NLN Practice Pharm Exam Exam All Possible Questions and Answers with complete solution

A client who has renal failure has all of these prescriptions. Which on should a nurse question? (single answer) • Ampicillin sodium (omnipien-N) • Calcitriol (Rocaltrol) • Diphenhydramine hydrochloride (Benadryl) • Tobramycin sulfate (Nebcin) - Answer-d. Tobramycin sulfate (Nebcin) A client has an order for 200 mg of cimetidine hydrochloride (Tagamet) IM. It is supplied in a vial that contains 300 mg/2 mL. How many milliters should a nurse administer to the client? (single answer) • 0.6 • 0.75 • 1.3 • 1.5 - Answer-c. 1.3 A client is scheduled to start antibiotic therapy. Prior to administration of the initial dose; a nurse should • Ensure culture and sensitivity specimens have been obtained • Obtain the client's body temperature • Measure the client's urine output • Determine the client's weight - Answer-a. Ensure culture and sensitivity specimens have been obtained An 18-month-old child who weights 37 lb (17kg) has a temperature of 103 F (39.4 C). A physician orders acetaminophen (Tylenol) 15 mg/kg. How many milligrams should a nurse administer? • 120 • 148 • 200 • 255 - Answer-d. 255A nurse is assessing a client who is taking glyburide (DiaBeta). Which of these client manifestations who indicate the need for FURTHER assessment prior to administering the scheduled dose of the medication? • Cool, wet skin • Elevated blood pressure • Frequent urination • Blurred vision - Answer-a. Cool, wet skin Which of these statements, if made by a client who is receiving warfarin sodium (Coumadin), should indicate to a nurse that the client has a correct understanding of the medication instructions? • I will shave with an electric razor. • I will increase my intake of green vegetables. • I will use unwaxed dental floss twice daily. • I will decrease my daily dose if I feel fatigued. - Answer-a. I will shave with an electric razor. A nurse should instruct a client who has been taking fentanyl (Duragesic) for several weeks to • Taper this medication slowly when discontinuing its use • Increase the dosage when pain persists for several hours • Limit physical activity while on this medication • Vigorously rub medication into skin - Answer-a. Taper this medication slowly when discontinuing its use A nurse should observe a client who is taking captopril (Capoten) for adverse effects, which include • Dehydration • Peripheral edema • Hyperglycemia • Persistent cough - Answer-d. Persistent cough Which of these changes should a nurse expect to observe if a client has a therapeutic effect to amlodipine (Norvasc)? • Greater flexibility • Decreased blood pressure• Improved cognition • Decreased pain - Answer-b. Decreased blood pressure A nurse should observe a client who is taking a calcium channel blocker for side effects, which include • Hypertension • Urinary retention • Weight loss • Diplopia - Answer-d. Diplopia