LPN PHARMACOLOGY QUIZ
ATI LPN PHARMACOLOGY QUIZ
Total Questions : 45
Showing 10 questions Sign up for moreA nurse is preparing to administer haloperidol 5 mg IM to a client. Available is haloperidol 50 mg/mL. How many ml. should the nurse administer per dose? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To calculate the volume of haloperidol 5 mg to administer, we'll use the formula:
Volume (mL)=Dose (mg)/Concentration (mg/mL)
Given:
Dose = 5 mg
Concentration = 50 mg/mL
Plugging these values into the formula:
Volume (mL)=5 mg÷50 mg/mL
Volume (mL)=1÷10
So, the nurse should administer 0.1 mL of haloperidol per dose.
If injection sites are not rotated regularly, the patient with diabetes mellitus may suffer from which of the following?
Explanation
A. Lipodystrophy: Lipodystrophy refers to a localized loss of fat tissue or a change in the distribution of fat tissue due to repeated injections at the same site. In patients with diabetes mellitus, injecting insulin into the same site repeatedly can lead to lipodystrophy, affecting insulin absorption and glycaemic control.
B. Petechiae: Petechiae are small, red or purple spots that appear on the skin due to bleeding under the skin. They are not typically associated with injection site issues but rather with conditions such as thrombocytopenia or blood clotting disorders.
C. Hematoma: Hematoma is a localized collection of blood outside the blood vessels, often resulting from injury or trauma. It can occur at injection sites if a blood vessel is inadvertently punctured during the injection process.
D. Pustules: Pustules are small, pus-filled lesions on the skin, usually associated with infections such as acne or folliculitis. They are not typically related to injection site issues in patients with diabetes mellitus.
Your patient is allergic to penicillin. He may also have a cross-allergy to which class of antibiotics?
Explanation
A. Aminoglycosides: Aminoglycosides are a separate class of antibiotics with a different chemical structure than penicillins. There is no known cross-allergy between penicillins and aminoglycosides.
B. Sulfonamides: Sulfonamides are also a different class of antibiotics, and there is no significant cross-allergy risk with penicillins. However, individuals with allergies to sulfonamide medications may have a higher risk of allergic reactions to other sulfonamide-containing drugs, but this is unrelated to penicillin allergy.
C. Macrolides: Macrolides, such as erythromycin and azithromycin, have a different chemical structure than penicillins, and cross-allergy between penicillins and macrolides is rare. They are considered alternative antibiotic options for patients with penicillin allergies.
D. Cephalosporins: Cephalosporins are a class of antibiotics structurally and chemically related to penicillins. There is a risk of cross-allergy between penicillins and cephalosporins due to their similar beta-lactam ring structure. However, the extent of cross-reactivity varies among different cephalosporins and individual patient sensitivities. It's essential to assess the severity of the penicillin allergy and consider alternative antibiotics if cross-allergy is a concern.
A nurse is preparing to administer dexamethasone 3 mg PO. Available is dexamethasone 1.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To calculate the number of dexamethasone 1.5 mg tablets needed to administer a 3 mg dose, we use the following formula:
Number of tablets=Dose (mg)÷Strength per tablet (mg)
Given:
Dose = 3 mg
Strength per tablet = 1.5 mg
Plugging these values into the formula:
Number of tablets=3 mg÷1.5 mg/tablet
Number of tablets=2
So, the nurse should administer 2 tablets of dexamethasone.
Which of the following orders would the LPN question in a patient with Type I diabetes?
Explanation
A. Insulin glargine: Insulin glargine is a long-acting insulin used for basal insulin control in Type 1 diabetes, making it appropriate for this condition.
B. Acarbose: Acarbose is an alpha-glucosidase inhibitor used to treat Type 2 diabetes by slowing carbohydrate absorption in the intestines. It is not typically used in Type 1 diabetes, where insulin is the primary treatment. LPNs should question its use in Type 1 diabetic patients.
C. Insulin lispro: Insulin lispro is a rapid-acting insulin used to control blood sugar spikes after meals, making it suitable for Type 1 diabetes.
D. Insulin regular: Regular insulin is a short-acting insulin used to manage blood sugar levels, appropriate for Type 1 diabetes.
