Online Nursing Practice Test about Pharmacology (61-65)

61. The nurse will administer drugs to several patients. Which of the following drugs should she administer first?

a) hydralazine for a client with PIH
b) antibiotic for ruptured abscess
c) insulin for a client with high blood glucose
d) diuretic for the client with congestive heart failure

62. When administering Synthroid (Levothyroxine), which of the following considerations should be observed by the nurse?

a) assess pulse rate prior to administration
b) administer the medication on full stomach
c) advise client to increase fluid intake
d) monitor intake and output

63. Which of the following is an important nursing consideration when administering Garamycin?

a) monitor blood pressure
b) monitor intake and output
c) monitor body temperature
d) monitor pulse rate

64. When a client is on Chlorothiazide therapy, which of the following should be included in the health teachings to the client?

a) include fruits and green leafy vegetables in the diet
b) include milk and cheese in the diet
c) include meat in the diet
d) include beans and rice in the diet

65. The nurse will administer an IV fluid of 1,000 mls for 10 hours. The IV set has a drop factor of 10 gtts/ml. How many gtts/min should the nurse regulate the IV fluid.



ANSWERS AND RATIONALE

61) D
- the client with CHF experiences increased cardiac workload and dyspnea. Therefore, diuretic needs to be given first among the aforementioned medications. Priority: ABC.

62) A
- thyroid preparation like Synthroid may cause tachycardia. Therefore the nurse should check the client's pulse rate prior to administration of this drug.

63) B
- garamycin is nephrotoxic. Kidney function should be monitored like measuring fluid intake and output when administering this drug.

64) A
- chlorothiazide is a potassium-wasting diuretic. Potassium-rich foods like fruits and green leafy vegetables should be included in the diet to prevent hypokalemia.

65) 17 gtts/min

gtts/min = vol in cc x gtt factor/no. of hours x 60 mins

1,000 x 10/10 x 60 = 10,000/600

= 17 gtts/min


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