PHARMESAN QUESTIONS & ANSWERS LATEST
UPDATE 2022/2023 GRADED A+
1. . A nurse is caring for a client who has a major depression and a new
prescription for citalopram .
Which of the following adverse effects should the nurse report to the
provider?
A. Confusion - serotonin syndrome can begin 2-72 hours after starting
treatment and can be LETHAL. (confusion, delirium, fever, tachycardia,
increased BP, hyperreflexia, diaphoresis, tremors, spasm) if any of these
occur, notify provider and withhold medication… I think it’s this one over
C.?
B. Bruxism- grinding of teeth during sleep, which can be treated with low
dose buspirone
C. Weight Loss - weight gain is a sxs
Rationale page 49 pdf: part of SSRI family. Used to lower anxiety, depression,
OCD. SSRIS needs about 4 weeks for the drug to kick in and work. Serotonin
syndrome sxs: agitation, confusion, hyperreflexia, tremors, spastic muscle
contractions aka clonus. Adverse effects are: GI bleeding, hyponatremia, serotonin
syndrome, suicide ideation, postural hypotension. I have this lol
. A nurse caring for a client who has acute cocaine toxicity. The nurse should
plan to provide which of the following treatments?
a. Gastric Lavage
b. Saline cathartic
c. Naloxone→ antidote for opiates (opium, morphine, heroin, codeine,
and Demerol)
, PHARMESAN QUESTIONS & ANSWERS LATEST
UPDATE 2022/2023 GRADED A+
d. Diazepam → cocaine tox are risk for seizures, admin
Rationale pg. 476 naloxone opioid antagonist treatment of opioid overdose
. A nurse is providing teaching to a client who has diabetes insipidus and is
receiving
DESMOPRESSIN. Which of the following statements should the nurse
include in the teaching?
a. Your urine might have a reddish tint while taking this medication
b. You will need to check your blood glucose every morning while taking this
medication
c. You can expect to have less urine output when you are taking this
medication
d. You will need weekly laboratory work to determine your blood clotting
time
Rationale page 319 antidiuretic. Desmopressin causes less vasoconstriction than
natural ADH (hormone in posterior pituitary that is used to retain sodium and
water.) Tiamson went over this lol. DI, they are urinating a lot. With a vasopressor,
it can act as an antidiuretic and decrease the amount of urine the patient urinates.
CONTRA for people with CAD, decreased peripheral circulation, can cause
Headache, chest pain.
. A nurse is teaching a client who has pernicious anemia to self- administer nasal
cyanocobalamin (vitamin B12--helps convert folic acid to active form) . Which
of the following information should the nurse include in the teaching? Page 232
pdf (helps convert folic acid for DNA production.
a. Plan to self-administer this medication for the next 6 months -- lifetime
treatment
b. Administer the medication into one nostril once per week -- daily?
c. Use a nasal decongestant 15 minutes before the medication if you have a
stuffy nose
d. Lie down for 1 hour after administering the medication --too long, at
least 5 minutes
,PHARMESAN QUESTIONS & ANSWERS LATEST
UPDATE 2022/2023 GRADED A+
Rationale PDF pg. 135: Sympathomimetic decongestants stimulate
alpha1-adrenergic receptors, causing reduction in the inflammation of the
nasal membranes. Increase dairy products for b 12.
medication effects may be decreased if patient has increased nasal secretions.
, PHARMESAN QUESTIONS & ANSWERS LATEST
UPDATE 2022/2023 GRADED A+
. A nurse is planning to teach a client who has gout about allopurinol
(hyperuricemia--inhibits uric acid production) . Which of the following
instructions should the nurse include in the teaching?
a. Take after meals - to minimize GI distress, insomnia,
headache,
b. Take an iron supplement - may add to GI distress it may cause
c. Limit fluid intake to 1 liter - always drink 2 liters of water per day.
d. Increase calcium intake - may cause GI distress as well. Rationale PDF
p.266: Advise clients to take oral gout medication with food or after meals
to minimize GI distress. Allopurinol can cause GI distress.
Rhabdomyolysis, can cause rash, avoid purine foods such as ETOH, red
meat,
. A nurse is assessing a client who has heart failure and is taking digoxin
(antiarrhythmic--decrease electrical conduction through AV node; increase
myocardial contraction) . Which of the following findings should the nurse identify
as an early indication of medication toxicity?
a. Visual disturbances
b. Insomnia
c. Potassium 4.4 mEq/L --within normal values 3.5-5 mEq/L
d. Sudden weight gain --anorexia
Rationale PDF p.177: Monitor for indications of digoxin toxicity: anorexia,
nausea, vomiting, visual disturbances, dysrhythmias; Hypokalemia increases
risk for toxicity
.) A nurse is reviewing the medical record of a client who is taking clozapine (atypical
anti-psychotics--blocks serotonin & dopamine receptors) . Which of the following
findings should the nurse report to the provider immediately? P .72 pdf
a) LDL 220 mg/dL (normal value: <100 mg/dl) LDL should be < 130 MS
pdf p 161 Ch. 27
b) WBC 2,500/mm3 (considered low but not an adverse effect)
c) Fasting blood glucose 180 mg/dL (hyperglycemia? Not indicative of DM) Ch.
