Category Archives: Pharmacological and Parenteral Therapies

Pharmacological and Parenteral Therapies Q 41

What supplemental medication is most frequently ordered in conjunction with furosemide (Lasix)?         A. Chloride      B. Digoxin      C. Potassium      D. Sodium           Correct Answer: C. Potassium Supplemental potassium is given with furosemide because of the potassium loss that occurs as a result of this diuretic. Loop diuretics act at the ascending… Read More »

Pharmacological and Parenteral Therapies Q 42

Nurse Rose is aware that the statement that best explains why furosemide (Lasix) is administered to treat hypertension is:         A. It dilates peripheral blood vessels.      B. It decreases sympathetic cardio acceleration.      C. It inhibits the angiotensin-converting enzymes.      D. It inhibits the reabsorption of sodium and water in the loop of Henle.… Read More »

Pharmacological and Parenteral Therapies Q 43

Which patient should not be prescribed alendronate (Fosamax) for osteoporosis?         A. A female patient being treated for high blood pressure with an ACE inhibitor.      B. A patient who is allergic to iodine/shellfish.      C. A patient on a calorie restricted diet.      D. A patient on bed rest who must maintain a supine… Read More »

Pharmacological and Parenteral Therapies Q 44

The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?         A. Urinary incontinence      B. Headaches      C. Confusion      D. Nausea           Correct Answer: D. Nausea Nausea and gastrointestinal upset are very common in clients taking acetylcholinesterase inhibitors… Read More »

Pharmacological and Parenteral Therapies Q 45

A 33-year-old male client with heart failure has been taking furosemide for the past week. Which of the following assessment cues below may indicate the client is experiencing a negative side effect from the medication?         A. Weight gain of 5 pounds      B. Edema of the ankles      C. Gastric irritability      D. Decreased… Read More »

Pharmacological and Parenteral Therapies Q 46

A nurse is performing a routine assessment of an IV site in a patient receiving both IV fluids and medications through the line. Which of the following would indicate the need for discontinuation of the IV line as the next nursing action?         A. The patient complains of pain from movement.      B. The area… Read More »

Pharmacological and Parenteral Therapies Q 47

A hospitalized patient has received transfusions of 2 units of blood over the past few hours. A nurse enters the room to find the patient sitting up in bed, dyspneic and uncomfortable. On assessment, crackles are heard in the bases of both lungs, probably indicating that the patient is experiencing a complication of transfusion. Which… Read More »

Pharmacological and Parenteral Therapies Q 48

Halfway through the administration of blood, the female client complains of lumbar pain. After stopping the infusion Nurse Hazel should:         A. Increase the flow of normal saline      B. Assess the pain further      C. Notify the blood bank      D. Obtain vital signs.           Correct Answer: A. Increase the flow… Read More »

Pharmacological and Parenteral Therapies Q 49

A patient has partial-thickness burns to both legs and portions of his trunk. Which of the following I.V. fluids are given first?         A. Albumin      B. D5W      C. Lactated Ringer’s solution      D. 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml           Correct Answer: C. Lactated Ringer’s… Read More »

Pharmacological and Parenteral Therapies Q 50

A nurse is administering a shot of Vitamin K to a 30 day-old infant. Which of the following target areas is the most appropriate?         A. Gluteus maximus      B. Gluteus minimus      C. Vastus lateralis      D. Vastus medialis           Correct Answer: C. Vastus lateralis Medications are injected into the bulkiest part of… Read More »