D441 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
After a seven day treatment with an IV antibiotic, the healthcare
| | | | | | | | | | |
provider discharges a client from the hospital and writes a prescription
| | | | | | | | | | |
for an oral antibiotic. While providing discharge instructions, the nurse
| | | | | | | | | |
notes that the dosage for the oral antibiotic is significantly higher than
| | | | | | | | | | | |
the IV antibiotic. Which resource should the nurse use first in resolving
| | | | | | | | | | | |
the situation?
|
healthcare provider |
Client is a 64-year-old with a past medical history of heart failure. The
| | | | | | | | | | | | |
client was admitted 3 weeks ago with dyspnea and weight gain. Upon
| | | | | | | | | | | |
discharge the client was referred to cardiac rehabilitation. During which
| | | | | | | | | |
time the client's medication regimen was adjusted to reach therapeutic
| | | | | | | | | |
levels. Came to the emergency department last night via ambulance
| | | | | | | | | |
with a report of shortness of breath. Admitted to the medical
| | | | | | | | | |
|surgical/telemetry unit for further observation with current | | | | | | |
medications continued and laboratory specimens obtained. | | | | |
Which action(s) should the nurse anticipate performing to manage
| | | | | | | | |
digoxin toxicity? Select all that apply.
| | | | |
,Stop digoxin
|
monitor potassium levels | |
administer potassium supplements | |
administer digoxin immune tab | | |
A client receives a prescription for allopurinol. Which information
| | | | | | | | |
provided by the client requires additional instruction by the nurse?
| | | | | | | | |
double the dose if a dose is missed
| | | | | | |
which equipment should the nurse use to accurately measure a 2 mL
| | | | | | | | | | | |
dose of a viscous liquid solution to be administered PO?
| | | | | | | | |
3ml syringe
|
A client with peptic ulcer disease receives a new prescription for
| | | | | | | | | | |
cimetidine. Which statement provided by the client requires additional
| | | | | | | | |
instruction by the nurse? | | |
Decrease cigarette use to a pack per day
| | | | | | |
,Which action should the nurse implement to assess the effectiveness of
| | | | | | | | | | |
amlodipine?
measure the client's blood pressure
| | | |
A client who is taking an oral contraceptive receives a new prescription
| | | | | | | | | | | |
for erythromycin. Which instruction should the nurse provide to the
| | | | | | | | | |
client?
Use an additional form of contraception.
| | | | |
To prepare a client for the potential side effects of a newly prescribed
| | | | | | | | | | | | |
medication, which action should the nurse implement?
| | | | | |
Assess the client for health alterations that may be impacted by the
| | | | | | | | | | | |
effects of the medication.
| | |
A postoperative client has three different prescriptions for PRN
| | | | | | | | |
analgesics prescribed for different levels of pain.The nurse inadvertently
| | | | | | | | |
administers a dose that is not within the prescribed parameters. Which
| | | | | | | | | | |
action should the nurse take first?
| | | | |
Assess for side effects of the medication.
| | | | | |
, A client has a prescription for heparin 1,000 units IV STAT. Several pre-
| | | | | | | | | | | |
filled syringes of low molecular weight heparin are available in the
| | | | | | | | | | |
client's medication drawer. Which action should the nurse implement?
| | | | | | | |
Advise the pharmacy of the need to deliver a vial of heparin to the
| | | | | | | | | | | | | |
nursing unit immediately. | |
A client is receiving metronidazole for Clostridium difficile
| | | | | | | |
pseudomembranous colitis. Which information should the nurse include | | | | | | |
in this client's medication teaching plan?
| | | | | |
Avoid the use of alcohol| | | |
A child who weighs 44 pounds with otitis media receives a prescription
| | | | | | | | | | | |
for azithromycin 10 mg/kg once, then 10 mg/kg daily for 4 days. The
| | | | | | | | | | | | |
medication is available in a solution containing 200 mg/5 mL. How many
| | | | | | | | | | |
|mL should the nurse administer on the first day of the treatment
| | | | | | | | | | | |
regimen? (Enter numeric value only.) | | | |
5
SOLUTIONS
After a seven day treatment with an IV antibiotic, the healthcare
| | | | | | | | | | |
provider discharges a client from the hospital and writes a prescription
| | | | | | | | | | |
for an oral antibiotic. While providing discharge instructions, the nurse
| | | | | | | | | |
notes that the dosage for the oral antibiotic is significantly higher than
| | | | | | | | | | | |
the IV antibiotic. Which resource should the nurse use first in resolving
| | | | | | | | | | | |
the situation?
