PN pharmacology hesi v2-/55 Questions
and Answers 100% Correct.
A client is being treated for hyperthyridism with propylthiouracil
(PTU). The LPN/LVN knows that the action of this drug is to: - -inhibit
synthesis of T3 and T4 by the thyroid gland
-A female client with RA takes ibuprofen (motrin) 600mg PO 4xday.
To preven GI bleeding, misoprostol (cytotec) 100mcg PO is prescribed. Which
information is most important for the nurse toinclude in client teaching? - -
use contraception during intercourse
-Dobutamine (Dobutrex) is an emergency drug most commonly prescribed
for a client with which condition? - -Heart failure
-Which medications should the nurse caution the client about taking while
receiving an opioid analgesic? - -Benzodiazepines
-Which client should the LPN/LVN identify as being at the highest risk for
complications during the use of an opioid analgesic? - -A young adult with
inflammatory bowel disease
-Which change in data indicates to the nurse the desired effect of the
angiotensin II receptor antagonist valsartan (Diovan) has been achieved - -
Blood pressure reduced from 160/90 to 130.80
-A client with heart failure is prescribed spironolactone (Aldactone). Which
information is most important for the LPN/LVN to provide to the client about
diet modifications? - -Refrain for eating foods high in potassium
-The nurse is assessing the effectiveness of high dose aspirin therapy for an
88-year-old client with arthritis. The client reports that she can't hear the
nurse's questions because her ears are ringing. What action should the nurse
implement? - -Notify the healthcare provider of this finding immediately
-The healthcare provider prescribes naproxen (Naproxen) twice daily for a
client with osteoarthritis of the hands. The client tells the nurse that the drug
does not seem to be effective after three weeks. Which is the best response
for the nurse to provide? - -Another type of nonsteroidal anti-inflammatory
drug may be indicated
-An older client with a decreased percentage of lean body mass is likely to
receive a prescription that is adjusted based on which pharmacokinetic
process? - -Distribution
, -) A peak and trough level must be drawn for a client receiving antibiotic
therapy. What is the optimum time for the LPN/LVN to obtain the trough
level? - -Immediately before the next antibiotic dose is given.
-A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet).
Which observation by the nurse should indicate that the desired outcome of
the medication is being achieved? - -Lessening of tremors
-A client with congestive heart failure (CHF) is being dischargedwith a new
prescription for the angiotensin-converting enzyme (ACE)inhibitor captopril
(Capoten). The LPN/LVN discharge instruction should include reporting which
problem to the healthcare provider? - -Dizziness
-A client is receiving metroprolol (Lopressor SR). What assessment is most
important for the LPN/LVN to obtain? - -Blood pressure
-A client with coronary artery disease who is taking digoxin (Lanoxin)
receives a new prescription for atorvastatin (Lipitor). Two weeks after
initiation of the Lipitor prescription, the nurse assesses the client. Which
finding requires the most immediate intervention? - -Vomiting
-Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should
the nurse administer the prescribed medications? (Arrange from first to last.)
–
-Albuterol (Proventil) puffs
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally
Gentamicin (Garamycin) IM
-An antacid (maalox) is prescribed for a client with PUD. The LPN/ LVN knows
that the purpose of this medication is to - -Maintain a gastric pH of 3.5 or
above
-Which dosing schedule should the nurse teach the client to observe for a
controlled-release oxycodone prescription? - -Every 12 hours
-In teaching a client who had a liver transplant about cyclosporine
(Sandimmune), the nurse should encourage the client to report which
adverse response to the healthcare provider? - -Presence of hand tremors.
-Which antidiarrheal agent should be used with caution in clients taking high
dosages of aspirin for arthritis? - -Bismuth subsalicylate (Pepto Bismol).
and Answers 100% Correct.
A client is being treated for hyperthyridism with propylthiouracil
(PTU). The LPN/LVN knows that the action of this drug is to: - -inhibit
synthesis of T3 and T4 by the thyroid gland
-A female client with RA takes ibuprofen (motrin) 600mg PO 4xday.
To preven GI bleeding, misoprostol (cytotec) 100mcg PO is prescribed. Which
information is most important for the nurse toinclude in client teaching? - -
use contraception during intercourse
-Dobutamine (Dobutrex) is an emergency drug most commonly prescribed
for a client with which condition? - -Heart failure
-Which medications should the nurse caution the client about taking while
receiving an opioid analgesic? - -Benzodiazepines
-Which client should the LPN/LVN identify as being at the highest risk for
complications during the use of an opioid analgesic? - -A young adult with
inflammatory bowel disease
-Which change in data indicates to the nurse the desired effect of the
angiotensin II receptor antagonist valsartan (Diovan) has been achieved - -
Blood pressure reduced from 160/90 to 130.80
-A client with heart failure is prescribed spironolactone (Aldactone). Which
information is most important for the LPN/LVN to provide to the client about
diet modifications? - -Refrain for eating foods high in potassium
-The nurse is assessing the effectiveness of high dose aspirin therapy for an
88-year-old client with arthritis. The client reports that she can't hear the
nurse's questions because her ears are ringing. What action should the nurse
implement? - -Notify the healthcare provider of this finding immediately
-The healthcare provider prescribes naproxen (Naproxen) twice daily for a
client with osteoarthritis of the hands. The client tells the nurse that the drug
does not seem to be effective after three weeks. Which is the best response
for the nurse to provide? - -Another type of nonsteroidal anti-inflammatory
drug may be indicated
-An older client with a decreased percentage of lean body mass is likely to
receive a prescription that is adjusted based on which pharmacokinetic
process? - -Distribution
, -) A peak and trough level must be drawn for a client receiving antibiotic
therapy. What is the optimum time for the LPN/LVN to obtain the trough
level? - -Immediately before the next antibiotic dose is given.
-A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet).
Which observation by the nurse should indicate that the desired outcome of
the medication is being achieved? - -Lessening of tremors
-A client with congestive heart failure (CHF) is being dischargedwith a new
prescription for the angiotensin-converting enzyme (ACE)inhibitor captopril
(Capoten). The LPN/LVN discharge instruction should include reporting which
problem to the healthcare provider? - -Dizziness
-A client is receiving metroprolol (Lopressor SR). What assessment is most
important for the LPN/LVN to obtain? - -Blood pressure
-A client with coronary artery disease who is taking digoxin (Lanoxin)
receives a new prescription for atorvastatin (Lipitor). Two weeks after
initiation of the Lipitor prescription, the nurse assesses the client. Which
finding requires the most immediate intervention? - -Vomiting
-Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should
the nurse administer the prescribed medications? (Arrange from first to last.)
–
-Albuterol (Proventil) puffs
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally
Gentamicin (Garamycin) IM
-An antacid (maalox) is prescribed for a client with PUD. The LPN/ LVN knows
that the purpose of this medication is to - -Maintain a gastric pH of 3.5 or
above
-Which dosing schedule should the nurse teach the client to observe for a
controlled-release oxycodone prescription? - -Every 12 hours
-In teaching a client who had a liver transplant about cyclosporine
(Sandimmune), the nurse should encourage the client to report which
adverse response to the healthcare provider? - -Presence of hand tremors.
-Which antidiarrheal agent should be used with caution in clients taking high
dosages of aspirin for arthritis? - -Bismuth subsalicylate (Pepto Bismol).
