NURS 3210 PHARMACOLOGY FINAL EXAM QUESTIONS
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Quiz Questions
The nurse is preparing to transfuse a patient with a unit of packed red blood
cells (PRBCs). Which intravenous solution is correct for use with the PRBC
transfusion?
a. 5% dextrose in lactated Ringer's solution (D5LR)
b. 0.9% sodium chloride (NS)
c. 5% dextrose in water (D5W)
d. 5% dextrose in 0.45% sodium chloride
b. 0.9% sodium chloride (NS)
0.9% sodium chloride (NS) is the only solution to use when transfusion PRBCs.
During an infusion of albumin, the nurse monitors the patient closely for the
development of which adverse effect?
a. transfusion reaction
b. dehydration
c. fluid volume overload
d. hypernatremia
c. fluid volume overload
Because of the action of Albumin, the nurse must monitor the patient for fluid
overload.
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A 14-year-old boy is taking tretinoin (Retin-A) for acne. Which statement will
the nurse include when. teaching the client about this medication?
a. "This drug may cause increased redness of your skin."
b. "You should exfoliate your skin every other day when taking this
medication."
c. "To speed up the healing process get plenty of sunlight."
d. "Avoid fast food because it is heavy in salt and saturated fats."
a. "This drug may cause increased redness of your skin."
Tretinoin may cause increased redness and drying, and the patient needs to avoid
weather extremes, ultraviolet light, and abrasive cleansers. Certain foods (including
fast food) do not need to be avoided.
The preoperative nurse is preparing a client for bariatric surgery and is
prepping the client's abdominal skin with povidone-iodine (Betadine). Which of
the following allergies would be a contraindication to the povidone-iodine
(Betadine) skin prep?
a. Pet dander
b. Avocado
c. Latex
d. Shellfish
d. Shellfish
Povidone-iodine, a widely used antiseptic, cannot be used in patients who are
allergic to iodine or have shellfish allergies.
A nurse is caring for a pediatric client that has honey-crusted lesions around
their mouth and nose. Which of the following medications does the nurse
anticipate the health care. provider to order to treat this skin infection?
a. Acycylovir (Zovirax)
b. Nystatin (Mycostatin)
c. Spinosad (Natoba)
d. Mupirocin (Bactroban)
d. Mupirocin (Bactroban)
Mupirocin (Bactroban) is used on the skin for treatment of staphylococcal and
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streptococcal impetigo. Spinosad (Natroba) is used for pediculosis; nystatin is an
antifungal drug; and acyclovir is an antiviral drug.
A preoperative nurse is caring for a client before a scheduled ocular surgery.
The health care provider (HCP) has ordered mannitol (Osmitrol), 1.5g/kg IV 1
hour before surgery. The client weighs 110 lbs. How many grams of mannitol
(Osmitrol) will this client receive for this dose? _______ g (Numerical value
only)
75
The nurse will be giving ophthalmic drugs to a client with glaucoma. The nurse
expects the health care provider to order which med intravenously to reduce
intraocular pressure when other medications are not successful?
a. Mannitol
b. Tobramycin
c. Bacitracin
d. Ketorolac
a. mannitol (Osmitrol)
Drugs used to reduce intraocular pressure include osmotic diuretics such as
mannitol, which is given intravenously. Tobramycin and bacitracin are antibiotics;
ketorolac has anti-inflammatory actions.
The nurse is administrating eardrops that have been refrigerated. Which action
by the nurse is correct before administering the drops?
a. Heat the chilled solution for 10 seconds in the microwave.
b. Take the drops out of the refrigerator 1 hour before the dose is due.
c. Leave the drops in the refrigerator until use.
d. Place the bottle for 60 seconds in a container of very hot water.
b. Take the drops out of the refrigerator 1 hour before the dose is due.
Give eardrops at room temperature. If the pharmacy indicates that the drug is to be
refrigerated, it should be taken out of the refrigerator up to 1 hour before it is to be
instilled so that it can warm up to room temperature. They are not to be placed in the
microwave or soaked in hot water; eardrops that are overheated may lose potency.
Administration of solutions that are too cold may cause a vestibular reaction that
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includes vomiting and dizziness. If the solution has been refrigerated, allow it to
warm to room temperature.
The nurse is preparing to administer a new order for eardrops. Which is a
potential contraindication to the use of many otic preparations?
a. Staphylococcus aureus otitis externa infection
b. Escherichia coli ear infection
c. Perforated eardrum
d. Ear canal itching
c. Perforated eardrum
While some antibiotics can be used when an eardrum is perforated, neomycin,
polymyxin B, and hydrocortisone otic preparations are contraindicated in patients
with a perforated eardrum. Be sure to clarify whether the drug can be given if a
perforated eardrum is present. The other options are potential indications for
eardrops.
The nurse is administering eardrops that contain a combination of an
antibiotic and a corticosteroid. What is the rationale for combining these two
drugs in eardrops?
a. The corticosteroid reduces the inflammation and itching associated with ear
infections.
b. The combination works to help soften and eliminate cerumen.
c. The drops help to eliminate fungal infections.
d. The corticosteroid reduces pain associated with ear infections.
a. The corticosteroid reduces the inflammation and itching associated with ear
infections.
Corticosteroids, such as hydrocortisone, are commonly used in combination with otic
antibiotics to reduce the inflammation and itching associated with ear infections.
Antibiotics do not eliminate fungal infections. The other options are incorrect.
A nurse is caring for a client with a second-degree burn of the skin on the right
forearm. After an examination in the urgent care center, the health care
provider ordered silver sulfadiazine cream (Silvadene) for the burned area.
Which of the followings steps will the nurse take when applying this topical
medication?