NSG 318 Final Exam Questions With Complete Solutions
A doctor orders atenolol for a patient with a history of acute
bronchospasms. What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order Correct Answers d. Question the
HCPs order. Bronchospasm is a contraindication because
atenolol has a slight chance of stimulating Beta 2
A fatigued doctor frantically calls a nurse to discontinue Lasix
for a patient on sulfonamides because it is a contraindication.
What action should the nurse take?
a. Stop the medication
b. Question the doctor
c. Find out if the patient is still on the sulfonamide
d. Report the fatigued HCP to the charge nurse Correct Answers
b. Question the doctor. The HCP is mistaken. Hypersensitivity
to sulfonamides is the actual contraindication. Another
contraindication is anuria
A new doctor prescribed a 8-year-old patient acyclovir. What
action should the nurse take?
a. Administer the dose
b. Withhold the dose
c. Question the doctor
d. Inform the ethics committee Correct Answers c. Question
the doctor. Young children, renal impairment, seizure disorder
and dehydration are cautions.
,A new doctor wanted to order a mycostatin for a patient in her
3rd trimester. The nurse questions the doctor's order but the
doctor states this drug is only a contraindication in the 1st
trimester. What action should the nurse take?
a. Administer the dose
b. Withhold the dose
c. Correct the doctor
d. Inform the ethics committee Correct Answers c. Correct the
doctor. The contraindications is pregnancy, lactation, DM and
paraben hypersensitivity
A new doctor wants to prescribe a patient valsartan but cannot
remember the cautions of this medication. What are the cautions
of this med? SATA
a. Vascular disease
b. Renal impairment
c. Smoking
d. Hepatic impairment
e. Priapism
f. Hyperkalemia. Correct Answers b. Renal impairment d.
Hepatic impairment f. Hyperkalemia.
A new grad doctor asks the nurse what are the drug interactions
for atenolol. What should the nurse inform the doctor? Correct
Answers - Atropine and other anticholinergics bc it increases
absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
A new grad doctor is asking a senior nurse which antibiotic they
can prescribe while a patient is on Pletal therapy. Which drugs
,interact with this med? Correct Answers Clarithromycin and
Erythromycin. Other drugs are Aspirin, Enoxaparin (Heparin),
and Warfarin
Hint: "Clari, Ery and the Ins"
A new grad doctor remembers learning that Crestor is
contraindicated in a certain population. What education should
the nurse provide?
a. Native Americans
b. African Americans
c. Caucasians
d. Asians Correct Answers d. Asians
A new nurse is going to administer alteplase but is unsure of the
side effects and adverse effects. What education should be
provided to the nurse? Correct Answers Bleeding, infection,
hypotension
Anaphylactic reaction, laryngeal edema, angioedema, HTN,
cerebral edema, rhabdomyolysis, and stroke
*Hint: Causes lots of edema*
A new nurse is going to administer diphenhydramine but is
unsure what assessments need to be done prior. What education
should be provided to the new nurse? Correct Answers Signs of
urinary dysfunction, CBC and assess cardiac & respiratory
status
A new nurse is unsure what education to provide a patient who
recently started Crestor. What education should be provided to
this nurse? Correct Answers Monitor blood lipid levels and
liver enzymes
, Take med w/ sufficient water or w/ meals to alleviate GI upset
Annual eye exam and report changes in visual acuity
Do NOT abruptly stop med as it can cause serious rebound
effects leading to acute MI and possible death
A new nurse was given orders to draw blood cultures but is
unsure how to. What education should be provided the the new
nurse? Correct Answers Draw when temp is rising
Collect BEFORE starting antibiotics
Do not draw specimen from an IV line
Draw 2 culture specimens from 2 different sites
Draw 10-15 ml of blood
Send specimen to lab immediately
A nurse is caring for a patient with a history of emphysema,
depression and DM. The patient requests Robitussin. What
action should the nurse take?
a. Administer the med
b. Contact the HCP
c. Educate the patient
d. Ignore the patient's requests Correct Answers c. Educate the
patient. Asthma/emphysema, pregnancy and hepatic disease are
contraindications of Robitussin
A patent is admitted with thrust caused by a candidiasis
infection. Which medication would likely by administered?
a. INH
b. Acyclovir
c. Chloroquine
d. Mycostatin Correct Answers d. Mycostatin
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