Pharmacology 52_Final Exam

Pharmacology 52_Final Exam_2020 The nurse is reviewing a list of verbal medication orders. Which is the proper notation of the dose of the drug ordered? Digoxin 0.125 mg Digoxin 0.125 mg illustrates the correct notation with a leading zero before the decimal point. Omitting the leading zero may cause the order to be misread, resulting in a large drug overdose. Digoxin .125 mg and digoxin .1250 mg do not have the leading zero before the decimal point. Digoxin 0.1250 mg has a trailing zero, which also is incorrect. The nurse instructs a nursing student to administer 40 mg of furosemide to a patient who has liver cirrhosis. The patient develops sweating and hypotension after receiving the medication. The nurse learns that the student nurse has administered an 80­mg tablet of furosemide. What is the most appropriate response by the nurse? "I need to complete an incident report on the error you made." The nurse should immediately prepare a document regarding the medication error and submit it to the nurse manager. Errors made by students and professionals must be reported promptly. It helps to take precautions in the future and to provide effective care to patients. The nurse should report all medication errors regardless of the severity. The student nurse may be depressed because of the error. The student nurse must not be excused for the medication error. Advising students immediately regarding their responsibility and the necessity of being cautious can make them feel criticized and helpless. A patient is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of seizures. The nurse expects that the patient is receiving this drug for which condition? Pain associated with peripheral neuropathy Anticonvulsants are often used as adjuvants for treatment of neuropathic pain to enhance analgesic efficacy. The other indications listed are not correct. Question 4 1 / 1 pts A patient is prescribed high­dose acetaminophen for long­term treatment of pain. Which medicine may be part of the patient’s treatment plan to prevent complications associated with acetaminophen toxicity? Acetylcysteine Acetaminophen is a nonopioid drug. Higher doses of acetaminophen may increase the risk for acute hepatotoxicity and liver damage. Liver damage from acetaminophen may be minimized by timely dosage of acetylcysteine. Therefore, acetylcysteine should be involved in the patient’s treatment plan to prevent complications associated with acetaminophen. Naloxone is an opioid antagonist used for the treatment of opioid toxicity. Nalbuphine is an opioid agonist­antagonist. Naltrexone hydrochloride is an opioid antagonist used in the treatment of opioid toxicity. Immediate postoperative assessment of a patient reveals a body temperature of 102° F. Which action should the nurse perform? Correct Answer Notify the prescriber immediately. A fever immediately postoperatively must be evaluated for potential malignant hyperthermia, which is a medical emergency. Infection of a surgical wound takes several days to develop. A patient is brought to the emergency department for treatment of a suspected overdose. The patient was found with an empty prescription bottle of a barbiturate by his bedside. He is lethargic and barely breathing. The nurse would expect which immediate intervention?