LPN Pharmacological Therapies 3

Question 1

A patient is receiving IV vancomycin too rapidly and develops flushing and redness of the face, neck, and chest. The nurse recognizes this as:

Accepted Answer

Red Man Syndrome

Answer

Red Man Syndrome is an infusion-related reaction to rapid vancomycin administration, causing flushing and erythema over the upper body.

Question 2

Which instruction is most important when teaching a patient who is prescribed oral tetracycline?

Accepted Answer

Take on an empty stomach and avoid dairy products

Answer

Dairy products, antacids, and calcium chelate tetracycline, significantly reducing absorption; it should be taken on an empty stomach.

Question 3

A patient is prescribed metformin for type 2 diabetes. When should this medication be held?

Accepted Answer

Before and after procedures requiring iodinated contrast dye

Answer

Metformin must be held before contrast procedures and for 48 hours after to prevent lactic acidosis if contrast causes acute kidney injury.

Question 4

Which side effect is most commonly associated with ACE inhibitors such as lisinopril?

Accepted Answer

Hyperkalemia and persistent dry cough

Answer

ACE inhibitors commonly cause a dry, persistent cough due to bradykinin accumulation and can cause hyperkalemia by reducing aldosterone.

Question 5

The nurse is administering insulin glargine (Lantus). Which statement is correct about this medication?

Accepted Answer

It is a long-acting insulin with no pronounced peak

Answer

Insulin glargine is a long-acting basal insulin with a flat action profile and no pronounced peak, providing 24-hour coverage.

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