Hesi Pharmacology V1,V2,V3 Already Verified And Graded To Pass!!
Nurse should observe most closely for drug toxicity when a client
receives med
... [Show More] that has what characteristic - Answer Narrow therapeutic index
Nurse is conducting DC teaching about anti-anxiety drug diazepam
(valium) - Answer Evaluate the ingredients of all over-the-counter drugs for alcohol
content
Nursing instruction most important for patient on Zyloprim - Answer Increase fluid intake
Client getting Tofranil (Imipramine) - Answer Give medication at night
Magnesium antidote - Answer Calcium gluconate
Patient with hyperthyroidism taking inderal (propanalol) - Answer Decreases pulse rate
Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to
900 units what is the - Answer Mls/hr
Med was ordered 100mg in 4 divided doses in 24 hours available in
25mg, how many will you give every 6 hours - Answer 1 pill Q6H
Patient on benzos - Answer Answer is not narcan
Patient Dx with bipolar-how to know if meds are effective - Answer Family states patient is doing better with manic phases
Patient on Heparin going for surgery in a.m.,-priority - Answer Assess patient for bleeds
Best time to give patient Abx (I think) - Answer Time was like 1000, 1400, 1200, and 0400...best to give around the
clock
Medication calculation-patient weighs equal to 16kg-order for Tamiflu
45mg BID - Answer Must round up-answer is 3.8ml
Peptic ulcer med-what action - Answer Histamine 2 agonist
Patient on folliculitis medication-what to teach - Answer Drink with full glass of water
Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes
Peak: .75-1.5 hours
Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours
(IV ok)
Intermediate acting- NPH Onset: 1-2 hours Pea:k 6-12 hours
Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours (DO
NOT MIX) - Answer
Chlamidia - Answer Tetracycline
Trichomoniasis - Answer Flagyl
Candidiasis - Answer Nystatin
Herpes Simplex 2 - Answer Acyclovir
Parkinson's disease - Answer Levodopa/Carbidopa
Phenobarbitol - Answer Seizures
Preparing to administer a drug to a pt with an infection - Answer The drug will destroy the microorganism
RN is teaching a pt about a new drug... what's most important to teach
the pt to improve the intensity of the response to the drug - Answer Take the prescribed dose
A nurse is giving morphine 2 mg IV to a pt after surgery and she has
followed the "six rights of administration"... - Answer Know the possible reactions to morphine
RN doesn't understand why a pt is to receive a prescribed med - Answer Verity the reason with the prescribing healthcare provider for use
Administration of schedule IV drug, the RN understands - Answer The drug has acceptable medical application with low potential for
abuse
Where would a RN direct a pt to obtain more info about prescribed
medications - Answer A pharmacist
RN is prepared to administer Epinephrine to pt that has a severe allergic
reaction - Answer IV - no first pass effect
Digoxin has 36-48 hr half life - because of the length of half life, the RN
expects to be dosing this medication - Answer Once a day
Pt is prescribed Cimetidine (histamine 2 antagonist) to treat gastric ulcer - Answer Inhibit the action of histamine at receptor sites and block gastric acid
secretion
Drug X has a therapeutic index of 10 and drug Y has an index of 2 - Answer Drug Y - more potent
A pt taking Digoxin is also prescribed Propanolol. The 2 drugs
combined may cause a serious decrease in HR - Answer An increased adverse effect
A pt prescribed CCB Diltiazem to treat hypertension - Answer Grapefruit juice
Which of the pts would be at highest risk for an adverse reaction - Answer An 84 yo with diabetes, HF, hypertension and takes 8 medications per
day
RN receives a handwritten medication order - can't read - Answer Contact prescriber to clarify order
A breast-feeding pt is prescribed an antimicrobial medication - Answer Take immediately after breast-feeding
The RN is evaluating the kidney fx of an 82 yo pt before administration
of medications - Answer Creatinine clearance - a measure of how the kidneys are fx by
excreting creatinine.
