HESI Pharmacology Practice Exam 3 Latest Update Brand New Questions Included 2023/2024

A Iclient Iwith Imild Iparkinsonism Iis Istarted Ion Ioral Iamantadine I(Symmetrel). IWhatIstatementIaccuratelyIdescribesItheIactionIofIthisImedication? dopamineIinIcentral InervousIsystemIisIincreased A I52-year-old Iclient Iis Iadmitted Ito Ithe Ihospital Ifor Ipossible Iduodenal Iulcers. ITheIhealthcare IproviderIprescribesIranitidine Ihydrochloride I(Zantac)I150 Img IBID IPO.IWhichIdataIwouldIindicateIthatIthisImedicationIisIeffective? WithinI4IhoursIafterImeals, ItheIclientIdeniesIhavingIpain. AI78-year-oldIclientIwithIcongestiveIheartIfailureIreceivesItheIcardiacIglycoside IdigoxinI(Lanoxin)I0.25ImgIPOIdaily.IWhichIobservationIbyItheInurseIindicatesIthatIthe ImedicationIhasIbeenIeffective? ClearIbreathIsoundsIanteriorlyIandIposteriorly MinocyclineI(Minocin)I50ImgIeveryI8IhoursIisIprescribedIforIanIadolescent IgirlIdiagnosedIwithIacne.ITheInurseIdiscussesIself-careIwithItheIclientIwhileIshe IisItakingItheImedication.IWhichIteachingIpointsIshouldIbeIincludedIinIthe Idiscussion?I(SelectIall IthatIapply.) ReportIvaginal IitchingIorIdischarge. ProtectIskinIfromInatural IandIartificialIultravioletIlight.IAvoid IdrivingIuntil IresponseItoImedicationIisIknown. UseIaInonhormonal ImethodIofIcontraceptionIifIsexuallyIactive. TheInurseIisIassessingIaIstuporousIclientIinItheIemergencyIdepartmentIwhoIis IsuspectedIofIoverdosingIwithIopioids.IWhichIagentIshouldItheInurseIprepare ItoIadministerIifItheIclientIbecomesIcomatose? NaloxoneIhydrochlorideI(Narcan) TheIhealthcareIproviderIprescribesIcaptopril I(Capoten)I37.5Img.ITheImedication IisIavailableIinI25ImgItablets.IWhatIshouldItheInurseIadminister? 1½Itablets AIclientIwhoIisIHIVIpositiveIisIreceivingIepoetinI(Epogen)IforImanagementIofIanemia IsecondaryItoIzidovudineI(AZT)Itherapy.IWhichIlaboratoryIfindingIisImostIimportant IforItheInurseItoIreportItoItheIhealthcareIprovider? HematocritI(HCT)IofI58% AI75-year-oldImaleIclientItakingIhydrochlorothiazideI(HCTZ)IisIadmittedItoIthe Ihospital IhavingI"palpitations"IandI"skippedIheartIbeats."IWhatIisItheImost IlikelyIcauseIofItheseIsymptomsIgivenItheIclient'sImedicationIhistory? Hypokalemia WhichIparameterIisImostIimportantIforItheInurseItoIcheckIpriorItoIadministering IaIsubcutaneousIinjectionIofIheparin? A. HeartIrate B. UrinaryIoutput C. ActivatedIpartialIthromboplastinItimeI(aPTT) D. ProthrombinItimeI(PT)IandIinternationalInormalizedIratioI(INR) C.IActivatedIpartial IthromboplastinItime, IcommonlyIreferredItoIasIaPTT Rationale: TheIlaboratoryIvalueIthatImeasuresIheparin'sItherapeuticIanticoagulationItimeIisIthe IaPTTI(C).I(A)IshouldIbeIcheckedIbeforeItheIadministrationIofIdigoxin.I(B)IisIvaluable