Question

A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Answer 1

Correct Answers:

Nalbuphine

Rationale :

♦️Nalbuphine is an opioid agonist-antagonist. ♦️ When given to clients already receiving morphine, it may reduce analgesic effects or cause withdrawal due to its antagonistic properties. ♦️This order must be clarified.

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Answer 2

Correct Answers:

Dispose of the remaining medication while another nurse observes.

Rationale :

♦️Hydromorphone is a controlled substance. ♦️Per policy, leftover amounts must be properly wasted in the presence of another licensed nurse to ensure safety and compliance.

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Answer 3

Correct Answers:

Blood pressure

Rationale :

♦️Nitroprusside is a potent vasodilator. ♦️ It requires close BP monitoring during titration to avoid life-threatening hypotension.

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Answer 4

Correct Answers:

fever

Rationale :

♦️Fever and flu-like symptoms are common adverse effects of interferon therapy due to immune system stimulation.

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Answer 5

Correct Answers:

Glaucoma

Rationale :

♦️Atropine increases intraocular pressure and is contraindicated in clients with glaucoma, especially angle-closure type.

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Answer 6

Correct Answers:

A client receives their meal bray 20 min late.

Rationale :

♦️Administering insulin too early may lead to hypoglycemia. ♦️ This timing error is a reportable medication incident.

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Answer 7

Correct Answers:

Reason

Rationale :

♦️A PRN prescription must include a valid reason for use. ♦️Without it, the order is incomplete and should be clarified.

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Answer 8

Correct Answers:

Melena

Rationale :

♦️Melena (black, tarry stool) indicates GI bleeding, a serious side effect of warfarin due to its anticoagulant effects. ♦️ This must be reported.

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Answer 9

Correct Answers:

Consult a drug reference guide for possible interactions.

Rationale :

♦️Before administering any new drug, the nurse must consult a drug reference to check for food or drug interactions to ensure safe administration.

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Answer 10

Correct Answers:

Administer the medication into the anterolateral or posterolateral abdominal area.

Rationale :

♦️Enoxaparin (Lovenox) should be administered subcutaneously in the anterolateral/posterolateral abdomen. ♦️ The air bubble should not be expelled, and the site should not be massaged.

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RN Pharmacology~2023 Exam 3

No.

1 : A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

2 : A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. The medication is provided as hydromorphone 8 mg per tablet. Which of the following actions is appropriate for the nurse to take?

3 : A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?

4 : A nurse is caring for a client who is taking interferon. Which of the following findings indicates the client is experiencing an adverse effect of the medication?

5 : A nurse is reviewing a client’s medical history before administering a new prescription for atropine. Which of the following client conditions is contraindicated?

6 : A nurse is caring for a group of clients. Which of the following situations requires an incident report?

7 : A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?

8 : A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

9 : A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

10 : A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

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