NLN Medication Exam 2023 with 100% correct answers

Six Rights of Medication Administration Right medication Right patient Right Time Right Route Right Dose Right Documentation Two patient identifiers Name and DOB Which medication is contraindicated for renal failure patients? • Ampicillin sodium (Omnipien-N) • Calcitriol (Rocaltrol) • Diphenhydramine hydrochloride (Benadryl) • Tobramycin sulfate (Nebcin) Tobramycin sulfate (Nebcin) What should a nurse do prior to administration of an initial dose of an antibiotic? • Ensure culture and sensitivity specimens have been obtained • Obtain the client's body temperature • Measure the client's urine output • Determine the client's weight Ensure culture and sensitivity specimens have been obtained Prior to administering the next dose of glyburide (Diabeta) which of the following signs and symptoms would alert the nurse to further assess the patient? • Cool, wet skin • Elevated blood pressure • Frequent urination • Blurred vision Cool, wet skin Which statement by a patient on warfarin sodium (Coumadin) would indicate that he/she is knowledgeable about the medication? • I will shave with an electric razor. • I will increase my intake of green vegetables. • I will use unwaxed dental floss twice daily. • I will decrease my daily dose if I feel fatigued. I will shave with an electric razor What is the appropriate teaching for a patient on fentanyl (Duragesic) for several weeks? • Taper this medication slowly when discontinuing its use • Increase the dosage when pain persists for several hours • Limit physical activity while on this medication • Vigorously rub medication into skin Taper this medication slowly when discontinuing its use An adverse effect of captopril (Capoten) is...? • Dehydration • Peripheral edema • Hyperglycemia • Persistent cough Persistent cough A therapeutic effect to amlodipine (Norvasc) is...? • Greater flexibility • Decreased blood pressure • Improved cognition • Decreased pain Decreased blood pressure What is a common side effect of a calcium channel blocker? • Hypertension • Urinary retention • Weight loss • Diplopia Diplopia Enoxaparin (Lovenox) is CONTRAINDICATED for patients with...? • Congestive health failure • Kidney stones • Bleeding disorders • Asthma Bleeding disorders A nurse should include which of these instructions for a patient on naproxen (Naprosyn)? • Maximum effectiveness may take two to four weeks of continued therapy • The medication may be taken with aspirin to improve pain relief. • You will need to carefully monitor your blood sugar levels • It is important that you avoid sun exposure Maximum effectiveness may take two to four weeks of continued therapy A nurse should monitor ________________ for a patient who is taking furosemide (Lasix)? • Respiratory rate • Blood pressure • Pulse oximetry • Babinski reflex Blood pressure An anti-hyperlipidemic medication is contraindicated for which patient? • a 30-year-old client who has a history of heart disease • a 44-year-old client who has recurrent urinary tract infections • a 57-year-old client who has cirrhosis related to alcohol abuse • a 79-year-old client who has bilateral cataracts a 57-year-old client who has cirrhosis related to alcohol abuse The side effect for cefotaxime sodium (Claforan) is...? • Diarrhea • Vertigo • Tinnitus • Insomnia Diarrhea