IV Dosage Calculations
The provider orders 1,000 mL of normal saline to infuse over 8 hours. What rate should the nurse program the IV pump?
125ml/hr
Why should a nurse rinse a patient’s mouth after administering an inhaled corticosteroid?
To prevent oral candidiasis (thrush)
Levothyroxine should generally be taken at what time?
In the morning on an empty stomach
Ondansetron requires monitoring for what cardiac complication?
QT prolongation and dysrhythmias
Before administering an IV medication, what is the nurse’s first action?
Assess IV patency and assess the IV site
The IV pump is programmed for 75 mL/hr. How much fluid will the patient receive in 4 hours
300ml
What is the primary purpose of bronchodilators
Relax airway smooth muscle to improve airflow
A patient taking carbamazepine develops a sore throat, fever, and fatigue. What should the nurse suspect?
Bone marrow suppression (possible agranulocytosis)
Polyethylene glycol (MiraLAX) is an osmotic laxative that works by pulling water into the colon to soften stool and promote bowel movements. What patient statement is true regarding this medication?
A.I should expect this medication to relieve my constipation within 5 minutes
B.I should mix this medication with a liquid before taking it and drink it as directed
C.I should stop drinking fluids while taking this medication
B.I should mix this medication with a liquid before taking it and drink it as directed
The nurse is preparing a secondary IV infusion. Which action is correct?
A. Hang the secondary bag lower than the primary
B. Hang the secondary bag higher than the primary
C. Disconnect the primary tubing
D. Flush with sterile water
Hang the secondary bag higher than the primary
A medication is ordered at 500 mg. The vial contains 250 mg/5 mL. How many mL will the nurse administer?
10ml
Which medication class is used as a rescue medication for acute bronchospasm?
Short-acting beta agonists (SABA), such as albuterol
A nurse is teaching a patient taking tamoxifen about adverse effects. Which symptom should the patient report immediately?
A. Hot flashes
B. Vaginal dryness
C. Leg swelling and pain
D. Mild fatigue
Leg swelling and pain
What should the nurse teach a patient taking antidiarrheal medication who develops dry mouth?
suck on hard candy to stimulate saliva production
The nurse notes swelling, coolness, and discomfort at an IV site. What complication does the nurse suspect?
Infiltration
The nurse needs to administer 100 mL of IV medication over 30 minutes. What rate should the IV pump be set at?
200ml/hr
What adverse effect should the nurse monitor for with albuterol
Tachycardia and tremors
What important teaching should the nurse provide to a patient taking valproic acid?
Do not stop the medication abruptly because it may trigger seizure activity
A patient receiving an opioid reports constipation. What medication class may be prescribed to prevent this adverse effect?
stool softener/laxative.
A patient receiving an IV medication reports burning at the IV site. What should the nurse do first?
Stop the infusion and assess the IV site.
Doctor's order says: "Infuse 1500 mL of Lactated Ringer's over 12 hours." Drip factor: 15 gtt/mL. Round to a whole number.
31 gtt/min
Montelukast is a leukotriene receptor antagonist. What is a primary use of this medication?
prevent asthma attacks
Which laboratory values should the nurse monitor for a patient taking valproic acid?
Medication level, LFTs and platelet count
A nurse is teaching a client about medications used to promote bowel elimination. Which statement by the client indicates an understanding of the teaching?
A."I should increase my fluid and fiber intake when using many constipation medications."
B. "I should take laxatives every day to prevent constipation."
C. "Laxatives work by removing all bacteria from my intestines."
A."I should increase my fluid and fiber intake when using many constipation medications."
When administering a blood transfusion, the nurse should remain with the patient for the first _______ minutes of the transfusion to monitor for a reaction.
15