Download RN Pharmacology: Medication Administration and Safety and more Exams Pharmacology in PDF only on Docsity! RN Pharmacology A A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The nurse determines that the patient understands the MOST effective use of the medication if the patient states that he or she will: - take the medication with a full glass of water Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you administer? - 400mg Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr continuously. The patient's blood pressure at the beginning of your shift was 92/58 with a heart rate of 68. You noticed the patient's blood pressures have been around 130/70. What should you do FIRST? - Check infusion rate to confirm 6ml/hr, then notify anesthesia provider A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications will the nurse administer if the patient is unable to tolerate PO? - Dextrose 50% IV push While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse notices diversity of food items. Which of the following foods would be a concern? - Spinach When caring for a patient with a central line who is receiving TPN, what is the MOST important action on the part of the nurse to prevent CLABSI? - Perform correct sterile technique for dressing change at the CVC site Which of the following medications should be held today considering that your patient received IV contract two hours ago fir a CT scan? - Metformin (Glucophage) Which medication is used to treat iron toxicity? - deferoxamine (Digibind) Your patient presents with CHF and has a Potassium level of 5.8. Which diuretic do you anticipate being ordered by the provider? - bumetanide (Bumex) When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize that it should be given over two minutes to avoid: - tinnitus Your patient has been diagnosed with. chronic CHF and will be taking Lasix 80mg PO twice a day. When teaching about high Potassium foods in the diet, which group of foods would you recommend to the patient? - Bananas, spinach, raisins Your patient is on a Morphine PCA after a recent exploratory surgery. While doing your rounds, you notice that your patient is slumped over, unresponsive, with delayed and slow respirations. You suspect narcotic overdose. Which reversal medication would you administer? - naloxone (Narcan) Your patient, a Type 1 diabetic with a history of schizophrenia is exhibiting signs and symptoms of tardive dyskinesia, Which of the following long-term medications is more likely the etiology of the problem? - chlorpromazine (Thorazine) Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: - Increase risk of digoxin toxicity Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? - Anti-inflammatory, anti-pyretic, decrease platelet aggregation
