Nokea
The nurse is reviewing the patient's admission medication orders. What order would the nurse to question?
- A. Digoxin .5 mg orally now give one dose only
- B. Lasix 20 mg. IV every 4 hours times 3
- C. Gentamicin 80 mg IV to infuse over 1 hour every 12 hours
- D. Acetaminophen 650 mg PO every 4 hours as needed for pain
Correct Answer: A
Rationale: Digoxin .5 mg (0.5 mg) is a high initial dose; typical is 0.125-0.25 mg, requiring clarification.
You may also like to solve these questions
Which statement is false of Domperidone
- A. Chemically related to haloperidol
- B. Pharmacologically related to metoclopramide
- C. Extra pyramidal symptoms are common
- D. It counteracts the emetic action but not the therapeutic effect in parkinsonism
Correct Answer: C
Rationale: Domperidone rarely causes extrapyramidal symptoms as it doesn't cross the blood-brain barrier.
Ginseng, which is taken to assist with memory, may potentiate:
- A. Aricept
- B. Insulin
- C. Digoxin
- D. Propranolol
Correct Answer: C
Rationale: Ginseng can increase digoxin levels, potentially leading to toxicity.
All are pro drugs except
- A. Sulindac
- B. Codeine
- C. Talampicillin
- D. Chlorpromazine
Correct Answer: D
Rationale: Chlorpromazine is active as is; others are prodrugs.
Patients with rheumatoid arthritis who are on chronic low-dose prednisone will need co-treatment with which medications to prevent further adverse effects?
- A. A bisphosphonate
- B. Calcium supplementation
- C. Vitamin D
- D. All of the above
Correct Answer: D
Rationale: All mitigate prednisone's bone loss: bisphosphonates , calcium , and vitamin D .
All of the following pairs of drug compete for the same receptors except
- A. Ranitidine and histamine
- B. Metoclopramide and dopamine
- C. Dicyclomine and adrenaline
- D. Benzhexol and acetylcholine
Correct Answer: C
Rationale: Dicyclomine (anticholinergic) and adrenaline (adrenergic) act on different receptors; others compete at the same receptor sites.