Prophecy RN Pharmacology A|RN Pharmacology Questions with Answers-Latest Update 2023 Graded A

Which of the following medications is known to cause orange-colored urine? Correct Ans:- 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? Correct Ans:- Hold digoxin and call the provider Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: Correct Ans:- 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? Correct Ans:- 400mg Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: Correct Ans:- Increase risk of digoxin toxicity The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the patient? Correct Ans:- Increase daily water intake Which of the following medications will crystalize when mixed with D5NS? Correct Ans:- phenytoin (Dilantin) Which of the following medications should be questioned by the nurse, if ordered by the provider to treat a patient's complaint of nausea and Ans:- famotidine (Pepcid) Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continuously. The patient's blood pressure at the beginning of your shift was 92/58 with a heart rate of 68. You noticed the patient's blood pressures have been around 130/70. What should you do FIRST? Correct Ans:- Check infusion rate to confirm 6ml/hr, then notify anesthesia provider The dosage of which drug must be tapered of f slowly to prevent acute adrenal insufficiency? Correct Ans:- 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: tinnitus the patient's serum calcium level is 13mg/dl. Which medication should the nurse prepare to administer as prescribed to the patient? Correct Ans:- calcitonin (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: the medication with a full glass of water Correct Ans:- take A nurse is caring for a patient with hyperparathyroidism and notes that Correct Ans:- vomiting? CorrectAcetylsalicylic acid (Aspirin) has which of the following pharmacological effects? Correct Ans:- 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? Correct Ans:- 125ml/hr Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews the patient's medical record and would question the prescription if which of the following is noted in the history? Correct Ans:- 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? Correct Ans:- 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: Correct Ans:- It can cause nephrotoxicity Convert 1.2 milligrams to micrograms Correct Ans:- 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? Correct Ans:- 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? Correct Ans:- 250ml/hr *WRONG* Which medication is used to treat iron toxicity? Correct Ans:- A) digoxin immune fab (Digibind) B) Naloxone (Narcan) C) Mephyton (Vitamin K) D) *WRONG* deferoxamine (Digibind) Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? Correct Ans:- bumetanide (Bumex)