Medication and Blood Products

The patient is admitted to the hospital with systemic syphilis infection. The patient is ordered to receive a 14-day course of penicillin G 20 million units/day intravenously. Prior to administering the medication, the nurse checks the patient’s allergies and learns the patient experienced anaphylaxis after receiving ampicillin. Which action does the nurse take?

The nurse requests analgesia for the 76-year-old patient who must undergo cleansing and dressing change for a healing stage 3 pressure ulcer on the coccyx. In response, the provider ordered topical EMLA cream to be applied to the wound 30 minutes before the procedure. Which action by the nurse is appropriate?

The patient is being transferred from a nursing home to an acute care facility. The receiving nurse performs which actions during the medication reconciliation process? Select all that apply.

A nurse is caring for a patient who is recovering from total hip replacement surgery. The patient has required increasing doses of IV morphine for pain control. The patient is again reporting 10/10 pain despite receiving 10 mg of morphine from the nurse, which is the top of the range ordered by the physician. The nurse monitors which of the following most closely?

The parent reports giving the child 1 teaspoon of ibuprofen suspension. The nurse charts which volume in milliliters?

The nurse reviews which components of total parenteral nutrition (TPN) prior to administering them? Select all that apply.

The nurse is teaching the child with asthma how to use a metered-dose inhaler. Which instructions does the nurse include? Select all that apply.

A patient with gram-negative sepsis is in the ICU after cardiac arrest. He requires a vasopressor for severe hypotension. Which patient characteristic would prompt the nurse to hold the infusion and contact the provider?

Which is the mechanism of action of naproxen sodium?

Local anesthetics have which mechanism of action?

The nurse administers two different drugs to a patient. Neither drug appears to have the desired effect. Which term describes this drug interaction?

The 42 weeks gestation pregnant woman is about to undergo labor induction. The nurse anticipates administering which medication?

The physician writes an order for diphenhydramine 250 mg PRN for sleep. Which part of the order does the nurse question?

The nurse makes which patient top priority?

The patient with congestive heart failure in the cardiac intensive care unit (CICU) is ordered to receive IV furosemide once per day. The lab just called and reported the patient’s serum potassium is 2.9 mEq/L. The next dose of furosemide is due now. Which is the appropriate nursing action?

Which test does the nurse expect will be used to determine the effectiveness of the fosphenytoin dose?

The patient who takes milk of magnesia every day is at risk for which electrolyte imbalance?

The patient returns from Mexico with severe diarrhea lasting 4 days. The nurse anticipates the serum electrolyte levels to reflect which imbalances? Select all that apply.

The patient has received an infusion of packed red blood cells for the treatment of anemia. The nurse anticipates which lab result following the transfusion?

The patient with a calcium level of 11.4 mEq/L is at risk for which life-threatening complication?

The nurse is reviewing a patient’s medications during discharge. Which further education can the nurse provide regarding spironolactone when the patient asks, “I thought that I took a furosemide pill for my water?”

Which patient characteristic prompts the nurse to hold the infusion of Lactated Ringer’s and contact the provider?

Two days after an abdominal surgery, the patient develops abdominal distention, tachycardia, fever, and nausea. The provider suspects sepsis. Which order does the nurse implement first?

Which term does the nurse use to describe the patient who takes oxycodone daily for pain associated with deteriorating knee cartilage and requests a higher dosage for breakthrough pain?

Fentanyl must be used with caution in which patient?

The patient with scoliosis experiences severe pain due to muscle spasms related to the misalignment of the spine. Which medication does the nurse anticipate to be ordered for this condition?

Which statements are true regarding intravenous immunoglobulin? Select all that apply.

The nurse does not administer a physician-ordered medication because it is contraindicated for the patient. This is an example of which principle?

Which actions does the nurse take to prevent infection around the use of a peripheral IV? Select all that apply.

Which statements are true regarding peripherally inserted central catheters (PICCs)? Select all that apply.

The patient is being discharged from hospital on total parenteral nutrition (TPN). Which information does the nurse include in discharge teaching?

Which medication may be prescribed for the treatment of anorexia and cachexia related to cancer?

The hospitalized patient is found to be in ventricular tachycardia on electrocardiogram. Upon assessment, no pulse or respiratory effort are noted. Which medication is administered first?

Which drug, if ordered for the patient with second-degree heart block, does the nurse hold and contact the provider?

The unresponsive patient in the emergency department is found on electrocardiogram to have pulseless electrical activity (PEA). The nurse most suspects which two causes of the patient's condition?

The patient who presented to the emergency department complaining of chest pain is found to have a heart rate of 32 beats per minute and a blood pressure of 90/50 mm Hg. The nurse prepares to administer which medication?

The patient's heart rate is 28 bpm and the systolic blood pressure is 80 mmHg. One dose of atropine 0.5 mg IV push has been administered with no response. The patient is unstable, but conscious. Which next intervention is appropriate? 

The patient with narrow QRS complex supraventricular tachycardia is found to be hemodynamically stable. Which initial intervention is appropriate? 

Which is the correct ratio of crystalloid fluid administration to estimated blood loss to resuscitate the patient in hemorrhagic shock?

The patient with a central venous catheter develops substernal chest pain, hypotension, and cough. There is evidence of air in the line. Which action does the nurse take first​?

The nurse is reviewing the medication list of the patient who wishes to become pregnant. One of the medications is listed as Category X. The nurse knows this medication poses which level of risk to the fetus?

The patient receiving sliding scale insulin requests the subcutaneous insulin to be injected into the abdomen. Immediately prior to administration, the nurse notes the site is stringy, slightly indurated, and has several fat masses. Which action by the nurse is appropriate?

The patient with diabetes insipidus has been prescribed vasopressin. The nurse instructs the student nurse about which characteristic of the medication?

Which statement is true regarding single use items?

An adult weighing 70 kg just arrived to the emergency department (ED) with burns on the front of both legs and the genital region. Using the Parkland formula, how much fluid is to be administered to the patient over the next 8 hours?

The provider orders albumin for a patient with traumatic amputation and hemorrhage. Which patient characteristic prompts the nurse to clarify the order with the provider?

The nurse is caring for the patient on methadone treatment as an outpatient. The provider has ordered a dose of methadone that is far higher than what the nurse has ever administered. Which action by the nurse is appropriate?

Which statement describes the mechanism of action of erenumab (Aimovig)?

About which expected side effect does the nurse educate the patient prescribed colchicine for treatment of gout?

The patient with seizures has been prescribed carbamazepine (Tegretol). Which medication, if found on the patient's current medication list, prompts the nurse to hold the medication and contact the provider for clarification?