RN Pharmacology Online Practice 2019 B Questions With Complete Solutions

A nurse contacts a client's provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take? a. write the order on a prescription pad designed for the client's provider b. have the provider spell out the unfamiliar medication names c. read the prescription back to the provider using abbreviations d. consult with a second nurse for any questions regarding dosage correct answer: b. have the provider spell out the unfamiliar medication names The nurse should ask the provider to spell out the name of the medication if the stated name is one the nurse is not familiar with. A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism? a. gastric distress b. oliguria c. excessive bruising d. tinnitus correct answer: d. tinnitus Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness. A circulating nurse is planning care for a client who is scheduled for surgery has a latex allergy. Which of the following actions should the nurse include in the plan of care? a. schedule the client for the last surgery of the day b. place monitoring cords and tubes in a stockinet c. choose rubber injection ports for fluid administration d. ensure phenytoin IV is readily available correct answer: b. place monitoring cords and tubes in a stockinet The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? a. paresthesia b. increased blood pressure c. fever d. respiratory depression correct answer: b. increased blood pressure The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly, hypertension and seizures can result. The nurse should monitor the client's blood pressure and ensure hypertension is controlled prior to administering the medication. A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the following actions should the nurse take prior to administering the medication? a. ask the client to drink 8 oz of water b. review the client's most recent Hgb level c. obtain the client's blood pressure d. determine if the client is allergic to NSAIDs correct answer: c. obtain the client's blood pressure