NCLEX Pharmacological and Parenteral Therapies | Nurselytic

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NCLEX Pharmacological and Parenteral Therapies Questions

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Question 1 of 5

The client taking paroxetine telephones the mental health clinic nurse and states, “Since I started taking St. John's wort, I have had a high fever and muscle stiffness, and I am sweating a lot.” Which statement is most appropriate?

Correct Answer: D

Rationale: Fever, muscle stiffness (rigidity), and diaphoresis are symptoms of serotonin syndrome, a potentially fatal condition that may occur with concurrent use of St. John's wort and paroxetine (Paxil). The client should be taken to the ED.

Question 2 of 5

The client with schizophrenia has a history of nonadherence to the prescribed medication regimen. Injectable antipsychotic agents are being considered for long-term use. Which medications, if prescribed by the HCP, should the nurse question? Select all that apply.

Correct Answer: A,B,C

Rationale: Olanzapine and ziprasidone injections are for short-term use, and aripiprazole is not available in injectable form.

Question 3 of 5

The client being treated for opiate dependence is receiving a buprenorphine/naloxone combination. The nurse understands that the reason for adding naloxone to the treatment with buprenorphine is for what effect?

Correct Answer: A

Rationale: Naloxone in buprenorphine/naloxone (Suboxone) blocks opiate receptors, preventing intoxication if opiates are abused.

Question 4 of 5

What is the threshold of dextrose concentrations that can safely be administered through a peripheral IV?

Correct Answer: C

Rationale: Administering dextrose concentrations above 10% through a peripheral IV can lead to phlebitis. It is safe to administer dextrose concentrations below 10% through a peripheral IV.

Question 5 of 5

The nurse completes teaching insulin administration to the parent of the toddler newly diagnosed with type 1 DM. The nurse concludes that the teaching was successful when the parent makes which statement?

Correct Answer: C

Rationale: A: NPH (Humulin N) insulin can be given in the morning, but there is better glucose control if given at night. NPH peaks in 4 to 14 hours, so there is no need to make sure food is given immediately after administration. B: Insulin injections should always be rotated to prevent subcutaneous tissue damage from giving the injections in the same location. C: Lispro (Humalog) is rapid-acting insulin that peaks in 30 to 90 minutes and may last as long as 5 hours in the blood. This statement is correct, indicating teaching is effective. D: Detemir (Levemir) is long-acting and lispro (Humalog) is rapid-acting insulin. An insulin pen uses prefilled, multiple-use insulin cartridges; adding other types of insulins should not be attempted.

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