A nurse is caring for a postsurgical patient who has small tortuous veins
and had a difficult IV insertion. The patient is now receiving IV
medications on a
regular basis. What is the best nursing intervention to minimize the
adverse effects of this drug therapy? - ANSWER--Monitor the IV site for
redness, swelling, or pain.
A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for a
recent diagnosis of amyotropic lateral sclerosis. The nurse will prioritize
assessment for which of the following? - ANSWER--Dizziness
Which of the following patients demonstrates the clearest indication
for treatment with prednisone? - ANSWER--A 70-year-old man whose
rheumatoid arthritis has not responded to OTC pain relievers.
A nurse has been administering a drug to a patient intramuscularly
(IM). The physician discontinued the IM dose and
wrote an order for the drug to be given orally. The nurse notices that
the oral dosage is considerably higher than the parenteral dose and
understands that this is due to - ANSWER--first-pass effect.
A cardiac care nurse is monitoring a patient who is receiving lidocaine
(Xylocaine) per IV infusion pump for an acute ventricular arrhythmia
associated with an acute MI. Which of the following patient
manifestations would cause the nurse to notify the physician
immediately? - ANSWER--Confusion
A nurse is caring for a patient who is admitted into the cardiac care unit
with acute, decompensated heart failure. Nesiritide,
(Natrecor), has been ordered. When preparing for administration of the
drug, the nurse will - ANSWER--administer the initial IV bolus over
approximately 60 seconds.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report
immediately? - ANSWER--muscle twitching
A nurse is caring for a patient who has just been diagnosed with
Parkinson Disease. The patient does not understand how the mediation
ordered, carbidopa-levodopa, is going to help her condition. Which of
the following is the correct response by the nurse? - ANSWER--
"Carbidopa-levodopa increases the activity of dopamine in your body,
which will decrease your symptoms."
A patient is taking flavoxate hydrochloride (Urispas) to help control an
overactive bladder. On a follow up visit to the clinic the nurse will
question the patient about which of the following? - ANSWER--Dental
hygiene practices
A nurse notes new drug orders for a patient who is already getting
several medications Which of the following is the most important
consideration when preparing to administer the new drugs? - ANSWER-
-Possible drug-drug interactions that might occur.
A nurse is discussing with a patient the efficacy of a drug that his
physician has suggested, and he began taking. Efficacy of a drug means
which of the following? - ANSWER--How well a drug produces its
desired effect.
A nurse is conducting a medication resolution of a new resident of a
care facility and notes that the woman has been taking neostigmine.
The nurse should recognize that the woman may have a history of what
health problem? - ANSWER--Myasthenia gravis
A 77-year old man's chronic heart failure is being treated with a
regimen of quinapril (Accurpil) and furosemide (Lasix). Which of the
following assessment findings would suggest that the loop diuretic is
contributing to a therapeutic effect? - ANSWER--The man's chest
sounds are clear and his ankle edema is lessened.
A nurse explains to a patient that nitroglycerin patches should be
applied in the morning and removed in the evening. This medication
schedule reduces the potential for - ANSWER--nitrate tolerance
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