Exam 2 Flashcards
(153 cards)
1
Q
It is important for a nurse to be aware of the normal hemodynamics of blood flow to recognize and understand pathology when it occurs. The nurse should know that incomplete closure of the tricuspid valve results in a backward flow of blood from the:
A
Right ventricle to the right atrium
2
Q
A patient’s blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is obvious. He is transferred to the intensive care unit and started on a sodium nitroprusside (Nipride) drip to be titrated per his response. With this medication, the nurse knows that the maximum dose of this drug should be infused for how long?
A
10 minutes
3
Q
The nurse notes in a patient’s medical record that nesiritide has been ordered. Based on this order, the nurse interprets that the patient has which disorder?
A
Acutely decompensated heart failure with dyspnea at rest
4
Q
A patient newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week calls the clinic and is very upset. He says, “My urine is dark orange! What’s wrong with me?” Which response by the nurse is correct?
A
“This is an expected side effect of the medicine. Let’s review what to expect.”
5
Q
The nurse is reviewing new medication orders for a patient who has an epidural catheter for pain relief. One of the orders is for enoxaparin (Lovenox), a low-molecular-weight heparin (LMWH). What is the nurse’s priority action?
A
Contact the prescriber because the LMWH cannot be given if the patient has an epidural catheter.
6
Q
During an IV infusion of amphotericin B, a patient develops tingling and numbness in his toes and fingers. What will the nurse do?
A
Discontinue the infusion immediately
7
Q
A patient reports having adverse effects with nicotinic acid (Niacin). The nurse can suggest that the patient do which of the following to minimize these undesirable effects?
A
Take small doses of aspirin 30 minutes before taking the nicotinic acid.
8
Q
The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?
A
Spironolactone (Aldactone)
9
Q
A patient is infected by invasive aspergillosis, and the medical history reveals that the patient has not been able to tolerate several antifungal drugs. The nurse anticipates an order for which medication to treat this infection?
A
Caspofungin (Cancidas)
10
Q
A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after 1 or 2 sublingual nitroglycerin tablets and rest. What type of angina does he have?
A
Classic
11
Q
A patient is being discharged to home on a single daily dose of a diuretic. The nurse instructs the patient to take the dose at which time so it will be least disruptive to the patient’s daily routine?
A
In the Morning
12
Q
Patient has a digoxin level of 1.1 ng/mL. Which interpretation by the nurse is correct?
A
It is within the therapeutic range.
13
Q
When monitoring patients on antitubercular drug therapy, the nurse know that which drug may cause a decrease in visual acuity?
A
Ethambutol (Myambutol)
14
Q
During a blood transfusion, the patient begins to have chills and back pain. What is the nurse’s priority action?
A
Discontinue the infusion immediately, and notify the prescriber.
15
Q
Nurse providing counseling to a woman who is HIV positive and has just discovered shes pregnant. Which anti HIV drug is given to prevent transmission to infant?
A
Zidovudine (Retrovir)
16
Q
The nurse is reviewing the classes of antidysrhythmic drugs. Amiodarone is classified on the Vaughan Williams classification as a class III drug, which means it works by?
A
Prolonging action potential duration.
17
Q
When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about loop diuretics?
A
They have a rapid onset of action and cause rapid diuresis.
18
Q
A patient is in the emergency department with a new onset of rapid-rate atrial flutter, and the nurse is preparing a continuous infusion. Which drug is most appropriate for this dysrhythmia?
A
Diltiazem (Cardizem)
19
Q
A patient with late-stage HIV infection also has Pneumocystis jirovecii pneumonia. The nurse anticipates treatment with which medication for this pneumonia?
A
Atovaquone (Mepron)
20
Q
A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse’s response is based on which rationale?
A
Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels.
21
Q
The nurse is preparing to administer adenosine (Adenocard) to a patient who is experiencing an acute episode of paroxysmal supraventricular tachycardia. When giving this medication, which is important to remember?
A
Asystole may occur for a few seconds after administration.
22
Q
The nurse is discussing adverse effects of antitubercular drugs with a patient who has active tuberculosis. Which potential adverse effect of antitubercular drug therapy should the patient report to the prescriber?
A
Numbness and tingling of extremities
23
Q
When monitoring a patient for signs of hypokalemia, the nurse looks for what early sign?
A
Muscle weakness
24
Q
A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?
A
Protamine sulfate
25
The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?
Cardiac output and systemic vascular resistance
26
A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/minute. What will the nurse do next?
Withhold the dose, and notify the prescriber.
27
Which of the following nursing diagnoses is appropriate for a patient who has started aminoglycoside therapy?
