pharm study h GRADE A Q&A
A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for atorvastatin (Lipitor). Two weeks after initiation of Lipitor prescription, the
nurse assesses the client. Which finding requires the most immediate intervention? -
(correct answer)Vomiting
With high K+ do not give - (correct answer)aldactone, losartan (3.5 and 5.5 mEq/L)
Creatinine-Men with normal kidney function have approximately - (correct answer)0.6 to
1.2 mg/dL
Creatinine-women with normal kidney function have approximately - (correct answer)0.5
to 1.1 mg/dL
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency
room. Which assessment data would indicate that the naloxone has been effective ?
The client's - (correct answer)respiratory rate is 16 breaths/minute.
The healthcare provider prescribed digitalis (Digoxin) for a client diagnosed with CHF.
Which intervention should the nurse implement prior to administering the digoxin? -
(correct answer)-Assess the serum potassium level
A peak and trough level must be drawn for a client receiving antibiotic therapy. What is
the optimum time for the nurse to obtain the trough level? - (correct answer)Immediately
before the next antibiotic dose
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac
(Toradol) 30 mg IV q6h. Which action should the nurse implement - (correct answer)-
Administer both medications according to the prescription.
, A male client with Laennec's sclerosis refuses to take the daily dose of lactulose
(ammonia) because he had three soft boiled yesterday. Which action should the nurse
implement? - (correct answer)Explain that this effect reduces serum ammonia levels
Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client
with which common - (correct answer)Heart failure
Which instructions should the nurse give to a female client who just received a
prescription for oral metronidazole Flagyl for treatment of trichomonas vaginalis? Select
all that apply - (correct answer)A) Increase fluid intake, especially cranberry juice.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside (Arc-C) for chemotherapy? - (correct
answer)Inspect the client's oral mucosa for ulcerations
A postoperative client has been receiving a continuous IV infusion of meperidine
(Demerol) 35 mg/hr for four days. The client has a PRN prescription for Demerol 100
mg po q3h. The nurse notes that the client has become increasingly restless, irritable
and confused, stating that there are bugs all over the wall. What action should the nurse
take first? - (correct answer)Decrease the IV infusion rate of meperidine (Demerol) per
protocol.
An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse
knows that the purpose of the medication is to: - (correct answer)maintain a gastric pH
of 3.5 or above
Which dosing schedule should the nurse teach the client to observe for a controlled-
release oxycodone prescription? - (correct answer)Every 12 hours
A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for atorvastatin (Lipitor). Two weeks after initiation of Lipitor prescription, the
nurse assesses the client. Which finding requires the most immediate intervention? -
(correct answer)Vomiting
With high K+ do not give - (correct answer)aldactone, losartan (3.5 and 5.5 mEq/L)
Creatinine-Men with normal kidney function have approximately - (correct answer)0.6 to
1.2 mg/dL
Creatinine-women with normal kidney function have approximately - (correct answer)0.5
to 1.1 mg/dL
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency
room. Which assessment data would indicate that the naloxone has been effective ?
The client's - (correct answer)respiratory rate is 16 breaths/minute.
The healthcare provider prescribed digitalis (Digoxin) for a client diagnosed with CHF.
Which intervention should the nurse implement prior to administering the digoxin? -
(correct answer)-Assess the serum potassium level
A peak and trough level must be drawn for a client receiving antibiotic therapy. What is
the optimum time for the nurse to obtain the trough level? - (correct answer)Immediately
before the next antibiotic dose
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac
(Toradol) 30 mg IV q6h. Which action should the nurse implement - (correct answer)-
Administer both medications according to the prescription.
, A male client with Laennec's sclerosis refuses to take the daily dose of lactulose
(ammonia) because he had three soft boiled yesterday. Which action should the nurse
implement? - (correct answer)Explain that this effect reduces serum ammonia levels
Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client
with which common - (correct answer)Heart failure
Which instructions should the nurse give to a female client who just received a
prescription for oral metronidazole Flagyl for treatment of trichomonas vaginalis? Select
all that apply - (correct answer)A) Increase fluid intake, especially cranberry juice.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside (Arc-C) for chemotherapy? - (correct
answer)Inspect the client's oral mucosa for ulcerations
A postoperative client has been receiving a continuous IV infusion of meperidine
(Demerol) 35 mg/hr for four days. The client has a PRN prescription for Demerol 100
mg po q3h. The nurse notes that the client has become increasingly restless, irritable
and confused, stating that there are bugs all over the wall. What action should the nurse
take first? - (correct answer)Decrease the IV infusion rate of meperidine (Demerol) per
protocol.
An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse
knows that the purpose of the medication is to: - (correct answer)maintain a gastric pH
of 3.5 or above
Which dosing schedule should the nurse teach the client to observe for a controlled-
release oxycodone prescription? - (correct answer)Every 12 hours
