Pharmacology HESI V2 Preparation 2024 Exam Questions and Answers
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Course
Nursing pharmacology
Institution
Nursing Pharmacology
Pharmacology HESI V2 Preparation 2024 Exam Questions and Answers. A client is prescribed phenobarbital sodium (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication will most likely be prescribed A. once a day. B. twice a day. C. thr...
1. A client is prescribed phenobarbital sodium (Luminal) for a seizure
disorder. The medication has a long half-life of 4 days. Based on this half-
life, the medication will most likely be prescribed A. once a day.
B. twice a day.
C. three times a day.
D. four times a day.: ANS: A
Medication with long half-lives remain at their therapeutic levels between doses for
long periods of time. Therefore, this medication can be administered once a day.
2. A nurse educator is reviewing medication dosages and factors that
influence medication metabolism with a group of nurses. Medication
dosages may need to be decreased for which of the following reasons?
(Select all that apply.)
A. Increased renal excretion
B. Increased medication-metabolizing enzymes
, Pharmacology HESI V2 Preparation
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication metabolized by the same pathway: ANS: C,
E Liver failure decreases metabolism and thus increase the concentration of
medication. This may require decreasing the dosage of medication. When two
medications are metabolized in the same way, they may compete for
metabolism, thereby increasing the concentration of one or both medications.
Increased renal excretion may decrease concentration of the medication, requiring
increased dosage. Increased medication-metabolizing enzymes can decrease the
concentration of the medication. The dose might need increased. Peripheral
vascular disease may impair distribution, and more of the medication may be
needed.
3. A nurse s preparing to administer eye drops to a client. Which of the
following are appropriate nursing interventions related to this procedure?
(Select all that apply.)
, Pharmacology HESI V2 Preparation
A. Using medical aseptic technique
B. Asking the client to look up at the ceiling
C. Having the client lie in a side-lying position
D. Dropping medication into the center of the client's conjunctival sac
E. Instructing the client to close the eye gently: ANS:B, D, E
The medication should be dropped into the center of the conjunctival sac to
promote better distribution of the medication. The client should close the eye
gently to allow improved distribution of the medication.
Surgical aseptic technique is used to administer eye drops. The client should be
sitting or in a supine position to facilitate proper administration of eye drops.
4. A nurse is completing discharge teaching to a client who has a new
prescription for a transdermal medication. Which of the following
statements by the client indicates understanding of the teaching?
A. "I will clean the site with an alcohol swab prior to applying the patch."
B. "I will rotate the application site weekly."
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