1. Which of the following patients demonstrates the clearest
indication for treatment with prednisone?
A) A 66-year-old woman whose history of smoking has culminated in a
diagnosis of emphysema
B) A 70-year-old man whose rheumatoid arthritis has not responded to
OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have
been attributed to leukemia
D) A 50-year-old woman who is being treated for hypertension with a
diuretic and an ACE inhibitor
2. A nurse has been administering a drug to a patient intramuscularly
(IM). The physician discontinued the IM dose and wrote an order for the
,drug to be given orally. The nurse notices that the oral dosage is consid-
erably higher than the parenteral dose and understands that this due to
A) passive diffusion.
B) active transport.
,C) glomerular filtration.
D) first-pass effect.
3. A nurse is caring for a postsurgical patient who has small tortuous
veins and had a difficult IV insertion. The patient is now receiving IV
medications on a regular basis. What is the best nursing intervention to
minimize the adverse effects of this drug therapy?
A) Monitor the patient's bleeding time
B) Check the patient's blood glucose levels
C) Record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
4. A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for
a recent diagnosis of amyotrophic lateral sclerosis. The nurse will priori-
tize assessment for which of the following?
A) Weight gain
B) Constipation
C) Increased energy
D) Dizziness
, 5. A cardiac care nurse is monitoring a patient who is receiving lidocaine
(Xylocaine) per IV infusion pump for an acute ventricular arrhythmia
associated with an acute MI. Which of the following patient manifesta-
tions would cause the nurse to notify the physician immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
A
6. A nurse is caring for a patient who is admitted into the cardiac care
unit with acute, decompensated heart failure. Nesiritide (Natrecor) has
been ordered. When preparing for administration of the drug, the nurse
will
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-hour
period. C
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