💉 Pharmacology & Safety
What antidote is used to reverse opioid-induced respiratory depression?
Naloxone
A client receiving furosemide reports muscle weakness and develops frequent PVCs. Which electrolyte imbalance should the nurse suspect?
Hypokalemia
A diabetic client receives rapid-acting insulin but their meal tray is delayed. What is the priority nursing action?
Provide a carbohydrate source immediately.
Which patient should the nurse assess first?
O2 saturation 88%
A patient has BP 88/50, HR 124, cool skin, and dizziness. Which cue is MOST concerning?
BP 88/50
A patient taking heparin experiences a platelet drop from 220,000 to 80,000/mm³. What complication should the nurse suspect?
Heparin-induced thrombocytopenia (HIT)
A patient taking warfarin develops bleeding gums and hematuria. Which laboratory test should the nurse review first?
INR
A client receiving ceftriaxone develops hives, wheezing, and facial swelling. What medication should the nurse anticipate administering?
Epinephrine
Which client has the highest priority?
Fever of 101°F
Blood glucose 58 mg/dL
Nausea after lunch
BP 138/86 mm Hg
Blood glucose 58 mg/dL
A patient with pneumonia suddenly becomes restless and confused. What condition should the nurse suspect?
Hypoxia
A patient develops hives and difficulty breathing after receiving medication. What is the nurse's first action?
Stop the medication and assess the patient
A patient receiving IV morphine becomes increasingly difficult to arouse. Which assessment finding requires immediate action?
Respiratory rate below 12/min
A nurse is about to administer lisinopril. Which assessment finding would require the nurse to hold the medication?
Hypotension
Which client should the nurse see first?
New onset confusion
A client has:
RR 32, Fruity breath, Blood glucose 450, Abdominal pain
Which condition is most likely occurring?
Diabetic Ketoacidosis
Which medication taken before surgery should be reported due to increased bleeding risk?
Aspirin.
A client taking digoxin reports nausea and blurred yellow vision. What should the nurse suspect?
Digoxin toxicity
A client receiving potassium chloride IV reports burning at the IV site. What should the nurse do first?
Assess the IV site for infiltration.
The nurse receives report on four patients. Which patient should be assessed first?
K+ 3.4
BP 100/60
UO 20 mL/hr
Temp 99.8°F
Urine output 20 mL/hr
A patient develops:
Temp 103°F, HR 126
BP 88/52, Confusion
Which hypothesis should the nurse prioritize?
Sepsis
A postoperative patient becomes difficult to arouse and has pinpoint pupils. Which medication class is the most likely cause?
Opioids
A client receiving IV heparin develops a sudden drop in platelet count. What serious complication should the nurse recognize?
Heparin-Induced Thrombocytopenia (HIT)
A client with DKA is prescribed IV insulin therapy. Which electrolyte should be monitored most closely during treatment?
Potassium
Which client should be seen immediately?
Facial droop and slurred speech
A postoperative patient develops:
Tachycardia, Hypotension
Increasing abdominal distention
Cool clammy skin
Which complication is most likely?
Internal hemorrhage