NURS 221Drexel University -Hesi practice questions Nurs
221 Questions With Complete Solutions
A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV every 24 hours
is scheduled to be administered. The client returns to the unit at
1300. What is the best intervention for the nurse to implement?
Contact the healthcare provider and complete a medication
variance form.
Administer the Levaquin at 1300 and resume the 0900 schedule
in the morning.
Notify the charge nurse and complete an incident report to
explain the missed dose.
Give the missed dose at 1300 and change the schedule to
administer daily at 1300. Correct Answers Give the missed
dose at 1300 and change the schedule to administer daily at
1300.
Rationale
To ensure that a therapeutic level of medication is maintained,
the nurse should administer the missed dose as soon as possible,
and revise the administration schedule accordingly to prevent
dangerously increasing the level of the medication in the
bloodstream. The nurse should document the reason for the late
dose, but contacting the healthcare provider or the charge nurse
are not warranted.
A client receives a prescription for azithromycin (Zithro max)
500 mg PO x 3 days. Azithromycin is available as 250 mg
scored tablets. How many tablets should the nurse administer
,per dose? (Enter the numerical value only.) Correct Answers
Using the formula, D/H
500 mg/250 mg = 2 tablets
A client who has a sinus infection is receiving a prescription for
amoxicillin/clavulanate potassium (Augmentin) 500 mg PO q8
hours. The available form is 250 mg amoxicillin/125mg
clavulanate tablets. How many tablets should the nurse
administer for each dose? (Enter numeric value only.) Correct
Answers desired/Available formula:
500 mg/250 mg x 1 tablet = 2
A client who is 5 foot 5 inches tall and weighs 200 pounds is
scheduled for surgery the next day. Which question is most
important for the nurse to include during the preoperative
assessment?
What is your daily calorie consumption?"
"What vitamin and mineral supplements do you take?"
"Do you feel that you are overweight?"
"Will a clear liquid diet be okay after surgery?" Correct
Answers "What vitamin and mineral supplements do you take?"
In the preoperative assessment, the nurse should assess the
client's use of vitamin and mineral supplements. These products
may impact medications used during the operative period. The
nature of the surgery and anesthesia will determine the need for
a clear liquid diet, rather than the client's preference. Addressing
long-term diet therapy is best done after surgery and recovery.
,A client who is in hospice care reports increasing amounts of
pain. The healthcare provider prescribes an analgesic every four
hours as needed. Which action should the nurse implement?
Give an around-the-clock schedule for administration of
analgesics.
Administer analgesic medication as needed when the pain is
severe.
Provide medication to keep the client sedated and unaware of
stimuli.
Offer a medication-free period so that the client can do daily
activities. Correct Answers a
A client with chronic kidney disease (CKD) selects a scrambled
egg for his breakfast. Which action should the nurse take?
Commend the client for selecting a high biologic value protein.
Remind the client that protein in the diet should be avoided.
Suggest that the client also select orange juice, to promote
absorption.
Encourage the client to attend classes on dietary management of
CKD. Correct Answers A
Foods such as eggs and milk are high biologic proteins which
are allowed because they are complete proteins and supply the
essential amino acids that are necessary for growth and cell
repair. Although a low-protein diet is followed, some protein is
essential. Orange juice is rich in potassium, and should not be
encouraged. The client has made a good diet choice, so classes
on dietary management is not necessary.
, A client with multiple sclerosis is prescribed Dantrolene
(Dantrium) 0.1 grams PO bid for spasticity. Dantrolene is
available in 100 mg capsules. How many capsules should the
nurse administer? (Enter numeric value only.) Correct Answers
1
0.1 gram = 100 mg
100 mg = 1 capsule
A client with pericardial effusion has phrenic nerve compression
resulting in recurrent hiccups. The healthcare provider
prescribes metoclopramide (Reglan) liquid 10 mg PO q 6 hours.
Reglan is available as 5 mg/5 ml. A measuring device marked in
teaspoons is being used. How many teaspoons should the nurse
administer? Correct Answers 2
First, using the formula, Desired dose/dose on Hand x Quantity
of volume on hand (D/H x Q),
10 mg / 5 mg x 5ml = 10 ml
Next using the known conversion of 5 ml = 1 tsp:
5 ml : 1 tsp :: 10 ml : X
: 1 / X
5X = 10
X=2
A client with pneumonia has a decrease in oxygen saturation
from 94% to 88% while ambulating. Based on these findings,
which intervention should the nurse implement first?
Assist the ambulating client back to the bed.
Encourage the client to ambulate to resolve pneumonia.
Obtain a prescription for portable oxygen while ambulating.
Move the oximetry probe from the finger to the earlobe. Correct
Answers A
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