Davis's Drug Guide for Nurses Test 3

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The nurse is providing care for a client who has new orders to start Victoza (liraglutide) 0.6 mg subcutaneously each day. Which of the following orders should the nurse anticipate? Select all that apply.

(Multiple Choice)
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A client with Alzheimer is started on Razadyne (galantamine) 4 mg twice daily. The family has been told to return to the physician's office in 4 wk. Which of the following statements by the nurse is best?

(Multiple Choice)
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The nurse is providing care for a 64-year-old client on the telemetry unit whose heart rate suddenly jumps to 144 bpm. Telemetry shows supraventricular tachycardia and the client reports feeling a bit lightheaded and dizzy. The nurse attempts vagal stimulation without success and prepares to administer Adenocard (adenosine) 6 mg IV push. The nurse would expect which of the following to occur?

(Multiple Choice)
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The nurse is providing Ethyol (amifostine) to a 51-year-old woman with ovarian cancer who is also receiving Cisplatin. Which of the following nursing assessments during the infusion is of the highest priority?

(Multiple Choice)
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In reviewing new orders, the nurse notes Azactam (aztreonam) 1 gram IV every 8 hr has been ordered. Before initiating therapy, the nurse should assess for an allergy history to which of the following? Select all that apply.

(Multiple Choice)
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While reviewing a client's medication list, the nurse notes the client takes Remeron (mirtazapine) 15 mg daily. The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.

(Multiple Choice)
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While observing in the operating room, the student nurse notes a client was given Robinul (glycopyrrolate) pre-operatively as part of the anesthesia regimen. The student recognizes this medication will cause which of the following?

(Multiple Choice)
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A new order for Foscavir (foscarnet) 60 mg/kg IV every 8 hr has been noted. The patient weighs 50 kg. With a dilution required concentration of 12 mg/mL, what size IV bag will the nurse need to infuse this medication ___________________?

(Short Answer)
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The nurse is preparing to start therapy with IV Dobutrex (dobutamine). The pre-mixed solution has 250 mg in 250 mL. The orders read 5 mcg/kg/min and the client weighs 165 pounds. At what rate, expressed in mL/hr, should the infusion be started? (Round to the nearest tenths place.) ___________ mL/hr

(Short Answer)
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The nurse is providing care for a client with end stage renal disease who is receiving Fosrenol (lanthanum carbonate). The nurse recognizes this medication is effective by which of the following laboratory values?

(Multiple Choice)
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A nurse from the medical unit is floated to the surgical unit. While preparing to provide morning medications, the nurse realizes many clients are taking Demerol (meperidine) and knows the drug must be given cautiously or in reduced doses to which of the following clients? Select all that apply.

(Multiple Choice)
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The student nurse reviews a list of medications a client takes at home. Xopenex (levalbuterol) is on the list. The student expects this medication is provided in which of the following ways?

(Multiple Choice)
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The nurse receives orders to begin Robaxin (methocarbamol) 4.5 grams per day in 3 equally divided doses. The medication is available in 500 mg tablets. How many pills will the nurse provide with each dose? __________ pills

(Short Answer)
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While preparing to give Fungizone (amphotericin B) to a client who is also receiving Dexasone (dexamethasone), the nurse recognizes the client is at increased risk for which of the following?

(Multiple Choice)
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The nurse is reviewing the home medication list for a client with identified hypercholesterolemia. The client reports taking Zetia (ezetimibe) daily. The nurse understands this medication is designed to reduce the client's risk for which of the following?

(Multiple Choice)
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A client admitted with atrial fibrillation would most likely be started on which of the following medications to reduce the risk of embolization?

(Multiple Choice)
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The nurse is caring for a client taking Skelaxin (metaxalone). The nurse knows teaching has been effective by which of the following statements? Select all that apply.

(Multiple Choice)
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The nurse is providing Tarceva (erlotinib) intravenously for a client who has small cell lung cancer. The client begins to appear slightly short of breath, respiratory rate has gone from 14 breaths per min to 20 breaths per min and he has been coughing mildly for the past 10 min. Which of the following actions should the nurse take first?

(Multiple Choice)
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While caring for a client receiving methyldopa for hypertension, the nurse recognizes elevations in which of the following labs may be caused by the medication? Select all that apply.

(Multiple Choice)
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While observing in the oncology clinic, a student nurse is reviewing chemotherapy orders for a client with advanced colorectal cancer. The nurse providing care explains the client is to receive "high dose methotrexate with leucovorin rescue." The student understands the leucovorin calcium is given for which of the following reasons?

(Multiple Choice)
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