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Pharmacological and Parenteral Therapies Type: Client
Needs Category: Pharmacological and Parenteral Therapies
Questions With Complete Solutions
A nurse is administering two drugs to a client at the same time.
The nurse knows the most probable reason for giving the drugs
together is Correct Answers Correct response: synergism
hhh hhh
A physician orders a tricyclic antidepressant for a client who has
suffered an acute myocardial infarction (MI) within the previous
6 months. Which action should the nurse take? Correct hhh
Answers Correct response: Question the physician about the
hhh
order.
A nurse is teaching a client about hormonal contraceptive
therapy. If a client misses three or more pills in a row, the nurse
should instruct the client to Correct Answers Correct response:
hhh hhh
discard the pack, use an alternative contraceptive method until
her period begins, and start a new pack on the regular schedule.
A client takes 30 ml of magnesium hydroxide and aluminum
hydroxide with simethicone P.O. 1 hour and 3 hours after each
meal and at bedtime for treatment of a duodenal ulcer. Why does
the client take this antacid so frequently? Correct Answers
hhh
Correct response: It has a short duration of action.
hhh
The husband of a client who was diagnosed 6 years ago with
Alzheimer's disease approaches the nurse and says, "I'm so
excited that my wife is starting to use donepezil for her illness."
What should the nurse tell the husband? Correct Answers
hhh
, Correct response: the medication is effective mostly in the early
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stages of the illness.
Griseofulvin was ordered to treat a child's ringworm of the
scalp. The nurse instructs the parents to use the medication for
several weeks for which reason? Correct Answers Correct
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response:The growth of the causative organism into new cells is
prevented with long-term use.
Question
A client taking oral contraceptives is placed on a 10-day course
of antibiotics for an infection. Which instruction should the
nurse include in the teaching plan? Correct Answers Correct
hhh hhh
response: "Use a barrier method of birth control for the rest of
your cycle."
When teaching a client when to take glipizide in order to
maximize the effectiveness of the drug, the nurse should instruct
the client to: Correct Answers Correct response: take glipizide
hhh hhh
30 minutes before breakfast.
The nurse is caring for a client in the intensive care unit. Which
drug is most commonly used to treat cardiogenic shock?
Correct Answers Correct response: dopamine
hhh hhh
A school-age client with rheumatic fever is on long-term aspirin
therapy. Which client statement most indicates that the client is
experiencing a serious adverse reaction to aspirin? Correct
hhh
Answers Correct response: "I hear ringing in my ears."
hhh
,A 5-year-old child has been placed on phenytoin for tonic-clonic
seizures. The child weighs 42 lb (19.1 kg), and the maintenance
dose prescribed for this child is 7.5 mg/kg/day. How many
milligrams should the child receive each day? Record your
answer using a whole number. Correct Answers Correct
hhh hhh
response: 143
Where is the best site for the nurse to assess a client's pulse prior
to administering digoxin? Correct Answers Correct response:
hhh hhh
at the left fifth intercostal space, midclavicular line
The nurse is teaching a client with iron-deficiency anemia about
ferrous gluconate therapy. Which statement, if made by the
client, would indicate a correct understanding of the teaching?
Correct Answers Correct response: "I will take the medication
hhh hhh
on an empty stomach with orange juice."
A client, undergoing treatment for active pulmonary
tuberculosis, is prescribed isoniazid tablets. The order is written
for the client to receive 5 mg/kg of body weight up to a
maximum of 300 mg daily. Based on the client's body weight of
143 lb (65 kg), how many 100-mg tablets should the nurse
administer? Record your answer using a whole number. Correct hhh
Answers Correct response: 3
hhh
Hydrocodone with acetaminophen has been prescribed for a
client with metastatic prostate cancer. What information is
essential for the nurse to include in the teaching plan? Correct
hhh
Answers Correct response: "Constipation may develop with
hhh
constant use."
, A client is brought to the ED with narcotic overdose and
respiratory depression. The client is administered naloxone
hydrochloride, and then asks the nurse, "What if I am allergic to
what you gave me?" What adverse effects should the nurse
communicate to the client? Select all that apply. Correct
hhh
The client with leukemia presents to the IV therapy clinic for
chemotherapy. The nurse asks the client to roll up a sleeve to
look for an IV access site. Which vein can the nurse access for
this therapy? Select all that apply. Correct Answers Correct
hhh hhh
response:
cephalic,
antebrachial,
basilic
The client has come to the hospital emergency room reporting
lethargy and vomiting. The healthcare provider makes a
tentative diagnosis of Reye's syndrome. The client's history
reveals a recent acute viral infection and the use of several
medications. The nurse suspects which medication to be
implicated in the development of Reye's syndrome? Correct
hhh
Answers Correct response: aspirin
hhh
The nurse is calculating the digoxin dose for a pediatric client
who weighs 11.36 kg (25 lb). The dose for the client is 30
mcg/kg. How many mcg will the client receive per dose? Record
your answer using one decimal place. Correct Answers Correct
hhh hhh
response: 340.8
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