BSN Pharmacology and Medication Administration 2

Question 1

A nurse is administering morphine sulfate IV to a postoperative patient. Which finding requires the nurse to hold the medication and contact the provider?

Accepted Answer

Respiratory rate of 9 breaths/min

Answer

Pain score of 7/10

Answer

Blood pressure of 130/82 mmHg

Answer

Heart rate of 78 bpm

Question 2

Which antidote should the nurse have readily available when administering IV opioids?

Accepted Answer

Naloxone (Narcan)

Answer

Flumazenil (Romazicon)

Answer

Protamine sulfate

Answer

Vitamin K (phytonadione)

Question 3

A patient is ordered to receive vancomycin IV. The nurse administers the drug too quickly and the patient develops flushing and erythema of the face, neck, and chest. This reaction is known as:

Accepted Answer

Red man syndrome

Answer

Anaphylaxis

Answer

Stevens-Johnson syndrome

Answer

Serum sickness

Question 4

The nurse is caring for a patient receiving aminoglycoside antibiotic therapy. Which laboratory value must be monitored closely to detect early nephrotoxicity?

Accepted Answer

Serum creatinine and BUN

Answer

Serum potassium level

Answer

Complete blood count (CBC)

Answer

Liver function tests (AST/ALT)

Question 5

A patient taking lithium carbonate reports nausea, tremors, and confusion. The nurse suspects lithium toxicity. What is the priority nursing action?

Accepted Answer

Hold the next dose and obtain a serum lithium level

Answer

Administer an antiemetic for nausea relief

Answer

Encourage increased fluid intake and salt intake

Answer

Reassure the patient that these are expected side effects

Question 6

Which instruction is most important when teaching a patient who is starting corticosteroid therapy for an extended period?

Accepted Answer

Do not stop taking the medication abruptly

Answer

Take the medication on an empty stomach

Answer

Expect a permanent decrease in appetite

Answer

Avoid all live and inactivated vaccines indefinitely