A client provides a list of medications for the nurse. The medications include atorvastatin (Lipitor), clopidogrel (Plavix), and phenelzine sulfate (Nardil). Which statement indicates the client requires further education regarding medications?

A client who takes tranylcypromine (Parnate) is changed to fluoxetine (Prozac). Which manifestation indicates a serious interaction between these two medications?

Which adverse reaction can be attributed to a medication in the classification of tricyclic antidepressants?

A client admitted to the hospital takes isoniazid (INH), metoprolol succinate (toprol-XL), and paroxetine hydrochloride (Paxil). Which lab test indicates a contraindication to the continuation of isoniazid (INH)?

A client receives an injection of promethazine (Phenergan). Which manifestation can occur if the patient has an adverse reaction to this medication?

Sublingual nitroglycerin is given to a client who experiences chest pain. Which symptom can occur with this medication?

The nurse administers promethazine hydrochloride (Phenergan) intravenously to a client. Which action by the nurse is appropriate when the client complains of pain in the arm being used for the intravenous site?

A client complains of an urticarial rash, itching, and dyspnea after receiving an intramuscular injection of penicillin G benzathine (Bicillin L-A). Which medication is the most appropriate primary intervention in this circumstance?

A client with chronic low back pain receives injections of meperidine hydrochloride (Demerol) every other day for 4 weeks. Which symptom exhibited by this patient could be an adverse reaction caused by this medication?

The physician writes an order that states: methimozole (Tapazole) 15 mg daily PO. Which disease process is most likely being treated with this medication?

A client is admitted to the hospital after being bitten by a bat. Rabies immune globulin, human (BayRab) is ordered as an injection. The drug leaflet instructs to administer 20 IU/kg. This medication comes in vials of 150 IU/mL. The client weighs 220 pounds. How many milliliters should the nurse administer?

The physician writes the following order: Give 20 mL per kg bolus of normal saline over 60 minutes. The client, a child, weighs 32 pounds. What number of drops should be delivered per minute? The tubing has a drip factor of 10.

In which client is the use of the drug tetracycline hydrochloride (Tetracycline) appropriate?

A 24-year-old male enters the emergency department with a chief complaint of seizure activity that lasted approximately 45 seconds. The client’s vital signs are blood pressure 118/64 mm Hg, pulse 84 beats/minute, respiratory rate 16 breaths/ minute, and pulse oximetry reading of 100% on room air. The client has a past medical history of tonic-clonic seizures. Due to loss of employment for the past 2 weeks, the client has not taken antiseizure medication. Which medication should the nurse administer to this client?

Which statement by the client indicates proper knowledge of the use of the medication phenazopyridine hydrochloride (Pyridium)?

A 24-year-old female client is admitted for an elective cholecystectomy. The client is complaining of a severe, pounding headache and vomiting. Vital signs are blood pressure 136/88 mm Hg, pulse 86 beats/minute, respiratory rate 20 breaths/minute, temperature 99.6F, and pulse oximetry 96% on room air. The client has a history of migraine headaches, hypertension, and fibromyalgia. The nurse expects the physician will order which medication for this client?

A client is admitted to the hospital with carbon monoxide poisoning at a level of 32. If the client is not given oxygen, how many hours will it take for the carbon monoxide to dissipate down to a level of 1 at the rate of a half-life of 4 hours?

An intravenous infusion of 0.45 normal saline is ordered at a rate of 1000 milliliters in 24 hours. The tubing has a drip factor of 15. How many drops per minute are delivered?

A 46-year-old client is prescribed 1.5 grams of levodopa (Larodopa) daily. Available forms of this drug include tablets of 250 milligrams. How many tablets (250 mg) should this client be given to receive the proper amount of medication?

The physician’s order states: Ceftriaxone sodium (Rocephin) 50 mg/kg IM now. The client, a child, weighs 22.5 pounds. According to the manufacturer’s instructions, after adding the appropriate diluent the concentration is 100 mg/mL. Which dose in milliliters should the nurse administer?

A client is admitted to the hospital with a Lanoxin (digoxin) level of 5.6 mg/mL. Digoxin immune fab (Digibind) is ordered. Since the digoxin level is known, the formula to determine the number of vials needed is: digoxin level times client weight in kilograms divided by 100 (digoxin level × kg/100). If the client weighs 185 pounds, how many vials should the nurse give? Round to the nearest whole number.

The client, a child, is prescribed erythromycin base (ERYC). The client is to take 75 milligrams four times a day. The medication has a concentration of 125 mg/5 mL. How many milliliters will provide enough medication for one week?

An 82-year-old female client who recently relocated to the United States from a small Caribbean island is treated for a laceration to the right forearm. The physician orders both tetanus immune globulin human (Baytet) (TIG), and diptheriatetanus (DT). Which is a true statement regarding this client’s medication care?

A client receives a dose of furosemide (Lasix) 120 mg intravenously for treatment of congestive heart failure. Which symptom indicates that an adverse reaction is most likely occurring?

Physician orders for a client instruct the nurse to give Lanoxin (digoxin) 0.125 milligrams intravenously as a one-time dose. The available medication is in a concentration of 0.5 milligrams in 2 milliliters. How many milliliters should the nurse give?

The toxic dose of acetaminophen is 140 mg/kg. How many tablets (strength equals 325 milligramsper tablet) would a client weighing 275 pounds need to take to attain a toxic level?

An intravenous infusion of normal saline is ordered at 150 milliliters per hour. Using tubing that has a drip rate factor of 15, how many drops per minute should the nurse deliver?

A physician order states: Give bolus of 250 mL normal saline in 45 minutes. What would the drip rate be with tubing that has a drip factor of 10?

A 500-milliliter bag of 5% dextrose in water contains 2 grams of lidocaine. What is the concentration of this medication?

Standard orders on the nurse’s unit include an intravenous infusion of 1000 mL normal saline with 20 mEq potassium chloride to run at 100 mL per hour. In which client should this order be questioned?