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l Prophecy RN Pharmacology A+ 2023-24

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l Prophecy RN Pharmacology A+ 2023



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)

, 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

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