NR293 Pharmacology Exam 1 - LATEST UPDATE - GUARANTEED
PASS!!GRADED A+
C. Data Collection - (answers)A nurse is caring for a client who has multiple medication
allergies. During which of the following steps of the nursing process should the nurse
identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - (answers)A nurse is caring for a client and realizes after
administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of
the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse
take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - (answers)A nurse is preparing to administer medication to a client. Which of the
following abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - (answers)A nurse is reviewing
the medication administration record of a client who has impaired swallowing. The nurse
should crush the medication when administering which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
,B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin. - (answers)A nurse is caring for a client
who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a
postoperative infection. Which of the following manifestations should the nurse monitor for
as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - (answers)A nurse is assisting with the care of a client who is postoperative.
The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for
meperidine. Which of the following routes of administration will deliver the medication with
the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - (answers)nurse is monitoring a
client with pneumonia who has received penicillin G intramuscularly. Which of the following
findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
, D. temperature of 99.7 F
c. hepatic toxicity - (answers)A nurse is reviewing the laboratory results of a client who is
taking a medication and notes that the client's blood tests show an elevated level of the
enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse
should recognize that these findings are potential indications of which of the following
conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - (answers)A nurse is reviewing the laboratory data for a
client who has Alzheimer's disease and a new prescription for memantine. The nurse should
identify that which of the following findings increases the risk for reduced clearance of the
medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
5 mL - (answers)A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a
school-aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5
mL. How many mL should the nurse administer? (Round your answer to the nearest tenth.
Use a leading zero if applicable but do not use a trailing zero.)
A. to reduce toxicity risk - (answers)A nurse is assisting with the administration of an IV
injection to a client. For which of the following reasons should the nurse inject the
medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution
PASS!!GRADED A+
C. Data Collection - (answers)A nurse is caring for a client who has multiple medication
allergies. During which of the following steps of the nursing process should the nurse
identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
C. check the client's apical pulse - (answers)A nurse is caring for a client and realizes after
administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of
the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse
take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
C. QID - (answers)A nurse is preparing to administer medication to a client. Which of the
following abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
B. Levothyroxine 75 mcg PO q AM before breakfast
EC = enteric coated, XR = extended release, SL = sublingually - (answers)A nurse is reviewing
the medication administration record of a client who has impaired swallowing. The nurse
should crush the medication when administering which of the following prescriptions?
A. Aspirin EC 80 mg PO daily
,B. Levothyroxine 75 mcg PO q AM before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN chest pain, can repeat q 5 min for 2 additional doses.
B. Epistaxis
Cefotetan is an antibiotic that affects vitamin K levels, which can result in bleeding and
epistaxis. It is a second generation cephalosporin. - (answers)A nurse is caring for a client
who is receiving cefotetan 1 g via intermittent IV bolus every 12 hours to treat a
postoperative infection. Which of the following manifestations should the nurse monitor for
as an adverse effect of the medication?
A. disorientation
B. epistaxis
C. constipation
D. jaundice
B. Intravenous - (answers)A nurse is assisting with the care of a client who is postoperative.
The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for
meperidine. Which of the following routes of administration will deliver the medication with
the shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
C. laryngeal edema
this can indicate an allergic reaction, possibly anaphylaxis - (answers)nurse is monitoring a
client with pneumonia who has received penicillin G intramuscularly. Which of the following
findings should the nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
, D. temperature of 99.7 F
c. hepatic toxicity - (answers)A nurse is reviewing the laboratory results of a client who is
taking a medication and notes that the client's blood tests show an elevated level of the
enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse
should recognize that these findings are potential indications of which of the following
conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
B. Creatinine clearance 35 mL/min - (answers)A nurse is reviewing the laboratory data for a
client who has Alzheimer's disease and a new prescription for memantine. The nurse should
identify that which of the following findings increases the risk for reduced clearance of the
medication?
A. Alanine aminotransferase (ALT) 60 international units.
B. Creatinine clearance 35 mL/min
C. HbA1c 5%
D. BMI 31
5 mL - (answers)A nurse is preparing to administer albuterol syrup 0.1 mg/kg/day to a
school-aged child who weights 44 pounds. The amount available is albuterol syrup 2 mg/5
mL. How many mL should the nurse administer? (Round your answer to the nearest tenth.
Use a leading zero if applicable but do not use a trailing zero.)
A. to reduce toxicity risk - (answers)A nurse is assisting with the administration of an IV
injection to a client. For which of the following reasons should the nurse inject the
medication slowly?
A. to reduce toxicity risk
B. to improve the absorption pattern
C. to prevent medication dilution