RN Pharmacology A Relias

What medication is a leukotriene receptor antagonist? - montelukast Which statement made by a person regarding hydrochlorothiazide (hctz) is correct? - i should take extra care when standing up or changing positions. A 250mg dose of an oral medication has been ordered. The medication is supplied only in 100mg tablets. How many tablets would you administer? - 2.5 What medication is considered a potassium-sparing diuretic? - spironolactione (aldactone) You receive report from the off-going nurse that the person being cared for just received their fourth dose of iv vancomycin that was administered over 30 minutes. Upon assessment of them, you notice their face and neck are red and they are itching all over. What would you suspect? - red man syndrome due to a rapid infusion rate. Which of the following would you question if prescribed for a person taking sildenafil (viagra? - nitroglycerin You are caring for a person with a capillary blood glucose of 33 mg/dl and they are unable to tolerate oral intake. Which of the following would you administer? - dextrose 50% iv push A physician's written order for the person you are caring for is as follows: insulin glargine (lantus), 10 u, subq qd. What changes would you suggest for safety and to avoid the use of "do not use" abbreviations? - spell out units and daily Which statement, if made by the person you are caring for, reflects the need for further education regarding a new prescriptions of warfarin (coumadin)? - if i get headaches, aspirin is my best options for pain A person is noted to have a penicillin allergy. What medication would you question of ordered by a physician? - ceftriaxone You receive and order to start a heparin drip at 18 units/kg/hr for a person weighing 75 kg. The heparin comes in a 500 ml bag with 25,000 units. What is the starting rate of the infusion? - 27 ml/hr The physician orders 0.5 mg/kg of a medications. The medication is supplied in a 10 mg/ml solution. The person you are caring for weighs 40 kg. How many ml of the drug would you administer?f - 2 ml A person with a hypothyroidism has a serum calcium level of 13 mg/dl. What medication would you expect to administer? - calcitonin A person you are caring for has a known gi bleed. What drug is contraindicated? - enoxaparin (lovenox) A person has been prescribed nitrofurantoin (furadantin) for a uti. What education would you provide for them? - wash your mouth out after taking this medication to avoid staining of the teeth What is appropriate education to provide to a person who has received a new prescription for a ppi? - you should not take this medicine at the same time as other medicines. Your patient presents with chf and has a potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? - not amiloride Your patient has been diagnosed with chronic chf and will be taking lasix 80 mg po twice a day. When teaching about high potassium foods in the diet, which group of foods would you recommend to the patient? - not tofu, red meat, beans Which medication would you question if ordered by the provider to treat a person that is complaining of nausea and vomiting? - famotidine Shortly after administering an iv med, person complains of itching and feeling flushed. Hives begun to form on chest. What is the best intervention? - administer prn iv diphenhydramine and notify md Patient refuses a dose of iv medication. What is the most approriate action? - document the refusal and notify the md