Nursing 1 Flashcards
a nurse contacts a pt’s provider on the telephone to obtain a rx for pain meds. which of the following actions should the nurse take?
A. write the order on a rx pad designated for the pt’s provider
B. have the provider spell out the unfamiliar medicaiton names
C. read the rx back tot he provider using abbreviations.
D. Consult with a second rn for any questions regarding dosage.
B. Have the provider spell out the unfamiliar med names.
a nurse in a clinic is caring for a pt who is taking aspirin for the tx of arthritis. the nurse should id which of the following findings as an indication that the pt is beginning to exhibit salicylism?
A. gastric distress
B. Oliguria
C. Excessive bruising
D. Tinnitus
D. Tinnitus
manifestation of aspirin toxicity also called salicylism. other manifestations include sweating, HA, and dizziness.
a circulating nurse is planning care for a pt who is scheduled for surgery and has a latex allergry. which of the following actions should the nurse include in the plan of care?
A. schedule the pt for the last surgery of the day
B. place moniotring cords and tubes in a stockinet.
C. choose rubber injection ports for fluid administration.
D. ensure phenytoin IV is readily available.
B. Plac monitoring cords and tubes in a stockinet.
Epinephrine should be readily available in the OR in case of an anaphylactic reaction, not phenytoin IV
A nurse is assessing apt who is receiving epoetin alfa to tx anemia. which of the following findings should the nurse monitor?
A. paresthesia
B. Increased bp
C. fever
D. respiratory depression
B. increased Bp
therapeutic effect of epoetin alfa is in increase in hemattocrit levels, which can result in an increase in the pt’s bp. if the hct level rises too rapidly, HTN and seizures can result. the nurse should monitor the pt’s bp and ensure HTN is controlled prior to administering the med.
a rn is preparing to admin hydrochlorothiazide (HCTZ) to a pt. which of the following actions should the nurse take prior to admin the med?
A. ask the pt to drink 8 oz of water
B. review the pt’s most recent Hgb level
C. obrain the pt’s bp
D. determine if the pt is allergic to NSAIDs
C. obtain the pt’s bp
HCTZ is a thiazide diuretic administered to promote urine output and reduce bp and edema. the nurs should obtain the pt’s bp prior to admin of the med.
A rn is caring for a pt who is to receive tx for opioid use disorder. which of the follwing medss should the rn expect to admin?
A. Buprprion
C. Disulfiram
C. Methadone
D. Modafinil
C. Methadone
A nurse is reviewing the med record of a pt who has HTN. the nurse should id which of the following findings as a contraindication for receiving propranolol?
A. Cholelithiasis
B. asthma
C. angina pecotris
D. tachycardia
B. asthma
propranolol is an beta blocker, which causes broncho constriction and leads to a serious airway resistance and possibly respiratory arrest.
a rn is caring for a pt who has pneumonia. the pt tells the rn she is rpegnant and that she has not told the provider yet. the rn should id that pregnancy is a coantraindicaiton for receiving which of the following meds?
A. acetaminophen
B. ipratropium
C. benxonatate
D. doxycycline
D. doxycycline
tetracycline abx. causes teratogenic effects such as staining fo the infant’s teeth when exposed to this med.
a nurse is teaching about self-admin of transdermal meds with a male pt who has a new rx for nitroglycerin. the nurse should id that which of the following statements by the pt indicates an understanding of the teaching?
A. i can apply the patch to a chest area that has hair
B. i can take this med while usein an erectile dysfunction product.
C. i will revmove the patch after 14 hrs
D. I need to apply a new patch to the sam area every day.
C. I will remove the patch after 14 hours.
a nurse is aministering cefotetan via intermitten IV bolus to a pt who suddlenly develops dyspnea and widespearead hives. which of the following action should the nurse take first?
a. admin epinephrine 0.5 ml via IV bolus
B. d/c the med IV infusion
C. elevate the pt’s legs about the level of the heart
D. collect a blood specimen for ABGs
B. d/c the med IV infusion
a nurse admins ceftazidime to a pt who has severe penicillin allergy. the nurse should id which of the following pt findings as an indication that she should complete an incident report?
A. the pt reports SOB
B. the pt is also taking lisinopril
C. the pt’s PR is 60/min
D. the pt’s wbc count is 14,000/mm3
A. the pt reports SOB
a severe penicillin allergy is a contraindicaiton for taking ceftazidime, a cephalosporin abx, due to the potential for cross sensitivity. SOB can indicate the pt is developing anaphylaxis.
a nurse is precepting a newly licensed nurse who is caring for four pts. the nurse should complete an incident report for which of teh following actions by the newly licensed nurse?
