A female patient’s central venous access device (CVAD) becomes infected. Why would the physician order antibiotics be given through the line rather than through a peripheral IV line?         A. To prevent infiltration of the peripheral line.      B. To reduce the pain and discomfort associated with antibiotic administration in a small vein.      C.… Read More »

Which of the following NSAIDs is used to prevent thrombosis?         A. ibuprofen (Motrin)      B. ketorolac tromethamine (Toradol)      C. aspirin (Zorprin)      D. naproxen (Naprosyn)           Correct Answer: C. aspirin (Zorprin) Aspirin prevents platelet aggregation and thereby has an anticoagulant effect. Aspirin is a cyclooxygenase-1 (COX-1) inhibitor. It is a… Read More »

A client is admitted to the emergency room complaining of difficulty of breathing and upon auscultation, the nurse noted that the patient has wheezes. An allergic reaction to penicillin was diagnosed. Which of the following medications should the nurse expect to administer first?         A. aminophylline (Theophylline)      B. albuterol (Ventolin HFA)      C. methylprednisolone (Solu-Medrol)… Read More »

Antitubercular therapy may be determined ineffective when:         A. Sputums are negative      B. Symptoms resolve      C. Hepatitis results      D. Drug-resistant bacteria emerge           Correct Answer: D. Drug-resistant bacteria emerge. The emergence of drug-resistant bacteria indicates that antitubercular therapy is ineffective because the drug(s) are no longer ending bacterial multiplication.… Read More »

The nurse observes a co-worker preparing to administer a solution of lidocaine and epinephrine to a client with multiple premature ventricular contractions. The appropriate action by the nurse is to:         A. Offer to monitor the client’s heart rhythm.      B. Notify the supervisor of the error.      C. Do nothing; the drug choice is… Read More »

A nurse is providing instructions to a client receiving baclofen (Lioresal). Which of the following would be included in the teaching plan?         A. Limit fluid intake.      B. Hold the medication if diarrhea occurs.      C. Restrict alcohol intake.      D. Notify the physician if weakness occurs.           Correct Answer: C.… Read More »

Chemotherapy dosing is usually based on the total body surface. What should the nurse do before administering chemotherapy?         A. Get the body mass index (BMI).      B. Ask the client about intake and output.      C. Weigh and measure the height of the patient on the day of administration.      D. Ask the client… Read More »

Nurse Corrine may expect to administer azathioprine (Imuran) to a transplant client in which of the following conditions?         A. Prevention of chronic rejection.      B. Prevention of acute rejection.      C. Management of chronic rejection.      D. Treatment of acute rejection.           Correct Answer: B. Prevention of acute rejection Azathioprine inhibits… Read More »

The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet (Foscavir). The nurse carefully monitors which of the following laboratory test during the treatment with this medication, except?         A. Serum creatinine.      B. Serum calcium.      C. Serum magnesium.      D. Serum sodium.     … Read More »

Fluconazole (Diflucan) can be administered to a client with:         A. Pneumococcal meningitis      B. Oral thrush      C. Cryptococcal meningitis      D. Pneumococcal pneumonia           Correct Answer: C. Cryptococcal meningitis Fluconazole (Diflucan) is a drug given for the treatment of cryptococcal meningitis. The combination of amphotericin B and flucytosine has proved… Read More »