Pharmacological and Parenteral Therapies Flashcards
6 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pharmacological and Parenteral Therapies flashcards as text
Which medication requires the nurse to monitor for ototoxicity as a serious adverse effect?
Answer: Gentamicin
Gentamicin is an aminoglycoside antibiotic with well-documented ototoxic and nephrotoxic effects. Peak and trough levels must be monitored.
A nurse is preparing to administer the first dose of an ACE inhibitor. Which assessment finding would cause the nurse to hold the medication?
Answer: Blood pressure of 84/56 mmHg
A blood pressure of 84/56 mmHg indicates significant hypotension. ACE inhibitors lower blood pressure and could cause dangerously low readings in this patient.
Which IV solution is considered isotonic and is commonly used for fluid replacement?
Answer: 0.9% Normal Saline (NS)
0.9% Normal Saline is an isotonic solution with the same osmolarity as blood plasma, making it ideal for fluid volume replacement without causing fluid shifts.
A patient is receiving a blood transfusion and develops chills, fever, and back pain 15 minutes into the infusion. What should the nurse do first?
Answer: Stop the transfusion immediately
These symptoms suggest a hemolytic transfusion reaction. The nurse must stop the transfusion immediately to prevent further antigen-antibody reaction and potential organ damage.
Which teaching point is most important for a patient prescribed warfarin?
Answer: Maintain consistent intake of vitamin K-containing foods
Patients on warfarin should maintain consistent vitamin K intake rather than eliminating it, as vitamin K directly affects warfarin's anticoagulant activity.
A nurse is preparing to administer potassium chloride (KCl) 40 mEq IV. Which safety precaution is essential?
Answer: Dilute and administer via infusion pump at no more than 10 mEq/hour
IV potassium must always be diluted and administered via infusion pump at a controlled rate (typically no more than 10 mEq/hour) to prevent fatal cardiac dysrhythmias.