ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 35 : Researching and Preparing Medications Questions
Question 1 of 5
A 46-year-old female patient developed swelling of the tongue and throat after taking a new antibiotic. She went to the ER because she was having difficulty breathing. Which drug effect has occurred?
Correct Answer: D
Rationale: Swelling of the tongue and throat with difficulty breathing indicates a severe adverse effect, likely anaphylaxis, which is life-threatening.
Question 2 of 5
A patient with pneumonia is allergic to cephalosporin antibiotics. He tells you that he breaks out in a rash and itches if he takes it. The health-care provider has prescribed cefazolin (Ancef) for him because it is one of the few antibiotics that will kill the bacteria cultured from his sputum. What will you do?
Correct Answer: A
Rationale: Due to the patient's known allergy, administering cefazolin risks a severe reaction. Holding the medication and notifying the provider is the safest action.
Question 3 of 5
You are caring for a patient who has an order for an IV antibiotic. When you hang the second bag, the patient goes into an anaphylactic reaction. Which actions will you expect to perform?
Correct Answer: A,C,E
Rationale: In anaphylaxis, immediately stopping the medication, following facility protocol, and preparing epinephrine are critical. Slowing the IV or increasing fluids without addressing the reaction is inappropriate.
Question 4 of 5
You are caring for a patient who is taking valproic acid (Depakote) to prevent seizure activity. The therapeutic blood level of this medication is 50 to 100 g/mL. The patient's laboratory results show a level of 108 g/mL. The medication is ordered to be administered orally at 9:00 a.m. You are caring for this patient, and it is 8:00 a.m. What will you do?
Correct Answer: D
Rationale: A supratherapeutic level of valproic acid risks toxicity. Holding the medication and notifying the provider ensures patient safety.
Question 5 of 5
The patient you are caring for has been placed on warfarin (Coumadin) to prevent blood clots. Which teaching will you provide?
Correct Answer: A,B
Rationale: Aspirin increases bleeding risk with warfarin, and excessive bleeding is a serious side effect to report. Dairy and grapefruit do not significantly interact with warfarin.