UPDATE 2022/2023 GRADED A+
1. . A nurse is caring for a client who has a major depression and a new
prescription for citalopram .
Which of the following adverse effects should the nurse report to the
provider?
A. Confusion - serotonin syndrome can begin 2-72 hours after starting
treatment and can be LETHAL. (confusion, delirium, fever, tachycardia,
increased BP, hyperreflexia, diaphoresis, tremors, spasm) if any of these
occur, notify provider and withhold medication… I think it’s this one over
C.?
B. Bruxism- grinding of teeth during sleep, which can be treated with low
dose buspirone
C. Weight Loss - weight gain is a sxs
Rationale page 49 pdf: part of SSRI family. Used to lower anxiety, depression,
OCD. SSRIS needs about 4 weeks for the drug to kick in and work. Serotonin
syndrome sxs: agitation, confusion, hyperreflexia, tremors, spastic muscle
contractions aka clonus. Adverse effects are: GI bleeding, hyponatremia, serotonin
syndrome, suicide ideation, postural hypotension. I have this lol
. A nurse caring for a client who has acute cocaine toxicity. The nurse should
plan to provide which of the following treatments?
a. Gastric Lavage
b. Saline cathartic
c. Naloxone→ antidote for opiates (opium, morphine, heroin, codeine,
and Demerol)
, PHARMESAN QUESTIONS & ANSWERS LATEST
UPDATE 2022/2023 GRADED A+
d. Diazepam → cocaine tox are risk for seizures, admin
Rationale pg. 476 naloxone opioid antagonist treatment of opioid overdose
. A nurse is providing teaching to a client who has diabetes insipidus and is
receiving
DESMOPRESSIN. Which of the following statements should the nurse
include in the teaching?
a. Your urine might have a reddish tint while taking this medication
b. You will need to check your blood glucose every morning while taking this
medication
c. You can expect to have less urine output when you are taking this
medication
d. You will need weekly laboratory work to determine your blood clotting
time
Rationale page 319 antidiuretic. Desmopressin causes less vasoconstriction than
natural ADH (hormone in posterior pituitary that is used to retain sodium and
water.) Tiamson went over this lol. DI, they are urinating a lot. With a vasopressor,
it can act as an antidiuretic and decrease the amount of urine the patient urinates.
CONTRA for people with CAD, decreased peripheral circulation, can cause
Headache, chest pain.
. A nurse is teaching a client who has pernicious anemia to self- administer nasal
cyanocobalamin (vitamin B12--helps convert folic acid to active form) . Which
of the following information should the nurse include in the teaching? Page 232
pdf (helps convert folic acid for DNA production.
a. Plan to self-administer this medication for the next 6 months -- lifetime
treatment
b. Administer the medication into one nostril once per week -- daily?
c. Use a nasal decongestant 15 minutes before the medication if you have a
stuffy nose
d. Lie down for 1 hour after administering the medication --too long, at
least 5 minutes
,PHARMESAN QUESTIONS & ANSWERS LATEST
UPDATE 2022/2023 GRADED A+
Rationale PDF pg. 135: Sympathomimetic decongestants stimulate
alpha1-adrenergic receptors, causing reduction in the inflammation of the
nasal membranes. Increase dairy products for b 12.
medication effects may be decreased if patient has increased nasal secretions.
, PHARMESAN QUESTIONS & ANSWERS LATEST
UPDATE 2022/2023 GRADED A+
. A nurse is planning to teach a client who has gout about allopurinol
(hyperuricemia--inhibits uric acid production) . Which of the following
instructions should the nurse include in the teaching?
a. Take after meals - to minimize GI distress, insomnia,
headache,
b. Take an iron supplement - may add to GI distress it may cause
c. Limit fluid intake to 1 liter - always drink 2 liters of water per day.
d. Increase calcium intake - may cause GI distress as well. Rationale PDF
p.266: Advise clients to take oral gout medication with food or after meals
to minimize GI distress. Allopurinol can cause GI distress.
Rhabdomyolysis, can cause rash, avoid purine foods such as ETOH, red
meat,
. A nurse is assessing a client who has heart failure and is taking digoxin
(antiarrhythmic--decrease electrical conduction through AV node; increase
myocardial contraction) . Which of the following findings should the nurse identify
as an early indication of medication toxicity?
a. Visual disturbances
b. Insomnia
c. Potassium 4.4 mEq/L --within normal values 3.5-5 mEq/L
d. Sudden weight gain --anorexia
Rationale PDF p.177: Monitor for indications of digoxin toxicity: anorexia,
nausea, vomiting, visual disturbances, dysrhythmias; Hypokalemia increases
risk for toxicity
.) A nurse is reviewing the medical record of a client who is taking clozapine (atypical
anti-psychotics--blocks serotonin & dopamine receptors) . Which of the following
findings should the nurse report to the provider immediately? P .72 pdf
a) LDL 220 mg/dL (normal value: <100 mg/dl) LDL should be < 130 MS
pdf p 161 Ch. 27
b) WBC 2,500/mm3 (considered low but not an adverse effect)
c) Fasting blood glucose 180 mg/dL (hyperglycemia? Not indicative of DM) Ch.
