A 38-year-vintage gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole (Flagyl). Which data is maximum
crucial for the nurse to achieve for the client earlier than starting up treatment?
A. Method of infant feeding
B. Sexual history
C. Possibility of pregnancy
D. Use of oral contraceptives - ANSA. Method of infant feeding
A forty eight-year-old client is experiencing a severe anaphylactic response to an injection of
evaluation media. What pharmacologic agent is of greatest use in this situation?
A. Loratadine (Claritin)
B. Dopamine (Intropin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin) - ANSD. Epinephrine (Adrenalin)
A consumer asks the nurse to give an explanation for the which means of a narrow healing
index of drugs. What statistics ought to the nurse use to answer the question?
A. Bioavailability is considerably reduced through the first-bypass impact
B. Minimum dosage is needed for the drugs to be powerful
C. A small margin exists between safe and toxic plasma stages
D. The onset of action for the medicine takes place in no time - ANSC. A small margin exists
among secure and toxic plasma ranges
A patron 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 statistics have to the nurse use to provide
an explanation for the motion of the medication?
A. Reduces maternal and fetal tachycardia associated with terbutaline (Brethine)
administration
B. Suppresses uterine contractions
C. Stimulates fetal surfactant production
D. Maintains good enough maternal respiratory effort and ventilation with magnesium
management - ANSC. Stimulates fetal surfactant production
A patron calls the medical institution and states that she forgot to take her oral
contraceptives for the beyond two days. Which instruction is fine for the nurse to provide to
this customer?
A. Take 2 capsules a day for two days and use an alternate approach of birth control for 7
days
B. Take one extra tablet per day for the relaxation of this cycle, then resume taking capsules
as ordinary subsequent cycle.
, C. Quit the capsules for this cycle, use an alternate technique of contraception, and resume
pills on the 5th day of menstruation.
D. Take four tablets now and use an alternate technique of contraception for the rest of this
cycle. - ANSA. Take 2 capsules a day for two days and use an exchange method of birth
control for 7 days
A consumer is admitted for atrial fibrillation, and the HCP prescribes disopryamide
(Norpace). After explaining the motion of this antidysrhythmic agent, which grievance need
to the nurse instruct the patron to document?
A. Daily weight advantage of 2 pounds
B. Joint ache
C. Dizziness or muscle weak point
D. Dry mouth - ANSA. Daily weight advantage of 2 pounds
A customer is beginning therapy with montelukast (Singulair) PO 10 mg as soon as a day in
the nighttime. The consumer asks the nurse, "whilst should I begin to sense higher?" How
need to the nurse respond?
A. Immediately
B. Half-hour to one hour
C. In approximately 12 hours
D. Within 24 hours - ANSD. Within 24 hours
A customer is receiving fentanyl through an epidural infusion. Which aspect impact ought to
the nurse anticipate inside the first 24 hours of epidural analgesia?
A. Agitation
B. Urinary retention
C. Headache
D. Abdominal cramping and diarrhea - ANSB. Urinary retention
A consumer is taking cyclosporine for renal renal allograft rejection prevention. After nine
months of drug remedy, the nurse opinions laboratory facts and notes that the blood urea
nitrogen degree is 36 mg/dl. What additional finding need to the nurse perceive?
A. Hypotension
B. Creatinine 28 mg/dl
C. Anaphylactic reaction
D. White blood cellular matter 10,000 - ANSB. Creatinine 28 mg/dl
A purchaser is taking danazol (Danocrine) for endometriosis and calls the health facility
nurse to whinge of a darkish, swollen, and painful leg. What commands have to the nurse
provide the customer?
A. Proceed to the closest emergency room
B. Walk for 20 to 30 minutes to reduce muscle cramps
C. Elevate both legs and observe heat
D. Wear guide stockings - ANSA. Proceed to the closest emergency room
A purchaser is taking sulfisoxazole (Gantrisin) for a UTI and complains of nausea and gastric
upset seeing that starting the medication. Which extra adverse reaction ought to the nurse
train the customer to report?