IinformationIbutInotIaIparameterImeasuredIforIheparinItherapy.I(D)IisIevaluated IduringIanticoagulationItherapyIusingIsodiumIwarfarinI(Coumadin). AIclientIisIprescribedIaIcholinesteraseIinhibitor, IandIaIfamilyImemberIasksItheInurse IhowIthisImedicationIworks.IWhichIpharmacophysiologicIexplanationIshouldIthe InurseIuseItoIdescribeIthisIclassIofIdrug? ImprovesInerveIimpulseItransmission InIdevelopingIaInursingIcareIplanIforIaI9-month-oldIinfantIwithIcysticIfibrosis, ItheInurseIwritesIaInursingIdiagnosisIofIAlterationIinInutrition:IlessIthanIbody Irequirements, IrelatedItoIinadequateIdigestionIofInutrients.IWhichIintervention IwouldIbestImeetIthisIchild'sIneeds? GiveIpancrelipaseI(Cotazym-S)IcapsuleImixedIwithIapplesauceIbeforeIeachImeal. WhenIprovidingIclientIteachingIaboutItheIadministrationIofImethylphenidate I(Ritalin)ItoItheImotherIofIaIchildIdiagnosedIwithIattention-deficit/hyperactive IdisorderI(ADHD), IwhatIinstructionIshouldItheInurseIincludeIinItheIteachingIplan? OfferItheIchildItheImedicationIbeforeIeatingIbreakfastIandIafterIeatingIlunch. AlterationIofIwhichIlaboratoryIfindingIrepresentsIachievementIofIaItherapeuticIgoal IforIheparinIadministration? PartialIthromboplastinItime TheIchargeInurseIisIreviewingItheIadmissionIhistoryIandIphysical IdataIforIfourIclients InewlyIadmittedItoItheIunit.IWhichIclientIisIatIgreatestIriskIforIadverseIreactionsIto Imedications? A. 30-year-oldImanIwithIaIfracture B. 7-year-oldIchildIwithIanIearIinfection C. 75-year-oldIwomanIwithIliverIdisease D. 50-year-oldImanIwithIanIupperIrespiratoryItract IinfectionIA.I75-year-oldIwomanIwithIliverIdisease Rationale: ImpairedIhepaticImetabolicIpathwaysIforIdrugIandIchemical IdegradationIplaceI(C)Iat IgreatestIriskIforIadverseIreactionsItoImedicationsIbasedIonIadvancingIageIandIliver Idisease.I(AIandID)IhaveInoIpredisposingIfactors, IsuchIasIgenetics, Ipathophysiologic Idysfunction, IorIdrugIallergies, IthatIwouldIincreaseItheIriskIforIcumulativeItoxicity IorIadverseIdrugIreactions.I(B)IisIatIriskIforIdose-relatedIadverseIreactionsIbutIisIat IlessIriskIthanI(C). TheIhealthcareIproviderIprescribesIipratropiumI(Atrovent)IforIaIclient.IAn IallergicIreactionItoIwhatIotherImedicationIwouldIcauseItheInurseItoIquestionIthe IprescriptionIforIAtrovent? AtropineIsulfateI(Atropine) 68-year-oldIclientIhasIbeenIdiagnosedIwithIopen-angleIglaucoma.IThe IhealthcareIproviderIprescribesIpilocarpineI(IsoptoICarpine)IeyeIdrops.IWhatIaction IofIthisIdrugImakesIitIaIuseful ItreatmentIforItheIclient'sIcondition? TheIoutflowIofIaqueousIhumorIinItheIeyesIisIincreased. TheInurseIisIpreparingItoIapplyIaIsurfaceIanestheticIagentIforIaIclient.IWhichIaction