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NSG 124 Pharmacology final exam

Final exam
Course

Pharmacology (NSG 124)

875 Documents
Students shared 875 documents in this course
Academic year: 2022/2023
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Herzing University

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  1. Paring for a client receiving prescribed bethanechol the nurse should monitor the pt for what therapeutic effect? Increase urinary retention

  2. A nurse is caring for a pt receiving prescribed atropine the nurse should educate the patient on what adverse effect?

Dry mouth (xerostomia)

  1. The nurse is admitting a client with MS diagnoses the nurse should anticipate administration of? Reversible cholinesterase inhibitors Irreversible cholinesterase inhibitors muscarinic agonist muscarinic Antagonist

  2. Caring for a client experiencing anaphylactic shock after getting stung by a bee what medication should the nurse give?

Epinephrine (adrenaline)

  1. A nurse is caring for a client prescribed propranolol the nurse should monitor for therapeutic effect by assessing for?

Decrease blood pressure

  1. A client has a prescription for propranolol the nurse will assess the patient for what life-threatening contraindications?

Bronchospasms

  1. A nurse is educating a patient on phenytoin which of the following would the nurse correctly include in the nurse teaching?

Proper oral hygiene (causes gingival hyperplasia)

  1. The nurse evaluates the clients serum phenytoin levels at 16 mcg/mL what is the next step?

Document that the pts level is in therapeutic range 10-20 therapeutic range 30-50 toxic level

  1. What can happen when there is a abrupt discontinuation of phenytoin?

Seizures, withdrawal epilepsy

  1. A client who has been taking meds for seizure disorder is asking about the nurse getting pregnant what is the correct response from nurse?

Antiseizure meds are tatrogenic

11 nurse is caring for a client who has Parkinson’s disease taking a dopamine agonist which of the following would indicate that the client is experiencing therapeutic effects of meds? Improve ability to preform ADLs Help decrease trimmers Adverse effects: orthostatic hypotension, impulsiveness and visual hallucinations

12 nurse is teaching the care giver of the client about prescribed levodopa or carbidopa which of the following information should the nurse include?

Dyskinesia (major adverse effect)

13 nurse is performing an assessment to a pt prescribed anticholinergic benztropine which assessment finding indicate therapeutic effect?

Decrease in trimmers and Cogentin

  1. The nurse is preparing to administer prescribe to a assign the nurse should clarify the prescription for which of the following client?

The client who is taking MAOI *contraindicated in pts who already take MAO inhibitors

15 nurse is teaching a client who is taking cholinesterase inhibitors (Aricept) the client is asking how long will they have to take the medication?

You can take the medications indefinitely or as long as you can tolerate

  1. The nurse is taking care a pt who is diagnosed with severe Alzheimer’s the nurse should repair client education for which of the following meds which would actually cause symptoms to improve?

memantine (Namenda)

17 nurse is assessing a client who is taking interferon beta 1a for multiple sclerosis and notice the client is experiencing flu like symptoms which of the following actions should the nurse take?

Give Antipyretic

18 nurse receive prescription to administer order: Depakote er 1000 mg pill daily have: Depakote er 500 mg tab 2 tablets

19 Prozac 20 mg po daily available: Prozac 10 mg

2 tablets

  1. A client with heart failure states that “I enjoy grapefruit juice but have heard that it interferes with meds do I take any meds that interferes with grapefruit juice”

CCBs HMG-CoA Reductase inhibitors (statin) 2 nd gen H1 antagonist

Always avoid when taking meds (due to citrus, any kind of fruit juice)

29 are caring for client with elevated temp of 102 who has been admitted of orders of IV antibiotics which baseline data are you going to do first?

Broad spectrum first Culture to determine infecting bacteria and then antibiotics

  1. A client is admitted with a elevated temp & been prescribed vancomycin what it the priority nursing actions

Monitor trough levels and renal function (BUN, Creatinine)

31 client calls a nurse to report flushing rash and pruritus during the IV of vancomycin the assessment includes tachycardia and hypotension which should the nurse do next?

