A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose? A. It is the correct dose… Read More »
A patient infected with human immunodeficiency virus (HIV) begins zidovudine therapy. Which of the following statements best describes this drug’s action? A. It stimulates the immune system. B. It destroys the outer wall of the virus and kills it. C. It interferes with viral replication D. It promotes excretion of viral antibodies. … Read More »
A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to: A. Treat iron-deficiency anemia caused by chemotherapeutic agents B. Create a synergistic effect that shortens treatment time C. Increase the number… Read More »
The physician has prescribed esomeprazole (Nexium) for a client with erosive gastritis. The nurse should administer the medication: A. 30 minutes before meals B. With each meal C. In a single dose at bedtime D. 30 minutes after meals Correct Answer: A. 30 minutes before meals Proton… Read More »
Which of the following antituberculosis drugs can damage the 8th cranial nerve? A. Isoniazid (INH) B. Para Aminosalicylic acid (PAS) C. Ethambutol hydrochloride (Myambutol) D. Streptomycin Correct Answer: D. Streptomycin Streptomycin is an aminoglycoside and damage to the 8th cranial nerve (ototoxicity) is a common side effect… Read More »
The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued? … Read More »
Patrick who is diagnosed with liver cirrhosis is experiencing symptoms of hepatic encephalopathy. The physician ordered 50 ml of Lactulose p.o. every 2 hours. Patrick suddenly develops diarrhea. The nurse best action would be: A. “I’ll see if your physician is in the hospital”. B. “Maybe you’re reacting to the drug; I will withhold the… Read More »
Marichu was given morphine sulfate for pain. She is sleeping and her respiratory rate is 4 breaths/minute. If action isn’t taken quickly, she might have which of the following reactions? A. Asthma attack B. Respiratory arrest C. Seizure D. Wake up on her own Correct Answer: B.… Read More »
The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor? A. Diabetes B. Prinzmetal’s angina C. Cancer D. Cluster headaches Correct… Read More »
What is the primary reason for administering morphine to a client with myocardial infarction? A. To sedate the client B. To decrease the client’s pain C. To decrease the client’s anxiety D. To decrease oxygen demand on the client’s heart Correct Answer: D. To decrease oxygen demand… Read More »