Prophecy RN Pharmacology A
Which of the following medications is known to cause orange-colored urine?
phenazopyridine (Pyridium)
You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure 130/75, Temp
97.9 oral, HR 52, O2 Sat 100% room air. What should you do next?
Hold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion
because:
Normal Saline is an isotonic solution and prevents cell hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer?
400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
Increase risk of digoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient?
Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS?
phenytoin (Dilantin)
Which of the following medications should be questioned by the nurse, if ordered by the provider to
treat a patient's complaint of nausea and vomiting?
famotidine (Pepcid)
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, Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continuously. The
patient's blood pressure at the beginning of your shift was 92/58 with a heart rate of 68. You noticed the
patient's blood pressures have been around 130/70. What should you do FIRST?
Check infusion rate to confirm 6ml/hr, then notify anesthesia provider
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency?
prednisone (Deltasone)
When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize that it
should be given over two minutes to avoid:
tinnitus
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum calcium level
is 13mg/dl. Which medication should the nurse prepare to administer as prescribed to the patient?
calcintonin (Miacalcin)
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The nurse
determines that the patient understands the MOST effective use of the medication if the patient states
that he or she will:
take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects?
Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the pharmacy as 2
G Vancomycin in 250ml normal saline. At what rate will the IV medication run?
125ml/hr
Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews the patient's
medical record and would question the prescription if which of the following is noted in the history?
Use of nitroglycerin
This study source was downloaded by 100000818833991 from CourseHero.com on 03-17-2023 07:12:47 GMT -05:00
https://www.stuvia.com/
Which of the following medications is known to cause orange-colored urine?
phenazopyridine (Pyridium)
You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressure 130/75, Temp
97.9 oral, HR 52, O2 Sat 100% room air. What should you do next?
Hold digoxin and call the provider
Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion
because:
Normal Saline is an isotonic solution and prevents cell hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer?
400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may:
Increase risk of digoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered cyclophosphamide
(Cytoxan). Which instruction should be given to the patient?
Increase daily water intake
Which of the following medications will crystalize when mixed with D5NS?
phenytoin (Dilantin)
Which of the following medications should be questioned by the nurse, if ordered by the provider to
treat a patient's complaint of nausea and vomiting?
famotidine (Pepcid)
This study source was downloaded by 100000818833991 from CourseHero.com on 03-17-2023 07:12:47 GMT -05:00
https://www.stuvia.com/
, Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continuously. The
patient's blood pressure at the beginning of your shift was 92/58 with a heart rate of 68. You noticed the
patient's blood pressures have been around 130/70. What should you do FIRST?
Check infusion rate to confirm 6ml/hr, then notify anesthesia provider
The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency?
prednisone (Deltasone)
When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize that it
should be given over two minutes to avoid:
tinnitus
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum calcium level
is 13mg/dl. Which medication should the nurse prepare to administer as prescribed to the patient?
calcintonin (Miacalcin)
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The nurse
determines that the patient understands the MOST effective use of the medication if the patient states
that he or she will:
take the medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects?
Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Your patient is to receive 2 G vancomycin over 2 hours. The medication comes in from the pharmacy as 2
G Vancomycin in 250ml normal saline. At what rate will the IV medication run?
125ml/hr
Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse reviews the patient's
medical record and would question the prescription if which of the following is noted in the history?
Use of nitroglycerin
This study source was downloaded by 100000818833991 from CourseHero.com on 03-17-2023 07:12:47 GMT -05:00
https://www.stuvia.com/
