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A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO
4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100
mcg PO is prescribed. Which information is most important for the nurse to
include in client teaching?
A) Use contraception during intercourse.
B) Ensure the Cytotec is taken on an empty stomach.
C) Encourage oral fluid intake to prevent constipation.
D) Take Cytotec 30 minutes prior to Motrin.
A) Use contraception during intercourse.
Cytotec, a synthetic form of a prostaglandin, is classified as pregnancy Category X
and can act as an abortifacient, so the client should be instructed to use
contraception during intercourse (A) to prevent loss of an early pregnancy. (B) is
not necessary. A common side effect of Cytotec is diarrhea, so constipation
prevention strategies are usually not needed (C). Cytotec and Motrin should be
taken together (D) to provide protective properties against gastrointestinal
bleeding.
A client with heart failure is prescribed spironolactone (Aldactone).
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
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,NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
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Which information is most important for the nurse to provide to the client
about diet modifications?
A) Do not add salt to foods during preparation.
B) Refrain for eating foods high in potassium.
C) Restrict fluid intake to 1000 ml per day.
D) Increase intake of milk and milk products.
B) Refrain for eating foods high in potassium.
Spironolactone (Aldactone), an aldosterone antagonist, is a potassium-sparing
diuretic, so a diet high in potassium should be avoided (B), including potassium
salt substitutes, which can lead to hyperkalemia. Although (A) is a common diet
modification in heart failure, the risk of hyperkalemia is more important with
Aldactone. Restriction of fluids (C) or increasing milk and milk products (D) are
not indicated with this prescription.
A healthcare provider prescribes cephalexin monohydrate (Keflex) for a
client with a postoperative infection. It is most important for the nurse to
assess for what additional drug allergy before administering this
prescription?
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
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,NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
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A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.
A) Penicillins.
Cross-allergies exist between penicillins (A) and cephalosporins, such as
cephalexin monohydrate (Keflex), so checking for penicillin allergy is a wise
precaution before administering this drug.
Which nursing intervention is most important when caring for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity.
C) Inspect the client's oral mucosa for ulcerations.
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
, NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
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Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are key signs of antimetabolite
toxicity (C). (A, B, and D) are not typical interventions associated with the
administration of antimetabolites.
When assessing an adolescent who recently overdosed on
acetaminophen (Tylenol), it is most important for the nurse to assess for
pain in which area of the body?
A) Flank.
B) Abdomen.
C) Chest.
D) Head.
B) Abdomen.
Acetaminophen toxicity can result in liver damage; therefore, it is especially
important for the nurse to assess for pain in the right upper quadrant of the
abdomen (B), which might indicate liver damage. (A, C, and D) are not areas
where pain would be anticipated.
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
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