Pharmacological and Parenteral Therapies Q 67

A 34-year-old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?         A. IgA      B. IgD      C. IgE      D. IgG           Correct… Read More »

Pharmacological and Parenteral Therapies Q 68

Toxicity from which of the following medications may cause a client to see a green halo around lights?         A. Digoxin      B. Furosemide      C. Metoprolol      D. Enalapril           Correct Answer: A. Digoxin One of the most common signs of digoxin toxicity is the visual disturbance known as the green… Read More »

Pharmacological and Parenteral Therapies Q 69

The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:         A. Decreased urinary output      B. Hypersomnolence      C. Absence of knee jerk reflex      D. Decreased respiratory rate           Correct Answer: B.… Read More »

Pharmacological and Parenteral Therapies Q 70

Nurse Hazel teaches the client with angina about common expected side effects of nitroglycerin including:         A. High blood pressure      B. Stomach cramps      C. Headache      D. Shortness of breath           Correct Answer: C. Headache Because of its widespread vasodilating effects, nitroglycerin often produces side effects such as headache, hypotension,… Read More »

Pharmacological and Parenteral Therapies Q 71

A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?         A. “Stop taking the nitroglycerin and see if the headaches improve.”      B. “Go to the emergency department to be checked because nitroglycerin can… Read More »

Pharmacological and Parenteral Therapies Q 72

Capillary glucose monitoring is being performed every 4 hours for a client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Mariner should expect… Read More »

Pharmacological and Parenteral Therapies Q 73

Which of the following classes of medications maximizes cardiac performance in clients with heart failure by increasing ventricular contractility?         A. Beta-adrenergic blockers      B. Calcium channel blockers      C. Diuretics      D. Inotropic agents           Correct Answer: D. Inotropic agents Inotropic agents are administered to increase the force of the heart’s… Read More »

Pharmacological and Parenteral Therapies Q 75

A 15-year-old female who ingested 15 tablets of maximum strength acetaminophen 45 minutes ago is rushed to the emergency department. Which of these orders should the nurse do first?         A. Gastric lavage      B. Administer acetylcysteine (Mucomyst) orally      C. Start an IV Dextrose 5% with 0.33% normal saline to keep the vein open   … Read More »

Pharmacological and Parenteral Therapies Q 76

A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?         A. Allow 5 minutes between the two medications.      B. The medications may be used together.      C. The… Read More »