HSC 201 Pharmacology
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
Nurse should observe most closely for drug toxicity when a client receives
med that has what characteristic
Narrow therapeutic index
The nurse should observe most closely for drug toxicity when a client receives a
medication that has which characteristic?
• Low bioavailability
• Rapid onset of action
• Short half life
• Narrow therapeutic index.
• Rationale: A drug with a narrow therapeutic index has a high risk for toxicity
because there is a narrow range between the therapeutic dose and the
toxic dose.
Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium)
Evaluate the ingredients of all over-the-counter drugs for alcohol content
Nursing instruction most important for patient on Zyloprim
Increase fluid intake
Client getting Tofranil (Imipramine)
Give medication at night
Magnesium antidote
Calcium gluconate
Patient with hyperthyroidism taking inderal (propanalol)
Decreases pulse rate
, HSC 201 Pharmacology
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates
that the medication is having the desired effect?
, HSC 201 Pharmacology
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to
900 units what is the
Mls/hr
Med was ordered 100mg in 4 divided doses in 24 hours available in
25mg, how many will you give every 6 hours
1
Patient on benzos
Answer is not narcan
- A client experiencing withdrawal from the benzodiazepines alprazolam (Xanax) is
demonstrating severe agitation and tremors. What is the best initial nursing
action?
• Administer naloxone (Narcan) per PNR protocol
• Initiate seizure precautions
• Obtain a serum drug screen
• Instruct the family about withdrawal symptoms.
• Rationale: Withdrawal of CNS depressants, such as Xanax, results in rebound
over-excitation of the CNS. Since the client exhibiting tremors, the nurse
should anticipate seizure activity and protect the client.
Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
, HSC 201 Pharmacology
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
- A client with bipolar disorder began taking valproic acid (Depakote) 250
mg PO three times daily two months ago. Which finding provides the best
indication that the medication regimen is effective?
•The family reports a great reduction in client’s maniac behavior
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
Nurse should observe most closely for drug toxicity when a client receives
med that has what characteristic
Narrow therapeutic index
The nurse should observe most closely for drug toxicity when a client receives a
medication that has which characteristic?
• Low bioavailability
• Rapid onset of action
• Short half life
• Narrow therapeutic index.
• Rationale: A drug with a narrow therapeutic index has a high risk for toxicity
because there is a narrow range between the therapeutic dose and the
toxic dose.
Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium)
Evaluate the ingredients of all over-the-counter drugs for alcohol content
Nursing instruction most important for patient on Zyloprim
Increase fluid intake
Client getting Tofranil (Imipramine)
Give medication at night
Magnesium antidote
Calcium gluconate
Patient with hyperthyroidism taking inderal (propanalol)
Decreases pulse rate
, HSC 201 Pharmacology
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates
that the medication is having the desired effect?
, HSC 201 Pharmacology
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to
900 units what is the
Mls/hr
Med was ordered 100mg in 4 divided doses in 24 hours available in
25mg, how many will you give every 6 hours
1
Patient on benzos
Answer is not narcan
- A client experiencing withdrawal from the benzodiazepines alprazolam (Xanax) is
demonstrating severe agitation and tremors. What is the best initial nursing
action?
• Administer naloxone (Narcan) per PNR protocol
• Initiate seizure precautions
• Obtain a serum drug screen
• Instruct the family about withdrawal symptoms.
• Rationale: Withdrawal of CNS depressants, such as Xanax, results in rebound
over-excitation of the CNS. Since the client exhibiting tremors, the nurse
should anticipate seizure activity and protect the client.
Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
, HSC 201 Pharmacology
Exit HESI 2021/2022
Pharmacology Exit HESI
LATEST UPDATE
2021/2022
- A client with bipolar disorder began taking valproic acid (Depakote) 250
mg PO three times daily two months ago. Which finding provides the best
indication that the medication regimen is effective?
•The family reports a great reduction in client’s maniac behavior
