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pharm
pharm test 9
| Question | Answer |
|---|---|
| A young pt is brought to the ED by friends, who say they found him unresponsive at his home. The prescriber suspects that the pt was poisoned. During the assessment, the man mumbles a word and becomes comatose. The nurse should immediately prepare to admi | intravenous (IV) dextrose |
| Pt is brought to the ED after ingestion of an UK substance. The pt has been vomiting and complains of ab pain. Nurse observes the pt’s oral mucous membranes are dry, the hr is 88 beats/min, and the bp is 90/60 mm Hg. The nurse will prepare to initially: | infuse normal saline as an IV bolus. |
| A pediatric patient ingested a narcotic analgesic at a grandparent’s house 15 minutes before arriving in the emergency department. The nurse is preparing to administer activated charcoal. Which statement by the nurse is correct? | “The charcoal will cause the child’s stools to be black.” |
| A parent brings a child to the emergency department, because the child drank a solution containing ferrous sulfate. The nurse will prepare for: | whole-bowel irrigation. |
| A patient overdosed on aspirin several hours ago and is brought to the emergency department. The nurse assists with supportive care and then asks the provider about an order for which drug? | Sodium bicarbonate |
| A child is admitted to the hospital after a routine lead screen reveals an elevated serum lead level. The prescriber has ordered edetate calcium disodium (calcium EDTA) as a chelating agent. During this drug treatment, the nurse will expect to: | collect a daily urine specimen. |
| A nurse is teaching a patient who works with heavy metals and who is about to begin taking a chelating agent to treat heavy metal poisoning. Which statement by the patient indicates a need for further teaching? | “This drug will not affect any metals already bound to cells in my body.” |
| A prescriber has ordered deferasirox (Exjade) to treat iron overload associated with chronic blood transfusions. The nurse learns that the patient takes cholestyramine to reduce cholesterol. The nurse will contact the provider to request an order to: | increase the deferasirox dose. |
| A patient will begin taking dimercaprol (BAL in Oil) for arsenic poisoning. The nurse performs a medical history on this patient. Which aspect of the patient’s history would cause the most concern? | Peanut allergy |
| Young man is brought to the ED by friends, who say they found him at his home unresponsive. Prescriber suspects that he was poisoned. During the assessment, the man mumbles a word and becomes comatose. The nurse should immediately prepare to administer | intravenous dextrose. |
| The nurse is caring for several patients who have been exposed to various types of poisoning. Which of the following interventions by the nurse would be most inappropriate for the specified toxic (poisoning) situation? | Activated charcoal; heavy metal poisoning |
| RN is teach a class about poten. poisons in the home and options for treatment to a group of parents with small children. 1 of the parents asks the RN about the use of syrup of ipecac. The RN discusses syrup of ipecac and attempts to verify that the paren | “Ipecac should not be used routinely.” |
| The nurse is orienting a graduate nurse to a medical-surgical unit. The nurses receive an order to administer a whole bowel irrigation. The graduate nurse would be correct to | have the patient drink a solution of polyethylene glycol. |
| The nurse works on a medical-surgical unit and admits a new patient from the ED with many orders, including one to administer an IV solution of NA2C. The nurse suspects that the pt has ingested toxic amounts of _and understands that the NA2C will__ | aspirin; create an alkaline urine to accelerate excretion |
| Parents frantically rush their child to the ED, where they report that she got into some lead at the house of a friend who makes lead fishing weights. Prescriber confirms lead poisoning and orders calcium EDTA. What is the correct initial method of giving | Intramuscularly (IM) twice daily for 3 to 5 days |
| PT brought to the ED by ambulance. Friends arrive immed. after the ambulance and tell DR and RN that they were all working on the man’s car, and he accid. drank some antifreeze. ETOH also was involved. 1st medication the RN should prepare to administer is | fomepizole (Antizole). |
| Police bring a man to the ED who is ill, vomiting and complains of abpain. Tells the ED staff, wife is tryin to kill me. officer states the man gave him a small bottle w/ white powder. DR runs tests and confirms arsenic poison. RN should prepare to give | dimercaprol (BAL In Oil). |
| A RN in the ED is caring for a 17yr patient brought in by his parents. The parents say they think he overdosed on acetaminophen (Tylenol), because he just had a serious break up with a girlfriend. Which antidote would the nurse anticipate administering? | Acetylcysteine (Mucomyst) |
| The RN is teach a community program on potential poisons in the home. The RN asks the group, “What service or services could a poison control center offer?” response by a partic. demonstrates the need for further teaching? “Poison control center offers | services provided 5 days a week.” |
| Individual brought to the ED is suspected of having taken an overdose of (Pilocar) 3 hr ago. Upon assessment, RN notes profuse salivation, lacrimation, bronchospasm, diarrhea, a BP of 82/40 mm Hg, and a HR of 51/minute. RN should prepare to administer | atropine (Sal-Tropine). |
