Hesi rn pharmacology
Total Questions : 44
Showing 10 questions, Sign in for moreBefore administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?
A client with myasthenia gravis receives a now prescription for pyridostigmine. Which information should the nurse obtain to prior to administering the medication?
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus (DM) who has a now prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching?
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
The healthcare provider prescribes the antibiotic surgical prophylaxis protocol for a client who weighs 90 kg. The protocol is cefazolin 2 grams/100 mL. 0.9% normal saline over 1 hour for clients weighing less than 285.5 pounds or cefazolin 3 grams/100 mL 0.9% normal saline over 90 minutes for clients weighing greater than 265.5 pounds. The nurse should program the pump to deliver how many mL/hr? (Enter number value only. If rounding is required, round to the nearest whole number.)
Explanation
Since the client weighs 90 kg, let’s first convert their weight to pounds to determine the appropriate cefazolin dosage:
Conversion factor: 1 kg = 2.205 pounds
Client weight (pounds) = 90 kg x 2.205 pounds/kg = 198.45 pounds (rounded to two decimals)
Now, comparing the client’s weight (198.45 pounds) to the weight threshold (265.5 pounds):
Client weight is less than the threshold (198.45 pounds < 265.5 pounds).
Therefore, the appropriate dosage is:
Cefazolin 2 grams/100 mL 0.9% normal saline over 1 hour.
The pump rate is determined by the total volume of the IV fluid and the infusion time.
We are not given the specific bag size, but typically these come in 100 mL or 500 mL volumes.
Assuming a 100 mL bag (which aligns with the concentration provided):
Total volume of IV bag: 100 mL
Infusion time: 1 hour
Calculation:
Pump rate (mL/hr) = Total volume (mL) / Infusion time (hr)
Pump rate (mL/hr) = 100 mL / 1 hour = 100 mL/hr
Therefore, the nurse should program the pump to deliver 100 mL/hr.
The nurse is reviewing the client’s laboratory results. Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow up by the nurse?
A client with a history of smoking cigarettes for many years arrives to the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?
The nurse is providing discharge instructions for a client with metastatic cancer who is proscribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?
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