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WorksheetsNUR 236 Pharmacology Review Exam 2
Total questions: 16
Worksheet time: 12mins
The nurse is reviewing a 24-hour log of a child with insulin-dependent diabetes blood sugars and notes a 7:30 am blood sugar of 59. The nurse suspects this is a result of:
6:00 pm NPH dose is too high
6:00 pm dose of rapid-acting insulin is too low.
6:00 am dose of NPH is to high
6:00 am dose of rapid-acting insulin is too low.
The nurse is completing a health history with the parents of an insulin-dependent child. The parents state they rotate the morning injection from the thighs, to the buttocks, then to the upper back, and to the arms. The nurses next action should be:
Nothing, this is an appropriate action.
Perform a physical examination of the injection sites.
Review blood sugars to determine absorption rate.
Ask the child which site they like best.
The nurse is reviewing the health care provider's orders for a child admitted to the hospital with unrepaired tetrology of fallot and notes an order for IV propranolol. The nurse determines the rationale for this ordered medication is:
Decrease blood pressure.
Prevent arrhythmias.
Provide sedation.
Decrease pulmonary vascular resistance.
The nurse is preparing a discharge plan for a newborn diagnosed with congenital hypothyroidism. Which of the following outcomes should be included in the plan of care? Parents state:
hoarse cry is a sign of overdose.
poor feeding is a sign of overdose.
tachycardia and tremors are signs of overdose.
bradycardia and lethargy are signs of overdose.
The nurse is assessing a child with Kawasaki's disease taking high-dose aspirin for salicylism. The nurse should observe for:
dry mouth.
vomiting.
strawberry tongue.
tremmors.
The family of a male 6-year old child newly diagnosed with growth hormone disorder asks how long the child will need somatropin injections. The nurse nurse should inform the family he will likely need injections until about age:
9-11 years old.
12-14 years old
16-17 years old.
21-25 years old.
The nurse is administering medication for phantom limb pain for a child who had an amputation for bone cancer. Which of the followings would the nurse administer?
antidepressant
anticoagulant
anticonvulsent
opioid
muscle relaxer
The nurse is preparing to teach the parents of a child with Hemophilia A to infuse medication through the child's port to control episodes of bleeding. The nurse nurse should prepare to teach about infusion of:
Factor VIII concentrate
Gamma globulin
Tissue plasminogen activator
0.9% NaCl
An adolescent with insulin-dependent diabetes has joined the track team and will start practice at 3:00 pm daily. What time should the nurse tell the teen to eat an extra 15-30 gram carbohydrate snack?
2:00 pm
2:30 pm
3:00 pm
3:30 pm
The mother of a newly diagnosed child with insulin dependent diabetes asks the nurse why her child cannot just take Glargine once a day like her husband does. The best response by the nurse is:
The medication is only for adults.
The medication peaks too fast for your child's metabolism.
The medication does not peak post-meals.
The medication does not offer steady coverage of blood sugar.
The nurse is administering high dose chemotherapy to a child with aggressive cancer. Which of the following lab results may indicate tumor lysis syndrome is developing?
Hyperuricemia
Hypernatremia
Hypokalemia
Hypomagnesemia
The nurse is preparing to administer deferoxamine. Which of the following children would this medication likely be ordered for? A child with:
Iron deficiency anemia
Thalassemia
Hemophilia
Sickle cell anemia
Idiopathic thrombocytopenic purpura
The nurse is reviewing teaching instructions for a child newly prescribed Ferrous Sulfate oral drops. What should the nurse include in the teaching?
The importance of oral hygiene.
The need to take the medication on an empty stomach.
To mix the medication in a citrus juice for administration.
Drink a glass of milk prior to administration.
The parent of a toddler newly diagnosed with insulin dependent diabetes asks the nurse additional ways to tell her child's insulin is working besides the ordered finger sticks. The nurse states hyperglycemia may be also detected by the presence of ____________ in the urine.
Leukocytes
Protein
Ketones
Nitrates
A child with a congenital heart defect is ordered antibiotics to prevent subacute bacterial endocarditis.Which of the follow are an indication for this antibiotic therapy?
middle ear infection
tooth extraction
ear piercing
allergic reaction
The school nurse is teaching the school staff about Glucagon. A teacher asks why the nurses office has this medication in the cabinet. The nurse should reply "Glucagon is administered:
for an emergency to treat severe hypoglycemia where the child may not be able to eat.
to quickly lower blood sugar if the child is progressing into ketoacidosis.
to stimulate the pancreas to release more insulin in times of hyperglycemia.
before physical education class to help control the sugar in the blood.
