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A lidocaine IV infusion at 4 mg/min via infusion pump is
prescribed for a client having premature ventricular
contractions (PVCs). The available premixed infusion contains
2 mg/mL of D5W. How many milliliters per hour should the
nurse program the pump to deliver to this client?
A. 20
B. 24
C.
60
D. 120 - ANSWER -D.
120
Option D is the correct calculation; 120 mL/hr = 1 mL/2 mg ×
4 mg/min × 60
min/hr.
,A child is being treated with mebendazole for pinworms. Which
type of diet should the mother be instructed to feed the child
while the child is receiving this medication?
A. Lactose-free
foods
B. High-fat
diet
C. Vitamin C-enriched
foods
D. High-fiber diet - ANSWER -B.
High-fat diet
A high-fat diet increases the absorption of mebendazole, which
boosts the effectiveness of the medication in eliminating the
pinworms. Options A, C, and D are not related to the
administration of this medication.
During therapy with isoniazid, it is most important for the nurse
to monitor which
laboratory value
closely?
A. Liver enzyme
levels
B. Blood urea nitrogen
(BUN) level
C. Serum electrolyte
levels
,D. Complete blood count (CBC) - ANSWER -A. Liver
enzyme levels
The client receiving isoniazid is at risk for the development of
hepatitis; therefore, liver function test results should be
monitored carefully during drug therapy. Options B, C, and D
are not specific indicators of liver function, so they are not
monitored closely during isoniazid therapy.
A client with mild parkinsonism is started on oral amantadine.
Which statement
accurately describes the action of this
medication?
A. Viral organisms that provide the underlyling pathophysiology
for parkinsonism are eliminated.
B. Acetylcholine in the myoneural junction is enhanced.
C. Dopamine in the central nervous system is increased.
D. Norepinephrine release is reduced within the peripheral
system as the final step in dopamine uptake. - ANSWER -C.
Dopamine in the central nervous system is increased.
Amantadine is a dopamine-releasing agent; therefore, this
medication increases the amount of dopamine present in the
central nervous system. Although this medication is also an
antiviral agent, the antiviral effect is not significant in the
treatment of parkinsonism. Options B and D are not affected by
amantadine.
, A client is taking famotidine. Which client statement should
the nurse further
assess because it may indicate that the client is experiencing
a side effect o
this
drug?
f
A. "I have heartburn whenever I lie down."
B. "I am never hungry. I've lost weight in the past 2 weeks."
C. "I have a funny metallic taste in my mouth."
D. "I seem to be having difficulty thinking clearly." - ANSWER -
D. "I seem to be having difficulty thinking clearly."
A common side effect of of famotidine is confusion. Options A,
B, and C are not
side effects of this
medication.
A client with HIV who was recently diagnosed with
tuberculosis (TB) asks the
nurse, "Why do I need to take all of these medications
for TB?" What
information should the nurse
provide?
A. Antiretroviral medications decrease the efficacy of the TB
drugs.