Chapter 20: Pharmacology
The patient weighs 80 kg and is about to receive a potassium IV infusion of 10 mEq in
100 mL normal saline. For which finding must the nurse notify the health care provider
before completing this prescribed action? - The patient's urine output for the past 24
hours was 550 mL.
The nurse is caring for a patient newly diagnosed with hypertension. Blood pressure
readings over the past 8 hours have been: 08:00 164/93 mm Hg, 12:00 158/90 mm Hg,
and 16:00 166/94 mm Hg. The health care provider prescribes a no added salt diet and
plans to start the patient on hydrochlorothiazide 25 mg. Which action is most important
for the nurse to take before administering this drug? - Check the patient's serum
potassium level
A patient is prescribed meloxicam for rheumatoid arthritis. This drug has a long half-life
of 51 hours. Which prescription would the nurse be sure to clarify with the health care
provider before giving the medication? - Meloxicam 7.5 mg every 4 hours as needed for
pain
The RN is a team leader working with an LPN/LVN and two assistive personnel (APs) to
provide care for eight medical patients. Which action would be appropriate for the RN to
take with regard to nursing care provided by the LPN/LVN? - Assign the LPN/LVN the
administration of insulin to a patient with type 1 diabetes.
A 14-year-old child was recently diagnosed with type 1 diabetes. The patient is
prescribed 10 units of regular insulin and 15 units of neutral protamine Hagedorn (NPH)
insulin each morning. How should the nurse instruct this patient to give herself the
prescribed doses of insulin? - "First draw up the regular insulin, then draw up the NPH
insulin in the same syringe."
A patient with type 2 diabetes has a prescription for a change in oral antidiabetic agents
from glyburide to acarbose. The patient asks the nurse why there is no need to be
worried about the new drug causing hypoglycemia. What is the nurse's best answer? -
"Glyburide stimulates your pancreas to secrete insulin, increasing your risk for
hypoglycemia. Acarbose does not stimulate insulin secretion; rather, it reduces your
intestinal uptake of sugar."
An adult patient with type 2 diabetes is prescribed miglitol 25 mg three times a day with
meals. What specific priority instruction about this drug does the RN provide to the
LPN/LVN assigned to care for this patient? - Make certain the patient's meal is actually
on the unit before administering the drug and give the drug with the first bite of the
meal."
, An older adult patient with type 1 diabetes is legally blind and is prescribed daily
morning doses of regular and neutral protamine Hagedorn (NPH) insulin. The patient's
daughter provides in-home care and will be preparing the insulin syringes on a weekly
basis. What does the nurse teach the patient's daughter about storing the prefilled
insulin syringes? - Keep the syringes in the upright position with the needle pointing
toward the ceiling."
A female patient with type 2 diabetes who is breastfeeding her newborn infant has a
prescription for glipizide. What is the nurse's best action? - Hold the drug and clarify the
order with the health care provider.
A patient is to receive metoprolol tartrate 5 mg IV to control high blood pressure. IV
metoprolol tartrate is administered over 2 minutes. Based on the label for the
medication (see the figure), the nurse will administer? __________ mL/min. - 2.5
Which of the following should the nurse be sure to assess before and after giving
amlodipine to treat high blood pressure? Select all that apply. - 1. Swelling in ankles or
feet
2Heart rate
4Blood pressure
5Lung sounds
6Weight
A patient diagnosed with hypertension has received the first dose of lisinopril. Which
interventions will the RN delegate to the assistive personnel (AP)? Select all that apply.
- 2.Recheck the patient's vital signs every 4 to 8 hours.
3. Ensure that the patient's call light is within easy reach.
5 Remind the patient to rise slowly from the bed and sit before standing.
6 Assist the patient to get out of bed and use the bathroom.
An older patient with chronic obstructive pulmonary disease is to be discharged with
prescriptions for albuterol, which is a short-acting beta agonist (SABA), and salmeterol,
which is a long-acting beta agonist (LABA) bronchodilator. Which statement by the
patient indicates to the nurse that the patient requires additional teaching? - "I will use
my salmeterol whenever I become suddenly short of breath."
The nurse is providing care for an 83-year-old patient with type 2 diabetes,
hypertension, renal insufficiency, mild chronic obstructive pulmonary disease, and
peripheral vascular disease.Which findings increase the patient's risk for development
of HHS? Select all that apply.
Vital signs:Temperature 98.7°F (37.06°C)Pulse 98 beats/minRespirations 27
breaths/min Blood pressure 168/94 mm HgAM glucose greater than 600 mg/dL (33.3
mmol/L)
Medications: Hydrochlorothiazide (HCTZ)metforminalbuterol inhaler as needed
The patient weighs 80 kg and is about to receive a potassium IV infusion of 10 mEq in
100 mL normal saline. For which finding must the nurse notify the health care provider
before completing this prescribed action? - The patient's urine output for the past 24
hours was 550 mL.
