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When a patient has pernicious anemia, the nurse would expect to give them: -
PROPHECY RELIAS PHARMACOLOGY RN A
LATEST 2024 ACTUAL EXAM 110 QUESTIONS
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Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? - ...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, would you administer? - ...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? - ...ANSWER...Dextrose 50% IV push unresponsive, with delayed and slow respirations. You suspect narcotic overdose. Which reversal
The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophosphamide Which of the following is considered an antiplatelet medication? - ...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? - ...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? - ...ANSWER...Metformin (Glucophage) Which instruction should be given to the patient? - ...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? - ...ANSWER...chlorpromazine (Thorazine) When caring for a patient with a central line who
"Red Man" Syndrome may occur during the administration of vancomycin (Vancocin), primarily due to - ...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? - ...ANSWER...Bananas, spinach, raisins Which of the following medications is known to cause orange-colored urine?
- ...ANSWER...phenazopyridine (Pyridium) You are ordered to give digoxin. 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? - ...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: - ...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? -
...ANSWER...400mg
...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: - ...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? - ...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: - ...ANSWER...take the medication with a full glass of water Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - ...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? - ...ANSWER...125ml/hr
which of the following is noted in the history? - ...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? - ...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: - ...ANSWER...It can cause nephrotoxicity Convert 1.2 milligrams to micrograms - ...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? - ...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? - ...ANSWER...250ml/hr What medication is a leukotriene receptor antagonist?
- ...ANSWER...Montelukast Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - ...ANSWER...I
glucose of 33 mg/dL and they are unable to tolerate oral intake. Which of the following would you administer? - ...ANSWER...dextrose 50% IV push
Which statement, if made by the person you are caring for, reflects the need for further education 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, units. what is the starting rate of the infusion? - 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? - ...ANSWER...Spell out units and daily new prescriptions of warfarin (Coumadin)? - ...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? - ...ANSWER...ceftriaxone 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 - ...ANSWER...2 mL A person with a hypothyroidism has a serum
A person you are caring for has a known GI bleed. What drug is contraindicated? - ...ANSWER...enoxaparin (Lovenox) A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them? - ...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? - ...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? - ...ANSWER...bumetanide (Bumex) Your patient has been diagnosed with. chronic CHF and will be taking Lasix 80mg PO twice a day. When ...ANSWER...Bananas, spinach, raisins Which medication would you question if ordered by the provider to treat a person that is teaching about high Potassium foods in the diet, which group of foods would you recommend to
complaining of nausea and vomiting? - ...ANSWER...Famotidine (Pepcid)
(Digibind) B) Naloxone (Narcan) C) Mephyton (Vitamin K) D) WRONG deferoxamine (Digibind)
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?
...ANSWER...Perform correct sterile technique for dressing change at the CVC site An order has been placed for sublingual medication. Pt has NG. what is the most appropriate action? - ...ANSWER...administer the med A person was recently prescribed a corticosteroid inhaler. What would you include when educating them on the medication? - ...ANSWER...It is important that you wash out your mask after every dose to help prevent fungal infection of your mouth What medication is incompatible for administration with Lactated Ringers solution? - ...ANSWER...Diazepam (Valium) A person has a new onset dysrhythmia. What medication might be prescribed for this condition?
...ANSWER...diltiazem (Cardizem)
