RN PHARMACOLOGY PROPHECY A WITH COMPLETE SOLUTIONS
Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr
continuously. The patient's blood pressure at the beginning of your shift was
92/58 with a heart rate of 68. You noticed the patient's blood pressures have
been around 130/70. What should you do FIRST? - Check infusion rate to confirm
6ml/hr, then notify anesthesia provider
The dosage of which drug must be tapered off slowly to prevent acute adrenal
insufficiency? - prednisone (Deltasone)
When teaching a new nurse on how to administer IV push furosemide (Lasix), you
emphasize that it should be given over two minutes to avoid: - tinnitus
A nurse is caring for a patient with hyperparathyroidism and notes that the
patient's serum calcium level is 13mg/dl. Which medication should the nurse
prepare to administer as prescribed to the patient? - calcintonin (Miacalcin)
A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as
needed. The nurse determines that the patient understands the MOST effective
use of the medication if the patient states that he or she will: - take the
medication with a full glass of water
Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? -
Anti-inflammatory, anti-pyretic, decrease platelet aggregation
Which of the following medications is known to cause orange-colored urine? -
phenazopyridine (Pyridium)
Normal Saline (NS) is the solution of choice over D5W when preparing to
administer a blood transfusion because: - Normal Saline is an isotonic solution
and prevents cell hemolysis
Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would
you administer? - 400mg
Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level
may: - Increase risk of digoxin toxicity
The patient is diagnosed with multiple myeloma. The physician has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the patient? -
Increase daily water intake
You are ordered to give digoxin. Your patient's vital signs are as follows: Blood
Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% room air. What should you
do next? - Hold digoxin and call the provider
Which of the following medications will crystalize when mixed with D5NS? -
phenytoin (Dilantin)
Which of the following medications should be questioned by the nurse, if ordered
by the provider to treat a patient's complaint of nausea and vomiting? - famotidine
(Pepcid)