IshouldItheInurseIimplementItoIreduceItheIriskIofIsystemicIabsorption? A. ApplyItheIanestheticItoImucousImembranes. B. LimitItheIareaIofIapplicationItoIinflamedIareas. C. AvoidIabradedIskinIareasIwhenIapplyingItheIanesthetic. D. SpreadItheItopical IagentIoverIaIlargeIsurfaceIarea. C.IAvoidIabradedIskinIareasIwhenIapplyingItheIanesthetic Rationale: ToIminimizeIsystemicIabsorptionIofItopical Ianesthetics, ItheIanestheticIagent IshouldIbeIappliedItoItheIsmallestIsurfaceIareaIofIintactIskinI(C).IApplicationIto ItheImucousImembranesIposesItheIgreatestIriskI(A)IofIsystemicIabsorptionIbecause IabsorptionIoccursImoreIreadilyIthroughImucousImembranesIthanIthroughIthe Iskin.InflamedIareasIgenerallyIhaveIanIincreasedIbloodIsupply, IwhichIincreases ItheIriskIofIsystemicIabsorption, IsoI(B)IshouldIbeIavoided.IAIlargeIsurfaceIarea IincreasesItheIamountIofItopical IdrugIthatIisIavailableIforItransdermal Iabsorption, IsoItheIsmallestIareaIshouldIbeIcovered, InotI(D). The Ihealthcare Iprovider Iprescribes Ithe Ianticonvulsant Icarbamazepine I(Tegretol)IforIaIclientIwithIaIseizureIdisorder.ITheInurseIshouldIinstructItheIclient ItoInotifyItheIhealthcareIproviderIifIwhichIconditionIoccurs? ExperiencesIaIsoreIthroat chemotherapeuticIregimenIwithIdoxorubicinIHCl I(Adriamycin)IisIbeingIplannedIforIa IclientIrecentlyIdiagnosedIwithIcancer.IWhatIdiagnosticItestIresultsIshouldIthe InurseIreviewIpriorItoIinitiatingIthisItreatment? ElectrocardiogramI(ECG) A Iclient Iwho Iis IHIV Ipositive Iis Ireceiving Icombination Itherapy Iwith Ithe Iantiviral Imedication Izidovudine I(Retrovir). IWhat Iinstruction Ishould Ithe Inurse IincludeIinIthisIclient'sIteachingIplan? ReturnItoItheIclinicIeveryI2IweeksIforIbloodIcounts A I67-year-old Iclient Iis Idischarged Ifrom Ithe Ihospital Iwith Ia Iprescription Ifor IdigoxinI(Lanoxin)I0.25 Img Idaily. IWhich Iinstruction Ishould Ithe Inurse Iinclude Iin Ithis Iclient'sIdischargeIteachingIplan? TakeIandIrecordIradialIpulseIrateIdaily. BenztropineImesylateI(Cogentin)IandIlevodopaI(Dopar)IareIprescribedIforIa IclientIwithIParkinson'sIdisease.IAfterIaIfewIdaysIofItherapy, ItheIclientIcomplainsIof IaI"dryImouth"IandI"dizziness."IWhatIresponseIbyItheInurseIwouldIbeImost Iappropriate? "ChewIgumItoIrelieveItheIdryImouthIandImoveIslowlyIwhenIassumingIa IstandingIpositionItoIreduceItheIdizziness VancomycinI(Vancocin)IisIprescribedIforIaIclientIwhoIhasIaIhistoryIofIendocarditisIand IisItoIundergoIminorIdental Isurgery.ITheInurseIknowsIthatIthisIdrug mayIbeIadministeredIPO. WhichIassessmentIfindingIcouldIindicateItoItheInurseIthatIaIclientIisIexperiencingIan IadverseIeffectIofItheIgastrointestinalIstimulantImetoclopramideIHClI(Reglan)? DemonstratesIParkinson-likeIsymptoms,IsuchIasIcogwheelIrigidity MethylphenidateIHCl I(Concerta)I18ImgIPOIisIprescribedIforIdailyIadministrationItoIa