| A pt reported to have been exposed to mustard gas is brought to the ED. The pt’s skin is red/swollen with small blisters, and the pt’s eyes are red and tearing. The pt has a runny nose and a dry, barking cough. What should the nurse’s initial action be? | Remove the patient’s clothing and clean the skin with soap and water. |
| A nurse is teaching a course in bioterrorism to a group of military nurses. Which statement by a military nurse indicates understanding of the teaching? | “Although smallpox has been eradicated, it remains a threat.” |
| A nurse responds when a patient asks why the smallpox vaccine is no longer given. Which statement by the patient indicates a need for further teaching? | “The smallpox vaccine is too expensive to give routinely.” |
| A group of people has been exposed to ricin by inhalation of ricin mist. When preparing to receive these victims in the emergency department, nurses will prepare to: | provide respiratory support. |
| Terrorists have detonated a “dirty bomb” in a shopping center. Nurses are called to the site to assist with triage of victims. Besides treating injuries incurred from the blast itself, the priorities for treatment for most of the victims will include: | removing clothing and bathing victims. |
| A member of a community disaster response team received the smallpox vaccine 3 weeks ago and sees a nurse for a follow-up appointment. The nurse examines the area and should expect to see a: | small area of scarification. |
| A pt is admitted to the ED w/ fever, cough, malaise, and weakness. 48 hrs later, the symp have become progressively worse, and they progress to severe respiratory distress, septicemia, and hemorrhagic meningitis. RN recognizes these signs and symptoms as: | inhalation anthrax. |
| A nurse is attending a conference about terrorism and emergency response. During a discussion of radiation emergencies, the use of potassium iodide is reviewed. When should potassium iodide be administered to be most effective after exposure to radiation? | Immediately after exposure |
| The nurse is providing smallpox vaccinations after determining that an individual who works for a local military laboratory was exposed. After administering the vaccine, how should the nurse instruct the individual to care for the site? | Cover the site with sterile gauze and tape the edges. |
| RN driving home after work is flagged down by a neighbor in the country, her husband was exposed to mustard gas. Victim’s skin is red/swollen with small blisters, his eyes are red/tearing. Victim has a runny nose, dry, barking cough. RN initial action be? | Have the patient remove his clothes and bathe with soap and water three times. |
| A patient comes to a clinic with a large, fluid-filled vesicle on his right hand. The NP diagnoses cutaneous anthrax and prescribes an antibiotic. Which statement by the patient demonstrates a need for further teaching by the RN? “I should anticipate | that I may develop a systemic infection.” |
| An Army RN is preparing to admin. BioThrax to a group of enlisted soldiers who are going to be deployed to an active combat area. group of soldiers is receiving the 1st of a series of anthrax vaccinations, RN provides thorough education. What statement by | “I can expect a scar from this vaccine.” |
| The Defense Department is providing education on potential bioterrorism agents. The instructor asks the nurses to identify the correct causative agent for an illness. Which response best demonstrates understanding? | Tularemia; deer fly |
| Person who is newly immig. to the US comes to the ED w/ complaints of cough, N/V and diarrhea. Upon assess, the RN finds a fever 104.1° F, shortness of breath, resp 36/min, pulse 122/min, BP 108/51 mm Hg, and hemoptysis. ED DR suspects primary pneumonic p | Obtain the O2 saturation level and administer oxygen. |
| A member of a community disaster response team received the smallpox vaccine 3 weeks ago. He sees a nurse for a follow-up appointment. The nurse examines the area and should expect to see a | small scar known as scarification. |
| An individual is brought to the emergency department by some concerned friends, who say they think she has had a stroke. Upon assessment, she complains of blurred vision, has drooping eyelids, slurred speech, and difficulty swallowing. The nurse suspects | botulism poisoning; symmetrical descending flaccid paralysis |
| An indiv. comes to the ED with fever, cough, malaise, and weakness. 48hrs later, the symptoms have become progressively worse, and they progress to severe respiratory distress, septicemia, and hemorrhagic meningitis. The nurse recognizes these S/S as | inhalation anthrax. |
| A nurse is at a national conference on weapons of mass destruction (WMDs). The predominant topic is smallpox. The nurse is reviewing the main points of the topic. Which of the following statements by the nurse would indicate the need for further reinforc | “The incubation phase is 7 to 10 days.” |
| The RN is attending a conference about terrorism and emergency response. During a discussion of radiation emergencies, the use of potassium iodide is reviewed. Which time frame allows the use of potassium iodide to be most effective after exposure to radi | Immediately after exposure |
| The nurse is providing smallpox vaccinations after determining that an individual who works for a local military laboratory was exposed. After administering the vaccine, how should the nurse instruct the individual to care for the site? | Cover the site with sterile gauze and tape the edges. |
| A nurse in the emergency department has just received word that the emergency department will be receiving a small group of military personnel (18) who have been exposed to inhalation anthrax. The nurse should prepare to administer | intravenous ciprofloxacin (Cipro). |
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