RN Pharmacology A Relias

RN Pharmacology A Relias what medication is a leukotriene receptor antagonist? - ANS Montelukast Which statement made by a person regarding hydrochlorothiazide (HCTZ) is correct? - ANS I should take extra care when standing up or changing positions. A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg tablets. How many tablets would you administer? - ANS 2.5 What medication is considered a potassium-sparing diuretic? - ANS spironolactione (Aldactone) You receive report from the off-going nurse that the person being cared for just received their fourth dose of IV vancomycin that was administered over 30 minutes. Upon assessment of them, you notice their face and neck are red and they are itching all over. What would you suspect? - ANS Red man syndrome due to a rapid infusion rate. Which of the following would you question if prescribed for a person taking sildenafil (Viagra? - ANS nitroglycerin You are caring for a person with a capillary blood glucose of 33 mg/dL and they are unable to tolerate oral intake. Which of the following would you administer? - ANS dextrose 50% IV push 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? - ANS spell out units and daily Which statement, if made by the person you are caring for, reflects the need for further education regarding a new prescriptions of warfarin (Coumadin)? - ANS 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? - ANS ceftriaxone 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 25,000 units. what is the starting rate of the infusion? - ANS 27 mL/hr 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 - ANS 2 mL A person with a hypothyroidism has a serum calcium level of 13 mg/dL. What medication would you expect to administer? - ANS Calcitonin A person you are caring for has a known GI bleed. What drug is contraindicated? - ANS enoxaparin (Lovenox) A person has been prescribed nitrofurantoin (Furadantin) for a UTI. What education would you provide for them? - ANS 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? - ANS 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? - ANS NOT amiloride Your patient has been diagnosed with chronic CHF and will be taking Lasix 80 mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient? - ANS NOT tofu, red meat, beans which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting? - ANS famotidine shortly after administering an IV med, person complains of itching and feeling flushed. Hives begun to form on chest. What is the best intervention? - ANS Administer PRN IV diphenhydramine and notify MD Patient refuses a dose of IV medication. What is the MOST approriate action? - ANS document the refusal and notify the MD you receive an order to administer 1 tsp of an elixir. What amount of elixir will you prepare? - ANS pt has central line who is receiving TPN. What is the most important action to prevent CLABSI? - ANS perform correct sterile technique order placed for sublingual medication. Pt has NG. what is the most appropriate action? - ANS administer the med pt was prescribed a corticosteroid inhaler. What would you include when educating them on the medication? - ANS rinse mouth what medication is incompatible with LR - ANS diazepam new onset dysrhythmia. What medication might be prescribed for this condition? - ANS diltiazem you are educating your patient for cyclosporine and a new diet with a potassium intake restriction. What food would you tell them to avoid? - ANS raisins pt being treated for pain s/p ortho procedure. what order would you question? - ANS eplerenone order for 4 mg of dexamethasone IV push. The med is supplied in 10mg/mL vial. How many mL do you give? - ANS 0.4 mL pt is on a morphine PCA without a basal infusion rate and is afraid of overdosing. what ed do you provide? - ANS small dose is delivered only when you push the trigger button pt has been diagnosted with diabetes and has oral meds ordered. What statement indicates understanding of s&s of hypoglycemia? - ANS sweating, shakes, nervouseness what class of med would you expect ordered for a person with acid reflux? - ANS PPI pt has epidural infusing at 6mL/hr. begining BP was 92/58 and now their BP is 130/70. what would you do FIRST? - ANS NOT :::: ask the person to rate their pain order to give digoxin now. HR is 52. what do you do next? - ANS hold dig and call MD What is the primary cause of Red man syndrome? - ANS increased histamine production why would NS be the solution of choice when preparing to administer a blood transfusion? - ANS NS is isotonic pt with no known risk factors to TB would need further diagnostic testing to rule out TB if the mantoux test showed an induration of what size? - ANS ??? what statement is correct for determining you have the correct pt before adminstering a drug? - ANS ask them to state their name and DOB and compare it to the MAR and wrist band pt is on morphine PCA and is unresponsive. You suspect narcotic OD. what med to give? - ANS narcan Pt has new script for levothyroxine. What statement made by them is correct? - ANS NOT ::: take at the same time everyday. MD orders 1000 mL of NS over 6 hrs. whats the rate? - ANS 166.67 125 mcg is how many mg? - ANS 0.125 mg pt to receive 5 mg/kg of medication. They weigh 80 kg. how much to give? - ANS 400 mg pt has new order for dig. What would be assessed immediately before administering? - ANS Apical HR antidote for heparin - ANS protamine sulfate lasix ordered at 50 mg IV push. On hand is 20 mg/mL. How many mL to give? - ANS 2.5 pt has 4 new scripts and wants to know which one will help with migraines. - ANS Rizatriptan pt says they frequently take tylenol at home. which statement is correct? - ANS I should pay attention to OTC drug label which med is antiplatelet? - ANS clopidogrel MD ordered atropine sulfate 0.6 mg IM before surgery. med is supplied in 0.8 mg/mL. How many mL to give? - ANS 0.75 mL