NLN Practice Pharm Exam

A client who has renal failure has all of these prescriptions. Which on should a nurse question? (single answer) • Ampicillin sodium (omnipien-N) • Calcitriol (Rocaltrol) • Diphenhydramine hydrochloride (Benadryl) • Tobramycin sulfate (Nebcin) - Answer- d. Tobramycin sulfate (Nebcin) A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied in a vial that contains 300 mg/2 mL. How many milliters should a nurse administer to the client? (single answer) • 0.6 • 0.75 • 1.3 • 1.5 - Answer- c. 1.3 A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose; a nurse should • 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 - Answer- a. Ensure culture and sensitivity specimens have been obtained An 18-month-old child who weights 37 lb (17kg) has a temperature of 103 F (39.4 C). A physician orders acetaminophen (Tylenol) 15 mg/kg. How many milligrams should a nurse administer? • 120 • 148 • 200 • 255 - Answer- d. 255 A nurse is assessing a client who is taking glyburide (DiaBeta). Which of these client manifestations who indicate the need for FURTHER assessment prior to administering the scheduled dose of the medication? • Cool, wet skin • Elevated blood pressure • Frequent urination • Blurred vision - Answer- a. Cool, wet skin