NCLEX Quiz: Pharmacological and Parenteral Therapies

1. The nurse is conducting a home visit with a client who has a history of angina. Which of the following BEST demonstrates that further teaching about nitroglycerin therapy is required?*

1. “I take a tablet about 10 minutes before I walk up the stairs.”
2. “I take no more than 3 doses in a 15-minute period of time.”
3. “I keep the tablets in a glass dish on the windowsill so they are readily available.”
4. “I will call my doctor immediately if I experience blurred vision.”

2. The nurse assesses the peripheral IV site of a client receiving a doxorubicin infusion and suspects extravasation. After stopping the infusion and disconnecting the IV tubing, which of the following should the nurse do next?*

1. Apply a hot compress to the IV site.
2. Apply a cold compress to the IV site.
3. Elevate the affected extremity.
4. Attempt to aspirate the residual drug.

3. The nurse is preparing to discharge a 72-year-old man on warfarin therapy for a pulmonary embolism. The nurse’s discharge teaching should include which of the following instructions?*

1. Follow a healthy diet by increasing ingestion of green, leafy vegetables.
2. Take herbal remedies to manage cold symptoms.
3. Avoid alcohol due to enhanced anticoagulant effect.
4. Take Coumadin only on an empty stomach.

4. A 75-year-old woman has been prescribed amitriptyline hydrochloride to manage neuropathic pain associated with diabetic neuropathy. She reports to the nurse that her pain level has decreased from a 7 to a 3 on a scale of 1–10. However, she is experiencing severe xerostomia. Which of the following strategies should the nurse choose to help relieve this symptom?*

1. Increase caffeine intake.
2. Decrease fluid intake.
3. Increase dietary sodium.
4. Chew sugar-free gum.

5. Prior to administering digoxin 0.125 mg PO to a client with chronic heart failure, the nurse determines that the apical pulse is 56. Which of the following should the nurse do FIRST?*

1. Administer the drug and recheck the pulse in one hour.
2. Withhold the drug and notify the physician.
3. Obtain an EKG.
4. Send a blood sample to the laboratory for a digoxin level.

NCLEX Quiz: Pharmacological and Parenteral Therapies

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