A 2-year-old child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? A. Use aseptic technique… Read More »
The nursery nurse is putting erythromycin ointment in the newborn’s eyes to prevent infection. She places it in which of the following area of the eye: A. Under the eyelid. B. On the cornea. C. In the lower conjunctival sac. D. By the optic disc. Correct Answer:… Read More »
An infection in a central venous access device is not eliminated by giving antibiotics through the catheter. How would bacterial glycocalyx contribute to this? A. It protects the bacteria from antibiotic and immunologic destruction. B. Glycocalyx neutralizes the antibiotic rendering it ineffective. C. It competes with the antibiotic for binding sites on… Read More »
Walter, a teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs? A. Lungs B. Liver C. Kidney D. Adrenal Glands Correct Answer: B. Liver Acetaminophen is extensively metabolized by pathways in… Read More »
The name selected by the original manufacturer based on the chemical structure of the drug is the: A. Chemical name B. Drug name C. Generic name D. Trade name Correct Answer: C. Generic name The generic name is the name of the active ingredient. The generic name… Read More »
A client with myasthenia gravis frequently complains of weakness and fatigue. The physician plans to identify whether the client is responding to an overdose of the medication or a worsening of the disease. A tensilon test is performed. Which of the following would indicate that the client is experiencing an overdose of the medication? … Read More »
A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect? A. Gold sodium thiomalate (Myochrysine) B. Azathioprine (Imuran) C. Prednisone (Deltasone) D. Naproxen (Naprosyn) Correct… Read More »
The nurse is administering an antibiotic to her pediatric patient. She checks the patient’s armband and verifies the correct medication by checking the physician’s order, medication Kardex, and vial. Which of the following is not considered one of the ten “rights” of drug administration? A. Right dose B. Right route C. Right effect … Read More »
What is the purpose of “Tunneling” (inserting the catheter 2-4 inches under the skin) when the surgeon inserts a Hickman central catheter device? A. Increases the patient’s comfort level. B. Decreases the risk of infection. C. Prevents the patient’s clothes from having contact with the catheter. D. Makes the catheter less… Read More »
The most serious adverse effect of Alprostadil (Prostin VR pediatric injection) administration in neonates is: A. Bleeding tendencies. B. Apnea. C. Hypotension. D. Pyrexia. Correct Answer: B. Apnea. All items are adverse reactions of the drug. However, apnea appearing during the first hour of drug infusion occurs in 10-12… Read More »