Monday Madness
Prior to administering warfarin to a patient, which lab should the nurse check?
Prothrombin time (PT)
The nurse is adminstering the influenze vaccine to a group of older adults. The nurse knows which is true about this vaccine?
A. It is a weaker version of the regular vaccine
B. It is the same vaccine used for younger adults
C. It has more antigens than the regular vaccine
D. It uses a toxoid to encourage immunity
C. It has more antigens than the regular vaccine
What size needle is used to give an intradermal injection?
26 gauge
The nurse is reviewing teaching for a patient prescribed a scopolamine patch. Where does the nurse tell the patient to place the patch?
If a patient is taking an antidepressant and asks the nurse about herbal supplements. What should the nurse tell the patient?
Herbal supplements can interfere with your medications. You need to discuss this with your doctor.
A patient has a prescription for benzodiazepine to control anxiety. The nurse knows which med belongs to this classification?
Doxepin
Buspirae
Hydroxyzine
Alprazolam
Alprazolam
A child is prescribed somatropin. How is this medication administered?
It is given as a subcutaneous injection.
A Jewish patient is admitted with a deep vein thrombosis (DVT). Which prescription should the nurse question?
A. Compression stockings to be worn when in bed
B. Warfarin 2.5mg orally daily, begin tonight
C. Heparin 5000 units subcutaneously every 12 hours
D. Bed rest with bathroom privileges
C. Heparin 5000 units subcutaneously every 12 hours
Which of these lab values would be of most concern?
HDL cholesterol of 30mg/dL
Total cholesterol of 150mg/dL
Triglyceride of 120mg/dL
LDL cholesterol of 50mg/dL
HDL cholesterol of 30mg/dL
The nurse needs to administer two different eye drops to the patient. How long should the nurse wait before instilling the second drug?
5 minutes
A patient in the ER is given an analeptic med to treat respiratory depression. What data should the nurse obtain while monitoring the patient?
Level of consciousness, respiratory rate, BP, pulse rate
A parent of a child asks the nurse which illness are prevented with the DTaP vaccine. What are they?
Diphtheria, tetanus, and pertussis
What are some potential adverse reactions to morphine sulfate if given to a patient with severe pain?
constipation, rash, nausea, respiratory depression
A nurse is caring for a patient taking an antiviral med. Which illness is treated with an antiviral med?
-Vaginal candidiasis
-Urinary tract infection
-Tuberculosis
-Herpes zoster
-Herpes zoster
The nurse is caring for a patient newly diagnosied with narcolepsy. What prescription should the nurse anticipate for this patient?
-Lorcaserin
-Modafinil
-Caffeine
-Amphetamines
-Modafinil
The nurse is teaching a patient prescribed phenytoin. The nurse will include which information in the teaching...
-Alcohol consumption is safe with this medication
-Be sure to maintain proper dental hygiene & frequent dental care while taking this med
-This drug should never be abruptly discontinued, unless directed by provider
-Wear medical ID, such as Medic Alert tag or bracelet, indicating drug use & type of seizure disorder
-Med blood levels must be monitored at regular intervals
-Med blood levels must be monitored at regular intervals
-Wear medical ID, such as Medic Alert tag or bracelet, indicating drug use & type of seizure disorder
-This drug should never be abruptly discontinued, unless directed by provider
-Be sure to maintain proper dental hygiene & frequent dental care while taking this med
If the nurse were to apply a topical immunomodulation medication for a patient. What action would the nurse need to do BEFORE applying the medication?
Don gloves before administering medication
When giving morphine sulfate IV to a patient in severe pain when should the LPN check the patient's vitals and pain?
What about orally?
5-10 mins
30 mins
The nurse is caring for patient who reports always being thirsty. Which term is used to document this finding?
Polydipsia
The nurse is preparing to administer verapamil. The patients HR is 54. What should the nurse do next?
Contact the health care provider.
The nurse is preparing to administer furosemide to a patient with hypertension. The nurse notes the morning potassium is 3.0mEq/L. What should the nurse do next?
Hold the furosemide dose and notify the health care provider
A patient is prescribed sumatriptan. The nurse understands which statements are accurate?
-This med must be given daily to prevent migraines
-It is given as an intramuscular injection
-Monitor patients also on antidepressants for symptoms of serotonin syndrome
-This medication is used to control migraines
-A maximum of 2 doses can be given in 24 hours
-A maximum of 2 doses can be given in 24 hours
-This medication is used to control migraines
-Monitor patients also on antidepressants for symptoms of serotonin syndrome
If a patient is taking phenazopyridine. How do they know it is achieving its intended therapeutic effect?
Urinary burning is decreased
The nurse is reviewing lab results for a patient being treated with heart failure. Which lab result needs to be reported immediately?
-Potassium of 3.5mEq/L
-Magnesium of 1.8mEq/L
-Sodium of 120mEq/L
-Digoxin of 1.9ng/ml
-Sodium of 120mEq/L
The nurse is reinforcing teaching for a patient prescribed donepezil. Which statement by the patient indicates the need for further teaching...
-Taking this drug will help me think better
-This medication will help decrease my symptoms
-Hopefully I'll be less forgetful after taking this drug
-If I take this drug, it will cure my disease
-If I take this drug, it will cure my disease