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Hesi pharmacology latest practice exam 2024 actual exam questions and well elaborated answers (correct answers) a new updated version 2024 (brand new!!)$20.49
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Hesi pharmacology latest practice exam 2024 actual exam questions and well elaborated answers (correct answers) a new updated version 2024 (brand new!!)
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Course
Hesi pharmacology
Institution
Hesi Pharmacology
Hesi pharmacology latest practice exam 2024 actual exam questions and well elaborated answers (correct answers) a new updated version 2024 (brand new!!)
Hesi pharmacology latest practice exam 2024 actual
exam questions and well elaborated answers (correct
answers) a new updated version 2024 (brand new!!)
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
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril - answer-A. nitroglycerin is a nitrate that causes peripheral
vasodilation and decreases contractility, thereby decreasing both
preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil
(PTU). The nurse knows that the action of this drug is to
A. decrease the amount of the thyroid-stimulating hormone circulating
in the blood
B. increase the amount of thyroid-stimulating hormone circulating in
the blood
C. increase the amount of T4 and decrease the amount of T3 produced
by the thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland - answer-D. PTU is
an adjunct therapy used to control hyperthyroidism by inhibiting
,production of thyroid hormones. It is often prescribed in prep for
thyroidectomy or radioactive iodine therapy
Which change in data indicates to the nurse the desired effect of the
angiotensin II receptor antagonist has been achieved
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
D. Blood pressure reducedf rom 160/90 to 130.80 answer-D.
angiotensin II receptor antagonist (blocker), prescribed from treatment
of HTN. The desired effect is a decrease in blood pressure.
- Which instructions should the nurse give to a female client who just
recieved a prescription for oral metronidazole (flagyl) for treatment of
trichomonas vaginalis (select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time - answer-
ADEF
,The nurse is transcribing a new prescription for spironolactone
(aldactone) for a client who receives an angiotensin-converting enzyme
inhibitor. Which action should the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
D. Transcribe and send the prescription to the pharmacy - answer-A.
the concomitant use of an ACE inhibitor and a potassium-sparing
diuretic sucha s spironolactone, should be given with caution b/c the
two drugs may interact to cause an elevation in serum potassium
levels.
A client has myxedema, which results from a deficiency of thyroid
hormone synthesis in adults. The nurse knows that which medication
should be contraindicated for this client?
A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid retention
C. Pentobarbital sodium for sleep
D. nitroglycerin for angina pain - answer-C. persons with myxedema are
dangerously hypersensitive to narcotics, barbiturates, and anesthetics.
They do not tolerate liothyronine and usually receive iodine
replacement therapy. These clients are also suceptable to heart
problems such as angina for which nitroglycerine would be indicated
and and congestive heart failure for which furosemide would be
indicated
, A client has a continuous IV infusion of dopamine and an IV of normal
saline at 50ml/hour. The nurse noes that the client's urinary output has
been 20ml/hour for the last two hours. Which intervention should the
nurse initiate?
A. stop the infusion of dopamine
B. change the normal saline to a keep open rate
C. replace the urinary catheter
D. notify the healthcare provider of the urinary output. - answer-D.
Following the administration of sublingual nitroglycerin to a client
experiencing an acute anginal attack, which assessment finding
indicates to the nurse that the desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - answer-A.
nitroglycerin reduces mycocardial oxygen consumption which
decreases ischemia and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan).
which client teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
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