I10-year-oldIchildIwithIattention-deficit/hyperactiveIdisorderI(ADHD).IInIpreparing IaIteachingIplanIforItheIparentsIofIthisInewlyIdiagnosedIADHDIchild, Iwhich IinstructionIisImostIimportantIforItheInurseItoIprovideItheIparents? AdministerItheImedicationIinItheImorningIbeforeItheIchildIgoesItoIschool. TheInurseIisIpreparingItoIadministerIamphotericinIBI(Fungizone)IIVItoIaIclient. IWhatIlaboratoryIdataIareImostIimportantIforItheInurseItoIassessIbeforeIinitiatingIan IIVIinfusionIofIthisImedication? SerumIpotassium AIclientIwithIanginaIpectorisIisIinstructedItoItakeIsublingual InitroglycerinItabletsIPRN IforIchestIpain.IWhichIinstructionIshouldItheInurseIincludeIinItheIclient'sIteaching Iplan? A. TakeIoneItabletIeveryI3Iminutes, IupItoIfiveItablets. B. TakeIoneItabletIatItheIonsetIofIanginaIandIstopIactivity. C. ReplaceInitroglycerinItabletsIyearlyItoImaintainIfreshness. D. AllowI30IminutesIforIaItabletItoIprovideIreliefIfrom Iangina.ITakeI1ItabletIatItheIonsetIofIanginaIandIstopIactivity. Rationale: NitroglycerinItabletsIshouldIbeItakenIatItheIonsetIofIangina, IandItheIclient IshouldIstopIactivityIandIrestI(B).IOneItabletIcanIbyItakenIeveryI5Iminutes, IupIto IthreeIdosesI(A).INitroglycerinIshouldIbeIreplacedIeveryI3ItoI6Imonths, InotIeveryI12 ImonthsI(C).INitroglycerinIshouldIprovideIreliefIinI5Iminutes, InotI30IminutesI(D). AIclientIwithIcancerIwhoIhasIbeenIreceivingIfentanyl I(Duragesic)IforIseveral IweeksIreportsItoItheInurseIthatItheImedicationIisInotIeffectivelyIcontrollingItheIpain. WhichIinterventionIshouldItheInurseIinitiate? NotifyItheIhealthcareIproviderIofItheIneedItoIincreaseItheIdose AI55-year-oldImaleIclientIwasIdiagnosedIwithIschizophreniaI5IyearsIearlier.IHeIhas IhadInumerousIhospitalizationsIsinceIdiagnosisIbecauseIofInoncomplianceIwith ItheIprescribedImedicationIregime.IWhichIdrugImightIworkIbestIforIthisIparticular Iclient? FluphenazineIdecanoateI(ProlixinIdecanoate) Prolixin, Ian Iantipsychotic Idrug Ithat Ican Ibe Igiven IIM, Ihas Ia Idelayed Ionset I(24 Ito I96Ihours)Iand Ia Ilong Iduration IofIaction I(up Ito I3 IorI4 Iweeks), Iso Iwould Ibe Ithe Idrug IofIchoiceIforIaInoncompliantIpsychoticIclient. In Iadministering Ithe Iantiinfective Iagent Ichloramphenicol I(Chloromycetin) IIV Ito Ia Iclient, Ithe Inurse Iobserves Ithe Iclient Iclosely Ifor Isigns Iof Ibone Imarrow Idepression. IWhich Ilaboratory Idata Iwould Ibe Imost Iimportant Ifor Ithe Inurse Ito Imonitor? PlateletIcount TheIhealthcareIproviderIhasIprescribedIaIlow-molecular-weightIheparin, IenoxaparinI(Lovenox), I30ImgIIVPIBIDIforIaIclientIfollowingIhipIreplacement.IPriorIto IadministeringItheIfirstIdose, IwhichIinterventionIisImostIimportantIforItheInurseIto Iimplement? ContactItheIhealthcareIproviderItoIclarifyItheIprescription. TheInurseIhasIcompletedIdiabeticIteachingIforIaIclientIwhoIhasIbeenInewly