The nurse is admitting a patient to the acute care floor. While obtaining the history, the client tells the nurse she is allergic to penicillin. Which of the following medications, if ordered by the physician, would be safe for this client?
Explanation
A. Erythromycin (E-mycin): Erythromycin is a macrolide antibiotic, which has a different chemical structure from penicillins, making it safe for patients with penicillin allergies.
B. Piperacillin-tazobactam (Zosyn): Piperacillin-tazobactam is a penicillin derivative and should be avoided in patients with penicillin allergies due to the risk of cross-reactivity.
C. Ampicillin sulbactam (Unasyn): Ampicillin is a penicillin antibiotic, and therefore, should not be used in patients with penicillin allergies.
D. Cefazolin (Kefzol): Cefazolin is a cephalosporin antibiotic. There is a potential for cross-reactivity in patients with penicillin allergies, especially if the allergy is severe. It may be used with caution or avoided depending on the patient's allergy history.
The nurse is screening a group of clients. Which client has the greatest risk for developing type 2 diabetes?
Explanation
A. A 25-year-old male with arthritic pain: Arthritic pain alone does not significantly increase the risk of Type 2 diabetes unless associated with other risk factors like obesity or inactivity.
B. A 12-year-old male with a normal height to weight ratio: A normal height to weight ratio suggests a healthy weight, reducing the immediate risk for Type 2 diabetes, unless other risk factors are present.
C. A 55-year-old female who is 20 pounds overweight: Being overweight, especially with central adiposity, is a significant risk factor for developing Type 2 diabetes. The risk increases with age, particularly in individuals over 45.
D. An 8-year-old female who is developmentally delayed: Developmental delay is not a direct risk factor for Type 2 diabetes unless associated with obesity or a sedentary lifestyle.
Before administering cefazolin (Ancef), the nurse checks for a previous allergic reaction to:
Explanation
A. Yeast: Yeast allergies are unrelated to cefazolin or other beta-lactam antibiotics.
B. Penicillins: Cefazolin is a cephalosporin antibiotic, and there is a potential for cross-reactivity with penicillins due to their similar beta-lactam ring structure. Checking for a penicillin allergy is essential before administering cefazolin.
C. Macrolides: Macrolides have a different structure and do not cross-react with cephalosporins, so a history of macrolide allergy is not directly relevant.
D. Sulfonamides: Sulfonamides have a different chemical structure, and there is no significant cross-reactivity with cephalosporins.
Before starting antimicrobial therapy, the nurse assesses a patient for possible drug allergy. Which of the following complaints should alert the nurse to a drug allergy?
Explanation
A. Diarrhea: Diarrhea is a common side effect of antibiotics due to their effect on the gut microbiota, but it is not typically indicative of an allergy.
B. Hives or shortness of breath: Hives (urticaria) and shortness of breath are classic symptoms of an allergic reaction. Hives indicate an immediate hypersensitivity reaction, and shortness of breath can indicate a serious allergic reaction such as anaphylaxis. These symptoms warrant caution and further assessment before starting antimicrobial therapy.
C. Headaches: Headaches can be a side effect of various medications but are not a specific sign of a drug allergy.
D. Nausea: Nausea is a common side effect of many medications, including antibiotics, but it does not specifically indicate an allergic reaction.
The client asks the nurse which type of diabetes is caused by no insulin secretion by the pancreas. What is the best response by the nurse?
Explanation
A. "Type 2 diabetes": Type 2 diabetes is characterized by insulin resistance and relative insulin deficiency but not by a complete lack of insulin production.
B. Neither-they both result from the inability of the body to use insulin: This is incorrect as Type 1 diabetes results from the pancreas not producing insulin, while Type 2 diabetes involves insulin resistance.
C. "Both type 1 and type 2 diabetes": This is incorrect as only Type 1 diabetes is caused by no insulin secretion. Type 2 diabetes involves different pathophysiological mechanisms.
D. "Type 1 diabetes": Type 1 diabetes is characterized by the pancreas's inability to produce insulin due to autoimmune destruction of insulin-producing beta cells. This type of diabetes requires insulin therapy for management.
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