Exam (elaborations)
Pharmacology Exam 2
Rasmussen Pharmacology exam 2
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1.Which condition will cause the nurse to withhold a dose of magnesium hydroxidea.Chronic renal failure
b.Cirrhosis
c.Hemorrhoid
d.Prostatitis
2.A nurse is caring for a client with after a hip replacement surgery. The client has been receiving ion replacement therapy for two days, and the nurse observe the client stools appear black. The client is pale and complain of fatigue, heart rate is 98 beat per minutes, respirations are 20 breaths per minutes, and the blood pressure is 100/50 mm Hg. What would the nurse expect the provider to order?
a.Abdominal X-ray
b.Hemoglobin and hematocrit
c.Liver enzymes
d.Hypertonic fluid bolus
3.What statement by the client indicates an understanding of teaching regarding the side effects of verapamil?
a.I may become constipated, so I should increase fluids and fibers.
b.I do not need to stop drinking my morning grapefruit juice with this medication.
c.I may have swelling of my hands and feet, but this will subside.
d.I may need to increase my digoxin dose while taking the drug.
4.A client who is receiving a factor VIII concentration to treat hemophilia A develops hives, a low graded temperature elevation and a stuffy nose. What is the nurse best response?
a.Emergently administer subcutaneous epinephrine
b.Call provider for an antipyretic medication
c.Give ordered PRN oral diphenhydramine.
d.Call the rapid response team.
5.A client who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report hoarseness. What is the nurse best response?
a.Ask whether the client is rinsing the mouth after each dose.
b.Request an order for an antifungal medication
c.Suggest the client is tested for a bronchial infection
d.Tell the client to discontinue the use of the glucocorticoid
6.Which information should the nurse include in client education regarding a cholesterol-
lowering agent
a.This medication will replace other interventions you have being trying
b.It is important for you to double your dose if you miss one
c.Stop taking the medication if you experience constipation d.You should continue your exercise program to increase your high-density lipoprotein (HDL) serum levels
7.(Question 8) A client with chronic obstructive pulmonary disease begins treatment with an inhaled glucocorticoid and an inhaled short acting beta 2-adrenegic agonist. Which statement by the client indicates an understanding of the teaching regarding this medication regimen.
a.I should use the glucocorticoid as needed when symptoms fares
b.I will need to use the beta-2-adrenegic agonist after the steroid
c.The beta-2-adrenegic agonist suppresses the synthesis of inflammatory mediators
d.The glucocorticoid is used as prophylaxis to prevent exacerbations
8.A client has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals bibasilar crackles and a serum potassium level of 6 mEq/L. which diuretic agent ordered would the nurse clarify with the healthcare provider.
a.Bumetanide
b.Furosemide
c.Spironolactone (Aldactone)
d.Hydrochlorothiazide
9.A client with diabetes develops hypertension. The nurse anticipates administering which of the following type of medication to treat hypertension for this client
a.Angiotensin converting enzyme (ACE) inhibitor
b.Anticoagulant
c.Direct acting vasodilator
d.Aldosterone antagonist
10.A client is receiving heparin postoperatively to prevent deep vein thrombosis. The nurse notes that the client has a blood a blood pressure of 90/50 mm Hg, a heart rate of 98 beats
per minutes, and an activated partial thromboplastin time (aPTT) with results greater than
120 seconds with reports of lumbar pain. Which order would the nurse expect from the healthcare provider.
a.Repeat aPTT to be drawn immediately
b.Start oral analgesic
c.Switch to warfarin
d.Administer protamine sulfate
11.Which statement by a client indicates an understanding of the teaching regarding nitroglycerin
a.I can continue to drink alcohol while taking nitroglycerin
b.I should take aspirin daily to reduce the need for nitroglycerin
c.I should keep my nitroglycerin in the original bottle to avoid exposure to light
d.Nitro may relieve my headache
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