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Pharmacological and Parenteral Therapies NCLEX Questions Questions

Extract:


Question 1 of 5

The hospitalized adult is having difficulty falling and staying asleep. The nurse consults standing orders, which have medications included in the table illustrated. Which hypnotic medication should the nurse administer to effectively help the client sleep soundly throughout the night?

Correct Answer: B

Rationale: Triazolam (Halcion) has a later peak and longer duration, helping the client fall and stay asleep longer.

Question 2 of 5

The nurse is concerned that the adolescent may be developing a side effect of methotrexate. Which test or exam results should the nurse review prior to administration?

Correct Answer: C

Rationale: A: Although methotrexate is a folic acid antagonist, it does not alter serum levels. B: Methotrexate has no effect on electrolytes. C: An adverse effect of methotrexate (Trexall) is aplastic anemia; thus, the nurse should review the CBC results before administration. D: Methotrexate has no effect on coagulation.

Question 3 of 5

The nurse receives shift report for five clients, and all are taking lithium. Place the clients in the order of priority.

Order the Items

Source Container

The client who has a dry mouth, headache, and thirst
The client who has a fever, rash, and the start of hives
The client who has blurred vision, ataxia, and tinnitus
The client who has mild hand tremors, nausea, and vomiting
The client who has had increasing confusion, nystagmus, and just had a seizure

Correct Answer: E,C,B,D,A

Rationale: Clients with severe lithium toxicity (E), signs of toxicity (
C), allergic reactions (
B), side effects needing evaluation (
D), and manageable side effects (
A) are prioritized in that order.

Question 4 of 5

The client taking sertraline for treatment of depression for the past 11 months reports feeling much better and wishes to discontinue the medication. Which is the nurse's most appropriate response?

Correct Answer: A

Rationale: Sertraline (Zoloft) is an SSRI antidepressant. Stopping these abruptly can cause withdrawal symptoms. The dose should be reduced gradually.

Question 5 of 5

Which of the following is least appropriate when caring for a stable postpartum client?

Correct Answer: B

Rationale: A family assessment is more appropriate after the client(s) have been discharged from the hospital. In the immediate postpartum stage, the nurse should provide perineal care, monitor for bleeding, and assess the location and height of the fundus.

Similar Questions

The nurse is preparing to administer medications at 1700 to multiple clients with GI problems. Which medication should be the nurse's priority when the meal trays are due to arrive at 1700?
The nurse is preparing to administer IV fluids to the 13-kg child who has dehydration. The daily IV fluid requirement is to administer 1000 mL / 50 mL/kg over 10 kg. How many milliliters per hour should the nurse calculate to administer the IV therapy correctly?
The nurse administers risperidone to the client experiencing hallucinations. Which physiological disorder should the nurse assess for considering the risk of developing this disorder as a side effect of risperidone?
At discharge, the nurse documents that the client taking lithium has an accurate understanding of self-care. On which client statement should the nurse base this judgment?
The nurse completes teaching the client who has PD about taking benztropine. Which statements made by the client indicate that teaching is effective? Select all that apply.

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