IdiagnosedIwithIdiabetesImellitus.IWhichIstatementIbyIthisIclientIwouldIindicate ItoItheInurseIthatIfurtherIteachingIisIneeded? A. "RegularIinsulinIcanIbeIstoredIatIroomItemperatureIforI30Idays." B. "MyIlegs, Iarms, IandIabdomenIareIall IgoodIsitesItoIinjectImyIinsulin." C. "IIwill IalwaysIcarryIhardIcandiesItoItreatIhypoglycemicIreactions." D. "WhenI Iexercise, I IshouldIplanItoIincreaseImyIinsulinIdosage." D.IWhenI Iexercise, I IshouldIplanItoIincreaseImyIinsulinIdosage." Rationale: ExerciseIhelpsIfacilitateItheIentryIofIglucoseIintoItheIcell, IsoIincreasingIinsulinIdoses IwithIexerciseIwouldIplaceItheIclientIatIhighIriskIforIaIhypoglycemicIreactionI(D).I(A, IB, IandIC)IreflectIaccurateIstatementsIaboutItheIuseIofIinsulinIandImanagementIof IhypoglycemicIreactions. AIclientIwithIschizophreniaIhasIbeenItakingItheIantipsychoticIagentIclozapine I(Clozaril)IforItheIpastI3Iweeks.IWhichInursingIassessmentIfindingIwouldIhave ItheIgreatestIimplicationsIforIthisIclient'sIcare? Low-gradeIfever TheIapicalIheartIrateIofIanIinfantIreceivingIdigoxinI(Lanoxin)IforIcongestive IheartIfailureIslowsItoI80Ibeats/min.IWhatIinterventionIshouldItheInurseIimplement Ifirst? ObtainIaIserumIdigoxinIlevel SinusIbradycardiaI(rateIofIlessIthanI90ItoI110IinIanIinfant)IisIanIindicationIofIdigoxin Itoxicity,IsoIassessmentIofItheIclient'sIdigoxinIlevel IisItheIhighestIpriority AIclientIwithIviral IinfluenzaIisIreceivingIvitaminICI1000ImgIPOIdailyIand IacetaminophenIelixirI650ImgIPOIeveryI4IhoursIPRN.ITheInurseIcallsItheIhealthcare IproviderItoIreportIthatItheIclientIhasIdevelopedIdiarrhea.IWhichIchangeIin IprescriptionsIshouldItheInurseIanticipate? DecreaseItheIdoseIofIvitaminIC. WhatInursingIinterventionIhasItheIhighestIpriorityIduringIVIadministration IofImechlorethamineIHCl I(nitrogenImustard)IandIactinomycinI(Actinomycin-D)? AssessIforIextravasationIatItheIVIsiteIduringIinfusion. clientIisIreceivingIoral IgriseofulvinI(Grisactin)IforIaIpersistentItineaIcorporis Iinfection.IWhatIresponseIbyItheIclientIindicatesIanIaccurateIunderstandingIofItheIdrug IteachingIconductedIbyItheInurse? "I'll IwearIsunscreenIwheneverIIImowItheIlawn." AI42-year-oldIclientIisIadmittedItoItheIemergencyIdepartmentIafterItakingIan IoverdoseIofIamitriptylineI(Elavil)IinIaIsuicideIattempt.IWhichIdrugIshouldItheInurse IplanItoIadministerItoIreverseItheIcardiacIandIcentralInervousIsystemIeffectsIof IamitriptylineI(Elavil)? PhysostigmineI(Antilirium) TheIhealthcareIproviderIprescribesItheIH2IantagonistIfamotidineI(Pepcid)I20ImgIin ItheImorningIandIatIbedtime.IWhatIstatementIregardingItheIactionIofIH2 IantagonistsIoffersItheIcorrectIrationaleIforIadministeringItheImedicationIat