Nursing Implications for Drugs
A patient is currently taking a stain. The nurse considers that the patient may have high risk of
developing rhabdomyolysis when also taking what? - A fabric acid derivative
A patient is receiving dabigatran (pradaxa), 150 mg twice daily, as part of treatment for atrial
fibrillation. Which condition, if present, would be a concern is the pateint were to receive this
dose? - Renal impairment
A patient is receiving lidocaine, the nurse interprets that the patient has what condition? -
Ventricular dysrhythmias
A patient is staring quinidine (quinidex), what drugs can cause potential interactions? -
Amiodarone (Cordarone), digoxin (lanolin), erythromycin (Erythrocin)
A patient taking tetracycline complains of heart burn and request an antacid, what should the
nurse do? - Give the tetracycline, but delay the antacid for 1 to 2 hours
A patient who is taking an ACE inhibitor needs what lab test to be a priority? - WBC count,
serum potassium level, serum magnesium level, creatinine level, BUN
A patient with a history of renal problems should take what kind of antacid? - Aluminum-based
antacids
A patient with diabetes has a new prescription for a thiazides diuretic. What should the nurse
include when teaching the patient about the thiazide drug? - Monitor blood glucose level
closely, because the thiazide diuretics ma cause the levels to increase
A patients which coronary spams will be most effectively treated with which type of antianginal
medication? - Calcium channel blocker
, A client at 30 weeks gestation is in preterm labor, the healthcare provider prescribes two 12 mg
doses of betamethasone (Celestone) IM every 12 hours. The client asks the nurse why she is
receiving Celestone. What information should the nurse use to explain the action of the
medication? - Simulates fetal surfactant production.
A client has a positive skin test for TB. Which prophylactic drug should the nurse expect to
administer to this client? - Isoniazid (INH)
A client is taking sulfisoxazole (gantrisin) for a urinary tract infection and complains of nausea
and gastric upset since starting the medication. Which additional ever three action should the
nurse instruct the patient to report. - Rash
A nurse with adequate knowledge about the administration of IV nitroglycerin will recognize
that which statement is correct? - IV nitroglycerin must be protected from exposure to light
through use of special tubing
A patient has received a double dose of heparin during surgery and is bleeding through the
incision site. While the surgeons are working to stop the bleeding at the incision site, the nurse
will prepare to take what action at this time? - Give IV protamine sulfate as an antidote
A patient is being assessed before a newly ordered antilipemic medication is given. Which
condition would be a potential contraindication? - Liver cirrhosis
A patient is being treated with adenosine in the ER, the nurse is prepared to monitor the patient
for which effect? - Transitory asystole
A patient is currently taking a stain. The nurse considers that the patient may have high risk of
developing rhabdomyolysis when also taking what? - A fabric acid derivative
A patient is receiving dabigatran (pradaxa), 150 mg twice daily, as part of treatment for atrial
fibrillation. Which condition, if present, would be a concern is the pateint were to receive this
dose? - Renal impairment
A patient is receiving lidocaine, the nurse interprets that the patient has what condition? -
Ventricular dysrhythmias
A patient is staring quinidine (quinidex), what drugs can cause potential interactions? -
Amiodarone (Cordarone), digoxin (lanolin), erythromycin (Erythrocin)
A patient taking tetracycline complains of heart burn and request an antacid, what should the
nurse do? - Give the tetracycline, but delay the antacid for 1 to 2 hours
A patient who is taking an ACE inhibitor needs what lab test to be a priority? - WBC count,
serum potassium level, serum magnesium level, creatinine level, BUN
A patient with a history of renal problems should take what kind of antacid? - Aluminum-based
antacids
A patient with diabetes has a new prescription for a thiazides diuretic. What should the nurse
include when teaching the patient about the thiazide drug? - Monitor blood glucose level
closely, because the thiazide diuretics ma cause the levels to increase
A patients which coronary spams will be most effectively treated with which type of antianginal
medication? - Calcium channel blocker
, A client at 30 weeks gestation is in preterm labor, the healthcare provider prescribes two 12 mg
doses of betamethasone (Celestone) IM every 12 hours. The client asks the nurse why she is
receiving Celestone. What information should the nurse use to explain the action of the
medication? - Simulates fetal surfactant production.
A client has a positive skin test for TB. Which prophylactic drug should the nurse expect to
administer to this client? - Isoniazid (INH)
A client is taking sulfisoxazole (gantrisin) for a urinary tract infection and complains of nausea
and gastric upset since starting the medication. Which additional ever three action should the
nurse instruct the patient to report. - Rash
A nurse with adequate knowledge about the administration of IV nitroglycerin will recognize
that which statement is correct? - IV nitroglycerin must be protected from exposure to light
through use of special tubing
A patient has received a double dose of heparin during surgery and is bleeding through the
incision site. While the surgeons are working to stop the bleeding at the incision site, the nurse
will prepare to take what action at this time? - Give IV protamine sulfate as an antidote
A patient is being assessed before a newly ordered antilipemic medication is given. Which
condition would be a potential contraindication? - Liver cirrhosis
A patient is being treated with adenosine in the ER, the nurse is prepared to monitor the patient
for which effect? - Transitory asystole
