Exam 4 Ch. 35

23問 • 3年前

問題一覧

1. The nurse identifies which medication that has the highest potential for abuse?

a. Methylphenidate (Ritalin)—schedule II

2. The nurse is caring for a patient who will self-administer medication injections at home after discharge. How can the nurse best determine that the patient understands the technique and can administer the injections correctly?

b. Watch the patient self-administer an injection.

3. The nurse is caring for a patient who is in agonizing pain. All the following options are listed on the patient’s medication order sheet to relieve pain. The nurse knows which option that will provide the most rapid pain relief for the patient?

b. Hydromorphone (Dilaudid) 1 mg IV push

4. The nurse administers a medication to a patient. Shortly afterward, the patient develops an itchy rash over the entire body and reports feeling very unwell. What is the priority action of the nurse?

b. Determine if the patient is having any difficulty breathing.

5. The nurse identifies which medication order to be administered PRN?

a. Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep

6. After administering an antibiotic to the patient, the nurse notes the patient complaining of feeling ill is scratching and has hives. The patient soon starts having difficulty breathing and is hypotensive. What is the nurse’s assessment of the situation?

b. The patient is having an anaphylactic reaction and epinephrine should be administered right away.

7. The nurse makes a medication error. Which action will the nurse take first?

c. Assess the patient for any adverse reactions.

8. The nurse prepares to administer the following medication to the patient. Which instruction will the nurse be sure to give before the patient takes the medication? MS Contin Morphine sulfate Extended release tablets, USP 15 mg CII only

a. “Be sure to swallow the pill whole.”

9. The nurse begins a shift on a busy medical-surgical unit and will be caring for multiple patients. Which patient does the nurse assess first?

d. A patient who just received nitroglycerin for chest pain

10. The nurse carefully reviews the patient’s medication list. Which observation about the list indicates the highest risk for serious drug-drug interactions?

b. The patient is taking a large number of medications.

11. The nurse is caring for a patient who is taking many prescription medications for various health problems. Which direction from the nurse will help the patient avoid dangerous drug interactions?

b. Have all of the prescriptions filled at the same pharmacy.

12. During discharge teaching, the nurse is to give the patient a signed, dated, and timed prescription from the physician for medications to be taken at home. Which prescription drug order needs to be corrected before it is given to the patient?

b. Methotrexate (Trexall) 8 tablets PO once weekly on Saturdays

13. The nurse administers a medication to the patient. Which symptoms indicate to the nurse that the patient is having an allergic reaction rather than a side effect?

d. Itchy rash and difficulty breathing

14. The nurse suspects that the patient is experiencing a drug toxicity rather than a side effect. Which question will the nurse ask to help confirm this suspicion?

b. “Have you been taking extra doses of the medication?”

15. The nurse is caring for a patient who is receiving vancomycin (Vancocin) to treat a severe infection. The next dose is due to be administered at 10:00 a.m. What time will the nurse draw the vancomycin serum trough level?

b. 9:30 a.m.

16. When administering phenytoin (Dilantin) through the patient’s IV line, the nurse carefully flushes the IV with normal saline before and afterward to avoid crystal formation of the medication that occurs when it mixes with dextrose in water (D5W) solution. Which type of drug interaction is the nurse being careful to avoid?

d. Incompatibility

17. The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?

c. 9 a.m., 1 p.m., and 5 p.m.

18. The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?

c. Contact the patient’s provider to clarify the order.

19. The nurse is to administer 1 mL of prochlorperazine (Compazine) 10 mg IM to an adult patient. Which syringe will the nurse select to administer the medication?

b. 3 mL syringe with 23 gauge, 1 1/2 inch needle

20. The nurse is to administer 15 mg of morphine liquid to the patient. How much morphine liquid will the nurse draw up to administer to the patient? Morphine sulfate oral solution (CONCENTRATE) 100 mg/5 mL (20 mg/mL)

b. 0.75 mL

21. The nurse is caring for a patient with multiple chronic illnesses who is having difficulty remembering to take multiple medications at the correct times. Which is the appropriate Nursing diagnosis for this patient?

b. Impaired health maintenance related to complexity of medication schedule.

22. The nurse is caring for a patient who takes 6 tablets of methotrexate once every week on Fridays. How many mg of methotrexate does the patient take per dose? Trexall Methotrexate tablets, USP 2.5 mg tablets

b. 15 mg

23. The nurse is to administer 45 mg of phenobarbital to the patient. How many tablets will the patient receive? Phenobarbital tablets, USP 15 mg

c. 3 tablets

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4