What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

Lisinopril

Acetaminophen

Morphine

Fentanyl

Answer and Explanation

The Correct Answer is A

Choice A reason: Lisinopril is Zestril’s generic name; an ACE inhibitor, it’s widely used for hypertension, matching the context of a common medication order.

Choice B reason: Acetaminophen, a pain reliever, isn’t Zestril’s generic; it lacks antihypertensive action, making it irrelevant to the implied medication class.

Choice C reason: Morphine, an opioid, treats pain, not hypertension; it doesn’t align with Zestril’s purpose or class, ruling it out as the generic name.

Choice D reason: Fentanyl, another opioid, addresses pain, not blood pressure; it’s unrelated to Zestril’s therapeutic role, excluding it from consideration.

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Correct Answer is B

Explanation

Choice A reason: 60 gtts/min assumes 100 mL in 100 minutes; this underestimates the 1-hour order, delivering Levaquin too slowly, risking subtherapeutic antibiotic levels.

Choice B reason: 100 gtts/min is correct; 100 mL over 1 hour (60 min) with 60 gtts/mL equals 6000 gtts total, divided by 60 minutes matches the ordered rate.

Choice C reason: 120 gtts/min overestimates; it implies 100 mL in 50 minutes, infusing too fast, potentially causing Levaquin-related side effects like tachycardia or irritation.

Choice D reason: 200 gtts/min is excessive; 100 mL in 30 minutes doubles the rate, risking toxicity or infusion reactions, far exceeding the 1-hour prescription safely.

A. Toxic B. Allergic C. Idiosyncratic D. Therapeutic

Correct Answer is A

Explanation

Choice A reason: Respiratory depression from high morphine doses signals toxicity; opioids suppress the brainstem’s respiratory center, exceeding safe therapeutic levels at this extent.

Choice B reason: Allergic reactions involve immunity (e.g., rash, anaphylaxis); slowed breathing isn’t allergic, but a dose-dependent opioid effect on respiration.

Choice C reason: Idiosyncratic means unexpected (e.g., paradoxical excitement); respiratory depression is a predictable morphine overdose sign, not an unusual reaction.

Choice D reason: Therapeutic effects relieve pain; 8 breaths/minute is dangerously low, beyond intended analgesia, indicating a harmful, not beneficial, outcome.

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What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient has Levaquin 500 mg ordered once daily. The Levaquin is available in 100 mL of NS and should infuse over 1 hour. Using tubing with a 60 gtt/mL drop factor, how many drops per minute should the Levaquin be infused?

Correct Answer is B

Explanation

The patient's respirations dropped from 14 breaths/minute to 8 breaths/minute after receiving a large dose of morphine. Which term accurately describes the patient's reaction to the morphine?

Correct Answer is A

Explanation

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

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