Basic Pharm Test 4

While monitoring a patient receiving chemotherapy set to infuse over 3 hours, the nurse notes after the first hour that just over 160 mL of the original 500 mL has infused. Which action by the nurse is best?    

• Alter the pump setting to infuse at 150 mL/hr.

• Alter the pump setting to infuse at 200 mL/hr to ensure the medication finishes on time.

• Assure the patient the physician will be informed and new medication orders will be received.

• Inform the patient the infusion rate is accurate.

The nurse is preparing to provide evening medications, which are scheduled to be distributed at 8 p.m. Which military time is equivalent to 8 p.m.?

• 1600

• 1800

• 2000

• 2200

A nurse is reviewing the medication profile of an elderly patient who has multiple medication orders and is experiencing deteriorating renal function. What type of order should the nurse anticipate that the health-care provider will provide related to medications? 

• Continue all medications as ordered.

• Increase dosages to increase efficacy.

• Adjust dosages due to comorbidity.

• Hold all medications.

The nursing instructor is supervising medication administration for a client prescribed prednisone. The instructor would intervene if which of the following were observed?   

• The student provided the medication with a glass of water when the patient had not eaten.

• The student verified the client’s name and birthdate prior to opening the medication.

• The student checked the available dosage of medication against the order.

• The student identified side effects of the medication and educated the patient.

At home, a nurse finds an open bottle of cough medicine elixir in the bathroom sink and realizes it was left there in the middle of the night when the nurse’s spouse was taking the medication. Which of the following actions is most appropriate?

• Determine how much elixir was taken.

• Recap the bottle of medication and place it back in the medicine cabinet.

• Discard any remaining medication.

• Insist the spouse be more responsible with medications in the future.

A nurse is preparing to administer a medication that requires reconstitution. Which priority information should the nurse include in the plan of care?

• Ask the patient their name and date of birth.

• Read the drug label insert to obtain specific parameters.

• Have normal saline available as the diluent.

• Verify patient allergies.

A nursing student is preparing to administer an extended-release (ER) medication to a patient. Which observation should alert the nursing instructor to intervene?

• Verification of patient identification using barcode scan.

• Asking the patient to state their name and date of birth.

• Providing a glass of water to the patient.

• Opening up the capsule contents and placing them in applesauce.

A nurse is preparing to administer cefaclor 400 mg PO. The nurse reconstitutes a container of cefaclor powder to yield a final concentration of 187 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to reconstitute and administer a powdered medication in a multidose vial. Which of the following actions should the nurse plan to take?

• Use a filtered needle to administer the medication.

• Briskly shake the medication vial after adding the diluent.

• Label the vial with the date and time before administering the medication.

• Swab the rubber seal on the vial with triclosan prior to adding the diluent.

A nurse is preparing to administer ziprasidone 12.5 mg to an adolescent. The nurse reconstitutes a vial of ziprasidone to yield a final concentration of 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)