question

Because Porpranalol hydrochloride (Inderal) is a drug that can lead to liver damage, the patient needs to limit consumption of:

answer

Alcoholic beverages

question

A patient is taking a Staten, which breaks down lipids. The patient should limit the intake of:

answer

Grapefruit juice

question

An adolescent male patient has been started on testosterone therapy. The patient should be instructed to report wihch of these adverse effects is an indication they should stop treatment?

answer

Gynecomastia

question

Which of these factors influences absorption of medication into the blood stream

answer

Route of administration

question

A patient says, "I've been taking St. John's Wart for my premenstrual problems and it really works:. Based on this statement, which is the essential action for the nurse to take?

answer

Find out what other medications the patient is also taking

question

When a patient is to receive a medication via rectal suppository, what should you do?

answer

Insert the suppository past the anal sphincter

question

during the administration of an IM injection, blood is aspirated. What should the nurse do next?

answer

Prepare a new injection

question

A patient is to start taking an NSAID for the relief of osteoarthritic pain. Which of these questions should the nurse consider before actually administering the drug?

answer

Are they allergic to aspirin

question

which of these factors is likely to affect absorption of medications in an older adult as a result of the aging process?

answer

Decrease in visceral going to blood flow

question

when medication is administered IV rather than IM:

answer

A smaller amount of the drug is needed

question

Prior to staring an antibiotic for a patient who has an infected surgical wound, which of these would we do first?

answer

Make sure the site was cultured first

question

A patient starts an antibiotic, which of these statements if made by the patient would indicate that the patient has had an adverse reaction?

answer

When my mother gets this she gets an anaphylactic reaction

question

An IV Vancomycin is given too readily. What would that look like?

answer

Hypertension, flush, and rash

question

A patient has an order for Cirprmycin Chloride (Cipro) 500mg PO Q12hr, patient should avoid:

answer

Taking an antacid at the same time

question

A patient who has inoperable cancer of the prostate is to receive Luprotide (hormone), he should be informed about the adverse effects of this drug which include:

answer

Hot flashes

question

A patient who has bleeding tendencies should be advised from taking:

answer

Ibuprofen

question

A patient who has been receiving chemotherapy antineoplastics via a peripherally inserted central catheter called a PICC line is to have the catheter removed. The nurse is going to have to remove the PICC line. What should she do?

answer

Grasp the catheter at the exit site and very slowly, in short increments, pull the catheter out

question

A patient receiving Lanoxiparen (Lovinex) to assist in the prevention of DVTs. If a patient made all of the following statements, which one would indicate an adverse reaction?

answer

My stools have become black in color

question

A patient is to receive lithium carbonate. This patient should be observed for side effects, which would include:

answer

Tiki eye and urinary retention

question

A woman who has had surgical treatment for breast cancer is now taking Tomaxofen (Novadex) therapy, while taking this drug she might complain of:

answer

Hot flashes

question

A patient who has erosive esophagitis is to take 40mg of sodium (protonics) every day for the next 10 weeks. The affect of the drug is to:

answer

Suppress gastric secretions

question

Because hyperuricemia is likely to occur when a patient is receiving Cyteroben as part of the treatment for leukemia the patient should:

answer

Drink 2-3L of fluids a day

question

a patient is to receive a rapid bolus dose of adenosine 6mg IV over 1-2 seconds. Because adenosine has a short half-life of up t 10 sections

answer

The adverse effects will be self-limiting

question

As a general rule, opiates such as opium sulfate are not prescribed for patines who are suspected of having head injuries because:

answer

They can prevent recognition of neurological changes

question

A patient has an order of Dilpizen hydrochloride 120mg sustained release tablet BID the patient should be instructed to:

answer

Swallow the tablet whole

question

Prior to administrating nose drops, the patient should be asked to blow his nose gently because:

answer

It will aid in the absorption of the medication

question

After a patient receives an intravaginal medications such as Estrodol the nurse should instruct the patient the following:

answer

Rub yogurt in her vagina... Kidding, she should lay flat for 30 minutes

question

When a patient uses Asthmacort in a metered dost inhaler the nurse should instruct the patient to take which of the following steps?

answer

Tell them to exhale fully prior to putting the inhaler in her mouth

question

An older adult has been receiving a daily dose of Dijoxcin 0.25mg PO. One day when the nurse attempts to administer the Dijoxcin the patient says, "this pill is yellow and my pill has always been white". Which action should the nurse take first?

