The LPN is taking care of a patient who is on Phenelzine (Nardil) for depression.
Which meal would the nurse encourage the patient to avoid?
A. orange juice and toast
B. prosciutto and cheese plate
C. carbonated water, shrimp and rice
D. steak and potatoes
The LPN is taking care of a 176-pound patient who has recently been diagnosed with diabetes. The doctor has written an order for Lantus?(insulin glargine injection) 100 Units/mL, using weight-based dosing of 0.2 units/kg per day.
About what dosing should the patient receive each day?
A. 9 units
B. 12 units
C. 35 units
D. 16 units
The LPN is about to give 100 mg Lopressor (metoprolol) to a patient. Before administering the drug, he takes the patient's vitals, which are as follows:
Pulse: 58 Blood Pressure: 90/62 Respirations: 18/minute
What action should the LPN take?
A. Give the patient half the prescribed dose and report the findings to the RN on duty.
B. Hold the drug and report the findings to the RN on duty.
C. Give the patient double the dose and report the findings to the RN on duty.
D. Administer the drug and report the findings to the RN on duty.
Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?
A. The hematocrit is adversely affected because of an increased vascular volume.
B. AEDs affect immune modulators increasing the risk of infection.
C. AEDs induce white blood cell reduction.
D. A side effect of some AEDs is blood dyscrasia.
A client asks a nurse working in a dental office what type of drug the dentist uses to provide anesthesia during the extraction of the client's wisdom teeth. The dentist uses an anesthetic gas, also known as laughing gas.
This agent is __________.
A. nitrous oxide
B. nitrogen
C. nitric oxide
D. nitrogen dioxide
One drug can alter the absorption of another drug. One drug increases intestinal motility.
Which effect does this have on the second drug?
A. None; absorption of the second drug is not affected.
B. The increased gut motility increases the absorption of the second drug.
C. The absorption of the second drug cannot be predicted.
D. Less of the second drug is absorbed.
Metformin (Glucophage) is administered to clients with type II diabetes mellitus.
Metformin is an example of __________.
A. an antihyperglycemic agent
B. a hypoglycemic agent
C. an insulin analogue
D. a pancreatic alpha cell stimulant
The factor that most determines drug distribution is __________.
A. vascular perfusion of the tissue or organ
B. salt form
C. drug interactions
D. steady state
In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors.
Which tubing is a microdrop set?
A. 15 drops per milliliter
B. 60 drops per milliliter
C. 20 drops per milliliter
D. 10 drops per milliliter
A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication.
Rather than wait for steady state to be achieved, the physician might order __________.
A. a maintenance dose
B. a loading dose
C. a medication with no first-pass effect
D. the medication to be given intravenously
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