Deck 59: Adult and Pediatric Emergency Drugs

Question 1

The highest priority nursing intervention when administering verapamil (Calan) is to monitor _____ closely.

A) blood pressure
B) heart rate
C) body temperature
D) respiratory rate

Answer 1

heart rate

Question 2

During a prolonged resuscitation effort, a client's pH is noted to be 7.28. The nurse anticipates that which medication would be administered?

A) Epinephrine (Adrenalin)
B) Atropine
C) Sodium bicarbonate
D) Lidocaine (Xylocaine)

Answer 2

Sodium bicarbonate

Question 3

A client is ordered to receive epinephrine (Adrenalin) to relieve shortness of breath. Which additional effects would the nurse expect?

A) Decrease in respiratory rate
B) Decrease in blood pressure
C) Increase in heart rate
D) Decrease in oxygen saturation

Answer 3

Increase in heart rate

Question 4

The client is scheduled to begin treatment with sublingual nitroglycerin to treat angina. A history of medication for ________ would cause the nurse to contact the primary healthcare provider.

A) erectile dysfunction
B) migraine headaches
C) sinus infection
D) coronary artery disease

Question 5

The client has inadvertently taken an overdose of beta-blockers. The nurse anticipates that the primary healthcare provider will treat this with:

A) epinephrine.
B) glucagon.
C) norepinephrine.
D) dextrose 50%.

Question 6

The client who has ingested _____ would not be a candidate for treatment with activated charcoal.

A) large amounts of salicylates
B) large amounts of lithium
C) certain types of poisonous mushrooms
D) certain slow-release drug preparations

Question 7

The client has overdosed on benzodiazepine medication. Based on the orders of the primary healthcare provider, the highest priority action on the part of the nurse is to prepare a dose of:

A) naloxone.
B) activated charcoal.
C) flumazenil.
D) 50% dextrose.

Question 8

The client has received a dose of nitroprusside sodium to treat hypertensive crisis. She complains to the nurse of experiencing abdominal pain and nausea. The highest priority action on the part of the nurse is to call the physician because this is ________ the medication.

A) an expected side effect of the
B) an adverse reaction to
C) evidence of a toxic level of the
D) evidence of an anaphylactic reaction to

Question 9

The nurse administers intravenous magnesium sulfate to a client being treated for refractory ventricular fibrillation. The client is experiencing symptoms of deep tendon reflex impairment. The nurse interprets this as being indicative of:

A) magnesium toxicity.
B) hypomagnesemia.
C) expected side effect of the drug.
D) anaphylactic reaction.

Question 10

The client has an IV containing sodium bicarbonate. The nurse is preparing to administer a dose of dopamine. What is the highest priority action on the part of the nurse?

A) Flush the line with normal saline before and after pushing the dopamine.
B) Start a second IV line to use for administration of the dopamine.
C) Turn the IV wide open before pushing the dopamine through it.
D) Explain to the client that he may feel burning while the dopamine infuses.