Pharmacological and Parenteral Therapies – 1

A nurse is preparing to administer an enema to a 64-year old client. Which of the following actions of the nurse is most appropriate?

Which of the following is a fat-soluble vitamin?

A nurse is preparing to administer an enteral feeding through a gastrostomy tube. Before administering the feeding, the nurse aspirates some stomach contents and checks the pH. The result is 3.9. What is the next action of the nurse?

How many cc s are there in 25 ounces?

Your patient has finished a 12 ounce can of ice tea and 8 ounces of fresh orange juice. What will you record on the Intake and Output form for this patient’s intake?

Your patient ate an 8 ounce cup of Italian ice. How much will you record on the patient’s Intake and Output form in terms of this patient’s fluid intake?

Which of the following bony landmarks is described by, “large, blunt, irregularly shaped process, such as that found on the lateral aspect of the proximal femur”?

A patient who is blood type AB:

To properly read a meniscus,

A physician has written an order for “2.0 mg MS q 2-4 hr prn pain.” What is the nurse’s response to this order?

A nurse is preparing to draw a blood specimen from an adult client’s central line. All of the following actions for this procedure are correct EXCEPT:

Mr. G has been admitted to the hospital with a head injury after a 12-foot fall. Which of the following nursing interventions is most appropriate when monitoring intracranial pressure?

A nurse is caring for a 3-day old infant who needs an exchange transfusion. Which of the following statements is appropriate for teaching the child’s parents about this procedure?

The OR nursing staff are preparing a client for a surgical procedure. The anesthesiologist has given the client medications and the client has entered the induction stage of anesthesia. The nursing staff can expect which of the following symptoms and activities from the client during this time?

A physician has administered ketamine to a client who is preparing to undergo general anesthesia. Which of the following side effects should the nurse monitor for this client?

A client is undergoing radiation therapy for treatment of thyroid cancer. Following the radiation, the client develops xerostomia. Which of the following best describes this condition?

A nurse is caring for a patient on the burn unit who has burns on 80% of his body. The doctor placed an order to begin Total Parenteral Nutrition (TPN) today at 0600. On assessment, the patient has a left antecubital peripheral IV and a right peripherally inserted central line (PICC). The nurse is able to flush the peripheral IV, but unable to flush the PICC. What should the nurse do first?

A nurse is providing care for a 77 year old, white, male patient who was started on TPN today at 06:00. The infusing rate is at 83.3 ml/hr. The patient was admitted to the hospital two weeks ago for adult failure to thrive. At 07:00, the patient is alert and oriented x3, pleasant and cooperative. He is frail, withdrawn, tachycardic, but otherwise normal on physical assessment. The nurse enters the patient’s room at 09:00 and the patient is complaining of blurred vision and a headache. This change is most likely due to:

A nurse is caring for a client who has undergone radiation therapy. The skin on her chest and abdomen itches and is red. The client complains of burning pain and the skin is beginning to slough. Which nursing intervention is most appropriate for this client?

A nurse is caring for a client who is post-op day #1 after a total hip replacement. Although the client was alert with a normal affect in the morning, by lunchtime, the nurse notes the client is confused, has slurred speech and is having trouble with her balance. Her blood glucose level is 48 mg/dl. What is the next action of the nurse?

A nurse has just started a transfusion of packed red blood cells that a physician ordered for a client. Which of the following signs may indicate a transfusion reaction?

Which of the following constitutes the five “rights” of medication administration?

A nurse is caring for a client following surgery when he begins to complain of pain in his right hand. The client’s IV is in this hand and the skin around the site is slightly reddened and cool to the touch. The IV drip rate has slowed considerably. The client states his pain is localized to the right hand and fingers. Which situation is most likely the cause of this client’s pain?

A client is receiving high-dose brachytherapy as a form of cancer treatment. What type of teaching must the nurse include when educating this client about safety?

A nurse is giving a client information about his new prescription for warfarin. The nurse should remember to tell the client:

Which of the following medications would NOT be an appropriate prn medication for use during an episode of aggression or violence for the patient with a psychiatric diagnosis?

A drug form in which medication particles are instilled into a liquid and combined through agitation of the solution is called:

Following a dose of medication, a client develops inflamed mucous membranes and nasal discharge. What type of minor reaction is this client experiencing?

Mr. Y is receiving medication through a catheter that has been placed into the subarachnoid space of his spinal column. What route of medication administration is this called?

A client is having difficulties swallowing a large tablet of medication. Which of the following interventions from the nurse may best assist this client?

A nurse is attempting to find the ventrogluteal muscle to administer an intramuscular medication. In which method does the nurse find this site?

A nurse is administering total parenteral nutrition for a client. The solution contains 12% dextrose and 5% amino acids. Which of the following sites is most appropriate to administer this solution?

Mr. S is complaining of pain following a surgical procedure. The nurse checks his orders and finds that he has an order for meperidine 25 mg per 4 hrs for shivering. What is the next action of the nurse?

Which of the following medications is an example of an adjuvant drug?

Which of the following is a potential complication of administering a dorsogluteal intramuscular injection?

A nurse is preparing to administer a rectal suppository to a client. After applying gloves, checking the client’s identification band, and closing the door, what is the next step of the nurse?

Mr. F has been prescribed isocarboxazid, a monoamine oxidase inhibitor, as part of treatment for depression. Which of the following foods should the nurse instruct the client to avoid while taking this drug?

A nurse is preparing to administer digoxin to a client who suffers from heart failure. What must the nurse consider before administering this medication?

A client has been taking his antianxiety medications for four years, even though he no longer struggles with acute anxiety. Instead, he has a routine of taking the medication each evening and feels better knowing that he has taken it. Which of the following best describes this action?

Which of the following is a disadvantage of taking medication through an oral route?