2022 Hesi Pharmacology V1,V2,V3 Already Verified And Graded To Pass!!

Hesi Pharmacology V1,V2,V3 Already Verified And Graded To Pass!! Nurse should observe most closely for drug toxicity when a client receives med that has what characteristic - Answer Narrow therapeutic index Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium) - Answer Evaluate the ingredients of all over-the-counter drugs for alcohol content Nursing instruction most important for patient on Zyloprim - Answer Increase fluid intake Client getting Tofranil (Imipramine) - Answer Give medication at night Magnesium antidote - Answer Calcium gluconate Patient with hyperthyroidism taking inderal (propanalol) - Answer Decreases pulse rate Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900 units what is the - Answer Mls/hr Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg, how many will you give every 6 hours - Answer 1 pill Q6H Patient on benzos - Answer Answer is not narcan Patient Dx with bipolar-how to know if meds are effective - Answer Family states patient is doing better with manic phases Patient on Heparin going for surgery in a.m.,-priority - Answer Assess patient for bleeds Best time to give patient Abx (I think) - Answer Time was like 1000, 1400, 1200, and 0400...best to give around the clock Medication calculation-patient weighs equal to 16kg-order for Tamiflu 45mg BID - Answer Must round up-answer is 3.8ml Peptic ulcer med-what action - Answer Histamine 2 agonist Patient on folliculitis medication-what to teach - Answer Drink with full glass of water Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes Peak: .75-1.5 hours Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours (IV ok) Intermediate acting- NPH Onset: 1-2 hours Pea:k 6-12 hours Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours (DO NOT MIX) - Answer Chlamidia - Answer Tetracycline Trichomoniasis - Answer Flagyl Candidiasis - Answer Nystatin Herpes Simplex 2 - Answer Acyclovir Parkinson's disease - Answer Levodopa/Carbidopa Phenobarbitol - Answer Seizures Preparing to administer a drug to a pt with an infection - Answer The drug will destroy the microorganism RN is teaching a pt about a new drug... what's most important to teach the pt to improve the intensity of the response to the drug - Answer Take the prescribed dose A nurse is giving morphine 2 mg IV to a pt after surgery and she has followed the "six rights of administration"... - Answer Know the possible reactions to morphine RN doesn't understand why a pt is to receive a prescribed med - Answer Verity the reason with the prescribing healthcare provider for use Administration of schedule IV drug, the RN understands - Answer The drug has acceptable medical application with low potential for abuse Where would a RN direct a pt to obtain more info about prescribed medications - Answer A pharmacist RN is prepared to administer Epinephrine to pt that has a severe allergic reaction - Answer IV - no first pass effect Digoxin has 36-48 hr half life - because of the length of half life, the RN expects to be dosing this medication - Answer Once a day Pt is prescribed Cimetidine (histamine 2 antagonist) to treat gastric ulcer - Answer Inhibit the action of histamine at receptor sites and block gastric acid secretion Drug X has a therapeutic index of 10 and drug Y has an index of 2 - Answer Drug Y - more potent A pt taking Digoxin is also prescribed Propanolol. The 2 drugs combined may cause a serious decrease in HR - Answer An increased adverse effect A pt prescribed CCB Diltiazem to treat hypertension - Answer Grapefruit juice Which of the pts would be at highest risk for an adverse reaction - Answer An 84 yo with diabetes, HF, hypertension and takes 8 medications per day RN receives a handwritten medication order - can't read - Answer Contact prescriber to clarify order A breast-feeding pt is prescribed an antimicrobial medication - Answer Take immediately after breast-feeding The RN is evaluating the kidney fx of an 82 yo pt before administration of medications - Answer Creatinine clearance - a measure of how the kidneys are fx by excreting creatinine. The most important factor in an adverse drug reaction in the elderly population is - Answer Declining renal fx A pt is prescribed Bethanocol (Muscarinic Agonist) for urinary retention - if pt exhibits signs of overdose such as: increased salivation, sweating, bradycardia, hypotention, the RN would administer - Answer Atropine (anticholenergic - makes us dry) The pt takes Oxybutinin (anticholenergic) for OOB takes an OTC antihistamine (anticholenergic) for hay fever - Answer Dry mouth, increased temp, and blurry vision (myosis) After IM injection of penicillin the pt develops severe difficulty breathing and swollen tongue (Anaphylaxis) - Answer Administer epinephrine A pt receives Dopamine for shock (hypotention, vascular collapse, comatose) - Answer Mean arterial pressure Pt receives a drug that blocks adrenergic receptors Orthostatic hypotension (no BP to the brain) - Answer Reflex tachacardia is caused by hypotention A pt with diabetes gets a beta blocker (mask the signs of hypoglycemia and blocks beta receptors - inhibits glycogenolysis) - Answer Atenolol (more selective) A pt with depression is prescribed an antidepressant - the medication will reach full therapeutic effect - Answer 2 to 3 weeks (more like 1 to 2 months but this is the best response) A pt taking