A mechanically ventilated patient receiving a neuromuscular blocking drug has tearing in the eyes and increased heart rate and blood pressure. Which conclusion does the nurse make? - ️️The level of sedation is inadequate.
Rationale: tearing in the eyes and increased heart rate and blood pre...
EAQ's 82 test 1 Quiz Questions Well
Answered
A mechanically ventilated patient receiving a neuromuscular blocking drug has tearing in the eyes and
increased heart rate and blood pressure. Which conclusion does the nurse make? - ✔ ✔ The level of
sedation is inadequate.
Rationale: tearing in the eyes and increased heart rate and blood pressure are symptoms of increased
anxiety or pain. A patient receiving a neuromuscular blocking drug cannot more or communicate; thus
the nurse must rely on subtle changes to assess adequate sedation.
A nurse has a sample of the medicine nystatin. Which type of patient will receive this medication? - ✔
✔ Patients with oral candidiasis infection.
Rationale: Nystatin is not available for parenteral administration; therefore it's use is restricted to
managing oral and pharyngeal candidiasis.
A nurse is providing education to a a patient before administering amphotericin B. Which important
information about adverse effects would the nurse include in the teaching? Select all that apply - ✔ ✔
"Overdose of amphotericin B causes abnormal renal functioning, cardiac functioning, neurologic
functioning, pulmonary functioning"
A nursing instructor is discussing tigecycline therapy with a group of nursing students. Which statement
is the nursing instructor most likely to make? - ✔ ✔ " avoid administering tigecycline to a 7-year-old
with Lyme Disease"
Rationale: Tetracyclines such as tigecycline should not be given to children between 4 months and 8
years of age. They can cause discoloration of the permeant teeth and tooth enamel hypoplasia in both
fetuses and children and possibly retard skeletal development if taken by the mother during pregnancy.
A patient admitted to the unit is prescribed oral naltrexone hydrochloride daily. Which admission
assessment would the nurse include for the patient? - ✔ ✔ Questions regarding past history of drug
and alcohol use
,Rationale: it is used as an adjunct to psychosocial treatments for alcoholism. It is an opioid antagonist.
The medication is not prescribed as a treatment for infection or chronic pain. There is no need to ask the
date of the last flu vaccine, it is not relevant.
A patient has a serious intraabdominal infection. Which antibiotic will the nurse expect to administer to
this patient as empiric therapy? - ✔ ✔ Ticarcillin-clavulanic acid
Rationale: one of the broadest penicillins
A patient has started on a fentanyl patch. After 3 hours, the patient continues to complain of pain of 8
on a scale of 0 to 10." Which action would the nurse take? - ✔ ✔ Call the primary health care
provider
Rationale: the patch takes 12 to 24 hours to reach steady-state pain control after the first patch is
applied. The nurse would call the primary health care provider for a medication to control pain
immediately until the full effect of the patch is realized.
A patient has taken an enteric coated medication with a large amount of food. Which effect will this
have on the bioavailability of the drug? - ✔ ✔ it will be decreased
A patient has taken an excessive dose of acetaminophen for pain management. Which adverse effects
associated with acetaminophen are likely to be found in the patient? select all that apply. - ✔ ✔
Nausea, vomiting, and elevated liver enzymes
Rationale: Acetaminophen does not affect vision or hearing function.
A patient is diagnosed with fibromyalgia. Which drug does the nurse expect to administer? - ✔ ✔
Milnacipran
Rationale: Fibromyalgia is a condition in which the level of norepinephrine is reduced in the brain.
Milnacipran is used for the treatment of fibromyalgia. Milnacipran is a selective serotonin and
norepinephrine reuptake inhibitor, increases norepinephrine levels and reduces pain associated with
the fibromyalgia. Tramadol hydrochloride is indicated for the treatment of moderate to moderately
severe pain. Naloxone hydrochloride and naltrexone hydrochloride are opioid antagonists.
, A patient is newly prescribed SMZ- TMP for the treatment of a UTI. Which biochemical parameter does
the nurse assess before administering the drug? - ✔ ✔ Red blood cell count
Rationale: this may cause anemia in a patient
A patient is prescribed azithromycin for the treatment of a respiratory tract infection. Which parameters
need to be assessed in the patient to ensure safe drug administration? Select all that apply. - ✔ ✔
Liver function; baseline hearing status & baseline cardiac function.
Rationale: the macrolide can cause hearing loss, tinnitus, hepatotoxicity, jaundice, palpations, chest pain
and electrocardiogram changes
A patient is prescribed sufentanil for the treatment of acute pain. The nurse instructs the patient to
increase fluid intake up to 3000 mL per day to prevent which side effect of sufentanil? - ✔ ✔
Constipation
Rationale: Sufentanil is an opioid drug. Administration of opioid drugs reduces peristalsis because of
central nervous system depression and may result in constipation. Therefore the nurse instructs the
patient to increase fluid intake up to 3000 mL per day to prevent constipation. Sufentanil does not cause
crystalluria, mucosal irritation, or electrolyte imbalance.
A patient is prescribed sulfadiazine. After checking the patient's history, the nurse finds that the patient
has glucose-6-phosphate dehydrogenase (G6PD) deficiency. Which will the nurse do in this situation? -
✔ ✔ The nurse contacts the primary health care provider before administration of the drug.
Rationale: Sulfadiazine belongs to the class of sulfonamides. The administration of sulfonamides to a
patient with G6PD deficiency may result in hemolysis, or destruction of red blood cells.
A patient is to receive an intramuscular injection of a drug that has a high first-pass effect but asks for an
preparation of the drug instead. Which action would the nurse choose in this situation? - ✔ ✔
Explain to the patient that the drug becomes inactive if it is taken orally.
Explain to the patient that the drug will have a reduced effect if it is taken orally.
A patient who enjoys drinking socially has been prescribed cefotetan. The nurse explains to the patient
that alcohol should be avoided for how long? - ✔ ✔ During drug therapy and for 3 days afterward.
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