|
healthcare provider |
Client is a 64-year-old with a past medical history of heart failure. The
| | | | | | | | | | | | |
client was admitted 3 weeks ago with dyspnea and weight gain. Upon
| | | | | | | | | | | |
discharge the client was referred to cardiac rehabilitation. During which
| | | | | | | | | |
time the client's medication regimen was adjusted to reach therapeutic
| | | | | | | | | |
levels. Came to the emergency department last night via ambulance
| | | | | | | | | |
with a report of shortness of breath. Admitted to the medical
| | | | | | | | | |
|surgical/telemetry unit for further observation with current | | | | | | |
medications continued and laboratory specimens obtained. | | | | |
Which action(s) should the nurse anticipate performing to manage
| | | | | | | | |
digoxin toxicity? Select all that apply.
| | | | |
,Stop digoxin
|
monitor potassium levels | |
administer potassium supplements | |
administer digoxin immune tab | | |
A client receives a prescription for allopurinol. Which information
| | | | | | | | |
provided by the client requires additional instruction by the nurse?
| | | | | | | | |
double the dose if a dose is missed
| | | | | | |
which equipment should the nurse use to accurately measure a 2 mL
| | | | | | | | | | | |
dose of a viscous liquid solution to be administered PO?
| | | | | | | | |
3ml syringe
|
A client with peptic ulcer disease receives a new prescription for
| | | | | | | | | | |
cimetidine. Which statement provided by the client requires additional
| | | | | | | | |
instruction by the nurse? | | |
Decrease cigarette use to a pack per day
| | | | | | |
,Which action should the nurse implement to assess the effectiveness of
| | | | | | | | | | |
amlodipine?
measure the client's blood pressure
| | | |
A client who is taking an oral contraceptive receives a new prescription
| | | | | | | | | | | |
for erythromycin. Which instruction should the nurse provide to the
| | | | | | | | | |
client?
Use an additional form of contraception.
| | | | |
To prepare a client for the potential side effects of a newly prescribed
| | | | | | | | | | | | |
medication, which action should the nurse implement?
| | | | | |
Assess the client for health alterations that may be impacted by the
| | | | | | | | | | | |
effects of the medication.
| | |
A postoperative client has three different prescriptions for PRN
| | | | | | | | |
analgesics prescribed for different levels of pain.The nurse inadvertently
| | | | | | | | |
administers a dose that is not within the prescribed parameters. Which
| | | | | | | | | | |
action should the nurse take first?
| | | | |
Assess for side effects of the medication.
| | | | | |
, A client has a prescription for heparin 1,000 units IV STAT. Several pre-
| | | | | | | | | | | |
filled syringes of low molecular weight heparin are available in the
| | | | | | | | | | |
client's medication drawer. Which action should the nurse implement?
| | | | | | | |
Advise the pharmacy of the need to deliver a vial of heparin to the
| | | | | | | | | | | | | |
nursing unit immediately. | |
A client is receiving metronidazole for Clostridium difficile
| | | | | | | |
pseudomembranous colitis. Which information should the nurse include | | | | | | |
in this client's medication teaching plan?
| | | | | |
Avoid the use of alcohol| | | |
A child who weighs 44 pounds with otitis media receives a prescription
| | | | | | | | | | | |
for azithromycin 10 mg/kg once, then 10 mg/kg daily for 4 days. The
| | | | | | | | | | | | |
medication is available in a solution containing 200 mg/5 mL. How many
| | | | | | | | | | |
|mL should the nurse administer on the first day of the treatment
| | | | | | | | | | | |
regimen? (Enter numeric value only.) | | | |
5
