A female patient needs a whole blood transfusion. In order for transfusion services (the blood bank) to prepare the correct product a sample of the patient’s blood must be obtained for:         A. A complete blood count and differential.      B. A blood type and crossmatch.      C. A blood culture and sensitivity.      D.… Read More »

An appropriate nursing diagnosis for clients who are taking NSAIDs and anticoagulants would be which of the following?         A. Risk for injury related to prolonged bleeding time, inhibition of platelet aggregation, and increased risk of GI bleeding.      B. Potential for injury related to GI toxicity and decrease in bleeding time.      C. Altered… Read More »

A client is prescribed with Pentamidine (Pentam) IV for the treatment of Pneumocystis carinii pneumonia. Suddenly, the client develops a temperature of 101.5°F. The nurse in charge knows that this sign would mostly indicate which of the following?         A. An overdosage of the medication.      B. The need for an additional dosage.      C.… Read More »

Antonietta is taking antitubercular, the most common adverse effect she may be experiencing is:         A. Red-orange discoloration of urine      B. Hypersensitivity      C. Hepatotoxicity      D. CHF           Correct Answer: C. Hepatotoxicity Hepatotoxicity is the most common side effect associated with antitubercular agents. All first-line antitubercular medications, rifampin, isoniazid, pyrazinamide, and ethambutol… Read More »

Early signs and symptoms of local anesthetic toxicity include all but one of the following. Indicate the exception:         A. Tinnitus      B. Perioral numbness      C. Dizziness      D. Hypertension           Correct Answer: D. Hypertension Manifestations of local anesthetic toxicity typically appear 1-5 minutes after the injection, but onset may range from 30… Read More »

Medications bound to protein have the following effect:         A. Enhancement of drug availability.      B. Rapid distribution of the drug to receptor sites.      C. The more drug bound to protein, the less available for the desired effect.      D. Increased metabolism of the drug by the liver.           Correct Answer:… Read More »

A male patient needs to receive a unit of whole blood. What type of intravenous (IV) device should the nurse consider starting?         A. A small catheter to decrease patient discomfort.      B. The type of IV device the patient has had in the past, which worked well.      C. A large-bore catheter.      D.… Read More »

Teaching has been adequate when a client being treated with acetylsalicylic acid states:        1. “I can crush the pills before I swallow them.”      A. “I can crush the pills before I swallow them.”      B. “I should take the pills with antacids.”      C. “Taking the pills on an empty stomach will help… Read More »

While on pentamidine (Pentam) infusion therapy. The nurse must anticipate doing which of the following?         A. Secure a 12-lead ECG.      B. Observe for signs of retinal damage.      C. Instruct the client on a low potassium diet.      D. Instruct the client on limiting fluid intake.           Correct Answer: A.… Read More »

In the treatment of tuberculosis, the therapeutic rationale for combination drug therapy is to:         A. Decrease cost and improve compliance.      B. Reduce the incidence of cumulative effects.      C. Increase blood dyscrasias.      D. Decrease emergence of drug-resistance strains.           Correct Answer: D. Decrease emergence of drug-resistance restraints. Combination therapy… Read More »