Medication and Blood Products

The nurse is caring for a 48-year-old male patient who is receiving 20 mg of furosemide (Lasix) OD. Which information is most important to tell the oncoming nurse?

The nurse teaching the patient with major depressive disorder taking tranylcypromine (Parnate) about necessary diet modifications. Which food, if selected by the patient, indicates a need for further teaching?  

The patient with cystic fibrosis has been ordered to receive pancreatic enzymes. The nurse collaborates with the clinical pharmacist to create which dosing schedule?

The nurse is caring for a 40-year-old patient experiencing alcohol withdrawal syndrome and advocates for which medication for the patient?

The nurse is caring for a 38-year-old G2P1 patient diagnosed with iron-deficiency anemia. The nurse recommends which drink choice to improve absorption of the ordered iron supplements?

The nurse most anticipates administering total parenteral nutrition (TPN) to the patient with which condition?

Which information does the nurse provide to the patient scheduled to receive intravenous cyclophosphamide for stage III breast cancer regarding hair loss? 

The nurse is caring for a 59-year-old male patient who is on corticosteroid therapy and is ordered for daily weight monitoring. Which of the following should be avoided when weighing the patient?

The nurse is developing a plan of care to address patient’s poor oral hygiene. Which of the following patients is at highest risk for poor oral hygiene?

Which of the following is the immediate drug of choice for an adult patient who has symptomatic sinus bradycardia with a pulse?

A nurse is caring for a 47-year-old man who is admitted in the substance abuse unit for alcohol detoxification. The patient exhibits signs and symptoms of alcohol withdrawal, including hallucinations. Which of the following medications do you anticipate will be ordered for alcohol withdrawal?

A nurse is caring for a 34-year-old postpartum patient with deep vein thrombosis who is receiving heparin. Which of the following should the nurse prepare as bedside emergency for patients receiving heparin?

A nurse is caring for a 59-year-old woman who is receiving heparin. Which of the following can be used to track the effectiveness of heparin therapy?

An 18-year-old patient asks the nurse for assistance in choosing a birth control method. She tells the nurse that she smokes infrequently and has trouble remembering to take her daily vitamins. Which method does the nurse recommend to the patient?

The 70-kg patient has an order to receive vancomycin 10 mg/kg intravenously every 12 hours. Pharmacy dispenses the vancomycin in 25 mL vials, which contain 100 mg of vancomycin each. How many milliliters of medication does the nurse administer per dose?

A nurse is taking care of a patient on continuous heparin sodium by IV at 1500 units per hour. Pharmacy dispenses the IV bags of 500 mL D5W with 15,000 units of heparin sodium. At which rate does the nurse set the infusion pump for this patient?

The patient presents to the urgent care clinic with a hand laceration sustained while using pruning shears in the garden. Which vaccine is most important for this patient?

The patient presents to the clinic following being bitten by a bat while cleaning out a barn. The nurse anticipates administering which vaccine?

A patient that has been clinically diagnosed with Rocky Mountain spotted fever (RMSF) is prescribed doxycycline. The patient states, “My blood tests didn’t prove I have RMSF. I don’t want to take antibiotics unless I know for sure I have it.” Which response by the nurse is the most appropriate?

Which of the following may benefit from inhaled surfactant therapy? Select all that apply.

The patient receiving inhaled anesthesia for a surgical procedure develops malignant hyperthermia. Which of the following medications should the nurse expect to administer?

The patient is under general anesthesia for a surgical procedure. Because an inhaled anesthetic is being administered, the nurse should be vigilant for which of the following early signs of malignant hyperthermia?

The patient with a T4 spinal cord injury that occurred 4 weeks ago has been prescribed terazosin. The nurse informs the patient this medication is prescribed to prevent which of the following conditions?

The patient is receiving a transfusion of packed red blood cells. After 30 minutes, the patient complains of intense itching and flank pain. Upon assessment, the nurse notes a fever and tachycardia. Which of the following is the next best step in management?

The nurse is caring for a patient with blood type A+, who requires a transfusion of packed red blood cells. The nurse receives a unit of blood from the blood bank that is labeled AB -. Which of the following is the best course of action for the nurse to take?

A 15 mL/kg transfusion of packed red blood cells has been ordered for a premature neonate with a hemoglobin of 6.4 g/dL. The neonate is 4 days old and weighs 14 ounces. How many milliliters of blood does the nurse administer? Enter your response as a whole number.

The nurse is assessing a patient with a 20-gauge intravenous catheter is the right hand through which vancomycin is infusing. The nurse notes the IV insertion site is edematous and erythematous. Which of the following is the most appropriate next course of action?

The nurse assesses the insertion site of an intravenous catheter through which the patient is receiving amphotericin. The nurse notes erythema, edema, and tenderness immediately proximal to the insertion site. Which of the following terms is most appropriate for the nurse to use to document this finding?