The most important factor in an adverse drug reaction in the elderly
population is - Answer Declining renal fx
A pt is prescribed Bethanocol (Muscarinic Agonist) for urinary retention
- if pt exhibits signs of overdose such as: increased salivation, sweating,
bradycardia, hypotention, the RN would administer - Answer Atropine (anticholenergic - makes us dry)
The pt takes Oxybutinin (anticholenergic) for OOB takes an OTC
antihistamine (anticholenergic) for hay fever - Answer Dry mouth, increased temp, and blurry vision (myosis)
After IM injection of penicillin the pt develops severe difficulty
breathing and swollen tongue (Anaphylaxis) - Answer Administer epinephrine
A pt receives Dopamine for shock (hypotention, vascular collapse,
comatose) - Answer Mean arterial pressure
Pt receives a drug that blocks adrenergic receptors
Orthostatic hypotension (no BP to the brain) - Answer Reflex tachacardia is caused by hypotention
A pt with diabetes gets a beta blocker (mask the signs of hypoglycemia
and blocks beta receptors - inhibits glycogenolysis) - Answer Atenolol (more selective)
A pt with depression is prescribed an antidepressant - the medication
will reach full therapeutic effect - Answer 2 to 3 weeks (more like 1 to 2 months but this is the best response)
A pt taking Levadopa/Carbadopa (dopaminergic) and experiences a
frequent "on - off" episodes - Answer Avoid high protein meals - competes with drug
A pt is prescribed a Dopamine agonist (Mirapex) (adrenergic agonist)
for Parkinson's - Answer "This med will stop the progression of Parkinson's." - can't cure
Parkinson's
Pt with mild symptoms of Alzheimer's is prescribed Donepezil (Aricept) - Answer The drug will stop the damage to the neurons in my brain
Pt is concerned about developing Alzheimer's disease - Answer Naproxen (NSAID's)
Which assessment best determines the effectiveness of Sumatriptan
(triptans are used for treatment of Migraines so... - Answer Termination of the migraine
Pt with schizophrenia is prescribed chlorpromazine (Thorazine - first
generation antipsychotic) oral concentrate - Answer The medication may cause excessive salivation
And No direct skin contact (both correct - not a good question)
Which best assessment best determines the pt is developing tardive
dyskinesia - Answer Twisting, writhing, worm-like movements of tongue
Pt with depression is proscribed Fluoxitine (Prozac) - Answer "It may take 3-4 weeks before my mood is elevated"
Pt is on Marplan (MAOIs - have the most food interactions) for
depression - Answer Bananas, smoked fish, and cheese
Pt on Lithium - Answer Polydypsia (increased thirst), slurred speech, and fine hand tremors
Pt is prescribed Lunesta for insomnia - Answer Anterograde amnesia (memory loss of events right before taking drug)
A 24 yo female gets Triazolam (Halcion) for insomnia at home
(remember to use the process of elimination) - Answer "The medication will not alter my breathing"
A pt is prescribed Venlafaxine and the pt asks what the purpose of
medication is, you should state - Answer Depression and anxiety
A pt with OCD is prescribed Zoloft - which is not a true statement about
the medication - Answer "I will get better in 3 weeks." (full effect in 1 - 2 months, you won't
get "better" necessarily)
An RN is teaching a parent about administration of aderol to treat their
child's ADD - Answer Give the dose in the morning b4 school. (amphetamine - child needs it
to concentrate)
Amphetamines can cause growth suppression in children - Answer Provide snack or meal b4 giving med (because amphetamines
suppresses appetite)
Pt states that he's on Oxycodone and the dose that he currently receives
does not provide the same pain relief - Answer Tolerance
A pt with HF is getting Furosemide (Lasix) (loop diuretic is K+
wasting) Oranges, spinach, and potatoes - Answer high in potassium
A client in renal failure asks why he is being given antacids - Answer Calcium and aluminum antacids bind phosphates and help to keep
phosphates from
being absorbed into blood stream thereby preventing rising phosphate
levels, and
must be taken with meals
Receiving Digoxin for the onset supraventricular tachycardia (SVT) - Answer hypokalemnia
Receiving Albuterol (Proventil) tablets complains of nausea every
evening with her 9pm - Answer doseadminister the dose with a snack
The healthcare provider prescribes naloxone (Narcan) for a client in the
emergency room - Answer The clients' respiratory rate is 16 breaths/min
A client who has been taking levadopa PO Tid to control the symptoms
of Parkinson's disease has a new prescription for sustained-release
levadopa/carbidopa (Simemet 25/100) PO Bid and took his levadopa at
0800 - Answer "You can begin taking the Sinemet this evening, but do not take any
more levadopa"
Which action is most important for the nurse to implement during the
administration of the antirrhythmic drug adenosine (Adenocard) - Answer Apply continuous cardiac monitoring
Nurse is teaching a client with cancer about opioid management for
intractable pain and tolerance related side effects - Answer Constipation
Which dosing schedule should the nurse teach the client to observe for a
controlled release oxycodone Rx - Answer q12h
Parkinson's Dz and is taking carbidopa-levodopa (Sinemet) indicate that
the desired outcome of the medication is being achieved - Answer Lessening of tremors
Preparing the 0900 dose of losartan (Cozaar) an angiotension-II receptor
blocker (ARB) for a client with hypertension and heart failure - Answer Withhold the scheduled dose
Taking hydromorphone (Dilaudid) PO q4h at home. Following surgery
Dilaudid IV q4h PRN and but butorphanol tartrate (Stadol) IV q4h PRN.
The pt received a dose of the drug 4 hours ago and is again requesting
pain medication - Answer Administer only the Dilaudid q4h PRN for pain
Dobutamine (Dobutrex) is an emergency drug most commonly
prescribed for which condition - Answer Heart failure
Giardiasis is taking metronidazole (Flagyl) 2 grams PO - Answer Take the medication with food
The nitrate isosorbide denitrate (Isordil) is prescribed for a client with
angina - Answer Do not get up quickly, always rise slowly
Reviewing the use of the patient controlled analgesics (PCA) pump with
a client in the immediate postoperative period The client will receive
Morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes
per PCA to total 5 mg IV maximally per hour - Answer The rate and depth of the clients' respirations
A peak and trough level must be drawn for a client receiving antibiotic
therapy - Answer Immediately before the next antibiotic dose is given
When assessing an adolescent who recently overdosed on
acetaminophen (Tylenol), it is most important for the nurse to assess for
pain in which area of the body - Answer Abdomen
A client has myxedema which results from a deficiency of thyroid
hormone synthesis in adults - Answer Pentobarbital sodium Nembutal Sodium for sleep [Show Less]