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Pharmacological and Parenteral Therapies NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse is initiating an IV infusion of lactated Ringer's (LR) for the client in shock. What is the purpose of LR for this client?

Correct Answer: A

Rationale: A: LR is an isotonic crystalloid solution containing multiple electrolytes in approximately the same concentration as plasma. It enters the cells from the blood, provides fluids, and increases urinary output. B: A hypertonic solution draws fluid from the cells into the vascular compartment; LR is isotonic. C: LR alone does not contain dextrose. Formulations with dextrose are available. D: Magnesium is not a component of LR.

Question 2 of 5

The nurse is observing a client self-administer two medications that are in a crushable pill form through their G tube. Which of the following would indicate a need for further instruction?

Correct Answer: C

Rationale: Medication should not be mixed with tube-feeding formula or other medications. The G-tube should be flushed before, between, and after the medications, and the client should remain in the Semi-Fowler's position for at least 30 minutes after medications are administered.

Question 3 of 5

The client is placed on lorazepam for short-term treatment of anxiety. Which instruction by the nurse is most important with lorazepam use?

Correct Answer: B

Rationale: Lorazepam (Ativan) is a benzodiazepine anxiolytic and sedative-hypnotic medication. If it is less effective after a few weeks, the client may be developing a tolerance to lorazepam, and the HCP should be notified of this.

Question 4 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 5 of 5

The school-aged child taking guanfacine for treating ADHD is being seen by the nurse at school. The child is pale, diaphoretic, and feeling dizzy. What should the nurse do first?

Correct Answer: A

Rationale: Guanfacine (Tenex) can cause hypotension, making blood pressure the first assessment priority.

Similar Questions

A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?
The client diagnosed with BPD is taking Olanzapine. The nurse evaluates that Olanzapine is effective when observing a reduction in which behaviors? Select all that apply.
The nurse notes from the child's MAR illustrated that the child is to receive the first dose of a newly prescribed medication at 0800 hours. The drug reference book recommends an initial pediatric dose of lamotrigine of 0.6 mg/kg/day in two divided doses for the first 2 weeks. Which action by the nurse is most appropriate?
The nurse receives the HCP order to start TPN for the client who has a PICC. Into which type of catheter illustrated should the nurse plan to administer the TPN?
The 9-year-old with SLE is receiving large doses of prednisolone. Which laboratory finding should the nurse recognize as an untoward effect of the medication?

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