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

A client is prescribed glipizide (Glucotrol) 5 mg every morning. The nurse educates the client that the purpose of this medication is

When a health care provider (HCP) prescribes alprazolam for a client, what effect should the nurse tell the client to expect?

A patient diagnosed with type 2 diabetes mellitus is admitted to the medical unit with pneumonia. The patient's oral antidiabetic medication has been discontinued, and the patient is now receiving insulin for glucose control. Which of the following statements best explains this change in medication?

A client who has been receiving a transfusion of packed red blood cells (PRBC) for 3 hours tells the nurse that they are experiencing shortness of breath and an itchy, raised rash. The nurse also notes that the client is anxious and restless. Which type of transfusion reaction does the nurse suspect?

A post-operative client has a prescription for hydromorphone 0.015 mg/kg IM q 34 hr PRN for pain. The client weighs 156 pounds. Pharmacy sends a vial of hydromorphone with 4 mg/mL. How much will the nurse draw up and administer for this client? Round final answer to two decimal places.

The nurse is educating a client with cardiac heart disease about the client's new prescription for nitroglycerin ER 2.5 mg PO tid. Which statement by the client would indicate a lack of understanding about the medication?

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.

A 10-year-old girl is diagnosed with Type 1 diabetes. Her endocrinologist orders both a short-acting insulin and an intermediate-acting insulin. Which of the following is an intermediate-acting insulin?

While teaching a client with hypertension about taking a thiazide diuretic, which statement by the nurse is correct?

What is the bioavailability of a medication that is administered by the intravenous (IV) route?

A client is transported to the Emergency Department after sustaining 30% full-thickness burns on the torso and arms. Which IV fluid can the nurse expect to administer?

A client weighing 165 lb is admitted with a diagnosis of deep vein thrombosis (DVT). The health care provider (HCP) prescribes an initial heparin bolus of 80 units/kg. How many units will the nurse administer?

A patient receiving vancomycin has an order for a trough level to be drawn. When should the lab collect the blood sample?

All of the following are equivalent to 25% EXCEPT

The healthcare provider prepares to administer a corticosteroid to a patient with a diagnosis of asthma. What is the rationale for administering this drug to this patient?

Following a client's intentional benzodiazepine overdose, the Emergency Department physician prescribes flumazenil 200 mcg IV push STAT. The stock vial contains 0.5 mg flumazenil in 5 mL solution. How many mL should the nurse draw up and administer? Provide an answer to one decimal place.

A patient with a diagnosis of hepatic coma is admitted to the ICU. The provider orders neomycin 300mg q6h to be administered via the NG tube. The nurse knows the rationale for this drug order is

A 12-year-old male is admitted to the hospital several days after stepping on a sharp object that punctured his shoe and penetrated the bottom of his foot. Concerned about possible osteomyelitis, the doctor has ordered parenteral antibiotics. Which of the following is done immediately before the antibiotic is started?

A provider has prescribed isotretinoin (Accutane) for a 22-year-old female with a diagnosis of severe cystic acne. Before the nurse gives the client instructions for taking the medication, which of the following is the MOST important question that the nurse should ask the client?

Before administering penicillin IM to a client with"NKDA" on his medical record, the nurse asks the client if he has any drug allergies. The client responds, "I'm not sure. I may have had a rash one time after I had a shot when I was sick." Which is the appropriate action for the nurse?

A healthcare provider is performing an assessment of a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication that the patient is experiencing an adverse effect of this drug?

A Gravida 1 Para O patient is admitted for severe preeclampsia. Her provider orders magnesium sulfate (MgSO4) to prevent seizures. The nurse can safely re-administer the drug if

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 client with idiopathic liver disease is on the liver transplant list. While awaiting a suitable donor, the client will receive an infusion of fresh frozen plasma (FFP), 10 ml/kg of body weight. The client weighs 156 pounds. How many mL of FFP should be given?

A 26-year old female is prescribed amoxicillin for a urinary tract infection. Besides determining if there is a possible allergy to penicillin, what else should the nurse ask the client?