Ibedtime? GastricIacidIsecretedIatInightIisIbuffered,IpreventingIpepsinIformation femaleIclientIisIreceivingIsulfisoxazoleI(Gantrisin)IforIaIurinaryItractIinfection.IWhat IclientIteachingIshouldItheInurseIinclude? OralIcontraceptivesImayInotIbeIeffective. Prior Ito Iadministering Ia Ischeduled Idose Iof Idigoxin I(Lanoxin), Ithe Inurse IreviewsIthe Iclient'sIcurrentIserumIdigoxinIlevel, IwhichIisI1.3Ing/dl.IWhichIaction IshouldItheInurseIimplement? A. AdministerIDigibindItoIcounteractItheItoxicity. B. WithholdItheIdrugIandInotifyItheIhealthIcareIproviderIimmediately. C. WithholdItheIdoseIandInotifyItheIhealthIcareIproviderIduringIroundsIthat ItheIdoseIwasIheld. D. GiveItheIdoseIofIdigoxinIifItheIclient'sIheartIrateIisIwithinIaIsafe Irange.IGiveItheIdoseIofIdigoxinIifItheIclient'sIheartIrateIisIwithinIaIsafe Irange TheIclient'sIdigoxinIlevel IofI1.3Ing/dl IisInotIaboveItheIupperIrangeIofIitsItherapeutic IindexI(toxicIlevel IisIgreaterIthanI2.0Ing/dl), IsoItheIdoseIshouldIbeIadministeredIafter IevaluatingItheIclient'sIheartIrate AI19-year-oldImaleIclientIwhoIsustainedIaIsevereIheadIinjuryIisIintubatedIandIplaced IonIassistedImechanical Iventilation.IToIfacilitateIoptimal IventilationIandIpreventIthe IclientIfromI"fighting"ItheIventilator, ItheIhealthcareIproviderIadministers IpancuroniumIbromideI(Pavulon)IVIwithIadjunctiveInarcoticIanalgesia.IWhat ImedicationIshouldItheInurseImaintainIatItheIclient'sIbedside? NeostigmineIbromideI(Prostigmin) TheInurseIisIadministeringItheIearlyImorningIdoseIinsulinIaspartI(NovoLog)I5 IunitsIsubcutaneouslyItoIaIclientIwithIdiabetesImellitusItypeI1.ITheIclient'sIfingerstick IserumIglucoseIisI140Img/dl.IConsideringItheIonsetIofINovoLog, IwhenIshouldIthe InurseIensureIthatItheIclient'sIbreakfastIisIavailable? 5IminutesIafterIsubcutaneousIadministration InsulinIaspartIisIaIveryIrapidlyIactingIinsulinIwithIanIonsetIofI5ItoI15Iminutes. INovoLogIshouldIbeIadministeredIwhenItheIclient'sItrayIisIavailableI(A). INovoLogIpeaksIinI45IminutesItoI1.5IhoursI(BIandIC)IandIhasIaIdurationIofI3ItoI4 Ihours. WhatInursingIinterventionIhasItheIhighestIpriorityIduringIVIadministration IofImechlorethamineIHCl I(nitrogenImustard)IandIactinomycinI(Actinomycin-D)? AssessIforIextravasationIatItheIVIsiteIduringIinfusion. MechlorethamineIHCl I(nitrogenImustard)IandIactinomycinI(Actinomycin-D)Iare Ivesicants;Itherefore,IassessmentIforIblisterIformationIand/orItissueIsloughingIthatIcan IoccurIwithIleakageIofItheseIagentsIintoIsurroundingIsubcutaneousItissuesIis Iessential ItoIensureIclientIsafetyIduringItheIIVIinfusion AIclientIwithImildIparkinsonismIisIstartedIonIoral IamantadineI(Symmetrel). IWhatIstatementIaccuratelyIdescribesItheIactionIofIthisImedication? DopamineIinItheIcentral InervousIsystemIisIincreased