General
Knowledge
Knowledge
The nurse administers 50 mg of a drug at 6:00 AM that has a half-life of 8 hours. What time will it be when 25 mg of the drug has been eliminated from the body?
What is 2pm?
IM injections should be given at a _______ degree angle.
What is 90 degree?
An elderly patient receiving an infusion of an isotonic fluid at 100 mL/hr complains of dyspnea. The nurse notes shallow rapid respirations and a cough that produces frothy sputum. Which is the priority nursing action?
What is raise the head of the bed?
Which instruction will the nurse include for a patient prescribed sublingual nitrate PRN for angina?
What is take one tablet and then seek medical attention if the pain is not relieved within 5 minutes.
A patient received the evening dose of Lispro subcutaneously at 16:30 PM. What time will symptoms of hypoglycemia likely occur?
What is 1830?
When are trough blood levels drawn in regards to medication administration?
What is before administration?
A patient’s liquid cough medicine has been discontinued with one-half of the bottle remaining. The home health nurse is aware that according to the US Food and Drug Administration (FDA) guidelines on prescription medication disposal, the next step should be to:
What is read the label for disposal instructions?
Otic drugs go in the _______.
Opthalmic drugs go in the _______.
What is the ear and the eye?
What are three things that a patient on MAOIs cannot eat?
What is fish, chocolate, alcoholic beverages, and fermented foods such as cheese, soy sauce and soy bean condiments, sauerkraut, processed meat, and red wine?
Which instruction is most important for the nurse to teach a patient with diabetes who is receiving metformin?
What is stop taking the drug 24 to 48 hours prior to radiopaque dye procedures.
Which is the drug of choice to treat a patient with obsessive-compulsive disorder (OCD)?
What is Luvox?
A patient has been on high-dose corticosteroid therapy for the treatment of lupus erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor?
What is blood glucose levels?
A patient is taking meperidine (Demerol) as needed for moderate to severe pain following an open appendectomy. The nurse assesses the following: current pain level 2, temperature 99°F, BP 130/76, respirations 10, lung sounds clear, abdomen soft and tender, bowel sounds present. Based on this assessment information, the priority nursing diagnosis would be related to what?
What is breathing?
After a blood glucose reading, it is determined that the patient should receive 4 units of Lispro and 8 units of NPH. Which action will the nurse take to administer these medications?
What is draw up the Lispro first and then the NPH using the same syringe.
A patient who has just begun taking an angiotensin converting enzyme (ACE) inhibitor calls the nurse and reports feeling very dizzy when standing up and asks if the medication should be discontinued. What is the nurse’s best response?
What is rise to a sitting or standing position slowly; your symptoms will resolve.
The patient’s family asks why neuromuscular-blocking agents are used before electroconvulsive therapy. Which explanation by the nurse is most accurate?
What is they reduce the risk of injury during therapy.
Dystonic reactions, pseudoparkinsonism, akathisia, and tardive dyskinesia are types of which effect?
What are extrapyramidal symptoms?
The nurse is administering an antibiotic intravenously. Which blood level determines the lowest amount of medication present in the patient?
What is the trough?
What is the rationale for administering levodopa instead of dopamine for treatment of Parkinson’s disease?
What is Dopamine does not cross the blood-brain barrier when administered orally.
An insulin syringe is calibrated into what units of measurement?
What is a unit?
What is the nurse’s primary source of information when obtaining a patient history?
What is the patient?
What will the nurse advise the patient to do to avoid the development of tolerance to nitroglycerin?
What is allow for a daily 8- to 12-hour nitrate free period.
What is the antidote to heparin?
What is protamine sulfate?
Which deficiency may develop in patients taking cholestyramine?
What is Vitamin K?
Prior to the administration of a nephrotoxic drug, the nurse determines that the kidney lab data are within normal range. Which step of the nursing process is being used?
What is assessment?
Name one isotonic solution.
What is
Normal saline
Lactated Ringers
D5W
Prior to the administration of a beta-adrenergic blocker, the nurse notes the patient to have a heart rate of 52 beats/min, peripheral edema, crackles in the bases of the lungs, and mottled skin. Which is the priority nursing action?
What is withhold the medication and alert the provider?
Which is a serious adverse effect of decongestants?
What is hypertension?
Which emergency drug must be available when caring for a patient receiving magnesium sulfate?
What is calcium gluconate?
What do drug blood levels indicate?
What is they determine if the amount of drug in the body is in a therapeutic range.