Kaplan Pharmacology Integrated Exam Updated
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A 14-month-old toddler receives 250 mg of a liquid mediation. The nurse instructs the
parent about administration using a syringe without a needle. The label on the
medication bottle reads: 2 teaspoons = 250 mg. How many mL of the medication is
drawn into the syringe? - Correct Answer 10 mL
A client chives vitamin B1 for the treatment of acute alcohol withdrawal. The client's
adult child asks the nurse why. Which response by the nurse is best? - Correct Answer
Vitamin B1 reduces the neurological symptoms your parent may experience.
A client developed wheezing when given ampicillin and co - trimoxazole. Which
additional order does the nurse question ? - Correct Answer Cefaclor 500 mg q 8
hours.
A client has labor induced with oxytocin. The client's cervix is 7 cm dilated. Which
assessment causes the nurse to stop the oxytocin infusion? - Correct Answer The
client's contractions last 90 to 110 seconds.
A client is admitted to a psychiatric unit. The client has symptoms of depression,
anorexia., low self esteem, and suicidal idealization. Th nurse expects to administer
which medication? - Correct Answer Bupropion
A client is diagnosed with bacterial pneumonia. The nurse prepares to administer 80 mg
of gentamicin intravenously. Which laboratory test is the priority to review prior to the
first dose? - Correct Answer Serum creatinine
A client is diagnosed with osteoarthritis. The client takes naproxen sodium 250 mg PO
twice a day. It is most important for the nurse to teach the client to report which
symptom? - Correct Answer Stomach pain over a 3-day period.
A client is diagnosed with Parkinson disease. The nurse teaches about benztropine.
Which client statement requires additional teaching? - Correct Answer I can expect to
have increased sweating and diarrhea while taking benzotropine.
A client is diagnosed with schizophrenia. The nurse administers haloperidol. Which
assessment indicates a therapeutic response to the medication ? - Correct Answer The
client has become more quiet and unobtrusive.
A client is diagnosed with systemic lupus erythematosus (SLE). The client has taken
corticosteroid therapy for several years . The nurse knows the client is at high risk to
, develop which clinical manifestations ? - Correct Answer Truncal obesity and purple
striations on the skin
A client is diagnosed with thrombophlebitis. The client receives heparin sodium IV.
Which is the most appropriate laboratory test for the nurse to monitor? - Correct Answer
Activated partial thromboplastin time
A client is receiving 5% dextrose in 0.45% saline IV at 150 mL per hour in the forearm.
Which finding best indicates to the nurse the IV is infiltrated? - Correct Answer The
client reports the arm is painful.
What are signs of an infiltration/extravasation?
Redness around the site.
Swelling, puffy or hard skin around the site.
Blanching (lighter skin around the IV site)
Pain or tenderness around the site.
IV not working.
Cool skin temperature around the IV site or of the scalp, hand, arm, leg or foot near the
site.
What is dextrose 5% IV used for?
Dextrose injection is a sterile solution used to provide your body with extra water and
carbohydrates (calories from sugar). It is used when a patient is not able to drink
enough liquids or when additional fluids are needed.
Dextrose 5 in .9 Sodium Chloride is a prescription medicine used to treat the symptoms
of Hypoglycemia. Dextrose 5 in .9 Sodium Chloride may be used alone or with other
medications.
A client is to have timolol 0.25% 1 drop in each eye twice daily. The nurse instructs the
client to self-administer the eye drops. Which client assessment indicates a need for
further instruction? - Correct Answer "After j out the eye drops in my eye, I should put
pressure on the outside corner of my eye."
A client is to receive 4.5 ounces of a liquid medication. How many milliliters (mL) does
the nurse administer ? - Correct Answer 135 mL
A client is to receive 1000 mL of 5% dextrose in 0.9% saline over a 4 hour period. The
infusion set delivers 15 drops per milliliter. The nurse sets the IV to administer how
many drops per minute? - Correct Answer 63 drops per minute
A client is to self-administer enoxaparin. The nurse instructs the client to avoid which
herbal preparation. - Correct Answer Ginkgo biloba
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