HEALTHCARE
Pharmacology 125 Question
1. A client who arrives in the postanesthesia care unit (PACU) after surgery is
not awake from general anesthesia. Which action should the nurse take first?
A. Assess for deep tendon reflexes.
B. Observe urinary output.
C. Review the medication administration record (MAR).
D. Administer naloxone.
The nurse is providing care for a client with digoxin toxicity. Which
medication will the nurse look for in the client’s prescriptions?
A. Atropine sulfate
B. Isoproterenol
C. Xylocaine
D. Digoxin immune Fab
A client is receiving pyridostigmine bromide to control the symptoms of
myasthenia gravis. Which assessment will the nurse include in the client’s
plan of care?
A.Decreased oral secretions
B. Clear speech
C. Diminished hand tremors
D. Increased ptosis
An 80-year-old client who had a colon resection yesterday is receiving a
constant dose of hydromorphone via a patient-controlled analgesia (PCA)
pump. Which finding requires immediate nursing action?
A.The client is drowsy and complains of pruritus.
B.Pupils are 3 mm; PERRLA.
C.The area around the sutures is reddened and swollen.
,D.Respirations decrease to 10 breaths/min.
When developing a written nursing care plan for a client receiving
chemotherapy for treatment of cancer, the nurse writes, “Assess each voiding
for hematuria.” The administration of which type of chemotherapeutic agent
would prompt the nurse to add this assessment?
A.Vincristine
B.Bleomycin sulfate
C.Chlorambucil
D.Cyclophosphamide
Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, and experiencing hypotension. The nurse will develop an
immediate plan of care based on which finding?
A.Severe acute anaphylactic response
B.Side reaction that should resolve
C.Idiosyncratic reaction
D.Cumulative drug response
Methenamine mandelate is prescribed for a client with a urinary tract
infection and renal calculi. Which finding indicates to the nurse that the
medication is effective?
A.The frequency of urinary tract infections decreases.
B.The urine changes color and pain is diminished.
C.The dipstick test changes from +1 to trace.
D.The daily urinary output increases by 10%.
The nurse is preparing a teaching plan for a client who has received a new
prescription for levothyroxine sodium. Which instruction should be included?
A.“Take this medication with a high-protein snack at bedtime.”
,B.“You may change at any time to a less expensive generic brand.”
C.“Contact your health care provider if your daily pulse rate exceeds 100
beats/minute.”
D.“Return to the clinic weekly for serum blood glucose testing.”
Dopamine is administered to a client who is hypotensive. Which finding
should the nurse identify as a therapeutic response?
A.Gain in weight
B.Increase in urine output
C.Improved gastric motility
D.Decrease in blood pressure
The nurse is providing discharge instructions to a client who has received a
prescription for an antibiotic that is hepatotoxic. Which information should
the nurse include in the instructions?
A.Avoid ingesting any alcohol or acetaminophen.
B.Schedule a follow-up visit for a liver biopsy in 1 month.
C.Activities that are strenuous should be avoided.
D.Notify the health care provider of any increase in appetite.
A female client with myasthenia gravis is taking a cholinesterase inhibitor and
asks the nurse what can be done to remedy her fatigue and difficulty
swallowing. What action should the nurse take first?
A.Explore a plan for development of coping strategies for the symptoms with the
client.
B.Explain to the client that the dosage is too high, so she should skip every other
dose of medication.
C.Advise the client to contact her health care provider because of the development
of tolerance to the medication.
, D.Develop a teaching plan for the client to self-adjust the dose of medication in
response to symptoms.
The nurse is preparing a child for transport to the operating room for an
emergency appendectomy. The anesthesiologist prescribes atropine sulfate,
IM STAT. What is the primary purpose for administering this drug to the
child at this time?
A.Decrease the oral secretions.
B.Reduce the child’s anxiety.
C.Potentiate the opioid effects.
D.Prevent possible peritonitis.
A.Thirty minutes after the dose is administered
B.Immediately before giving the next dose
C.When the next electrolyte levels are drawn
D.When the client’s temperature is 98.6°F/37°C.
A 3-year-old boy is admitted to the emergency department after ingesting an
unknown amount of phenobarbital elixir prescribed for his brother’s seizure
disorder. Which nursing action should the nurse take first?
A.Place a nasogastric tube.
B.Take the child’s vital signs.
C.Draw a blood specimen for a phenobarbital level.
D.Teach the mother safe medication storage practices.
A 67-year-old client is discharged from the hospital with a prescription for
digoxin, 0.25 mg daily. Which instruction should the nurse include in this
client’s discharge teaching plan?
