A 38-year-vintage gravida 2 para 2 is identified with bacterial vaginosis nine-months
postpartum. A prescription is written for metronidazole (Flagyl). Which information is maximum
vital for the nurse to obtain for the customer before beginning remedy?
A. Method of toddler feeding
B. Sexual records
C. Possibility of pregnancy
D. Use of oral contraceptives - ANS-A. Method of little one feeding
A 48-12 months-vintage consumer is experiencing a excessive anaphylactic response to an
injection of evaluation media. What pharmacologic agent is of finest use in this example?
A. Loratadine (Claritin)
B. Dopamine (Intropin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin) - ANS-D. Epinephrine (Adrenalin)
A purchaser asks the nurse to give an explanation for the meaning of a narrow therapeutic
index of medicine. What information should the nurse use to answer the query?
A. Bioavailability is drastically decreased via the first-pass effect
B. Minimum dosage is needed for the drugs to be effective
C. A small margin exists between safe and toxic plasma levels
D. The onset of action for the drugs occurs right away - ANS-C. A small margin exists between
secure and poisonous plasma stages
A customer at 30-weeks gestation is in preterm hard work. The HCP prescribes two 12-mg
doses of betamethasone (Celestone) intramuscularly every 12 hours. The client asks the nurse
why she is receiving the Celestone. What records have to the nurse use to give an explanation
for the movement of the medicine?
A. Reduces maternal and fetal tachycardia related to terbutaline (Brethine) management
B. Suppresses uterine contractions
C. Stimulates fetal surfactant manufacturing
D. Maintains adequate maternal respiration effort and air flow with magnesium management -
ANS-C. Stimulates fetal surfactant production
A consumer calls the sanatorium and states that she forgot to take her oral contraceptives for
the beyond days. Which preparation is high-quality for the nurse to provide to this patron?
A. Take 2 drugs a day for 2 days and use an exchange technique of contraception for 7 days
B. Take one greater tablet in line with day for the relaxation of this cycle, then resume taking
capsules as usual subsequent cycle.
C. Quit the pills for this cycle, use an change technique of contraception, and resume drugs at
the 5th day of menstruation.
D. Take 4 pills now and use an change technique of birth control for the relaxation of this cycle. -
ANS-A. Take 2 tablets an afternoon for two days and use an change approach of contraception
for 7 days
, A patron is admitted for atrial fibrillation, and the HCP prescribes disopryamide (Norpace). After
explaining the action of this antidysrhythmic agent, which criticism have to the nurse coach the
purchaser to document?
A. Daily weight advantage of two kilos
B. Joint pain
C. Dizziness or muscle weak point
D. Dry mouth - ANS-A. Daily weight benefit of 2 pounds
A client is starting remedy with montelukast (Singulair) PO 10 mg once an afternoon within the
night. The consumer asks the nurse, "while should I begin to experience better?" How ought to
the nurse reply?
A. Immediately
B. 30 minutes to at least one hour
C. In about 12 hours
D. Within 24 hours - ANS-D. Within 24 hours
A customer is receiving fentanyl via an epidural infusion. Which aspect impact have to the nurse
assume within the first 24 hours of epidural analgesia?
A. Agitation
B. Urinary retention
C. Headache
D. Abdominal cramping and diarrhea - ANS-B. Urinary retention
A patron is taking cyclosporine for renal renal allograft rejection prevention. After nine months of
drug remedy, the nurse evaluations laboratory facts and notes that the blood urea nitrogen level
is 36 mg/dl. What extra locating must the nurse discover?
A. Hypotension
B. Creatinine 28 mg/dl
C. Anaphylactic reaction
D. White blood cellular count 10,000 - ANS-B. Creatinine 28 mg/dl
A consumer is taking danazol (Danocrine) for endometriosis and calls the sanatorium nurse to
bitch of a darkish, swollen, and painful leg. What commands ought to the nurse offer the patron?
A. Proceed to the nearest emergency room
B. Walk for 20 to half-hour to lessen muscle cramps
C. Elevate each legs and observe heat
D. Wear guide stockings - ANS-A. Proceed to the nearest emergency room
A consumer is taking sulfisoxazole (Gantrisin) for a UTI and complains of nausea and gastric
disillusioned considering that beginning the medicine. Which extra detrimental reaction ought to
the nurse coach the purchaser to document?
A. Diarrhea
B. Muscle cramping
C. Hematuria
D. Rash - ANS-D. Rash
A purchaser receives a brand new prescription for an ACE inhibitor. What patron records
contraindicates its use?
A. Heart failure
B. Coronary artery ailment