Rasmussen Pharm Exam 1 Questions and Answers Verified 100% Correct

Rasmussen Pharm Exam 1 Questions and Answers Verified 100% Correct A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? • A. Taking all medications out of the unit-dose wrappers before entering the client's room B. Checking the prescription when a single dose requires administration of multiple tablets C. Administering a medication, then looking up the usual dosage range D. Relying on another nurse to clarify a medication prescription - answer B. Checking the prescription when a single dose requires administration of multiple tablets. If a single dose requires multiple tablets, it is possible that an error has occurred in the prescription or transcription of the medication. This action could prevent a medication error. A nurse is caring for a client experiencing IV extravasation. The facility requires the administration of an antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions should the nurse take first? • A. Remove the IV catheter. B. Withdraw the solution from the IV access. C. Administer the antidote to the vesicant. D. Insert a new IV access in a different extremity. - answer B. Withdraw the solution from the IV access. According to evidence-based practice, the nurse should first withdraw the solution from the IV access. This reduces the amount of vesicant in the body, and lowers the risk of tissue damage. A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states when they took penicillin 3 years ago, they developed a rash. Which of the following actions should the nurse take? • A. Administer the prescribed dose. B. Withhold the medication. C. Ask the provider to change the prescription to an oral form. D. Administer an oral antihistamine at the same time. - answer B. Withhold the medication and notify the provider of the client's previous reaction to penicillin so that an alternative antibiotic can be prescribed. Allergic reactions to penicillin can range from mild to severe anaphylaxis, and prior sensitization should be reported to the provider. A nurse is reviewing a client's health record and notes that the client experienced permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client? • A. Cardiovascular B. Immune C. Central nervous D. Gastrointestinal - answer Central nervous. C. CORRECT: Realize that extrapyramidal effects are movement disorders that can be caused by a number of central nervous system medications (traditional/FGA antipsychotic medications). A nurse is teaching a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? A. Increase intake of protein-rich foods. B. Expect muscle twitching to occur. C. Take this medication with food. D. Anticipate relief of manifestations in 24 hr. - answer C. The client should take this medication with food to reduce GI effects. A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medications should the nurse expect to administer to this client? A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine - answer C. CORRECT: Flumazenil is a competitive benzodiazepine antagonist used to reverse the sedation and other effects of benzodiazepines. A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for fluoxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep." C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication." - answer A. CORRECT: Fluoxetine can take 1 to 4 weeks before the client reaches full therapeutic benefit. A nurse is caring for a client who has a new prescription for phenelzine, an MAOI, for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? A. Orthostatic hypotension B. Hearing loss C. Gastrointestinal bleeding D. Weight loss - answer A. CORRECT: Orthostatic hypotension is an adverse of effect of MAOIs, including phenelzine