RN Domain 5: Pharmacological and Parenteral Therapies (Quiz 3)

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?

The nurse is assessing a 3-year-old being treated with succimer for a diagnosis of lead poisoning. Which test result will be MOST important for the nurse to review?

The health care provider (HCP) prescribes furosemide for a client with acute pulmonary edema. Which of the following would indicate an adverse effect of the medication?

The health care provider (HCP) has prescribed PRN sublingual nitroglycerin for a client experiencing acute angina. Which of the following is the CORRECT instruction to give the client?

A nurse working in the Cardiac Care Unit notes the presence of multifocal premature ventricular contractions on a patient's monitor. Which medication will the nurse likely administer?

One liter of Lactated Ringer's solution is to be infused over 8 hours. The drop factor for the tubing is 60 gtt/mL. How many drops per minute should the nurse administer?

The health care provider (HCP) prescribes furosemide for an elderly client with a recent diagnosis of congestive heart failure (CHF). The client asks the nurse, "Why am I taking this pill?" What is the nurse's response?

For a client complaining of severe chest pain, the Emergency Department physician orders morphine sulfate 4 mg IVP q 2 hrs. Which of the following drug actions can the nurse anticipate?

The provider orders penicillin G potassium, 450,000 units IM. The directions on the label of the vial state, "Contains 1,000,000 units of penicillin G potassium. Reconstitute with 9.6 mL sterile water for a concentration of 100,000 units/mL." How many mL of the reconstituted medication will the nurse administer?

If a client has a known allergy to penicillin, which prescription is NOT suitable?

The pediatrician has prescribed heparin therapy for a child. Before the nurse administers the first dose, which assessment finding is MOST important?

The health care provider (HCP) has prescribed a unit of packed red blood cells (PRBCs) for a client with anemia. Which of the following nursing actions is appropriate for administration of the PRBCs?

When administering a Mantoux tuberculin test, what type of injection is used?

A female client comes to the OB/GYN clinic with a complaint of repeated vaginal infections. An assessment shows that she has candidiasis caused by Candida albicans. What does the nurse anticipate as the treatment for this client?

After starting an IV infusion of an antibiotic, the nurse observes that the client has developed a rash on the chest, neck, and face. The nurse recalls that "Red Man Syndrome" is caused by which antibiotic?

The home health nurse visits an 82-yearold client who has been taking hydralazine (Apresoline) 20 mg PO q am for three years without incident. Today, an hour after taking it, the client's blood pressure is 76/44. When the nurse assesses the situation, which of the following is the most significant finding regarding the client's hypotension?

A nursing instructor is observing a student nurse caring for a client with Stage IV metastatic cancer. After the client receives oxycodone 10 mg PO for complaint of pain, which finding by the student nurse should be reported IMMEDIATELY?

When a client in the Cardiac Care Unit develops a ventricular arrythmia, the health care provider (HCP) prescribes a continuous intravenous (IV) infusion of lidocaine at 3 mg/min. Pharmacy prepares 2 grams of lidocaine in a 500 ml bag of 5% Dextrose in Water (D5W). How many mL/hr will the client receive?

The health care provider (HCP). prescribes 5 mg ephedrine IV push. Pharmacy delivers a vial with 50 mg ephedrine in 10 mL normal saline (NS). How many mL equals the prescribed dose?

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 rate (mL/hr) will the nurse need to set the infusion pump?

The home health nurse is visiting a client with a temperature of 101.4°F (38.6°C). There is a standing order for acetaminophen suppository 1 gm PR 96 hr PRN for temp >101°F (38.3°C). The client has a supply of 325 mg scored acetaminophen suppositories. How many suppositories should the nurse administer?

76 parts per 100 may be written as all of the following EXCEPT

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 health care provider (HCP). prescribes an IV piggyback (IVPB) of vančomycin in 50 mL D5W to be infused over 30 minutes. The IV tubing has a drip factor of 15. How many drops per minute (gtts/min) will be needed to infuse the medication as prescribed?

A client asks the nurse what to take for an occasional upset stomach. The nurse knows that magnesium hydroxide/aluminum hydroxide (Maalox, Mylanta) 30 mL PO will relieve the client's symptoms. Which of the following instructions by the nurse is correct?