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

A respiratory rate below 12 breaths/min indicates opioid-induced respiratory depression, requiring immediate intervention.

Question 2

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

Accepted Answer

Naloxone (Narcan)

Answer

Naloxone reverses opioid-induced respiratory depression by competitively binding mu-opioid receptors.

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

Red man syndrome is caused by rapid vancomycin infusion and is characterized by flushing and erythema of the upper body.

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

Aminoglycosides are nephrotoxic; rising serum creatinine and BUN are early indicators of renal damage.

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

Signs of lithium toxicity require immediately holding the dose and checking the serum level to confirm and guide treatment.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Pharmacology and Medication Administration 2