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 »
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 »
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 »
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 »
Which of the following drugs would be ordered by the physician to improve the platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)? A. Acetylsalicylic acid (ASA) B. Corticosteroids C. Methotrexate D. Vitamin K Correct Answer: B. Corticosteroids Corticosteroid therapy can decrease antibody production and… Read More »
The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication? A. Digoxin B. Epinephrine C. Aminophylline D. Atropine Correct Answer: A. Digoxin The infant with Tetralogy of Fallot involves four heart defects: A large ventricular septal defect… Read More »
A client who has glaucoma is to have miotic eye drops instilled in both eyes. The nurse knows that the purpose of the medication is to: A. Anesthetize the cornea B. Dilate the pupils C. Constrict the pupils D. Paralyze the muscles of accommodation Correct Answer: C.… Read More »
Which of the following classes of medications protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation? A. Beta-adrenergic blockers B. Calcium channel blockers C. Narcotics D. Nitrates Correct Answer: A. Beta-adrenergic blockers Beta-adrenergic blockers work by blocking beta receptors in the myocardium, reducing the response… Read More »
Ruby is receiving thyroid replacement therapy, develops the flu, and forgets to take her thyroid replacement medicine. The nurse understands that skipping this medication will put the client at risk for developing which of the following life-threatening complications? A. Exophthalmos B. Thyroid storm C. Myxedema coma D. Tibial myxedema … Read More »
A nurse is reviewing a patient’s medication during shift change. Which of the following medications would be contraindicated if the patient were pregnant? Select all that apply. A. Warfarin (Coumadin) B. Finasteride (Propecia, Proscar) C. Celecoxib (Celebrex) D. Clonidine (Catapres) E. Transdermal nicotine (Habitrol) F. Clofazimine(Lamprene) Correct Answer: A. Warfarin… Read More »