of allergic reactions?
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Diphenhydramine hydrochloride.
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The nurse cares for clients on the rehabilitation unit. A client complains about having trouble focusing his eyes when trying to read. The nurse learns that the client has not had a problem in the past. The nurse notes that the client has been taking phenobarbitol (Luminal) for more than one year. It is MOST important for the nurse to take which action?
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Obtain an order for a blood specimen.
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The patient is receiving aminophyline 400 mg every 6 hours. If the ampule contains 500 mg in 20 mL of fluid, how many mL will the patient receive in 24 hours?
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500 mg/ 20 mL = 1600 mg/ x mL 500 x = 20 X 1600 x= 20 X 500/1600 x= 64 ml
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The nurse identifies which of the following medications is Not used for the treatment of Asthma?
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Hydrocodone (Vicodin)
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The nurse cares for a client receiving zidovudine (AZT) for one week. The client complains of experiencing insomnia since beginning the medication. Which statement is most appropriate for the nurse to make?
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The insomnia should resolve after taking the medication for 3-4 weeks.
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The nurse cares for a patient receiving ranitidine (Zantac). The client relates to the nurse that the client has resumed smoking and experiences gastric pain about one hour after meals. Which of the following responses by the nurse is BEST?
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Smoking interferes with the drug's effectiveness, and you are no longer receiving the full anti-ulcer effect.
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The home care nurse receives a phone call from a patient diagnosed with arthritis and hypertension. The patient reports taking aspirin every morning for a year to reduce the amnt of pain experience in her knees when upon arising. The client states the aspirin relieves the pain but, but the pt's spouse noticed the pt's eyes and skin look yellow. Which of the following statements by the nurse is Most appropriate?
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I will contact your physician to obtain an order for lab work to determine why you are jaundiced.
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The nurse receives a verbal order to administer naloxone (Narcan) to a patient. Which of the following actions should the nurse take FIRST?
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Immediately administer the medication.
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The nurse cares for a patient taking spironolactone (Aldactone) for the treatment of hypertension. The nurse instructs the patient about this medication. The nurse determines that further teaching is necessary if the patient makes which statement?
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I will use a salt substitute Instead of iodized salt. Salt substitutes often substitute sodium with potassium, which can cause hyperkalemia.
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The nurse cares for a client taking quinine sulfate. The nurse determines further teaching is necessary if the client makes which of the following statements?
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I enjoy a glass of wine in the evening with dinner.
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The home care nurse performs an assessment on a client using a metered dose inhaler. The client is not sure how much medication is left in the canister. The nurse places the canister in a bowl of water and the canister sinks to the bottom of the bowl. Which of the following conclusions by the nurse is MOST accurate?
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The canister is full.
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The nurse cares for a patient admitted with inflammatory bowel disease. The patient states an allergy to cephalosporins. The nurse is MOST concerned if the doctor orders which of the following?
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Penicillin. (Amoxil)
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The nurse in the mental health clinic understands that which of the following foods should be avoided by taking patients taking phenelzine sulfate (Nardil)? [MAO inhibitor, anti-deppressant]
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Aged cheese, lunchmeats, tofu, chocolate. In addition beer, avocados, bananas, and soy sause.
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The nurse cares for a patient diagnosed with degenerative joint disease. The physician orders celecobix (Celebrex). The nurse is Most concerned if the patient makes which of the following statements?
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I am allergic to aspirin.
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The home care nurse visits a client diagnosed with osteoarthritis receiving ibuprofen 800 mg tid or qid. Based on this prescription, the nurse knows which of the following is the maximum daily GRAMS of ibuprofen this patient should receive?
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3.2 grams.
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The nurse cares for a client being treated for exacerbation of ulcerative colitis receiving hydrocortisone (Cortef). Because the nurse understands the pt is at risk for infection, it is MOST important to monitor which of the following data?
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The client's temperature.
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A football quarterback suffers arm and leg injuries and is given methocarbamol (Robaxin) for the injuries. When following up with the patient, the nurse is MOST concerned if the patient is experiencing which of the following?
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Nasal congestion.
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The physician provides a clonidine patch (Catapres) for a patient with a blood pressure that continues to be regularly above 160/100 mmhg. Which of the following statements is MOST important for the nurse to include in the teaching?
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Rotate the sites you apply the patch to, avoiding scarred or irritated areas.
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The nurse prepares a patient diagnosed with venous thromboembolism (VTE) for discharge. The physician prescribe warfarin (Coumadin). It is most important for the nurse to include which statement in the discharge instructions?
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The patient will require routine blood testing.
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A nurse on the postsurgical floor reminds another nurse that both potassium chloride injectable concentrate and propoxyphene (Darvon) are "high alert" drugs. The nurse understands that a "high alert" drug classification means which of the following?
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The medications can pose a risk to patients if extra care is not used in their storage and administration.
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The nurse in the outpatient clinic instructs a client taking lansoprazole (Prevacid) for the first time. The nurse determines further teaching is required if the patient makes which statement?
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I should take this medication on a full stomach.
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A patient comes to the mental health center with symptoms of overwhelming anxiety related to job loss, impending move, and sister being diagnosed with cancer. The client states, "I used to use alcohol to cope but have been going to AA meetings for the past 2 years." The nurse anticipates the physician will order which medication for this patient?
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Buspirone (Buspar). It has minimal abuse potential.
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The nurse instructs a patient about how to take psyllium (Metamucil). Which instruction is MOST important for the nurse to include?
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Mix Metamucil with water, milk, or juice and take at about the same time each day.
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The nurse cares for a client receiving venlafaxine (Effexor) for two months. The client tells the nurse he is unable to maintain an erection and wants to stop taking the medication to see if this is causing the problem. Which response by the nurse is most appropriate?
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"I'll contact the healthcare provider so that he can gradually reduce the dosage of medication.".
