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PHARM 315
HESI pre class
| Question | Answer |
|---|---|
| A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The nurse knows that which medication would be contraindicated for this client? | Pentobarbital sodium for sleep |
| hydromorphone (Dilaudid) PO q4h at home. Dilaudid IV q4h PRN and butorphanol tartrate (Stadol) IV q4h PRN are prescribed for pain. The client received a dose of the Dilaudid IV four hours ago, and is again requesting pain medication. | Administer only Dilaudid q4h PRN pain |
| The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with heart failure. Which intervention should the nurse implement prior to administering the digoxin? | Assess the serum potassium level |
| In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? | 2-3 soft stools per day |
| Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan (Avapro)? | risk for injury |
| While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to another type of antiinfective agent should the nurse ask the client about when taking the nursing history? | Cephalosporins |
| A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 ml/hour. The nurse notes that the client's urinary output has been 20 ml/hour for the last two hours. Which intervention should the nurse initiate? | Notify the HCP of urinary output |
| Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? | Bismuth subsalicylate (Pepto Bismol) |
| An older client with a decreased percentage of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process? | Distribution |
| Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply. | Increase fluid intake, cranberry juice, avoid drinking alcohol while taking medication, use condoms until treatment |
| Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy? | Inspect the client orals mucosa for ulcerations |
| A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action of this drug is to | inhibit synthesis of T3& T4 by the thyroid gland |
| A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When the client reports the onset of a headache prior to the next scheduled dose, which action should the nurse implement? | Admin 60 mg of Imdur or any acetaminophen until notifying the HCP |
| A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, Which finding requires the most immediate intervention? | vomiting |
| A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial infarction. Which medication prescription decreases both preload and afterload? | nitroglycerin |
| A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which condition? | Heart failure |
| A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement? | DC FLUIDS |
| Which medications should the nurse caution the client about taking while receiving an opioid analgesic | BENZODIAZEPINES |
| Which method of medication administration provides the client with the greatest first-pass effect? | ORAL |
| An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows that the purpose of this medication is to | Maintain a gastric pH of 3.5 or above |
| diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent? | decreased mucle weakness |
| A client receiving albuterol (Proventil) tablets complains of nausea every evening with her 9:00 p.m. dose. What action can the nurse take to alleviate this side effect | admin with a snack |
| Which dosing schedule should the nurse teach the client to observe for a controlled-release oxycodone prescription? | 12 hrs |
| A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse provide? | no, it is not an oral insulin and can be used only when some beta cell function is present |
| Which symptoms are serious adverse effects of beta-adrenergic blockers such as propranolol (Inderal)? | wheezing, hypotension and av block |
| heart failure (HF) is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instruction should include reporting which problem to the healthcare provider? | dizziness |
| Which drug is used as a palliative treatment for a client with tumor-induced spinal cord compression? | dexamethasone |
| Upon admission to the emergency center, an adult client with acute status asthmaticus is prescribed this series of medications. In which order should the nurse administer the prescribed medications? (Arrange from first to last.) | albuterol, salmeterol, prednisone, gentamicin |
| A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the optimum time for the nurse to obtain the trough level? | immediately before the next antibiotic dose is given |
| Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan (Diovan) has been achieved? | BP reduced 160/90 to 130/80 |
| An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client? | apply patch at least 4 hrs to departure |
| osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse to implement prior to administering the first dose? | notify the HCP |
| Which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic? | young adult with Inflammatory bowel disease |
| A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication? | serum glucose |
| An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac (Toradol) 30 mg IV q6h. Which action should the nurse implement? | admin both meds according to prescribe |
| control the symptoms of Parkinson's disease has a new prescription for sustained release levodopa/carbidopa (Sinemet 25/100) PO BID. The client took his levodopa at 0800. Which instruction should the nurse include in the teaching plan for this client? | you can begin taking sinemet this evening, but dont take levodopa |
| In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the nurse should encourage the client to report which adverse response to the healthcare provider? | presence of hand tremors |
| Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client with which condition? | heart failure |
| A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has completed discharge teaching regarding medication administration. Which morning schedule would indicate to the nurse that the client teaching has been effective? | take meds, go 30 min walk then eat breakfast |
Created by:
shelby.eldredge