NR293 Pharmacology Exam 1

A nurse is caring for a client who has multiple medication allergies. During which of the following steps of the nursing process should the nurse identify the client's allergies? A. Planning B. Evaluation C. Data Collection D. Implementation - C. Data Collection A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first? A. notify the provider B. contact the nursing supervisor C. check the client's apical pulse D. complete an incident report - C. check the client's apical pulse A nurse is preparing to administer medication to a client. Which of the following abbreviations indicates the greatest frequency of medication administration? A. BID B. TID C. QID D. Q8h - C. QID A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions? A. Aspirin EC 80 mg PO daily B. Levothyroxine 75 mcg PO q AM before breakfast C. Metformin XR 500 mg PO daily D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses. - B. Levothyroxine 75 mcg PO q AM before breakfast EC = enteric coated, XR = extended release, SL = sublingually A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the medication? A. disorientation B. epistaxis C. constipation D. jaundice - B. Epistaxis Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis. It is a second generation cephalosporin. A nurse is assisting with the care of a client who is postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the following routes of administration will deliver the medication with the shortest time of onset? A. oral B. Intravenous C. intramuscular d. subcutaneous - B. Intravenous nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly. Which of the following findings should the nurse plan to evaluate first? A. pain at the injection site B. prolonged motor dysfunction C. laryngeal edema D. temperature of 99.7 F - C. laryngeal edema this can indicate an allergic reaction, possibly anaphylaxis A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings are potential indications of which of the following conditions? a. renal dysfunction b. myelotoxicity c. hepatic toxicity d. cardiac dysrhythmia - c. hepatic toxicity A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the risk for reduced clearance of the medication? A. Alanine aminotransferase (ALT) 60 international units. B. Creatinine clearance 35 mL/min C. HbA1c 5% D. BMI 31 - B. Creatinine clearance 35 mL/min A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a school-aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5 mL. How many mL should the nurse administer? (Round your answer to the nearest tenth. Use a leading zero if applicable but do not use a trailing zero.) - 5 mL A nurse is assisting with the administration of an IV injection to a client. For which of the following reasons should the nurse inject the medication slowly? A. to reduce toxicity risk B. to improve the absorption pattern C. to prevent medication dilution D. to protect against embolism - A. to reduce toxicity risk A nurse is reinforcing teaching with a client who has atrial fibrillation and a new prescription for amiodarone. Which of the following items should the nurse instruct the client to avoid while taking this medication? A. green leafy vegetables B. grapefruit juice C. garlic D. salt substitutes - B. grapefruit juice A nurse is caring fora client who has developed MRSA in a surgical incision. Which of the following medications should the nurse expect the provider to prescribe? A. ceftriaxone B. vancomycin C. ketoconazole D. ciprofloxacin - B. vancomycin