Pharmacological and Parenteral Therapies: Managing medications and intravenous treatments safely13–19%
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Question 1 of 20
1. The nurse is preparing to administer the antidote for a client experiencing excessive bleeding due to Heparin therapy. Which of the following medications is the antagonist used to reverse the effects of Heparin?
Warfarin
Vitamin
Protamine sulfate
Naloxone
Question 2 of 20
2. The nurse is monitoring a client receiving a medication with anticholinergic properties. Which of the following findings is a common anticholinergic adverse effect?
Increased taste perception
Increased salivation
Urinary retention
Diarrhea
Question 3 of 20
3. The nurse is evaluating the effectiveness of intravenous Heparin therapy. The therapeutic goal is to maintain the partial thromboplastin time (PTT) within which of the following ranges of the control value?
1.0 to 1.5 times
1.5 to 2.5 times
2.5 to 3.0 times
3.0 to 4.0 times
Question 4 of 20
4. The nurse is assessing the adverse effects of Morphine sulfate administration. Which of the following is a potential respiratory adverse effect of this medication?
Increased respiratory rate
Increased cough reflex
Decreased cough reflex
Bronchospasm
Question 5 of 20
5. The nurse is monitoring a client for adverse drug reactions affecting the Central Nervous System . Which of the following is an assessment finding associated with impairment caused by medications?
Orthostatic hypotension
Hallucinations
Tinnitus
Anaphylaxis
Question 6 of 20
6. The nurse is administering the antidote for a client experiencing excessive bleeding due to Warfarin (Coumadin) therapy. Which of the following medications is the antidote for Warfarin?
Epinephrine
Vitamin K
Sodium bicarbonate
Question 7 of 20
7. The nurse is providing education regarding the medication . Which of the following is the primary use of related to tuberculosis ?
To treat active disease only
To prevent disease in person exposed to the organism
To diagnose latent tuberculosis
To treat multidrug-resistant tuberculosis
Question 8 of 20
8. The nurse is reviewing the medication classification used to treat iron deficiency anemia. Which of the following medications is commonly used for this condition?
Vitamin B12 replacement
Folic acid
Ferrous sulfate
Hydroxyurea
Question 9 of 20
9. The nurse is reviewing the medical history of a client prior to administering . Which of the following client populations requires the nurse to administer with particular caution?
Clients with asthma
Clients with renal insufficiency
Clients with severe constipation
Clients who have elevated potassium levels
Question 10 of 20
10. The nurse is preparing to administer intravenous fluids to a client who needs volume restoration. Which of the following intravenous fluids is categorized as isotonic?
5% dextrose in water
3% NaCl
0.45% NaCl
0.9% NaCl
Question 11 of 20
11. The nurse is monitoring a client receiving therapy. The nurse knows that carries a high risk of which of the following adverse effects?
Tissue necrosis
Hemorrhage
Leukocytosis
Hyperkalemia
Question 12 of 20
12. The nurse is teaching a client about the action of Angiotensin-Converting Enzyme inhibitors. inhibitors work by blocking in the lungs from converting angiotensin to which substance?
Angiotensin II
Renin
Aldosterone
Bradykinin
Question 13 of 20
13. The nurse is instructing a client taking Warfarin about dietary restrictions. Which of the following dietary components should the nurse advise the client to limit?
Green vegetables (high in Vitamin K)
Citrus fruits
Red meat
Dairy products
Question 14 of 20
14. The nurse is preparing a client to receive a non-tunneled percutaneous central catheter. This type of device is typically utilized for intravenous therapy lasting less than which of the following durations?
2 weeks
6 weeks
3 months
6 months
Question 15 of 20
15. The nurse is administering a urinary tract analgesic to a client experiencing painful urination. Which of the following medications is known to cause the client's urine to turn bright orange?
Nitrofurantoin
Phenazopyridine
Oxybutynin
Hyoscyamine
Question 16 of 20
16. The nurse is monitoring a client receiving a high dose of intravenously. Which of the following is the primary pharmacological action of high-dose ?
Dilates renal arteries
Acts as a vasoconstrictor
Decreases blood pressure
Reduces myocardial oxygen consumption
Question 17 of 20
17. The nurse observes Trousseau’s sign (carpopedal spasm) when assessing a client. This finding indicates the presence of which of the following electrolyte imbalances?
Hypernatremia
Hypocalcemia
Hypomagnesemia
Question 18 of 20
18. The nurse is caring for a client with increased intracranial pressure . Which classification of medication is administered as an osmotic diuretic to reduce fluid volume in this setting?
Loop diuretic
Thiazide diuretic
Osmotic diuretic
Potassium-sparing diuretic
Question 19 of 20
19. The nurse is educating parents about over-the-counter medications. is contraindicated in children younger than due to the risk of developing which of the following conditions?
Osteomyelitis
Hepatitis
Reye’s syndrome
Question 20 of 20
20. The nurse is performing a medication reconciliation and notes a client is taking the herbal supplement . is known to have activity similar to which classification of scheduled medication?
Antidepressants
Benzodiazepines
Antihistamines
Opioids