Brian Dabbs
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Yep. Number 4

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Brian Dabbs
Created by Brian Dabbs about 9 years ago
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Pharm Test 4 student created guide

Question 1 of 23

1

The nurse is preparing to give medications. Which is the most appropriate nursing action for intravenous (IV) phenytonin?

Select one of the following:

  • Give IV doses via rapid IV push.

  • Administer in normal saline solutions.

  • Administer in dextrose solution.

  • Ensure continuous infusion of the drug.

Explanation

Question 2 of 23

1

The nurse is reviewing drugs currently taken by a patient who will be starting drug therapy with carbemazepine. What drug may raise cause for concern due to interactions?

Select one of the following:

  • digoxin

  • acetaminophen

  • diazepam

  • warfarin

Explanation

Question 3 of 23

1

Which response would the nurse expect to find in a patient with a phenytoin level of 35 mcg/ml?

Select one of the following:

  • Ataxia

  • Hypertension

  • Seizures

  • No unusual response; this level is therapeutic.

Explanation

Question 4 of 23

1

The nurse is assessing a newly admitted patient who has a history of seizures. During the assessment, the patient has a generalized seizure that does not stop for several minutes. The nurse expects that which drug will be ordered for the condition?

Select one of the following:

  • Valproic Acid

  • Neurontin

  • carbamazepine

  • diazepam

Explanation

Question 5 of 23

1

The nurse is administering an antiepileptic drug and will follow which guidelines?

Select one or more of the following:

  • Monitor the patient for drowsiness.

  • Medications may be stopped if seizures disappear.

  • Give the medication at the same time every day.

  • Give the medication on an empty stomach.

  • Notify the prescriber if the patient is unable to take the medication.

Explanation

Question 6 of 23

1

A patient is taking entacapone as part of a therapy for Parkinson's disease. Which intervention by the nurse is appropriate at this time.

Select one of the following:

  • Notify the patient that this drug causes discoloration of the urine.

  • Limit' the patient's intake of tyramine-containing food.

  • Monitor results of renal studies because this drug can seriously affect renal function.

  • Force fluid to prevent dehydration.

Explanation

Question 7 of 23

1

During a patient teaching session about antiparkinson drugs, the nurse will include which statement?

Select one of the following:

  • "The drug will be stopped when tremors and weakness are relieved."

  • "If a dose is missed, take two doses to avoid significant decreases in blood levels."

  • "Be sure to notify your physician if your urine turns brownish-orange in color."

  • "Take care to change positions slowly to prevent falling due to a drop in blood pressure."

Explanation

Question 8 of 23

1

A patient with Parkinson's disease will start taking entacapone alone with the carbidopa-levodopa he has been taking for a few years. The nurse recognizes that the advantage of taking entacapone is that:

Select one of the following:

  • The entacapone can reduce on-off effects.

  • The levodopa may be stopped in a few days.

  • There is less GI upset with entacapone.

  • It does not cause the cheese effect.

Explanation

Question 9 of 23

1

The nurse is assessing a patient after major bowel surgery. The nurse anticipates administering which type of nutrition for this patient?

Select one of the following:

  • Enteral feedings through a percutaneous endoscopic gastronomy (PEG) tube

  • Peripheral parenteral nutrition

  • Total parenteral nutrition

  • A high-residue diet

Explanation

Question 10 of 23

1

The nurse is providing wound care for a patient with a stage IV pressure ulcer and expects the patient to receive which supplement to assist in wound healing?

Select one of the following:

  • Vitamin K

  • Vitamin B1

  • Zinc

  • Calcium

Explanation

Question 11 of 23

1

When assessing a patient who is about to receive an albumin infusion, the nurse knows that a contraindication for albumin would be:

Select one of the following:

  • Acute Liver Failure

  • Heart failure

  • Severe burns

  • Flude volume deficit

Explanation

Question 12 of 23

1

(EDIT ANSWERS)A patient is taking isoniazid for tuberculosis. The nurse anticipates supplementation with which vitamin for prevention of drug induced neuritis

Select one of the following:

  • C

  • B6

  • K

  • E

Explanation

Question 13 of 23

1

The patient is taken to the trauma unit after a motorcycle accident. It is estimated that he has lost 30% of his blood volume and he is in hypovolemic shock. The nurse anticipates a transfusion with which blood product?

Select one of the following:

  • Packed red blood cells

  • Whole Blood

  • Cryoprecipitate

  • Fresh Frozen Plasma

Explanation

Question 14 of 23

1

A patient is hypokalemic and will be receiving IV K+. The patient is not on a heart monitor. How should the nurse administer the K+ replacement?

Select one of the following:

  • IV Push

  • No more than 10 mEq/hr

  • No more than 20 mEq/hr

  • 40 mEq/hr

Explanation

Question 15 of 23

1

The patient with a serum K+ of 6.0 mEq/L is ordered polystyrene sulfonate via the NG. When administering the medication the nurse should

Select one of the following:

  • administer the drug with sorbitol

  • administer the drug with water

  • administer the drug with an antacid

  • administer the drug with a laxative

Explanation

Question 16 of 23

1

New patient with alcoholism, which vitamin is given?

Select one of the following:

  • B1

  • B6

  • C

  • A

Explanation

Question 17 of 23

1

PRB's are given with what?

Select one of the following:

  • Lactase Ring

  • 0.9% Sodium Chloride

  • D5W

  • 1.7% Sodium Chloride

Explanation

Question 18 of 23

1

When administering vitamin and mineral supplements, the nurse implements which appropriate interventions?

Select one or more of the following:

  • Not administering oral calcium tablets along with oral tertracyclines

  • Administering IV calcium via a rapid IV push infusion

  • Monitoring the heart rhythm ECG of a patient receiving an IV magnesium infusion

  • Giving oral niacin with milk or food to decrease GI upset

  • Monitoring for the formation of renal stones in patients taking large doses of vitamin C

Explanation

Question 19 of 23

1

Why is calcium given on a renal unit?

Select one of the following:

  • High phosphorus

  • Osteoperosis

  • Calcium is never given on a renal unit

  • Calcium deficiency

Explanation

Question 20 of 23

1

H2 Receptor blockers are normally given for GERD. What health factors may decrease the effectiveness of this drug class?

Select one of the following:

  • Heart Failure

  • Smoking

  • Pulmonary Edema

  • Myocardial Infarcation

Explanation

Question 21 of 23

1

Which is a potential adverse effect of Valproic Acid?

Select one of the following:

  • Hepatoxicity

  • Coughing

  • Abnormal Bleeding

  • Hyperthermia

Explanation

Question 22 of 23

1

A patient has been taking antiepileptic drugs for a year. The nurse is reviewing his recent history and will monitor for which condition that may develop during this time?

Select one of the following:

  • Loss of appetite

  • Jaundice

  • Weight Loss

  • Suicidal thoughts or behavior

Explanation

Question 23 of 23

1

What is the rationale for administering a PPI to a client diagnosed with GERD?

Select one of the following:

  • PPI meds neutralize the gastric secretions.

  • PPI meds block H2 receptors on the parietal cells.

  • PPI meds inhibit the enzyme that generates gastric acid.

  • PPI meds form a protective barrier against acid and pepsin

Explanation

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