Pharmacological and Parenteral Therapies Q 17

The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:         A. Question the order      B. Administer the medications      C. Administer separately      D. Contact the pharmacy           Correct Answer: B. Administer the medications Zestril is an ACE inhibitor and… Read More »

Pharmacological and Parenteral Therapies Q 18

In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and relieves angina by:         A. Increasing contractility and slowing heart rate      B. Increasing AV conduction and heart rate      C. Decreasing contractility and oxygen consumption      D. Decreasing venous return through vasodilation           Correct Answer: D.… Read More »

Pharmacological and Parenteral Therapies Q 19

A patient at a mental health clinic is taking Haldol (haloperidol) for treatment of schizophrenia. She calls the clinic to report abnormal movements of her face and tongue. The nurse concludes that the patient is experiencing which of the following symptoms:         A. Comorbid depression      B. Psychotic hallucinations      C. Negative symptoms of schizophrenia… Read More »

Pharmacological and Parenteral Therapies Q 20

A heparin infusion at 1,500 units/hour is ordered for a 64-year-old client with stroke in evolution. The infusion contains 25,000 units of heparin in 500 ml of saline solution. How many milliliters per hour should be given?         A. 15 ml/hour      B. 30 ml/hour      C. 45 ml/hour      D. 50 ml/hour     … Read More »

Pharmacological and Parenteral Therapies Q 21

A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:         A. Once per day in the morning      B. Three times per day with meals      C. Once per day at bedtime      D. Four times per day           Correct Answer: B. Three times per day… Read More »

Pharmacological and Parenteral Therapies Q 22

A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:         A. Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure      B. Stop… Read More »

Pharmacological and Parenteral Therapies Q 23

A male client was on warfarin (Coumadin) before admission and has been receiving heparin I.V. for 2 days. The partial thromboplastin time (PTT) is 68 seconds. What should Nurse Carla do?         A. Stop the I.V. infusion of heparin and notify the physician.      B. Continue treatment as ordered.      C. Expect the warfarin to… Read More »

Pharmacological and Parenteral Therapies Q 24

The physician has prescribed Novolog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?         A. “I will make sure I eat breakfast within 10 minutes of taking my insulin.”      B. “I will need to carry candy or some form of… Read More »

Pharmacological and Parenteral Therapies Q 25

Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress?         A. Cushing syndrome      B. Pain receptors      C. Immune response      D. Neural transmission           Correct Answer: C. Immune response Corticosteroids suppress eosinophils, lymphocytes, and natural killer cells, inhibiting the natural… Read More »

Pharmacological and Parenteral Therapies Q 26

A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:         A. There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.      B. Regulation of thyroid medication is more difficult… Read More »