PN Domain 5: Pharmacological and Parenteral Therapies (Quiz 2)

A resident has a flare-up of psoriasis, so the physician orders salicylic acid foam to be applied topically. The nurse knows to watch for which sign of systemic toxicity?

A nurse is teaching a client with hypertension about taking a thiazide diuretic. Which of the following statements by the nurse is correct?

The nurse is instructing a client about a newly prescribed medication, furosemide (Lasix). Which adverse effect should the nurse discuss?

A patient who is receiving a unit of blood complains of chills and dizziness. The nurse observes that the patient is dyspneic and the patient's face appears flushed. The nurse immediately notifies the RN. What is the likely cause of these symptoms?

The health care provider (HCP). prescribes a keep vein open (KVO) rate of 10 mL/hr at 0800. There are 135 mL remaining in a bag of 0.9% NS. What time will the bag of solution be infused?

The provider orders furosemide (Lasix) oral solution 0.5 mL stat. Pharmacy sends a bottle marked 10 mg/mL. What dosage will the nurse administer?

The provider orders "gabapentin 18 mg/kg/day in 3 divided doses" for a child who weighs 28 kg. How many mg will the nurse administer for each dose?

A client has been taking a warfarin 5 mg tablet every day. Following a routine international normalized ratio (INR) test, the health care provider (HCP) increases the client's dose to 7.5 mg PO daily. How many (scored) tablets should the nurse instruct the client to take each day?

The health care provider (HCP) prescribes 1/2 strength tube-feeding formula for a client who is restarting enteral nutrition. A standard can of formula contains 240 mL. How much water should the nurse add to obtain 1/2 strength?

The health care provider (HCP) prescribes acetaminophen liquid 160 mg PO q 4-6 hr PRN for a child with a fever. Pharmacy dispenses 80 mg/mL. How many mL should the nurse administer for a dose?

A patient receives a new order for levothyroxine (Synthroid) 150 mcg PO every day. The pharmacy sends Synthroid 0.1 mg tablets. How many tablets will the nurse administer?

A client receiving hemodialysis therapy weighs 78 kg today. The nurse notes that the client's previous weight was 76 kg. What is the percent change? Round to two decimal places.

The pediatrician orders cephalexin monohydrate 0.5 g PO q8 hrs for a child with a diagnosis of pneumonia. The pharmacy sends the medication with 500 mg per teaspoon. How many mL should the nurse administer?

The nurse is encouraging a client to increase their daily fluid intake to 2 liters. The client asks, "How much is that?" The nurse then tells the client to drink how many 8-ounce glasses of liquids each day? Round to the nearest whole.

The health care provider prescribes lorazepam 1.0 mg PO daily for a client with Generalized Anxiety Disorder (GAD). The client later calls the clinic to tell the nurse, "The pharmacy made a mistake. They gave me 0.5 mg pills. What should I do?" How many pills should the nurse instruct the client to take every day?

The nurse on a surgical unit is caring for a post-operative client who is recovering without complications. At 9:30 am (0930), the surgeon writes an order to decrease the current IV infusion rate to 50 mL/hr, then discontinue IV access. There are 250 mL remaining in the IV bag. What time will the infusion be complete?

A client is prescribed ramipril 1.25 mg PO daily for hypertension. The pharmacy dispenses tablets with 625 mcg strength. How many tablets should the nurse administer?

The physician orders 1000 mL of IV solution to be transfused in 3 hours and 20 minutes. If the drop factor is 15 gtts/mL, what is the drip rate?

The provider orders total parenteral nutrition (TPN) for a client who weighs 147.6 pounds. The client is to receive 2 grams of protein per kilogram of body weight, daily. How many grams of protein will the client receive each day?

A new medical student prescribes 872 mL of Ringer's Lactose to infuse over 684 minutes. At what flow rate will the nurse set the IV infusion pump? Round to one decimal place.

A parent phones the pediatric clinic after picking up an antibiotic for their child. The parent tells the nurse, "The label on the bottle says to give 10 milliliters every 6 hours. How much is that?" The nurse tells the parent that 10 mL equals

A client with dyspepsia is prescribed a GI cocktail (liquid antacid, viscous lidocaine, and anticholinergic) of 150 mg PO q 6 hr for 24 hours. The pharmacy prepares 75 mg/3 mL. How many mL will the client get during the course of treatment?

A provider prescribes 8.0 mg IM of a medication. The pharmacy sends a vial with a label "10 mg/mL." How much of the medication will the nurse draw up in the syringe?

The health care provider (HCP) prescribes a beta blocker for a client with hypertension: "Atenolol 75 mg PO BID." The nurse notes that the medication comes as a scored 50 mg tablet. How many tablets will the instruct the client to take each time?

A 15-month-old toddler who weighs 26 pounds is admitted to the pediatric unit, due to severe dehydration. The health care provider (HCP) prescribes an intravenous (IV) bolus of 0.9% Sodium Chloride 25mL/kg to be infused over 2 hours. What IV flow rate (mL/hr) will the nurse need to set the infusion pump?