Pharmacology & Medication Management Flashcards
7 cards from real MSNCB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medication Management flashcards as text
A patient with a penicillin allergy is ordered cefazolin. The nurse's priority action is to:
Answer: Clarify the nature of the penicillin allergy with the patient and provider before administration
Cross-reactivity between penicillins and cephalosporins exists, especially with anaphylactic penicillin reactions; the nurse must clarify the type of allergy and consult the provider.
A nurse notes that a patient's morning potassium is 3.0 mEq/L. The patient is also taking digoxin. The nurse should:
Answer: Hold the digoxin and notify the provider of the potassium level
Hypokalemia increases sensitivity to digoxin toxicity; the medication should be withheld and the provider notified for potassium correction orders.
Which assessment finding would prompt the nurse to hold a scheduled dose of morphine?
Answer: Respiratory rate of 10 breaths/min
A respiratory rate below 12 breaths/min indicates opioid-induced respiratory depression, requiring the nurse to hold the medication and notify the provider.
A patient is prescribed phenytoin (Dilantin) IV. Which solution is compatible for administration?
Answer: Normal saline (0.9% NaCl)
Phenytoin precipitates in dextrose-containing solutions and must be administered in normal saline (0.9% NaCl) only.
A patient prescribed prednisone long-term should be monitored for which complication?
Answer: Osteoporosis
Long-term corticosteroid use inhibits osteoblast activity and calcium absorption, significantly increasing the risk of osteoporosis and fractures.
The six rights of medication administration include the right patient, drug, dose, route, time, and which sixth right?
Answer: Right documentation
The sixth right of medication administration is right documentation, which ensures accurate recording after administration to prevent duplicate dosing.
A patient receiving IV amphotericin B develops rigors and fever during infusion. The most appropriate pre-medication to prevent this reaction is:
Answer: Acetaminophen and diphenhydramine
Acetaminophen and diphenhydramine (with or without hydrocortisone) are standard pre-medications used to reduce infusion-related reactions to amphotericin B.