LPN: Pharmacological Therapies Flashcards
7 cards from real LPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 LPN: Pharmacological Therapies flashcards as text
A patient taking phenytoin (Dilantin) for seizures should be taught to report which finding to the provider?
Answer: Gingival hyperplasia (gum overgrowth)
Gingival hyperplasia is a well-known side effect of phenytoin that requires regular dental care and should be reported to the provider.
A patient is prescribed albuterol (ProAir) and fluticasone (Flovent) inhalers. In what order should they be administered?
Answer: Albuterol first, then fluticasone 5 minutes later
Albuterol (bronchodilator) is given first to open the airways, allowing the inhaled corticosteroid (fluticasone) to reach deeper into the lungs.
A patient is ordered morphine 2-4 mg IV PRN for pain rated 7/10. The last dose was 3 hours ago. Which action is appropriate?
Answer: Administer 4 mg IV since the pain is severe
With a pain rating of 7/10 and a PRN order for 2-4 mg, administering the higher end of the range is appropriate for severe pain.
Which laboratory value indicates that a patient's INR therapeutic goal is being met for atrial fibrillation management with warfarin?
Answer: INR 2.5
The therapeutic INR range for atrial fibrillation is 2.0–3.0, and an INR of 2.5 falls within this therapeutic window.
A patient prescribed lithium for bipolar disorder should be taught to maintain adequate intake of which substance to prevent toxicity?
Answer: Sodium
Sodium depletion causes the kidneys to reabsorb lithium instead of sodium, leading to lithium toxicity; adequate sodium intake is essential.
A patient receiving chemotherapy is prescribed ondansetron. What is the primary purpose of this medication?
Answer: To prevent chemotherapy-induced nausea and vomiting
Ondansetron is a 5-HT3 receptor antagonist used as an antiemetic to prevent nausea and vomiting associated with chemotherapy.
Which sign or symptom is most indicative of acetaminophen overdose in the later stages?
Answer: Jaundice and right upper quadrant pain
Acetaminophen overdose causes hepatotoxicity, manifesting as jaundice and right upper quadrant pain due to liver damage in later stages.