Nr341 Pharmacology Cje Benchmark Exam Complete
Questions And Correct Detailed Answers
a client with chronic hypertension has a prescription for extended-release
nifedipine. While on the phone with the clinic nurse, the client states " i cant get my
regular shoes on anymore be they are too tight" what should be the nurses priority?
report the findings to the health care provider
The nurse plans care of a client receiving phenytoin for two months. which nusing
intervention does the nurse anticipate?
monitor for signs of drug toxicity
a nurse creates a plan of care on the electronic health record about the use of
epoetin alpha. which is a priority intervention for the plan of care?
frequently assess blood pressure
A client enters the emergency department presenting with chest pain. the client had a
myocardial infarction one year ago. The nurse places the client on oxygen administers
aspirin. the nurse teaches the client about aspirin. which statement by the client
indicates a good understanding of instruction?
This medication will slow down my heart rate
,A client with type 2 diabetes mellitus begins treatment. The nurse and certified
diabetes educator provide education mangement. Which statements indicate
teaching was effective? select all that apply
-if i lose weight, i may be able to avoid medication for a while
-i need to know when my blood glucose goes low.
-i need to take care of my feet
a nurse administers intravenous potassium chloride to a client in heart failure.the
clients serum potassium level is 2.8 mEq/L. Which is a primary concern when
administering this medication?
monitor the heart rate before and after administration
Paramedics bring a client to the emergency department with
symptoms of a cerebrovascular accident (CA). After the computed
tomography (CT) scan, alteplase is prescribed. The guidelines
indicate that 10% of the dose is given as an intravenous bolus over
one minute, and 90% of the dose is then infused over one hour.
The recommended dose is 0.9mg/kg. The client weighs 157
pounds. When reconstituted,the medication is available as 1
mg/mL. How many milliliters (mL) should be given in the initial
dose? Round to the nearest hundredth.
64
A nurse cares for an unconscious client with significant
burns to 36% of their body. The health care provider
prescribes pain relief via the intramuscular route.
What is the priority nursing action?
Question the intramuscular route of administration
Prior to discharge, a client with type 1 diabetes is
prescribed to have glucagon in the home.
, 3|Page
What will the nurse include in the discharge instructions?
Select all that apply.
-signs of hyperglycemia
-family members know how to give injections
-when to administer the glucagon
What are common sensory motor defects in elderly patients?-
SOLUTION=Elderly patients may experience sensory motor defects.
What cardiovascular changes occur in elderly patients?-SOLUTION=Elderly patients
experience decreased cardiac output (CO) and blood flow.
What is polypharmacy and why is it common in elderly patients?-
SOLUTION=Polypharmacy refers to the use of multiple medications, which is
common in elderly patients due to chronic illnesses.
How does aging affect drug absorption in elderly patients? -SOLUTION=Aging leads to
decreased gastric pH, decreased peristalsis, and reduced GI blood flow.
What changes occur in drug distribution in elderly patients?-SOLUTION=Elderly patients
have increased fat content, decreased body mass and albumin, and decreased body
water.
How does metabolism change in elderly patients?-SOLUTION=Elderly patients
experience a slower first-pass effect.
What is the impact of aging on drug excretion? - SOLUTION=Aging results in
decreased Glomerular Filtration Rate (GFR).
Questions And Correct Detailed Answers
a client with chronic hypertension has a prescription for extended-release
nifedipine. While on the phone with the clinic nurse, the client states " i cant get my
regular shoes on anymore be they are too tight" what should be the nurses priority?
report the findings to the health care provider
The nurse plans care of a client receiving phenytoin for two months. which nusing
intervention does the nurse anticipate?
monitor for signs of drug toxicity
a nurse creates a plan of care on the electronic health record about the use of
epoetin alpha. which is a priority intervention for the plan of care?
frequently assess blood pressure
A client enters the emergency department presenting with chest pain. the client had a
myocardial infarction one year ago. The nurse places the client on oxygen administers
aspirin. the nurse teaches the client about aspirin. which statement by the client
indicates a good understanding of instruction?
This medication will slow down my heart rate
,A client with type 2 diabetes mellitus begins treatment. The nurse and certified
diabetes educator provide education mangement. Which statements indicate
teaching was effective? select all that apply
-if i lose weight, i may be able to avoid medication for a while
-i need to know when my blood glucose goes low.
-i need to take care of my feet
a nurse administers intravenous potassium chloride to a client in heart failure.the
clients serum potassium level is 2.8 mEq/L. Which is a primary concern when
administering this medication?
monitor the heart rate before and after administration
Paramedics bring a client to the emergency department with
symptoms of a cerebrovascular accident (CA). After the computed
tomography (CT) scan, alteplase is prescribed. The guidelines
indicate that 10% of the dose is given as an intravenous bolus over
one minute, and 90% of the dose is then infused over one hour.
The recommended dose is 0.9mg/kg. The client weighs 157
pounds. When reconstituted,the medication is available as 1
mg/mL. How many milliliters (mL) should be given in the initial
dose? Round to the nearest hundredth.
64
A nurse cares for an unconscious client with significant
burns to 36% of their body. The health care provider
prescribes pain relief via the intramuscular route.
What is the priority nursing action?
Question the intramuscular route of administration
Prior to discharge, a client with type 1 diabetes is
prescribed to have glucagon in the home.
, 3|Page
What will the nurse include in the discharge instructions?
Select all that apply.
-signs of hyperglycemia
-family members know how to give injections
-when to administer the glucagon
What are common sensory motor defects in elderly patients?-
SOLUTION=Elderly patients may experience sensory motor defects.
What cardiovascular changes occur in elderly patients?-SOLUTION=Elderly patients
experience decreased cardiac output (CO) and blood flow.
What is polypharmacy and why is it common in elderly patients?-
SOLUTION=Polypharmacy refers to the use of multiple medications, which is
common in elderly patients due to chronic illnesses.
How does aging affect drug absorption in elderly patients? -SOLUTION=Aging leads to
decreased gastric pH, decreased peristalsis, and reduced GI blood flow.
What changes occur in drug distribution in elderly patients?-SOLUTION=Elderly patients
have increased fat content, decreased body mass and albumin, and decreased body
water.
How does metabolism change in elderly patients?-SOLUTION=Elderly patients
experience a slower first-pass effect.
What is the impact of aging on drug excretion? - SOLUTION=Aging results in
decreased Glomerular Filtration Rate (GFR).
