Pharmacology II - RN Pharmacology Online Practice 2019 A 100% Correct Answered

Pharmacology II - RN Pharmacology Online Practice 2019 A 100% Correct Answered >>A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Using a leading zero if it applies. Do not use a trailing zero.) _________ mg - Answer: 300 mg 44 / 2.2 = 20kg 15 * 20 = 300mg ***12 hr is an unnecessary number for this math problem*** >>A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? (Select all that apply.) 1. Report muscle pain to the provider. 2. Avoid taking the medication with grapefruit juice. 3. Take the medication in the early morning. 4. Expect a flushing of the skin as a reaction to the medication. 5. Expect therapy with this medication to be lifelong. - Answer: 1, 2, 5 1. Report muscle pain to the provider. 2. Avoid taking the medication with grapefruit juice. 3. Take the medication in the early morning. Rationale: Medication should be taken in the evening. 4. Expect a flushing of the skin as a reaction to the medication. Rationale: Flushing of the skin is an adverse effect of niacin, not simvastatin. 5. Expect therapy with this medication to be lifelong. >>A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? 1. Decrease the WBC count 2. Decrease in amount of time sleeping 3. Increase in appetite 4. Increase in ability to focus - Answer: #4 1. Decrease the WBC count Rationale: This is an adverse effect that can cause myelosuppression. 2. Decrease in amount of time sleeping Rationale: Insomnia is a neurological manifestation of Graves' disease. 3. Increase in appetite Rationale: Increased appetite is a gastrointestinal manifestation of Graves' disease. 4. Increase in ability to focus >>A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? 1. Administer the medication outside the 5cm (2in) radius of the umbilicus. 2. Aspirate for blood return before injecting. 3. Rub vigorously after the injection to promote absorption. 4. Place a pressure dressing on the injection site to prevent bleeding. - Answer: #1 1. Administer the medication outside the 5cm (2in) radius of the umbilicus. 2. Aspirate for blood return before injecting. Rationale: This will cause the injection site to bruise. 3. Rub vigorously after the injection to promote absorption. Rationale: This will cause the injection site to bruise. 4. Place a pressure dressing on the injection site to prevent bleeding. Rationale: This is unnecessary if pressure is held for at least 1 min to prevent bleeding. >>A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of this medication? 1. Tingling toes 2. Sexual dysfunction 3. Absence of dreams 4. Pica - Answer: #2 1. Tingling toes Rationale: Distorted sensations in the extremities are not adverse effects of fluoxetine. 2. Sexual dysfunction 3. Absence of dreams Rationale: Absence of dreams is not associated with fluoxetine. 4. Pica Rationale: An eating disorder is not associated with fluoxetine.