PHARMACOLOGY MSN 571
EXAM
A patient has been receiving iron replacement therapy for 2 days after
hip replacement surgery. The provider is alerted to the following
assessment data: Patient's stools appear black. Patient is pale and
reports feeling tired. Patient's heart rate is 98 beats/minute,
respirations are 20 breaths/minute, and the blood pressure is 100/50
mm Hg. What order will the provider take initially to best assure
appropriate care for this patient? - ANSWERS-Hemoglobin and
hematocrit (H&H)
A patient is admitted to the hospital with a diagnosis of vitamin B12
deficiency, hypoxia and anemia. In addition to oxygen therapy, what
will the provider order to address these problems? - ANSWERS-IM
cyanocobalamin and folic acid
Which conditions will the provider consider as a therapeutic use for
verapamil? - ANSWERS-Angina of effort, Cardiac dysrhythmias,
Essential hypertension
Amiodarone is prescribed for a patient. Which baseline tests will the
prescriber order before this medication is started? - ANSWERS-Chest
radiograph, Ophthalmologic examination, Pulmonary function tests,
Thyroid function tests
,A patient receiving heparin postoperatively to prevent deep vein
thrombosis has a blood pressure of 90/50 mm Hg and a heart rate of
110 beats/minute. The patient's most recent aPTT is greater than 90
seconds. The patient reports lumbar pain. The provider will order
what interventions initially? - ANSWERS-Protamine sulfate,
Discontinue heparin
A patient arrives in the emergency department after becoming
dehydrated. Based on the patient's history, the provider determines
that isotonic dehydration has occurred. Which solution will be ordered
to treat this patient? - ANSWERS-0.9% sodium chloride in sterile
water
A patient arrives in the emergency department reporting muscle
weakness and drowsiness. The nurse notes a heart rate of 80
beats/minute, a respiratory rate of 18 breaths/minute, and a blood
pressure of 90/50 mm Hg. The electrocardiogram reveals an abnormal
rhythm. The provider will be most concerned about the patient's use
of what medication? - ANSWERS-Antacids
While performing an admission assessment on a patient, the nurse
learns that the patient is taking furosemide, digoxin, and
spironolactone. A diet history reveals the use of salt substitutes. The
patient appears confused and dyspneic and reports tingling of hands
and feet. Which action will the provider take to provide effective
patient care? - ANSWERS-Prescribe both an electrocardiogram and
serum electrolyte levels
, A patient collapses after running a marathon on a hot day and is
brought to the emergency department to be treated for dehydration.
The provider will prescribe which therapy? - ANSWERS-Intravenous
hypotonic fluids administered in stages
A patient with a history of congestive heart failure is admitted to the
hospital. The admission assessment and interview provides the
following information: The patient is taking a thiazide diuretic and
digoxin Admission electrolyte levels include a sodium level of 142
mEq/L, a chloride level of 95 mEq/L, and a potassium level of 3
mEq/L. When the provider is notified of this information what action
will be the priority? - ANSWERS-Putting a hold on the digoxin and
determining measures to normalize the laboratory values
A patient is brought to the emergency department with a respiratory
rate of 32 breaths/minute and a heart rate of 90 beats/minute. While
the injuries are minor, the patient is inconsolable and hysterical. The
provider will order what initial management intervention? -
ANSWERS-Administration of a gas mixture of 5% carbon dioxide
(CO2)
A patient who is receiving reperfusion therapy has a history of
heparin-induced thrombosis (HIT). The patient has a creatinine
clearance of 28 mL/minute. In addition to the fibrinolytic agent,
which medication will the provider prescribe for this patient? -
ANSWERS-Bivalirudin
A patient who is recovering from a STEMI 3 months prior is in the
clinic for a follow-up evaluation. The patient is taking 81 mg of
EXAM
A patient has been receiving iron replacement therapy for 2 days after
hip replacement surgery. The provider is alerted to the following
assessment data: Patient's stools appear black. Patient is pale and
reports feeling tired. Patient's heart rate is 98 beats/minute,
respirations are 20 breaths/minute, and the blood pressure is 100/50
mm Hg. What order will the provider take initially to best assure
appropriate care for this patient? - ANSWERS-Hemoglobin and
hematocrit (H&H)
A patient is admitted to the hospital with a diagnosis of vitamin B12
deficiency, hypoxia and anemia. In addition to oxygen therapy, what
will the provider order to address these problems? - ANSWERS-IM
cyanocobalamin and folic acid
Which conditions will the provider consider as a therapeutic use for
verapamil? - ANSWERS-Angina of effort, Cardiac dysrhythmias,
Essential hypertension
Amiodarone is prescribed for a patient. Which baseline tests will the
prescriber order before this medication is started? - ANSWERS-Chest
radiograph, Ophthalmologic examination, Pulmonary function tests,
Thyroid function tests
,A patient receiving heparin postoperatively to prevent deep vein
thrombosis has a blood pressure of 90/50 mm Hg and a heart rate of
110 beats/minute. The patient's most recent aPTT is greater than 90
seconds. The patient reports lumbar pain. The provider will order
what interventions initially? - ANSWERS-Protamine sulfate,
Discontinue heparin
A patient arrives in the emergency department after becoming
dehydrated. Based on the patient's history, the provider determines
that isotonic dehydration has occurred. Which solution will be ordered
to treat this patient? - ANSWERS-0.9% sodium chloride in sterile
water
A patient arrives in the emergency department reporting muscle
weakness and drowsiness. The nurse notes a heart rate of 80
beats/minute, a respiratory rate of 18 breaths/minute, and a blood
pressure of 90/50 mm Hg. The electrocardiogram reveals an abnormal
rhythm. The provider will be most concerned about the patient's use
of what medication? - ANSWERS-Antacids
While performing an admission assessment on a patient, the nurse
learns that the patient is taking furosemide, digoxin, and
spironolactone. A diet history reveals the use of salt substitutes. The
patient appears confused and dyspneic and reports tingling of hands
and feet. Which action will the provider take to provide effective
patient care? - ANSWERS-Prescribe both an electrocardiogram and
serum electrolyte levels
, A patient collapses after running a marathon on a hot day and is
brought to the emergency department to be treated for dehydration.
The provider will prescribe which therapy? - ANSWERS-Intravenous
hypotonic fluids administered in stages
A patient with a history of congestive heart failure is admitted to the
hospital. The admission assessment and interview provides the
following information: The patient is taking a thiazide diuretic and
digoxin Admission electrolyte levels include a sodium level of 142
mEq/L, a chloride level of 95 mEq/L, and a potassium level of 3
mEq/L. When the provider is notified of this information what action
will be the priority? - ANSWERS-Putting a hold on the digoxin and
determining measures to normalize the laboratory values
A patient is brought to the emergency department with a respiratory
rate of 32 breaths/minute and a heart rate of 90 beats/minute. While
the injuries are minor, the patient is inconsolable and hysterical. The
provider will order what initial management intervention? -
ANSWERS-Administration of a gas mixture of 5% carbon dioxide
(CO2)
A patient who is receiving reperfusion therapy has a history of
heparin-induced thrombosis (HIT). The patient has a creatinine
clearance of 28 mL/minute. In addition to the fibrinolytic agent,
which medication will the provider prescribe for this patient? -
ANSWERS-Bivalirudin
A patient who is recovering from a STEMI 3 months prior is in the
clinic for a follow-up evaluation. The patient is taking 81 mg of