A. admin isosorbide mononitrate to a pt who has a bp of 82/60
B. admin digoxin to a pt who has a hr of 92/min
C. admin regular insulin to a pt who has a blood glucose of 250 mg/dl
D. admin heparin to a pt who has an aPTT of 70 sec
A. admin isosorbide mononitrate to a pt who has a bp of 82/60
nitrate used for pts with angina. taking isosorbide mononitrate leads to vasodilation, which can result in hypotension.
a nurse is planning to teach about inhalant meds to a pt who has a new dx of exercise-induced asthma. which of the following meds should the nurse plan to instruct the pt to use prior to physical activity?
A. cromolyn
B. beclomethasone
C. budesonide
D. tiotropium
A. Cromolyn
stabilizes mast cells, which inhibit the release of histamine and other inflammatory mediators. the pt should use cromolyn 10-15 min before planning to exercise to prevent bronchospasms.
a nurse is caring for a pt who is taking atorvastatin for hyperlipidemia. which of the following pt lab values should the nurse monitor?
A. creatinine kinase
B. erythrocyte sedimentation rate
C. international normalized ration
D. potassium
A. creatine kinase
can develop adverse effect called rhabdomyolysis, causes muscle weakness or pain and can progress to myositis. creatinine kinase levels rise in response to enzymes released with muscle injury
a nurse is preparing to mix and admin dantrolene via IV volus to a pt who has developed malignant hyperthermia during surgery. which of the following actions should the nurse take?
A. admin the reconstituted med slowly over 5 min
B. store the reconstituted med in the fridge
C. use the resonstituted med withing 12 hr
D. reconstitute the initial dose with 60 mil of sterile water without a baceriostatic agent
d. reconstititue the initial dose with 60ml of sterile water without a bacteriostatic agent
a nurse is providing teaching to a pt who is to start therapy with digoxin. for which of the following adverse effects should the nurse instruct the pt ton monirot and report to the provider?
A. dry cough
B. pedal edema
C. bruising
D. yellow tinged vision
d. yellow tinged vision
sign of digoxin toxicity. other manifestations include N/V, loss of appetite, and fatigue.
a nurse is providing teaching to a pt who is to start taking sumatriptan. which of the following adverse effects should the nurse instruct the pt to monitor for an report to the provider?
A. chest pressure
b. white patches on the tongue
c. bruising
d. insomina
a. chest pressure
antimigraine agent which can cause coronary vasospasms, resulting in angina.
a nurse is planning d/c teaching for a pt who has a rx for furosemide. the nurse should plan to include which of the following statements in the teaching?
A. this medication increases your risk for HTN
B. avoid potassium rich foods in your diet
C. take each dose of med in the evening before bed
D. drink a glass of milk with each dose of med
D. drink a glass of milk with each dose of med
reduces gastric irritation
a nurse is teaching about zolpidem to a pt who has insomnia. the nurse should id that which of the follwoing pt statements indicates an understaning of the teaching?
A. i will need to get lab testing prior to a refill of this med.
B. i wil luse this med for a short period of time
C. i will need to take the med for 1 week before results are seen
D. i will need to change the med to prevent building up a tolderance
B. i will use this med for a short period of time
a nurse is providing teaching to a pt who has a new rx for ferrous sulfate. the nurse should instruct the pt to take the med with which of the follwoing to promote absorption?
A. vitamin e
B. orange juice
C. milk
D. antacids
B. orange juice
a nurse is teaching about a new rx for ciprofloxacin to a pt who has. urinary tract infection. the nurse should id which of the following statements as an indicaiton that the pt understands the teaching?
A. i will take this med with an antacid to prevent GI upset
B. i will stop taking this med whin I no longer have pain upon urination
C. I will report any signs of tendon pain or swelling
D. I will take this medication with milk
C. I will report any signs of tendon pain or swelling.
a nurse is providing teaching to a pt who has a rx for trimethoprim/sulfamethaxazole. which of the following instrucitons should the nurse include in the teaching?
A. take the med with food
B. expecta. fine red rash as a transient effect
C. drink 8-10 glasses of water daily
D. store teh med in the fridge
C. drink 8 to 10 glasses of water daily
decreases risk of kidney damage from crystalization
a nurse is caring for a pt who is receiving end of life care and has a rx for fentanyl patches. which of the following information regarding the adverse effects of fentanyl should the nurse plan to give the pt and family?
A. the provider will rx nalaxone at home for respiratory depression.
B. remove the patch to revers ethe adverse effects immediately.
C. expect an increase in urinary output
D. take a stool softener on a daily basis
D. take a stool softener on a daily basis.
a nurse is reviewing lab results for a pt who is to receive a dose of ceftazidime via intermittent IV bolus. Which of the following lab findings is the priority for the nurse to report to the provider before administering the med?
a. total vilirubin 0.4 mg/dL
B. alanine aminotransferase 26 units/L
C. plately count 360,000/mm3
D. creatinine 2.6 mg/dl
D. creatinine 2.6 mg/dl
excreted primarily in the renal system.
