(solved) PHARM 101 RN Pharmacology Exam A | Attempt score 100% | University of Phoenix

Pharmacology/Adverse effects/Side effects Question: The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency? • nitroprusside (Nitropress) Contraindicati ons/Interactions Question: Which of the following medications will crystallize when mixed with D5NS? • diazepam (Valium) Expected actions/outcomes Question: Which of the following anticoagulant is MOST commonly administered for DVT prophylaxis in a patient who has undergone a hip replacement? • heparin Expected actions/outcomes Question: Your patient taking digoxin (Lanoxin) has an AM Potassium level of 3.0. This level may: • Decrease risk of cardiac arrhythmias Expected actions/outcomes Question: A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum Calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the patient? • furosemide (Lasix) Parenteral/Intravenous Therapies Question: Normal Saline (NS) is the solution of choice over D5W when preparing to administer a blood transfusion because: • The dextrose in D5W increases risk of infection with transfusions Patient Teaching Question: A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. The nurse determines that the patient understands the MOST effective use of this medication if the patient states that he or she will: • Watch for irritability as a side effect of the medication Patient Teaching Question: When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasize that it should be given over two minutes to avoid: • dizziness Cardiovascular Question: Which of the following would be the FIRST fluid of choice for a patient in hypovolemic shock secondary to hemorrhaging? • Normal saline/Lactated Ringer's ED Pharmacology Question: Which of the following statements from a patient exhibits a good understanding of discharge instructions after being diagnosed with trichomoniasis and given a prescription for metronidazole? • "I will wipe from front to back after going to the bathroom." Infectious Diseases/Toxicology/Environmental Question: An 8 year old boy presents to the ED with fever for the last 6 hours. Which of the following assessment findings would cause the MOST concern? • Decreased urinary output Maxillofacial-Nasopharyngeal-Opthalmic Question: A 26-year-old woman presents with severe eye pain, photophobia, and the sensation of sand in her right eye. She is a contact lens wearer and states that she frequently leaves them in overnight. Which of the following is indicated for this patient? • Parenteral antibiotics Critical Thinking Question: A 22-year-old man with sickle cell disease is brought into the ED by Campus Police from his local university. He is complaining of increasing pain to his bilateral lower extremities, consistent with his past sickle cell pain crisis. Which intervention would you expect the provider to order? • Oral hydrocodone GI/GU/Obstetrical Question: A 28-year old male patient presents with severe dysuria and white, foul smelling drainage from his penis. The symptoms have lasted about one month and have become progressively worse over the last few days. On exam, the patient is noted to have a petechial rash to his bilateral upper extremities. The patient’s signs and symptoms are consistent with which of the following? • Primary syphilis infection Professional Issues Question: A nurse is at end of their shift and has been dealing with a difficult and unruly patient. The nurse threatens to place the patient in restraints without justification. This is an example of: • false imprisonment Trauma Question: You have a bariatric patient that was involved in an MVC. The patient was in the driver's side, restrained by seatbelt, and the airbag deployed. The patient is responsive upon arrival and complains of pain to the left arm. The patient has seatbelt marks across the chest. What is your priority assessment for this patient? • Assess the patient for pressure-induced rhabdomyloysis Pulmonary Question: A 26 year old male with a history of asthma presents to the ED with dyspnea, audible expiratory wheezes, substernal retractions, accessory muscle use, with BP-145/72, HR -100, RR-32, O2 Sat 88% on room air. What is the FIRST treatment of choice for this patient? • Give supplement oxygen via 100% NRB mask Integumentary/Wound/Orthopedic Question: Your patient arrives hypotensive and tachycardic after a motorcycle collision. His pelvis is unstable upon palpation and a portable pelvic film reveals an open book pelvic fracture. What immediate intervention should you expect? • Administration of 2 units of uncrossmatched blood Endocrine Question: A 54 yr old male with a history of non-insulin dependent diabetes, presents to the ED with new onset of confusion, weakness, lethargy and nausea with frequent large volume urine output. Vital signs are BP-102/54, HR-115, RR-12, T- 97.4 and oxygen saturation is 97% on room air. Blood glucose is 725 mg/dl. pH is 7.40. What diagnosis would you expect to see for this patient? • Diabetic ketoacidosis GI/GU/Obstetrical Question: A 24 year old female, who has recently recieved methotrexate for a tubal pregnancy, presents to the ED with severe abdominal pain. What would be the PRIORITY nursing intervention? • Prepare for a pelvic exam and assess for vaginal bleeding Neurological Question: A 3 year old boy with a history of hydrocephalus with a cerebral shunt arrives to the ED with a fever of 102.0°F, an enlarged abdomen, tachycardia and hypotension. The patient is mildly lethargic, however is cooperative with the ED staff. Immediate treatment for this child should include: • Draining the shunt GI/GU/Obstetrical Question: An 88 year old male transferred to the ED from a nursing home with a chief complaint of being unable to void for the past 12 hours. He has a history of prostate cancer. Which of the following nursing interventions should be performed FIRST? • Use bladder scanner to determine total amount of urine retained ED Pharmacology Question: What medication would you anticipate administering to a six month old having an active tonic- clonic seizure? • Phenobarbital GI/GU/Obstetrical Question: Which of the following would be a primary complication of a bowel obstruction? • bowel perforation Show Less