With Correct Answers
Naproxen is an NSAID that is contraindicated for clients who have peptic ulcer disease
because it can reduce platelet aggregation and increase the risk of gastrointestinal
irritation and hemorrhage.
Aspirin is an NSAID that is contraindicated for clients who have peptic ulcer disease
because it can reduce platelet aggregation and increase the risk of gastrointestinal
irritation and hemorrhage.
Nurse is preparing to administer heparin 8,000 units subq q8h. Available is heparin
10,000 units/ml. How many mL should nurse administer per dose? (Round to nearest
tenth) - ANSWER-0.8 mL
Nurse is preparing to administer enteral tube feeding through NG tube at 250mL over
4hr. Nurse should set pump to deliver how many mL/hr? (Round to nearest whole
number) - ANSWER-63 mL/hr
RN is preparing to administer amoxicillin 250 mg liquid suspension PO q8h to older
adult pt. Available is amoxicillin 50 mg/ml. How many ml should administer? (Round to
nearest whole number) - ANSWER-5 ml
Nurse is caring for pt who has prescription for clopidogrel. Nurse should monitor pt for
which of following adverse effects?
Insomnia
Hypotension
Bleeding
Constipation - ANSWER-Bleeding
Clopidogrel is an antithrombotic medication that inhibits platelet aggregation. It is used
to prevent stenosis of coronary stents, myocardial infarctions, and strokes. The nurse
should monitor for coffee ground emesis, black tarry stools, ecchymosis, or any
indication of bleeding.
Nurse is teaching newly licensed nurse about contraindications to ceftriaxone. Nurse
should include severe allergy to which of following meds as contraindicated to
ceftriaxone?
Gentamicin
Clindamycin
Piperacillin
Sulfamethoxazole-trimethoprim - ANSWER-Piperacillin
, Clients who have a severe allergy to piperacillin, which is a penicillin, can have a cross
sensitivity to ceftriaxone, a third-generation cephalosporin. Ceftriaxone is
contraindicated for the client who has an allergy to cephalosporins or a severe allergy to
penicillin.
Nure is providing teaching to newly licensed nurse about metoclopramide. Nurse should
include in teaching that which of following conditions is contraindicated to this med?
Hyperthyroidism
Intestinal obstruction
Glaucoma
Low blood pressure - ANSWER-Intestinal obstruction
Metoclopramide reduces nausea and vomiting by increasing gastric motility and
promoting gastric emptying. It is contraindicated for a client who has an intestinal
obstruction or perforation.
Nurse is assessing pt who has new prescription for chlorpromazine to Tx schizophrenia.
Pt has mask-like facial expression and is experiencing involuntary movements and
tremors. Which of following meds should nurse anticipate administering?
Amantadine
Bupropion
Phenelzine
Hydroxyzine - ANSWER-Amantadine
The client is experiencing parkinsonism, which is an adverse effect of the antipsychotic
medication chlorpromazine. Amantadine is an antiparkinsonian medication used to treat
the extrapyramidal manifestations that can occur with chlorpromazine therapy.
Nurse is administering subq epinephrine for pt who is experiencing anaphylaxis. Nurse
should monitor pt for which of following adverse effects?
Hypotension
Hyperthermia
Hypoglycemia
Tachycardia - ANSWER-Tachycardia
Adverse effects of epinephrine, an adrenergic agonist, can include tachycardia and
dysrhythmias as the result of cardiac stimulation.
Nurse is providing teaching to pt who has UTI and new prescriptions for
phenazopyridine and ciprofloxacin. Which of following statements by pt indicates need
for further teaching?
"If the phenazopyridine upsets my stomach, I can take it with meals."