Question 1

The nurse is caring for a 6-month-old patient receiving oral Moxatag (amoxicillin) 25 mg/kg/day divided into two doses and distributed as 50 mg/mL oral suspension. The child weighs 33 pounds. How much medication (in mL) will this nurse pour/provide each dose?

Accepted Answer

3.75 mL = 3.8 mL

Question 2

The nurse responds to a call light for a client with chronic obstructive pulmonary disease and finds the client slightly dyspneic with a respiratory rate of 20 and wheezing noted in the anterior and posterior upper lung fields. The nurse knows the client has orders for Arcapta (indacaterol) inhaler once daily, which is due in 1 hr. Which of the following actions by the nurse is best?

Accepted Answer

A)   Provide the Arcapta (indacaterol)  inhaler at this time.
B)   Check the client's temperature.
C)   Determine if the client has an order for other respiratory inhalers/treatment.
D)   Identify the most recent chest x-ray results. C

Question 3

A student nurse is preparing to participate in a mission-trip to South Africa and is prescribed Plaquenil (hydroxychloroquine). Which of the following side effects may be experienced by the student? Select all that apply.

Accepted Answer

A)   Rash
B)   Headache
C)   Ringing in the ears
D)   Anorexia
E)   DiarrheaF)  Hypertension B, C, D, E

Question 4

A client with breast cancer is taking Arimidex (anastrozole). The nurse recognizes that teaching has been effective by which of the following client statements?

Accepted Answer

A)   "If I miss a dose, I should take a double dose the next day."
B)   "I must take this medication on an empty stomach before going to bed each night."
C)   "Oral chemotherapy generally has fewer side effects and is much safer."
D)   "There is a risk of allergic reaction for this medication so I need to notify the doctor right away if I have any swelling in my face, difficulty swallowing, or rashes."

Question 5

The nurse is caring for a 34-year-old patient with a large hilar mass due to lymphoma. Chemotherapy is being provided and the client also has orders for Zyloprim (allopurinol) 300 mg orally twice daily. When providing this medication, the nurse would include which of the following statements in the client teaching?

Accepted Answer

A)   "This medication will help prevent gout, which occurs when clients are given radiation therapy."
B)   "Allopurinol binds to the uric acid being released by the destroyed cancer cells and prevents it from damaging your kidneys."
C)   "Chemotherapy agents can reduce the number of white blood cells, red blood cells, and platelets in your body; this medication helps protect those cells."
D)   "This is part of the chemotherapy regimen since some chemo agents are given in your IV and others are given by mouth."

Question 6

While caring for a client who is taking Sandimmune (cyclosporine) after a cardiac transplant, the nurse is aware that it is most important to monitor for which of the following?

Accepted Answer

A)   Hypokalemia
B)   Hypotension
C)   Anorexia
D)   Nephrotoxicity

Question 7

While caring for a client who is receiving Desferal (deferoxamine), the nurse notes the client's urine is reddish colored. Which of the following conclusions should the nurse draw?

Accepted Answer

A)   There is a risk of hemolytic cystitis with this medication and the next dose should be held.
B)   The client may be experiencing liver toxicity; the physician should be contacted to request laboratory analysis be done.
C)   This is an expected and normal finding with the medication due to the excretion of iron.
D)   The client may have a secondary urinary tract infection and a urinalysis should be sent.

Question 8

The nurse is caring for a 68-year-old male who is taking Cardura (doxazosin). He denies any history of hypertension. The nurse recognizes this medication can also be used to treat which of the following conditions?

Accepted Answer

A)   Psoriasis
B)   Gout
C)   Lymphoma
D)   Benign prostatic hypertrophy

Question 9

Which of the following would cause the nurse to suspect that a client taking Glucophage (metformin) may be developing lactic acidosis? Select all that apply.