Risk for injury (renal damage)
28
A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education about this drug, the nurse will include which instructions?
"Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy."
29
A patient is being evaluated for a possible helminthic infection. The nurse knows that which of the following statements about anthelminthic therapy is true?
Anthelminthics are very specific in their actions
30
A patient who is HIV-positive has been receiving medication therapy that includes zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine because of its dose-limiting adverse effect. Which of these conditions is the dose-limiting adverse effect of zidovudine therapy?
Bone marrow suppression
31
When the nurse is administering topical nitroglycerin ointment, which technique is correct?
Remove the old ointment before new ointment is applied.
32
A patient has an infestation with flukes. The nurse anticipates the use of which drug to treat the infestation?
Praziquantel (Biltricide)
33
The nurse is conducting a class about antilipemic drugs. The antilipemic drug ezetimibe (Zetia) works by which mechanism?
Inhibiting cholesterol absorption in the small intestine
34
A patient is taking procainamide for cardiac dysrhythmia. The nurse will monitor the patient for which possible adverse effect?
Diarrhea
35
The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications?
Sexual dysfunction
36
When reviewing the health history of a patient, the nurse will note that a potential contraindication to potassium supplements exists if the patient has which problem?
Renal disease
37
The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?
Disinfectants are used only on nonliving objects to destroy organisms
38
Which nursing diagnosis is appropriate for a patient receiving antidysrhythmics?
Deficient knowledge
39
The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct?
"Avoid direct sunlight and tanning beds while on this medication."
40
When reviewing the medication orders for a patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as the result of an interaction between these drugs?
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
41
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?
Antipyretic (antifever)
42
A patient has had recent prosthetic heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient's laboratory work, the nurse interprets that the patient's international normalized ratio (INR) level of 2.5 indicates that?
The patient's warfarin dose is at therapeutic levels.
43
The nurse is reviewing drug therapy for hypertension. According to the JNC 8 guidelines, antihypertensive drug therapy for a newly diagnosed stage 1 hypertensive African-American patient would most likely include which drug or drug classes?
Calcium Channel Blockers with Thiazide diuretics
44
A patient has been taking Antitubercular therapy for 3 months. The nurse notes a therapeutic response to these drugs with which assessment findings?
There is a decrease in symptoms of tuberculosis along with improved chest xrays and sputum cultures.
45
A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very independent and wants to continue to live at home. The nurse will know that which teaching point is important for this patient?
He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.
46
A patient with a severe fungal infection has orders for voriconazole (Vfend). The nurse is reviewing the patient's medical record and would be concerned with what assessment finding?
History of cardiac dysrhythmias
47
In assessing a patient before administration of a cardiac glycoside, the nurse knows that which lab result can increase the toxicity of the drug?
Potassium level 2.8 mEq/L
48
A patient is in the intensive care unit and receiving an infusion of milrinone (Primacor) for severe heart failure. The prescriber has written an order for an intravenous dose of furosemide (Lasix). How will the nurse give this drug?
Administer the furosemide in a separate intravenous line.
49
The nurse is reviewing the medication administration record of a patient who is taking isoniazid (INH). Which drug or drug class has a significant drug interaction with isoniazid?
Phenytoin (Dilantin)
50
The nurse is counseling a woman who will be starting rifampin (Rifadin) as part of antitubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient?
Oral contraceptives are less effective while the patient is taking rifampin
51
A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks how long drug therapy will be needed. Which answer by the nurse is the correct response?
"Therapy for high blood pressure is usually lifelong."
52
A patient with type 2 diabetes mellitus has been found to have trace proteinuria in their urine. The prescriber writes an order for an angiotensin-converting enzyme (ACE) inhibitor. What is the main reason for prescribing this class of drug for this patient?
Renal protective effects
53
The nurse is preparing an infusion of amphotericin B for a patient who has severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B?
Before beginning the infusion administering an antipyretic and an antiemetic drug
54
A calcium channel blocker (CCB) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. What does the nurse tell the patient?
A high-fiber diet with plenty of fluids will help prevent the constipation that may occur.
55
A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The nurse is aware that the purpose of this dose of aspirin is to
It will help to prevent clot formation.
56
A patient with severe liver disease is receiving the angiotensin converting enzyme (ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is that captopril
Captopril is not a prodrug and does not need to be metabolized by the liver before becoming active.
57
A patient tells the nurse that he likes to eat large amounts of garlic "to help lower his cholesterol levels naturally." The nurse reviews his medication history and notes that which drug has a potential interaction with the garlic?
