BSN Pharmacology and Medication Administration 3

Question 1

A patient is receiving a continuous IV infusion of regular insulin. The nurse notes the blood glucose is 58 mg/dL and the patient is diaphoretic. What is the nurse's first action?

Accepted Answer

Stop the insulin infusion and notify the provider

Answer

The insulin infusion must be stopped immediately to prevent further hypoglycemia before other corrective measures are taken.

Question 2

A nurse is preparing to give a patient their daily dose of levothyroxine (Synthroid). Which instruction best supports proper absorption?

Accepted Answer

Give it in the morning on an empty stomach, 30–60 minutes before breakfast

Answer

Levothyroxine absorption is maximized when taken on an empty stomach at least 30 minutes before food or other medications.

Question 3

A patient with a penicillin allergy is prescribed cefazolin. Which nursing action is most appropriate?

Accepted Answer

Administer with caution and monitor closely for cross-reactivity reactions

Answer

There is a small but real cross-reactivity between penicillins and cephalosporins; cautious administration with close monitoring is recommended.

Question 4

The nurse is performing a medication reconciliation on a newly admitted patient who takes MAOIs at home. Which over-the-counter medication poses the greatest danger for this patient?

Accepted Answer

Pseudoephedrine (decongestant)

Answer

Pseudoephedrine is a sympathomimetic that can trigger a hypertensive crisis when combined with MAOIs.

Question 5

A patient is prescribed atorvastatin (Lipitor). Which laboratory value should the nurse monitor to detect an adverse effect of this medication?

Accepted Answer

Creatine kinase (CK)

Answer

Elevated creatine kinase levels indicate myopathy or rhabdomyolysis, the most serious musculoskeletal adverse effect of statins.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Pharmacology and Medication Administration 3