Accepted Answer

A)   Client reports chills and muscle aches.
B)   Blood pressure = 98/54 mmHg.
C)   Client reports profound headache and ringing in the ears.
D)   Client complains of dizziness and diarrhea.
E)   White blood cell count = 7,500 cell/mm3.F)  Pupils are dilated and unresponsive to light.

Question 10

While investigating the medications taken by a client in the hospital, the student nurse understands that Plendil (felodipine) works to lower blood pressure by causing which of the following physiologic changes?

Accepted Answer

A)   Dilatation of the vascular wall
B)   Blocking the transport of calcium
C)   Inhibiting the beta receptors on cell membranes
D)   Reducing the formation of ectopic beats

Question 11

While working in the psychiatric hospital, the nurse provides Fanapt (iloperidone) 2 mg twice daily. Which of the following assessments indicates the medication is effective?

Accepted Answer

A)   The client's mood is stabilized.
B)   The client is able to sleep for 8 hr at night.
C)   The client denies hearing voices.
D)   The client's weight is stabilized.

Question 12

A nurse caring for a client who is to initiate therapy with Merrem (meropenem) 500 mg intravenously every 12 hr would include which of the following statements in the client teaching? Select all that apply.

Accepted Answer

A)   "This medication is used to treat various infections."
B)   "The dose is reduced since you have a history of renal impairment."
C)   "Be sure to let us know if you develop any diarrhea."
D)   "Since you have an allergy to penicillin, there is no risk of allergy to this medication."
E)   "The medication can cause dizziness for some people so be sure to call for help when you need to get up out of bed."

Question 13

While providing care for an 84-year-old patient with Parkinson disease who is taking Sinemet (carbidopa/levodopa), the nurse notes abnormalities in the client's lab values. Which of the following could be attributed to the medication?

Accepted Answer

A)   Platelet count-440,000 c/mm3
B)   Hemoglobin-10.4 g/dL
C)   Albumin-3.2 g/dL
D)   B-type natriuretic peptide (BNP) -449 pg/mL

Question 14

A nurse is receiving shift-to-shift report for a client in the intensive care unit with multiple medical problems. The client is receiving Argatroban infusion. The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?

Accepted Answer

A)   Ventilator-associated pneumonia
B)   Deep vein thrombosis
C)   Hypotension
D)   Urosepsis

Question 15

A 21-year-old client is brought to the emergency room with suspected overdose with Tylenol (acetaminophen). Which of the following medications would the nurse expect to be ordered?

Accepted Answer

A)   Protamine sulfate
B)   Primaxin (imipenem) 
C)   Acetadote (acetylcysteine) 
D)   Diabeta (glyburide)

Question 16

While counseling a client taking Pristiq (desvenlafaxine), the nurse recognizes that further teaching is necessary based on which of the following client statements?

Accepted Answer

A)   "I'll be sure to let my doctor know if I have any thoughts of suicide."
B)   "If I need something for pain, I should take aspirin, ibuprofen, or another non-steroidal anti-inflammatory instead of Tylenol while I'm taking this medication."
C)   "I shouldn't drive a car for a few weeks since this medication can cause dizziness."
D)   "I should avoid drinking alcohol while I'm taking this medication."

Question 17

The nurse is providing care for an 82-year-old client with glaucoma. Diamox (acetazolamide) 250 mg orally twice daily has been ordered as a new medication. The nurse would be most concerned by which of the following?

Accepted Answer

A)   The client has a listed allergy to sulfonamides.
B)   The client has a history of rheumatoid arthritis.
C)   The client takes Cogentin (benztropine)  daily.
D)   The client's potassium is 3.6 mEq/dL.

Question 18

While providing care for a client who is to receive Abilify (aripiprazole), the nurse recognizes that the client understands this medication by which of the following statements?

Accepted Answer

A)   "This medication may cause me to have a dry mouth or lower my saliva production."
B)   "This medication will reduce my nicotine cravings and help me quit smoking."
C)   "I need to let the doctor know right away if I have any thoughts of suicide or worsening depression."
D)   "I need to be sure and drink at least 4 quarts of water each day while I'm taking this medication."