Pharmacology 125 Question
1. A client who arrives in the postanesthesia care unit (PACU) after surgery is
not awake from general anesthesia. Which action should the nurse take first?
A. Assess for deep tendon reflexes.
B. Observe urinary output.
C. Review the medication administration record (MAR).
D. Administer naloxone.
The nurse is providing care for a client with digoxin toxicity. Which
medication will the nurse look for in the client’s prescriptions?
A. Atropine sulfate
B. Isoproterenol
C. Xylocaine
D. Digoxin immune Fab
A client is receiving pyridostigmine bromide to control the symptoms of
myasthenia gravis. Which assessment will the nurse include in the client’s
plan of care?
A.Decreased oral secretions
B. Clear speech
C. Diminished hand tremors
D. Increased ptosis
An 80-year-old client who had a colon resection yesterday is receiving a
constant dose of hydromorphone via a patient-controlled analgesia (PCA)
pump. Which finding requires immediate nursing action?
A.The client is drowsy and complains of pruritus.
B.Pupils are 3 mm; PERRLA.
C.The area around the sutures is reddened and swollen.
,D.Respirations decrease to 10 breaths/min.
When developing a written nursing care plan for a client receiving
chemotherapy for treatment of cancer, the nurse writes, “Assess each voiding
for hematuria.” The administration of which type of chemotherapeutic agent
would prompt the nurse to add this assessment?
A.Vincristine
B.Bleomycin sulfate
C.Chlorambucil
D.Cyclophosphamide
Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, and experiencing hypotension. The nurse will develop an
immediate plan of care based on which finding?
A.Severe acute anaphylactic response
B.Side reaction that should resolve
C.Idiosyncratic reaction
D.Cumulative drug response
Methenamine mandelate is prescribed for a client with a urinary tract
infection and renal calculi. Which finding indicates to the nurse that the
medication is effective?
A.The frequency of urinary tract infections decreases.
B.The urine changes color and pain is diminished.
C.The dipstick test changes from +1 to trace.
D.The daily urinary output increases by 10%.
The nurse is preparing a teaching plan for a client who has received a new
prescription for levothyroxine sodium. Which instruction should be included?
A.“Take this medication with a high-protein snack at bedtime.”
,B.“You may change at any time to a less expensive generic brand.”
C.“Contact your health care provider if your daily pulse rate exceeds 100
beats/minute.”
D.“Return to the clinic weekly for serum blood glucose testing.”
Dopamine is administered to a client who is hypotensive. Which finding
should the nurse identify as a therapeutic response?
A.Gain in weight
B.Increase in urine output
C.Improved gastric motility
D.Decrease in blood pressure
The nurse is providing discharge instructions to a client who has received a
prescription for an antibiotic that is hepatotoxic. Which information should
the nurse include in the instructions?
A.Avoid ingesting any alcohol or acetaminophen.
B.Schedule a follow-up visit for a liver biopsy in 1 month.
C.Activities that are strenuous should be avoided.
D.Notify the health care provider of any increase in appetite.
A female client with myasthenia gravis is taking a cholinesterase inhibitor and
asks the nurse what can be done to remedy her fatigue and difficulty
swallowing. What action should the nurse take first?
A.Explore a plan for development of coping strategies for the symptoms with the
client.
B.Explain to the client that the dosage is too high, so she should skip every other
dose of medication.
C.Advise the client to contact her health care provider because of the development
of tolerance to the medication.
, D.Develop a teaching plan for the client to self-adjust the dose of medication in
response to symptoms.
The nurse is preparing a child for transport to the operating room for an
emergency appendectomy. The anesthesiologist prescribes atropine sulfate,
IM STAT. What is the primary purpose for administering this drug to the
child at this time?
A.Decrease the oral secretions.
B.Reduce the child’s anxiety.
C.Potentiate the opioid effects.
D.Prevent possible peritonitis.
A.Thirty minutes after the dose is administered
B.Immediately before giving the next dose
C.When the next electrolyte levels are drawn
D.When the client’s temperature is 98.6°F/37°C.
A 3-year-old boy is admitted to the emergency department after ingesting an
unknown amount of phenobarbital elixir prescribed for his brother’s seizure
disorder. Which nursing action should the nurse take first?
A.Place a nasogastric tube.
B.Take the child’s vital signs.
C.Draw a blood specimen for a phenobarbital level.
D.Teach the mother safe medication storage practices.
A 67-year-old client is discharged from the hospital with a prescription for
digoxin, 0.25 mg daily. Which instruction should the nurse include in this
client’s discharge teaching plan?
