A two-year-old child with congestive heart failure has been receiving digoxin for one week. The nurse needs to recognize that an early sign of digitalis toxicity is: A. Bradypnea B. Failure to thrive C. Tachycardia D. Vomiting Correct Answer: D. Vomiting The earliest sign of digitalis toxicity… Read More »
Auranofin (Ridaura) is prescribed for a client with rheumatoid arthritis, and the nurse monitors the client for signs of an adverse effect related to the medication. Which of the following indicates an adverse effect? A. Nausea B. Diarrhea C. Anorexia D. Proteinuria Correct Answer: D. Proteinuria Auranofin… Read More »
Methotrexate, the most widely used antimetabolite in cancer chemotherapy does not penetrate the central nervous system (CNS). To treat CNS disease this drug must be administered: A. Intravenously. B. Subcutaneously. C. Intrathecally. D. By inhalation. Correct Answer: C. Intrathecally. With intrathecal administration, chemotherapy is injected through the… Read More »
Nurse Bryan knows that the age group that uses the most units of blood and blood products is: A. Premature infants. B. Children ages 1-20 years. C. Adults ages 21-64 years. D. The elderly above age 65 years. Correct Answer: D. The elderly above age 65 years. People older… Read More »
Central venous access devices are beneficial in pediatric therapy because: A. They are difficult to see. B. They cannot be dislodged. C. Use of the arms is not restricted. D. They don’t frighten children. Correct Answer: C. Use of the arms is not restricted. The child can… Read More »
A nurse is providing instructions to a client who is taking doxapram (Dopram). Which of the following statements made by the client needs further instructions? A. “I need to take the medication before meals”. B. “I need to take the medication at bedtime”. C. “I need to avoid drinking coffee”. D.… Read More »
Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse’s immediate attention? A. Temperature of 37.5 degrees Celsius. B. Urine output of 300 cc in 4 hours. C. Poor skin turgor. D. Blood glucose of 350 mg/dl. Correct… Read More »
The physician orders penicillin for a patient with streptococcal pharyngitis. The nurse administers the drug as ordered, and the patient has an allergic reaction. The nurse checks the medication order sheet and finds that the patient is allergic to penicillin. Legal responsibility for the error is: A. Only the nurse’s—she should have checked the… Read More »
Central venous access devices are beneficial in pediatric therapy because: A. They don’t frighten children. B. Use of the arms is not restricted. C. They cannot be dislodged. D. They are difficult to see. Correct Answer: B. Use of the arms is not restricted. The child can… Read More »
A contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema) is: A. Parasite infection. B. Viral infection. C. Bacterial infection. D. Spirochete infection. Correct Answer: B. Viral infection. Topical agents produce a localized, rather than systemic effect. When treating atopic dermatitis with a… Read More »