Question 19

While caring for a client with Parkinson disease who has recently started taking Cogentin (benztropine), the client reports, "My mouth seems so dry all the time." Which of the following statements by the nurse is best?

Accepted Answer

A)   "Dry mouth is common with your new medications. You should rinse frequently and consider using hard sugarless candies or gum to help with the symptom."
B)   "I wonder if your dose is too high; try taking half the pill twice a day instead of all at once and see if that helps."
C)   "You should call your doctor and let them know about that-it could be a serious side effect of the new medication."
D)   "Have you noticed any fever or night sweats lately?"

Question 20

While caring for a client taking Clozaril (clozapine), the nurse determines the medication is effective by which of the following findings?

Accepted Answer

A)   Decreased swelling noted at the site of cellulitis in the left hand.
B)   Apical heart rate is regular at 72 bpm.
C)   Client is cooperative; oriented to person, place, and time; and has no hallucinations or delusions.
D)   Breath sounds are clear throughout anterior, lateral, and posterior aspects.

Davis's Drug Guide for Nurses Test 3

The nurse is caring for a 6-month-old patient receiving oral Moxatag (amoxicillin) 25 mg/kg/day divided into two doses and distributed as 50 mg/mL oral suspension. The child weighs 33 pounds. How much medication (in mL) will this nurse pour/provide each dose?

A student nurse is preparing to participate in a mission-trip to South Africa and is prescribed Plaquenil (hydroxychloroquine) . Which of the following side effects may be experienced by the student? Select all that apply.

A client with breast cancer is taking Arimidex (anastrozole) . The nurse recognizes that teaching has been effective by which of the following client statements?

While caring for a client who is taking Sandimmune (cyclosporine) after a cardiac transplant, the nurse is aware that it is most important to monitor for which of the following?

While caring for a client who is receiving Desferal (deferoxamine) , the nurse notes the client's urine is reddish colored. Which of the following conclusions should the nurse draw?

The nurse is caring for a 68-year-old male who is taking Cardura (doxazosin) . He denies any history of hypertension. The nurse recognizes this medication can also be used to treat which of the following conditions?

Which of the following would cause the nurse to suspect that a client taking Glucophage (metformin) may be developing lactic acidosis? Select all that apply.

While investigating the medications taken by a client in the hospital, the student nurse understands that Plendil (felodipine) works to lower blood pressure by causing which of the following physiologic changes?

While working in the psychiatric hospital, the nurse provides Fanapt (iloperidone) 2 mg twice daily. Which of the following assessments indicates the medication is effective?

A nurse caring for a client who is to initiate therapy with Merrem (meropenem) 500 mg intravenously every 12 hr would include which of the following statements in the client teaching? Select all that apply.

While providing care for an 84-year-old patient with Parkinson disease who is taking Sinemet (carbidopa/levodopa) , the nurse notes abnormalities in the client's lab values. Which of the following could be attributed to the medication?

A nurse is receiving shift-to-shift report for a client in the intensive care unit with multiple medical problems. The client is receiving Argatroban infusion. The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?

A 21-year-old client is brought to the emergency room with suspected overdose with Tylenol (acetaminophen) . Which of the following medications would the nurse expect to be ordered?

While counseling a client taking Pristiq (desvenlafaxine) , the nurse recognizes that further teaching is necessary based on which of the following client statements?

The nurse is providing care for an 82-year-old client with glaucoma. Diamox (acetazolamide) 250 mg orally twice daily has been ordered as a new medication. The nurse would be most concerned by which of the following?

While providing care for a client who is to receive Abilify (aripiprazole) , the nurse recognizes that the client understands this medication by which of the following statements?

While caring for a client with Parkinson disease who has recently started taking Cogentin (benztropine) , the client reports, "My mouth seems so dry all the time." Which of the following statements by the nurse is best?

While caring for a client taking Clozaril (clozapine) , the nurse determines the medication is effective by which of the following findings?