The nurse is caring for a patient newly diagnosed with hypertension. Blood pressure
readings over the past 8 hours have been: 08:00 164/93 mm Hg, 12:00 158/90 mm Hg,
and 16:00 166/94 mm Hg. The health care provider prescribes a no added salt diet and
plans to start the patient on hydrochlorothiazide 25 mg. Which action is most important
for the nurse to take before administering this drug? - Check the patient's serum
potassium level
A patient is prescribed meloxicam for rheumatoid arthritis. This drug has a long half-life
of 51 hours. Which prescription would the nurse be sure to clarify with the health care
provider before giving the medication? - Meloxicam 7.5 mg every 4 hours as needed for
pain
The RN is a team leader working with an LPN/LVN and two assistive personnel (APs) to
provide care for eight medical patients. Which action would be appropriate for the RN to
take with regard to nursing care provided by the LPN/LVN? - Assign the LPN/LVN the
administration of insulin to a patient with type 1 diabetes.
A 14-year-old child was recently diagnosed with type 1 diabetes. The patient is
prescribed 10 units of regular insulin and 15 units of neutral protamine Hagedorn (NPH)
insulin each morning. How should the nurse instruct this patient to give herself the
prescribed doses of insulin? - "First draw up the regular insulin, then draw up the NPH
insulin in the same syringe."
A patient with type 2 diabetes has a prescription for a change in oral antidiabetic agents
from glyburide to acarbose. The patient asks the nurse why there is no need to be
worried about the new drug causing hypoglycemia. What is the nurse's best answer? -
"Glyburide stimulates your pancreas to secrete insulin, increasing your risk for
hypoglycemia. Acarbose does not stimulate insulin secretion; rather, it reduces your
intestinal uptake of sugar."
An adult patient with type 2 diabetes is prescribed miglitol 25 mg three times a day with
meals. What specific priority instruction about this drug does the RN provide to the
LPN/LVN assigned to care for this patient? - Make certain the patient's meal is actually
on the unit before administering the drug and give the drug with the first bite of the
meal."
, An older adult patient with type 1 diabetes is legally blind and is prescribed daily
morning doses of regular and neutral protamine Hagedorn (NPH) insulin. The patient's
daughter provides in-home care and will be preparing the insulin syringes on a weekly
basis. What does the nurse teach the patient's daughter about storing the prefilled
insulin syringes? - Keep the syringes in the upright position with the needle pointing
toward the ceiling."
A female patient with type 2 diabetes who is breastfeeding her newborn infant has a
prescription for glipizide. What is the nurse's best action? - Hold the drug and clarify the
order with the health care provider.
A patient is to receive metoprolol tartrate 5 mg IV to control high blood pressure. IV
metoprolol tartrate is administered over 2 minutes. Based on the label for the
medication (see the figure), the nurse will administer? __________ mL/min. - 2.5
Which of the following should the nurse be sure to assess before and after giving
amlodipine to treat high blood pressure? Select all that apply. - 1. Swelling in ankles or
feet
2Heart rate
4Blood pressure
5Lung sounds
6Weight
A patient diagnosed with hypertension has received the first dose of lisinopril. Which
interventions will the RN delegate to the assistive personnel (AP)? Select all that apply.
- 2.Recheck the patient's vital signs every 4 to 8 hours.
3. Ensure that the patient's call light is within easy reach.
5 Remind the patient to rise slowly from the bed and sit before standing.
6 Assist the patient to get out of bed and use the bathroom.
An older patient with chronic obstructive pulmonary disease is to be discharged with
prescriptions for albuterol, which is a short-acting beta agonist (SABA), and salmeterol,
which is a long-acting beta agonist (LABA) bronchodilator. Which statement by the
patient indicates to the nurse that the patient requires additional teaching? - "I will use
my salmeterol whenever I become suddenly short of breath."
The nurse is providing care for an 83-year-old patient with type 2 diabetes,
hypertension, renal insufficiency, mild chronic obstructive pulmonary disease, and
peripheral vascular disease.Which findings increase the patient's risk for development
of HHS? Select all that apply.
Vital signs:Temperature 98.7°F (37.06°C)Pulse 98 beats/minRespirations 27
breaths/min Blood pressure 168/94 mm HgAM glucose greater than 600 mg/dL (33.3
mmol/L)
Medications: Hydrochlorothiazide (HCTZ)metforminalbuterol inhaler as needed