Warfarin (coumadic)
58
The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks. Today the patient tells the nurse that he has had watery diarrhea since the day before and is having abdominal cramps. His oral temperature is 101° F (38.3° C). Based on these findings, which conclusion will the nurse draw?
The patient needs to be tested for Clostridium difficile infection.
59
The nurse will assess the patient for which potential contraindication to antitubercular therapy?
Hepatic impairment
60
A patient is in an urgent care center and is receiving treatment for mild hyponatremia after spending a long time doing gardening work in the heat of the day. The nurse expects which drug therapy will be used to treat her condition?
Oral administration of sodium chloride tablets.
61
An elderly patient will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult patient taking this class of drug?
Hypotension
62
When teaching a patient who has a new prescription for transdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation?
To prevent the occurrence of angina
63
Furosemid (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?
Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.
64
When administering heparin subcutaneously, the nurse will follow which procedure?
Using a ½ to 5/8 inch, 25- to 28- gauge needle
65
A patient arrives in the emergency department with severe chest pain. The patient reports that the pain has been occurring off and on for a week now. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?
Blood pressure of 88/62 mm Hg
66
The nurse is administering IV acyclovir (Zovirax) to a patient with a viral infection. Which administration technique is correct?
Infuse intravenous acyclovir slowly, over at least 1 hour
67
When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?
Tinnitus and dizziness
68
The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram-positive infection. Which type of cephalosporin is most appropriate for this infection?
First generation
69
A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?
Nausea and vomiting
70
The nurse is reviewing the orders for a patient and notes a new order for an angiotensin- converting enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class?
Nonsteroidal anti-inflammatory drugs
71
The nurse is reviewing medication orders for a patient who will be receiving gentamicin therapy. which other medication or medication class. if ordered, would be a potential interactions concern
Loop diuretics
72
A patient is receiving cidofovir (Vistide) as part of treatment for a viral infection, and the nurse is preparing to administer probenecid, which is also ordered. Which is the rationale for administering probenecid along with the cidofovir treatment?
Concurrent drug therapy with probenecid reduces the nephrotoxicity of the cidofovir.
73
While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?
Bradycardia
74
A patient has been diagnosed with carbapenemase-resistant Enterobacteriaceae (CRE). The nurse expects to see orders for which drug
Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic
75
A patient who has a helminthic infection has a prescription for pyrantel (Antiminth). Which is one of the common adverse effects that the patient may experience while on this therapy?
Diarrhea
76
What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?
Remove the patch at bedtime, and then apply a new one in the morning
77
A patient who has recently started therapy on a statin drug asks the nurse how long it will take until he sees an effect on his serum cholesterol. Which statement would be the nurse's best response?
"It takes 6 to 8 weeks to see a change in cholesterol levels."
78
A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery, the nurse knows that this is an example of which type of therapy?
Prophylactic
79
An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used?
Ribavirin (Virazole)
80
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Pruritus, cutaneous flushing
81
A patient will be receiving a thrombolytic drug as part of the treatment for acute infarction. The nurse explains to the patient that this drug is used for which purpose?
To dissolve the clot in the coronary artery
82
The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug is administration?
Infusing the drug over at last 1 hour
83
During a follow-up visit, the health care provider examines the fundus of the patients eye. Afterward, the patient asks the nurse, Why is he looking at my eyes when I have high blood pressure? It does not make sense to mw! What is the best response by the nurse?
The provider is making sure the treatment is effective over the long term
84
A patient on diuretic therapy calls the clinic because he had the flu, with terrible vomiting and diarrhea, and he has not kept anything down for 2 days. He feels weak and extremely tired. Which statement by the nurse is correct?
Please come into the clinic for an evaluation to make sure there are no complications
85
During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?
Fluid volume overload
86
A patient is concerned about the adverse effects of the fibric acid derivative she is taking to lower her cholesterol level. Which is an adverse effect of this class of medication?
Diarrhea
87
A patient who has undergone a lung transplant has contracted cytomegalovirus (CMV) retinitis. The nurse expects which drug to be ordered for this patient?
Gancidovir (cytovene)
88
The nurse is reviewing antimalarial drug therapy with a patient and instructs the patient to watch for and report which potential adverse reactions?
Visual disturbances
89
A patient is receiving an infusion of fresh frozen plasma. Based on this order, the nurse interprets that this patient has which condition?
Coagulation disorder
90
Mannitol (osmitrol) has been ordered for a patient with acute renal failure. The nurse will administer this drug using which procedure?