Levadopa/Carbadopa (dopaminergic) and experiences a frequent "on - off" episodes - Answer Avoid high protein meals - competes with drug A pt is prescribed a Dopamine agonist (Mirapex) (adrenergic agonist) for Parkinson's - Answer "This med will stop the progression of Parkinson's." - can't cure Parkinson's Pt with mild symptoms of Alzheimer's is prescribed Donepezil (Aricept) - Answer The drug will stop the damage to the neurons in my brain Pt is concerned about developing Alzheimer's disease - Answer Naproxen (NSAID's) Which assessment best determines the effectiveness of Sumatriptan (triptans are used for treatment of Migraines so... - Answer Termination of the migraine Pt with schizophrenia is prescribed chlorpromazine (Thorazine - first generation antipsychotic) oral concentrate - Answer The medication may cause excessive salivation And No direct skin contact (both correct - not a good question) Which best assessment best determines the pt is developing tardive dyskinesia - Answer Twisting, writhing, worm-like movements of tongue Pt with depression is proscribed Fluoxitine (Prozac) - Answer "It may take 3-4 weeks before my mood is elevated" Pt is on Marplan (MAOIs - have the most food interactions) for depression - Answer Bananas, smoked fish, and cheese Pt on Lithium - Answer Polydypsia (increased thirst), slurred speech, and fine hand tremors Pt is prescribed Lunesta for insomnia - Answer Anterograde amnesia (memory loss of events right before taking drug) A 24 yo female gets Triazolam (Halcion) for insomnia at home (remember to use the process of elimination) - Answer "The medication will not alter my breathing" A pt is prescribed Venlafaxine and the pt asks what the purpose of medication is, you should state - Answer Depression and anxiety A pt with OCD is prescribed Zoloft - which is not a true statement about the medication - Answer "I will get better in 3 weeks." (full effect in 1 - 2 months, you won't get "better" necessarily) An RN is teaching a parent about administration of aderol to treat their child's ADD - Answer Give the dose in the morning b4 school. (amphetamine - child needs it to concentrate) Amphetamines can cause growth suppression in children - Answer Provide snack or meal b4 giving med (because amphetamines suppresses appetite) Pt states that he's on Oxycodone and the dose that he currently receives does not provide the same pain relief - Answer Tolerance A pt with HF is getting Furosemide (Lasix) (loop diuretic is K+ wasting) Oranges, spinach, and potatoes - Answer high in potassium A client in renal failure asks why he is being given antacids - Answer Calcium and aluminum antacids bind phosphates and help to keep phosphates from being absorbed into blood stream thereby preventing rising phosphate levels, and must be taken with meals Receiving Digoxin for the onset supraventricular tachycardia (SVT) - Answer hypokalemnia Receiving Albuterol (Proventil) tablets complains of nausea every evening with her 9pm - Answer doseadminister the dose with a snack The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room - Answer The clients' respiratory rate is 16 breaths/min A client who has been taking levadopa PO Tid to control the symptoms of Parkinson's disease has a new prescription for sustained-release levadopa/carbidopa (Simemet 25/100) PO Bid and took his levadopa at 0800 - Answer "You can begin taking the Sinemet this evening, but do not take any more levadopa" Which action is most important for the nurse to implement during the administration of the antirrhythmic drug adenosine (Adenocard) - Answer Apply continuous cardiac monitoring Nurse is teaching a client with cancer about opioid management for intractable pain and tolerance related side effects - Answer Constipation Which dosing schedule should the nurse teach the client to observe for a controlled release oxycodone Rx - Answer q12h Parkinson's Dz and is taking carbidopa-levodopa (Sinemet) indicate that the desired outcome of the medication is being achieved - Answer Lessening of tremors Preparing the 0900 dose of losartan (Cozaar) an angiotension-II receptor blocker (ARB) for a client with hypertension and heart failure - Answer Withhold the scheduled dose Taking hydromorphone (Dilaudid) PO q4h at home. Following surgery Dilaudid IV q4h PRN and but butorphanol tartrate (Stadol) IV q4h PRN. The pt received a dose of the drug 4 hours ago and is again requesting pain medication - Answer Administer only the Dilaudid q4h PRN for pain Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for which condition - Answer Heart failure Giardiasis is taking metronidazole (Flagyl) 2 grams PO - Answer Take the medication with food The nitrate isosorbide denitrate (Isordil) is prescribed for a client with angina - Answer Do not get up quickly, always rise slowly Reviewing the use of the patient controlled analgesics (PCA) pump with a client in the immediate postoperative period The client will receive Morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour - Answer The rate and depth of the clients' respirations A peak and trough level must be drawn for a client receiving antibiotic therapy - Answer Immediately before the next antibiotic dose is given 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 - Answer Abdomen A client has myxedema which results from a deficiency of thyroid hormone synthesis in adults - Answer Pentobarbital sodium Nembutal Sodium for sleep