Never stop decrease rate (60 min flow may be too fast so slow it down & then contact provider) Red man syndrome

32 nursing is caring for a client with a medical prescription for antibiotic what will the nurse educate the person on about the meds?

Never stop finish complete course of medications, call doctor is adverse effect happen so it can be treated

33 nurse is caring for a 60 year old pt admitted with chest pain with a history of hypertension and heart failure education for this client related to antihypertension meds treatment should include?

Change position to decrease risk of fall Do not abruptly stop meds Monitor bp daily

34 nurse is plaining to administer nitroglycerin to a client with chest pain what are the expected outcomes?

decrease bp decrease chest pain headache increase heart rate (vasodilation)

  1. The nurse is caring for a client who is prescribed nitroprusside & propranolol which of the following teaching will the nurse provide?

Call for assistance to get out of bed

  1. The nurse is caring for a client who has long term prescription for furosemide

Potassium levels

37 client admitted with chest pain has been determined to have experienced a mild cordial infarction and undergoes a stent placement the client is prescribed an oral antiplatelet medication for secondary prevention of MI and blockage of artery stent which will a nurse prepare to administer?

Plavix (clopidogrel)

  1. A client has a prescription for surfactant laxative which med should the nurse prepare to administer?

Colace (docusate sodium ) produce soft stool

  1. A 64-year-old client admitted with vomiting coffee grounds, black stools and nose the nurse discovers the client with signs of bleeding that have a prescription of warfarin (coumadin) and have a elevated PTRN level what meds would she administer to reduce levels?

Vit k

40 client has been prescribed a PPI to reduce gastric insidious which of following meds does the nurse prepare to administer?

Omeprazole, Prilosec

41 nurse is providing a client teaching regarding levothyroxine or Synthroid which of the following should the nurse include in the client teaching?

Take meds on empty stomach with at least 8 oz of water

  1. A client reports nausea which of the following serotonin antagonist does the nurse anticipates? Zofran (Ondansetron)

43 nurse is in prescription to administer insulin via IV infusion the nurse should anticipate which of the following insulins to be prescribed?

Regular insulin Humulin R (only clear insulin)

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NSG 124 Pharmacology final exam

Course: Pharmacology (NSG 124)

875 Documents
Students shared 875 documents in this course

University: Herzing University

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NSG 124 Final Exam
1. Paring for a client receiving prescribed bethanechol the nurse should monitor
the pt for what therapeutic effect?
Increase urinary retention
2. A nurse is caring for a pt receiving prescribed atropine the nurse should
educate the patient on what adverse effect?
Dry mouth (xerostomia)
3. The nurse is admitting a client with MS diagnoses the nurse should anticipate
administration of?
Reversible cholinesterase inhibitors
Irreversible cholinesterase inhibitors
muscarinic agonist
muscarinic Antagonist
4. Caring for a client experiencing anaphylactic shock after getting stung by a
bee what medication should the nurse give?
Epinephrine (adrenaline)
5. A nurse is caring for a client prescribed propranolol the nurse should monitor
for therapeutic effect by assessing for?
Decrease blood pressure
6. A client has a prescription for propranolol the nurse will assess the patient for
what life-threatening contraindications?
Bronchospasms
7. A nurse is educating a patient on phenytoin which of the following would the
nurse correctly include in the nurse teaching?
Proper oral hygiene (causes gingival hyperplasia)
8. The nurse evaluates the clients serum phenytoin levels at 16 mcg/mL what is
the next step?
Document that the pts level is in therapeutic range
10-20 therapeutic range
30-50 toxic level
9. What can happen when there is a abrupt discontinuation of phenytoin?
Seizures, withdrawal epilepsy
10. A client who has been taking meds for seizure disorder is asking about the
nurse getting pregnant what is the correct response from nurse?

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