Intravenously, through a filter
91
A patient will be discharged on quinicline sulfate (quiniclex) extended-release tablets for the treamtment of ventricular ectopy. The nurse will include which information in the teaching plan?
Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision may occur
92
A patient who is being treated for malaria has started therapy with quinine and tetracycline. He asks the nurse why he is on an antibiotic when malaria is caused by a parasite. Which response by the nurse is correct?
The two drugs are more effective against malaria when given together
93
A patient has had a recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patients laboratory work, the nurse interprets that the patients international normalized ratio (INR) level of 3 indicates that:
The patients warfarin dose is at therapeutic levels
94
The nurse notes in the patients medication orders that the patient will be taking ibutilide (Corvert). Based on this finding, the nurse interprets that the patient has which disorder?
Atrial fibrillation
95
A pregnant woman is experiencing hypertension. The nurse knows that which drug is commonly used for a pregnant patient who is experiencing hypertension?
Methyldopa (aldomet)
96
A patient is in the intensive care unit because of an acute myocardial infarction. He is experiencing severe ventricular dysrhythmias. The nurse will prepare to give which drug of choice for this dysrhythmia?
Amiodarone (cordarone)
97
A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine. She is wondering why she needs this medication, the nurse explains that pyridoxine is often given concurrently with the isoniazid to prevent which condition?
Peripheral neuropathy
98
A patient is taking digoxin (Lamoxin) and a loop diuretic daily. When the nurse enters the room with the morning medications, the patient sates, i am seeing a funny yellow color around the lights. What is the nurses next action?
Assess the patient for symptoms of digoxin toxicity
99
While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?
Liver dysfunction
100
During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by:
Large doses of antibiotics that kill normal flora
101
A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam antibiotic as well. The patient asks why two antibiotics have been ordered. What is the nurses best response?
The combined effect of both antibiotics is greater than each of them alone
102
If a patient is taking fluconazole (Diflucan) with an oral anticoagulant, the nurse will monitor for which possible interaction?
Increased effects of oral anticoagulants
103
A patient is receiving thrombolytic therapy, and the nurse monitors the patient for adverse effects. What is the most common undesirable effect of thrombolytic therapy?
Internal and superficial bleeding
104
The nurse administering the phosphodiesterase inhibitor milrinone (Primacor) recognizes that this drug will have a positive inotropic effect, which results reflects this effect?
Increased force of cardiac contractions
105
A patient is started on a diuretic for antihypertensive therapy. The nurse expects that a drug in which class is likely to be used initially?
Thiazide diuretics
106
The nurse is working with a graduate nurse to prepare an intravenous dose of potassium. Which statement by the graduate nurse reflects a need for further teaching?
The intravenous potassium dose will be given undiluted
107
When applying transdermal nitroglycerin patches, which instruction by the nurse is correct?
Rotate application sites with each dose
108
While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that the drug has a negative chronotropic effect. How would this drug effect be evident in the patient?
Decreased heart rate
109
A mother brings her toddler into the emergency department and tells the nurse that she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for which most common signs of salicylate intoxication in children?
Hyperventilation and drowsiness
110
A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir-therapy?
Burning when applied
111
A patient who has started drug therapy for tuberculosis wants to know how long he will be on the medications. Which response by the nurse is correct?
You should expect to take these drugs for as long as 24 months
112
During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal anti-inflammatory drugs (NSAIDS)?
Renal disease
113
A patient is receiving hydroxychloroquine therapy but tells the nurse that she has never traveled out of her city. The nurse knows that possible reason for this drug therapy is which condition?
Systemic lupus erythematous
114
The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because of an acute myocardial infarction. Which statement is true regarding the administration of the intravenous form of this medication?
Non-polyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used
115
A woman is traveling to a country where she will be at high risk for malarial infection. What will the nurse teach her regarding prophylactic therapy with hydroxychloroquine (Plaqueil)
The drug is usually started 1 to 2 weeks before traveling to endemic areas and is continues for 4 weeks after leaving the area
116
A patient is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling “anxious” and is having trouble breathing. What will the nurse do first?
Stop the antibiotic infusion
117
A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections?
Sulfonamides
118
The nurse is reviewing instructions for vaginal antifungal drugs with a patient. Which statement by the nurse is an appropriate instruction regarding these drugs?
Abstain from sexual intercourse until the treatment has been completed and the infection has been resolved
119
During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and anorexia. The nurse's best advice to the patient would be which of the following?
"Drink a full glass of water with each dose."
120
The nurse notes in the patient medication orders that the patient will be starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?
Preventing thrombus therapy
121
When receiving the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotic?
