NCLEX PHARMACOLOGY VATI,RN VATI 2019 EXAM QUESTIONS WITH CORRECT ANSWERS ALL VERIFIED BY AN EXPERT A+ GRADED (LATEST UPDATE)
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Course
RN VATI Pharmacology 2019
Institution
RN VATI Pharmacology 2019
A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For which of the following findings should the nurse monitor? Select all that apply
a. elevated troponin level
b. diaphoresis
c. hyperglycemia
d. abdominal discomfort
e. increased alanine aminotransferase (A...
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NCLEX PHARMACOLOGY
VATI,RN VATI 2019 EXAM
D
QUESTIONS WITH CORRECT
U
ANSWERS ALL VERIFIED BY
ST
AN EXPERT A+ GRADED
(LATEST UPDATE)
,A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago.
For which of the following findings should the nurse monitor? Select all that apply
a. elevated troponin level
b. diaphoresis
c. hyperglycemia
d. abdominal discomfort
e. increased alanine aminotransferase (ALT) level - ANS b. Diaphoresis is correct.
The nurse should monitor the client for early manifestations of acetaminophen toxicity,
which includes diaphoresis. Later manifestations of toxicity include liver failure, which
manifest 48 to 72 hr following ingestion of the toxic dose.
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d. Abdominal discomfort is correct. The nurse should monitor the client for early
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manifestations of acetaminophen toxicity, which include abdominal discomfort, nausea,
vomiting, and diarrhea.
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e. Increased alanine aminotransferase (ALT) level is correct. The nurse should monitor
ALT levels because these enzymes may elevate with liver inflammation from
acetaminophen overdose.
A nurse is assessing a client who has a prescription for oral albuterol for the long-term
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management of asthma. For which of the following adverse effects should the nurse
monitor?
a. Nystagmus
b. Tachycardia
c. Drowsiness
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d. Oral fungal infections - ANS b. Tachycardia
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Albuterol is a beta2-agonist, which can cause excessive stimulation of cardiac and
skeletal muscle beta cells. Therefore, the nurse should monitor the client for tachycardia
and dysrhythmias.
ST
A nurse is planning care for a client who has asthma and a prescription for
methylprednisolone. Which of the following lab values should the nurse monitor?
a. Aspartate aminotransferase (AST)
b. Fibrin split products
c. BUN
d. Glucose - ANS d. Glucose
Methylprednisolone therapy increases the synthesis of glucose and decreases the
uptake of glucose by the muscles and adipose tissues, resulting in increased circulating
, glucose. Therefore, it is important for the nurse to regularly monitor blood glucose levels
while clients are receiving corticosteroid therapy.
A nurse planning care for a client who has a prescription for acetazolamide. Which of
the following findings should the nurse plan to monitor for as an adverse effect of this
medication?
a. Bronchospasm
b. Constipation
c. Diplopia
d. Electrolyte imbalance - ANS d. Electrolyte imbalance
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Acetazolamide promotes renal excretion of sodium and potassium and reduces the
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formation of bicarbonate, increasing the client's risk of electrolyte and acid-base
imbalances. Therefore, the nurse should monitor the client for findings of electrolyte
imbalance.
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A nurse is caring for a client who reports an increase in migraine headaches over the
past 2 weeks and asks if sumatriptan might be helpful. Which of the following conditions
from the client's medical history should the nurse recognize as a contraindication for this
medication?
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a. Gastrointestinal reflux
b. Angina pectoris
c. Routine acetylsalicylic acid use
d. Eczema - ANS b. Angina pectoris
D
Sumatriptan is a vasoconstrictor and can cause angina from coronary vasospasm. The
nurse should identify uncontrolled hypertension, coronary artery disease, ischemic heart
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disease, and angina pectoris as contraindications for receiving sumatriptan.
A nurse on a telemetry unit is caring for a client who has a new prescription for digoxin.
ST
The nurse should identify that which of the following cardiac rhythms is a
contraindication for administration of the medication?
a. Atrial flutter
b. Second-degree heart block
c. Atrial fibrillation
d. Narrow QRS complexes - ANS b. Second-degree heart block
A second-degree heart block results when there is a problem in the atrioventricular
conduction system. Each atrial impulse takes progressively longer to go from the AV
node to the ventricles until a QRS complex drops. Digoxin slows atrioventricular
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