The nurse is caring for a patient who requires four intravenous drugs with four different pHs to be infused through an intravenous catheter that was just placed. In which order must they be administered to help prevent extravasation? Place the answers in the correct order.

The patient with acute kidney injury due to hypovolemic shock has been effectively fluid resuscitated but remains oliguric. Which of the following medications does the nurse administer to prevent fluid volume overload?

The patient with hemochromatosis has a hemoglobin of 8 g/dL. The nurse prepares the patient for which therapy?

The patient with hemochromatosis has been prescribed deferasirox. Which of the following instructions should the nurse include in discharge teaching?

The patient presents to the emergency department with altered mental status and myoclonic jerking. Although the nurse notes that the patient is flushed and his face is red, his skin and mucous membranes are dry and warm to the touch. The nurse also notes decreased bowel sounds and palpates a distended bladder. Vital signs are significant for a temperature of 39.9°C (103.8°F), heart rate of 122 bpm and a blood pressure of 165/92 mm Hg. The nurse prepares to administer which of the following medications to this patient?

The patient is a 5-year-old boy who presents with anticholinergic toxicity and has been prescribed physostigmine 0.02 mg/kg q10min until the patient’s heart rate drops to 100 beats per minute. The patient’s heart rate is 132 bpm and he weighs 42 pounds. It takes 40 minutes after the first dose for the patient’s heart rate to decrease to 100 bpm. How much total physostigmine, in mg, does the nurse administer? Input your answer to the nearest hundredth decimal place.

The patient is a 5-year-old child who presents with anticholinergic toxicity and who has been prescribed 0.02 mg/kg of physostigmine. The patient weighs 56 pounds. The pharmacy dispenses the medication in 1 mg/mL vials. How many milliliters will the nurse administer per dose? Input your answer to the nearest hundredth decimal place.

A 5-year-old boy presents with recent ingestion of an entire bottle of chewable pediatric acetaminophen. The child’s mother learned of the ingestion two hours after it occurred and immediately brought the child to the closest emergency department an hour away. The patient weighs 41 pounds. Which of the following prescriptions should the nurse most likely anticipate initially?

The patient is a 5-year-old boy who presents having ingested an entire bottle of acetaminophen 2 hours ago. The provider has prescribed acetylcysteine 150 mg/kg intravenously in 3ml/kg D5W. The patient weighs 35 pounds. How many grams of acetylcysteine in how many milliliters of D5W does the nurse administer to this patient? Input your answer to the nearest tenth decimal place in this exact format (X.X g in XX.X mL).

A nurse made a medication error and administered 50000 units instead of 500 units of unfractionated heparin and the patient begins oozing blood from his IV site. Which of the following does the nurse anticipate will be ordered for this patient?

The patient is receiving lorazepam for conscious sedation for a procedure. The nurse notes the patient’s respiratory rate has decreased to 4 breaths per minute. The nurse anticipates administering which of the following medications?

The patient presents to the emergency department following ingestion of an entire bottle of alprazolam. Upon review of the patient’s chart, the patient has been taking alprazolam for 2 years. Vital signs are significant for an oxygen saturation of 84% on room air, respiratory rate of 8 breaths per minute, a blood pressure of 88/64 mmHg, and a heart rate of 64 bpm. The nurse anticipates the provider to prescribe which of the following therapies?

The pediatric patient presents with prolonged fever, a red, strawberry tongue, desquamation of the soles and palms, and lymphadenopathy. The nurse anticipates administering which of the following medication(s)? Select all that apply.

The nurse administers intravenous immunoglobulin (IVIG) to a patient with Kawasaki disease. The nurse assesses the patient continuously for which life-threatening complication of IVIG?

The nurse is a first responder to the scene of a motor vehicle accident in which the patient experienced burns to 35% of her body. Which action does the nurse take first?

The nurse in the burn unit anticipates the patient with which of the following burns will likely require the most pain medication to tolerate dressing changes?

A child with acute myelogenous leukemia is scheduled to receive chemotherapy at 0800 on Tuesday. When should the nurse administer the first dose of antiemetic to best prevent chemotherapy-induced nausea and vomiting?

A pediatric patient receiving chemotherapy for the treatment of acute myelogenous leukemia is prescribed ondansetron for the prevention of nausea and vomiting. Which condition, if present in the patient’s chart, would prompt the nurse to hold the medication and contact the provider?

A patient receiving chemotherapy has been prescribed ondansetron for nausea and vomiting. Which of the following medications, if already prescribed to the patient, would prompt the nurse to hold the ondansetron and contact the provider?

The unresponsive patient is brought to the emergency department with pinpoint pupils and a respiratory rate of 8 breaths per minute. The nurse anticipates the patient’s toxicology results will be positive for which substance?

The patient preparing for chemotherapy confides in the nurse that she is apprehensive about the side effects of the chemotherapy. Which statement by the nurse is most appropriate?

The nurse is called to assist with a Jehovah’s Witness involved in a motor vehicle accident brought in by ambulance with multiple traumatic injuries. Which order does the nurse question?