Sulfonamides
122
A patient has been placed on a milrione infusion as part of the therapy for end-stage heart failure. What adverse effect of this drug will the nurse watch for when assessing the patient during the infusion?
Cardiac dysthymias
123
When administering digoxin immune fab to a patient with severe digoxin toxicity, the nurse knows that each vial can bind with how much digoxin?
0.5 mg
124
The nurse is administering one of the lipid formulations of amphotericin B. when giving this drug, which concept is important to remember?
The lipid formulations are associated with fewer adverse effects that the older adults
125
A patient is being discharged on anticoagulant therapy. The nurse will include in the patient-education conversation that it is important to avoid herbal products that contain which substance?
Ginkgo
126
A patient has received a prescription for a 2-week course of antifungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying, I don’t want to do this for 2-weels! Which is a possibility in this situation?
A single dose of a fluconazole (diflucan) oral tablet
127
A patient with a long-term intravenous catheter is going home. The nurse knows that is he is allergic to seafood, which antiseptic agent is contraindicated?
Povidone-iodine (Beatdine)
128
A patient who is severely anemic also has acute heart failure with severe edema due to fluid overload. The prescriber wants to raise the patient’s hemoglobin and hematocrit levels. The nurse anticipates that the patient will receive which blood product?
Packed red blood cells (PRBC)
129
A patient is taking nystatin oral lozengens to treat an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate?
Let the lozenge dissolve slowly and completely in your mouth without chewing it
130
When teaching a patient who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?
Grapefruit Juice
131
A 79 year old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?
Tendinitis and tendon rupture
132
A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?
Type 2 Diabetes mellitus
133
The nurse is preparing to transfuse a patient with a unit of packed red blood cells. Which intravenous solution is correct for use within the PRBC transfusion?
0.9% sodium chloride
134
The nurse is reviewing discharge teaching for a patient who will be taking digoxin therapy. The nurse will teach the patient to avoid which foods when taking the digoxin?
Bran muffins
135
A patient with coronary artery disease asks the nurse about the good cholesterol laboratory values. The nurse knows that good cholesterol refers to which lipids?
High-density lipoproteins (HDLs)
136
The nurse is preparing to transfuse a patient with a unit of packed red blood cells. Which patient would be best treated with this transfusion?
A patient with severe anemia
137
Which nursing diagnosis is appropriate for patient who has started aminoglycoside therapy?
Risk for injury (renal damage)
138
A patient with gout has been treated with allopurinol for 2 months. The nurse will monitor laboratory results for which therapeutic effect?
Decreased uric acid levels
139
When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse will discuss which potential problem?
Impotence
140
When starting a patient on antidysrhythmic therapy, the nurse will remember that which problem is a potential adverse effects of any antidyssrhythmic drug?
Dysrhythmias
141
A patient has been started on therapy of a continuous infusion of lidocaine after receiving a loading dose of the drug. The nurse will monitor the patient for which adverse effect?
Convulsions
142
During therapy with amphotencin B, the nurse will monitor the patient for known adverse effects that would be reflected by which laboratory result?
Serum potassium level of 2.7 mEq/L
143
The nurse note sin patients medication history that the patient is taking allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient has which disorder?
Gout
144
A patient with an intestinal infection that is positive for the Giardia lamblia organism will be taking an antiprotozoal drug. The nurse will include which information in the teaching plan for this patient?
Taking the medications with food reduces gastrointestinal upset
145
A patient has been taking digoxin at home but took an accidental overdose and has developed toxicity. The patient has been admitted to the telemetry unit, where the physician has ordered digoxin immune Fab (Digifab). The patient asks the nurse why the medication is ordered. What is the nurses best response?
This drugs is an antidote to digoxin and will help to lower the blood levels
146
The nurse checks the patients laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/Ml. What will the nurse do next?
Hold the drug, and notify the provider
147
A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?
Protamine sulfate
148
A patient is taking a combination of antiviral drugs as treatment for early stages of a viral infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurs keeps in mind which fact about antiviral drugs?
They may also kill healthy cells while killing viruses
149
A patient who has been anticoagulated with warfarin (coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicated that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?
Vitamin K
150
A 62-year old man is to receive lidocaine as treatment for a symptomatic dysrhythmia. Upon assessment the nurse notes that he has a history of alcoholism and has late-stage liver failure. The nurse will expect which adjustments to his drug therapy?
The dosage will be reduced by 50%
151
The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?
Serum potassium level
152
When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patients fluid volume status?
Intake, output, and daily weight
153
The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction will the nurse include during the teaching session?
Call your doctor if you have increased pain or blood in the urine
