NCLEX Pharmacological and Parenteral Therapies

NCLEX Pharmacological and Parenteral Therapies Related

Review NCLEX Pharmacological and Parenteral Therapies related questions and content

The nurse is discharging the child with sickle cell disease who has undergone a splenectomy. The child has an allergy to penicillin. The nurse should anticipate teaching about which prophylactic medication?

  • A. Epoetin
  • B. Amoxicillin
  • C. Morphine sulfate
  • D. Erythromycin ethylsuccinate
Correct Answer: D

Rationale: A: Epoetin (Epogen) stimulates the bone marrow to produce RBCs. In sickle cell disease, increasing the production of sickled RBCs can worsen the condition. B: Amoxicillin (Amoxil) is contraindicated when allergies to penicillin are present. C: Opioids such as morphine sulfate are administered in sickle cell crises or for severe pain; it is usually not given prophylactically. D: The ability to fight infection is decreased following a splenectomy. Daily prophylactic antibiotics are given. Erythromycin ethylsuccinate (E.E.S.) is a macrolide antibiotic and safe to administer when a penicillin allergy exists.

You may also like to solve these questions

A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?

  • A. pain on movement and weight bearing
  • B. hemorrhage
  • C. affected leg appearing 1-2 inches longer
  • D. edema in the area of the incision
Correct Answer: A

Rationale: Pain on movement and weight bearing indicates pressure on the nerves or muscles caused by the dislocation. Other symptoms of dislocation include an inability to bear weight and a shortening of the affected leg. Edema is not a primary sign of displacement.

Which of the following is not considered one of the main mechanisms of Type II Diabetes treatment?

  • A. Medications
  • B. Nutrition
  • C. Increased activity
  • D. Continuous Insulin
Correct Answer: D

Rationale: Insulin is not required in continuous treatment for every Type II diabetic, as many can manage with lifestyle changes and oral medications.

The nurse is preparing to administer a pm dose of benztropine to the client with worsening akathisia. The client's medication record lists benztropine 0.5 mg IM q4h pm. The vial contains 1 mg/mL. How many milliliters of the medication should the nurse administer?

Correct Answer: 0.5

Rationale: Calculation: 0.5 mg/ 1 mg/mL = 0.5 mL.

The nurse is teaching the client newly started on propranolol for acute situational anxiety disorder. In addition to treating the client's anxiety, the nurse should inform the client that propranolol's use is effective in treating which associated problem?

  • A. Bradycardia
  • B. Hand tremors
  • C. Muscle spasms
  • D. Hypertensive crisis
Correct Answer: B

Rationale: Propranolol (Inderal), a beta blocker, has been shown to be effective in ameliorating the somatic symptoms of anxiety such as hand tremor.

The nurse is assessing the client newly started on benztropine mesylate. Which findings indicate that the client is experiencing the most common side effects of benztropine mesylate?

  • A. Dizziness, headache, and insomnia
  • B. Weight gain, tremors, and sedation
  • C. Blurred vision, dry mouth, and constipation
  • D. Headache, dry mouth, and sexual dysfunction
Correct Answer: C

Rationale: Blurred vision, dry mouth, and constipation are common side effects of anticholinergic agents like benztropine mesylate (Cogentin).

Copyright © 2025 Nokea. All rights reserved.