Medication and Blood Products

The patient with arteriovenous malformation who takes a monoamine oxidase inhibitor for depression develops an upper respiratory infection. The nurse requests a prescription for which medication?

The patient is admitted to the intensive care unit after starting antibiotics and experiencing a severe drug reaction and erythema multiforme syndrome. The patient has severe mucocutaneous bullae over 42% of the body surface area. The nurse anticipates which diagnosis for this patient?

The patient presents to the emergency department (ED) with flu-like symptoms and mucocutaneous erythematous rash and bullae formation over 38% of the body. The nurse asks the patient if which medications had been taken in the last month? Select all that apply.

The nurse plans which intervention for the patient with toxic epidermal necrolysis?

The nurse is administering intravenous fluids to the patient with toxic epidermal necrolysis. Which parameters are most helpful to assess when determining the appropriate fluid rate for the patient?

The patient presents to the women’s health clinic with complaints of itching and burning on urination with a white, curd-like vaginal discharge. The provider reports the cervix appears normal on exam. The nurse prints patient information for which medication course?

The nurse is answering questions regarding a new prescription of a monoamine oxidase type B inhibitor (MAOI-B) for the patient recently diagnosed with Parkinson's disease. Which reminders does the nurse include in teaching? Select all that apply.

The nurse questions which drug prescribed to a patient also receiving carbamazepine for psychomotor seizures?

The registered nurse is observing the licensed practical/vocational nurse (LPN/LVN) administering pantoprazole during morning medication rounds. Which action by the LPN/LVN prompts the nurse to intervene and provide additional education?

The nurse has received orders for the patient admitted following a hemorrhagic stroke and clarifies orders for which medications? Select all that apply.

Which instruction does the nurse give to the patient who is prescribed short-acting insulin? 

Which medications are antibiotics used to treat urinary tract infections? Select all that apply. 

Which statement describes the nurse's legal responsibility in administering regular insulin to the mentally competent adult patient? 

The patient is brought to the floor from the post-anesthesia care unit following orthopedic surgery. Which action does the nurse take first?

The patient with a sore throat has tested positive for group A beta-hemolytic Streptococcus pyogenes. The nurse educates the patient to complete the entire course of antibiotics in order to prevent which complications? Select all that apply.

The nurse is providing medication teaching to the mother of a 4-year-old patient with recurrent otitis media infections who requires daily instillation of antibiotic drops into the ear. Which action indicates effective teaching?

The nurse is educating the 2-year-old patient’s parents on how to instill ear drops to treat acute otitis media. Which statement indicates a need for further teaching?

The patient has been prescribed amoxicillin for the treatment of sinusitis. The patient states, “I thought I just had a cold. I don’t want to take antibiotics for a cold.” Which response by the nurse is most appropriate?

The patient with palpitations and sharp chest pain that is worse with inspiration than expiration is brought to the emergency department (ED). Upon auscultation of heart sounds, the nurse notes a scratching noise, like leather rubbing together. Breath sounds are clear and equal bilaterally. Complete blood count is notable for leukocytosis; cardiac enzymes are within normal limits. The nurse prepares the patient for which treatment?

The pediatric patient has simple otitis externa (swimmer’s ear) and is afebrile. The nurse prepares educational materials for which treatment?

The woman with human immunodeficiency virus (HIV) who has a high CD4 count is concerned her fetus may be infected with the virus. Which statement by the nurse is appropriate?

The patient who was admitted overnight is scheduled to receive an assortment of oral medications in the morning. The patient tells the nurse he does not recognize these pills. Which response by the nurse is appropriate?

Following traumatic bilateral leg amputations, the 5-year-old child requires a STAT blood transfusion to treat hemorrhagic shock. The child's blood type is unknown. Which action is most appropriate? 

The patient presents to the emergency department exhibiting stiff, jerky movements of the face and neck. The nurse reviews the patient's medical history for a prescription for which medication? 

After failing to experience symptom relief from other antidepressants, the patient is prescribed a tricyclic antidepressant. The nurse instructs the patient to expect which side effect? 

