Nokea
A patient is ordered at 1400 to take Theophylline. You're assessing the patient's morning lab results and note that the Theophylline level drawn this morning reads: $15 \mathrm{mcg} / \mathrm{mL}$. You're next nursing action is to?
- A. Administer the dose at 1400 as ordered
- B. Notify the physician for further orders
- C. Hold the 1400 dose
- D. Collect another blood sample to confirm the level
Correct Answer: A
Rationale: A Theophylline level of 15 mcg/mL is within the therapeutic range (10-20 mcg/mL), so the dose should be administered as ordered . No further action is needed.
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As the nurse you know that one of the reasons for an increase in multi-drug-resistant tuberculosis is:
- A. Incorrect medication ordered
- B. Increase in tuberculosis cases nationwide
- C. Incorrect route of drug ordered
- D. Noncompliance due to duration of medication treatment needed
Correct Answer: D
Rationale: Noncompliance with TB treatment, often due to the long duration (6-9 months or more), is a major cause of multi-drug-resistant TB, as incomplete treatment allows bacteria to develop resistance.
The nurse advises the client to make sure to take the entire antibiotic prescription because an untreated or undertreated streptococcal infection can lead to which of the following conditions?
- A. Glomerulonephritis
- B. Chickenpox
- C. Shingles
- D. Whooping cough
Correct Answer: A
Rationale: Untreated group A streptococcal infections can lead to complications like glomerulonephritis, a condition affecting the kidneys, due to an immune response.
The client diagnosed with an exacerbation of COPD is in respiratory distress. Which intervention should the nurse implement first?
- A. Assist the client into a sitting position at 90 degrees.
- B. Administer oxygen at six (6) LPM via nasal cannula.
- C. Monitor vital signs with the client sitting upright.
- D. Notify the health-care provider about the client's status.
Correct Answer: A
Rationale: Sitting upright (A) improves lung expansion in COPD distress, a priority. Oxygen (B), vitals (C), and notification (D) follow to support oxygenation and communication.
The nurse is caring for a client who is admitted with histoplasmosis. What drug is most likely to be prescribed for this client?
- A. Penicillin
- B. Chloromycetin
- C. Streptomycin
- D. Amphotericin B
Correct Answer: D
Rationale: Amphotericin B is the primary antifungal drug used to treat histoplasmosis.
The nurse is preparing to administer medications to the following clients. Which medication should the nurse question administering?
- A. The oral coagulant warfarin (Coumadin) to the client with an INR of 1.9.
- B. Multiple Choice insulin to a client with a blood glucose level of 218 mg/dL.
- C. Hang the heparin bag on a client with a PT/PTT of 12.9/98.
- D. A calcium channel blocker to the client with a BP of 112/82.
Correct Answer: C
Rationale: PTT 98 (C) is supratherapeutic for heparin, risking bleeding, so question administration. INR 1.9 (A) is subtherapeutic, insulin (B) is appropriate, and CCB (D) is reasonable.