answer

Talk to someone in the pharmacy

question

A patient who has kidney disease is going to take an oral drug that is eliminated through the kidneys. The nurse would expect that:

answer

The serum half life might be prolonged

question

An older adult patient is receiving Popantheline Bromide for bladder spasms after a transfer referral resection of the prostate. Because the patient is receiving this drug which of these measures should be included:

answer

Tell him to change positions slowly at first

question

A patient who develops anemia secondary to chronic kidney disease the patient is to be given erythropoietin Epogen because it is going to:

answer

Stimulate the bone marrow to make blood cells

question

A postoperative neurosurgeon patient is to receive IV Phenitron (Dilantin). While the patient is receiving this drug, which of these actions should the nurse take?

answer

Check his blood pressure

question

A patient who has allergic rhinitis is taking Zyrtec. The patient should be told that an adverse effect of Zyrtec is:

answer

Drowziness

question

Beta-blockers, such as Tinormin, are often given to patients who have hypertension. The nurse would need to make sure that the patient knows how to:

answer

Take their pulse

question

Levothyrosxine is given to a patient. Which shows understanding by the patient?

answer

They will be on this medication of the rest of their life

question

What indication would tell us Lipator is having the intended effect?

answer

Increased HDL

question

Which finding would be expected for an insulin overdose?

answer

Tremors

question

Prednisone therapy, when patient discontinues therapy why should they taper the medication?

answer

Prevent adrenal gland atrophy

question

Reverse Heparin; patient is receiving Heparin IV, which drug is a Heparin antagonist?

answer

Protamine Sulfate

question

The intended use of eye drops to treat glaucoma is to:

answer

Reduce the amount of fluid in the eye

question

A patient with diabetes mellitus just had a right THA. The patient has all of the following postoperative orders, which one would the nurse question?

answer

Giving isophane insulin by sliding scale

question

A patient is given 5 units of regular insulin, 10 units of humulin N insulin 20 minutes before breakfast. Both drugs come in multiple dose vials. Which actions should the nurse take when administering the drugs?

answer

Draw up the 5 units of regular and then the 10 units of humulin N

question

A patient is to receive a total of 150mg of Norpramine PO QD. The patient is to receive the drug TID. The drug is available in 50mg tablets. How many tablets should the patient be given at each dose?

answer

1 tablet

question

A patient is to receive Cepacore 500mg Q8hrs PO, how many grams should the patient receive in a 24-hour period?

answer

1.5 grams

question

A child is to receive 150mg Ibuprofen PO Q6 hours PO, the drug is available in solution 100mg/5ml. How many teaspoons should you give the patient?

answer

1.5 teaspoons

question

In a clinical trial of an antineoplastic drug a patient is to receive 10 mg/kg of the drug QD in 3 divided doses. The patient weighs 60kg. How much of the drug should the patient receive in each dose?

answer

200mg

question

A patient is to receive gabapentin PO 1200mg/day, the medication is to be given TID and is available in 400mg capsules. How many capsules should be given with each dose?

answer

1 capsule

question

A patient who has a venous thromboembolism is ordered a heparin infusion. A bolus dose of 100ui/kg is ordered. The patient weighs 81 kilos. The concentration of heparin in our vile is 1000ui/ml How many ml should the patient receive?

answer

8.1ml

question

A patient is receiving an infusion of 800ui heparin/hour. The concentration of the bottle is 25,000ui/250ml. The infusion pump will be set to infuse how many ml per hour?

answer

8ml

question

A child is to receive IV penecilin G potassium 50,000 units/kg/day. The child weighs 30kg. The medication is available as a powder with 5,000,000 units per vial. Add 5ml of sterile solvent to vial. How many ml should be administered.

answer

1.5ml

question

A nurse notices that the drip rate of an IV infusion is 40 drops per minute. The set delivers 20 drops per ml, how many ml should the patient receive in 4 hours?

answer

480ml

question

A patient who take an adrenal corticosteroid drug for a long period of time, they should:

answer

Have their bone density monitored

question

A patient is receiving dobutamine for short term treatment of cardiac decompensation. The nurse should monitor the patient for signs of adverse reactions, which might include:

answer

Tachydysrhythmia

question

A patient who has had an MI is to receive propranolol. To minimize variations in absorption of the drug, which of these actions should the nurse take?

answer

Be consistent in either taking the drug with or without food

question

A patient who is taking verapamil orally should be assessed for adverse effects, which might include:

answer

Hypotension

question

Atropine sulfate is contraindicated in patients who have:

answer

Narrow angle glaucoma

question

Dopamine is used to correct hemodynamic imbalance. How does it correct the imbalance?

answer

Increases cardiac output

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