Which statement is true regarding the administration of intravenous potassium?

Which information does the nurse provide to the patient with epilepsy who has been prescribed phenytoin?

The nurse is using the Finnegan scoring system to assess a neonate for opioid withdrawal. The first score is 9 and the second score is 14. Which statement is accurate?

Which is an example of hypertonic intravenous (IV) fluid?

The patient states, “I’m trying to be healthy, so I’ve taken twice the daily recommended doses of all my vitamins for years to ensure I get even more effect from them.” The nurse assesses for signs of toxicity from overconsumption of which nutrients? Select all that apply.

The nurse is caring for a patient after abdominal surgery and significant blood loss. A life-saving blood transfusion has been ordered but the patient refuses it. Which action does the nurse take first?

The patient has been receiving sildenafil 5 mg by mouth, three times daily. Which assessment finding indicates the drug has had the intended effect?

The nurse is reviewing the chart of a patient recently admitted to the hospital. The patient’s medication review includes bosentan, glyburide, praziquantel, and ergotamine. The nurse expects to observe which symptom in the patient?

The patient receiving bosentan therapy for pulmonary arterial hypertension presents to the emergency department (ED) complaining of dyspnea. Which nursing assessment is most important for this patient?

The patient is prescribed bosentan. Which statement does the nurse include in teaching about this medication?

The patient presents to the emergency department (ED) and states, “I don’t know what happened! I was walking and ran into a door with my right shoulder. I closed my right eye and my vision was normal, but when I closed my left eye, I couldn’t see anything at all!” The patient’s assessment is otherwise normal. The nurse reports this to the provider immediately for assessment. Which question is most important for the nurse to ask the patient while waiting for the provider to write orders for treatment?

Which is the drug of choice for treatment of Raynaud syndrome?

The patient being treated for seizures has developed Raynaud’s phenomenon. The nurse anticipates the provider to order which medication for this patient?

Which evening meal choice is appropriate for this patient? Look at the patient’s chart to make a selection.

Which food item, if selected by the patient, would prompt the nurse to provide additional education? Review the patient’s chart to make selection.

Following a major natural disaster, the charge nurse receives instruction from superiors to pair patients as roommates to increase the number of available rooms. The first patient to be paired is a 42-year-old patient with cellulitis who has a 103°C fever and tachycardia. The charge nurse places her in a room with which patient?

The nurse receives report of four issues at 0800. Which situation is addressed first?

The nurse preceptor is supervising the graduate nurse during shift handoff. Which statements by the graduate nurse would prompt the veteran nurse to clarify for the oncoming nurse? Select all that apply.

After reviewing the patient’s chart, which order(s) require clarification? Review the patient’s chart, then select all that apply.

The patient who underwent a partial thyroidectomy 1 day ago complains of tingling in the lips and tongue. Upon assessment, the nurse notes increased deep tendon reflexes. Which order does the nurse question for this patient?

The 74-year-old otherwise healthy patient presents to the clinic complaining of severe pain and burning of the skin over the right flank. Upon assessment, the nurse notes two lines of vesicles that curve laterally away from the spine on the right side. The nurse provides which instruction to the patient regarding treatment?

The 24-year-old patient presents to the emergency department complaining of malaise and intractable sore throat with onset 24 hours previously. Upon assessment, the nurse notes swollen cervical lymph nodes and a temperature of 39.3°C. The patient denies nasal discharge or cough. Which question by the nurse is most important?

The nurse is supervising the care of a patient with a stage II pressure injury on the coccyx. Which intervention by the student nurse prompts the nurse to intervene with further education?

The 32-year-old female patient (60 kg) is brought via ambulance to the emergency department following a water drinking competition. The patient has a Glasgow Coma score of 6, oxygen saturation of 94% on room air, heart rate of 62 bpm, and respiratory rate of 16 breaths per minute. The nurse anticipates administering which medication?

The nurse anticipates administering cobalamin and folic acid to the patient presenting with which symptoms? Select all that apply.