TheInurseIisIreviewingIaIclient'sIlaboratoryIresultsIbeforeIaIprocedureIinIwhichIa IneuromuscularIblockingIagentIisIaIstandingIorder.IWhichIfindingIshouldIthe InurseIreportItoItheIhealthcareIprovider? Hypokalemia TheInurseIisIevaluatingIaIclient'sIunderstandingIofItheIprescribedIantilipemic IdrugIlovastatinI(Mevacor).IWhichIclientIstatementIindicatesIthatIfurtherIteachingIis Ineeded? "IIwill ItakeItheImedicationIeveryIdayIbeforeIbreakfast." WhichIclassIofIantineoplasticIchemotherapyIagentsIresemblesItheIessential IelementsIrequiredIforIDNAIandIRNAIsynthesisIandIinhibitsIenzymesInecessary IforIcellularIfunctionIandIreplication? A. AlkylatingIagents B. Antimetabolites C. AntitumorIantibiotics D. PlantIalkaloids B.IAntimetabolites Rationale: AntimetabolitesI(B)IexertItheirIactionIbyIinhibitingItheIenzymesInecessaryIforIcellular IfunctionIandIreplication.I(A, IC, IandID)IhaveIaIdifferentImechanismIofIaction. WhichIassessmentIfindingIcouldIindicateItoItheInurseIthatIaIclientIisIexperiencingIan IadverseIeffectIofItheIgastrointestinalIstimulantImetoclopramideIHClI(Reglan)? DemonstratesIParkinson-likeIsymptoms,IsuchIasIcogwheelIrigidity A Ifemale Iclient Iwith Imyasthenia Igravis Iis Itaking Ia Icholinesterase Iinhibitor Iand IasksIthe Inurse Iwhat Ican Ibe Idone Ito Iremedy Iher Ifatigue Iand Idifficulty Iswallowing. IWhatIactionIshouldItheInurseIimplement? A. ExploreIaIplanIforIdevelopmentIofIcopingIstrategiesIforItheIsymptomsIwith ItheIclient. B. ExplainItoItheIclientIthatItheIdosageIisItooIhigh, IsoIsheIshouldIskipIevery IotherIdoseIofImedication. C. AdviseItheIclientItoIcontactIherIhealthIcareIprovider IbecauseIofItheIdevelopmentIofItoleranceItoItheImedication. D. DevelopIaIteachingIplanIforItheIclientItoIself-adjustItheIdoseIofImedication IinIresponseItoIsymptoms. D.IDevelopIaIteachingIplanIforItheIclientItoIself-adjustItheIdoseIofImedication IinIresponseItoIsymptoms. Rationale: MaintainingIoptimal IdosageIforIcholinesteraseIinhibitorsIcanIbeIchallengingIfor IclientsIwithImyastheniaIgravis.IClientsIshouldIbeItaughtItoIrecognizeIsignsIof IovermedicationIandIundermedicationIsoIthatItheyIcanImodifyItheIdosage IthemselvesI(D)IbasedIonIaIprescribedIslidingIscale.I(A, IB, IandIC)IdoInot IadequatelyIaddressItheIclient'sIconcerns. AIclientIwhoIisIHIVIpositiveIisIreceivingIepoetinI(Epogen)IforImanagementIofIanemia IsecondaryItoIzidovudineI(AZT)Itherapy.IWhichIlaboratoryIfindingIisImostIimportant IforItheInurseItoIreportItoItheIhealthcareIprovider? HematocritI(HCT)IofI58% AIfemaleIclientIwhoIhasIstartedItakingIlong-termIcorticosteroidItherapyItellsIthe InurseIthatIsheIisIcareful ItoItakeIherIdailyIdoseIatIbedtimeIwithIaIsnackIofIcrackersIand Imilk.IWhatIisItheIbestIresponseIbyItheInurse? AdviseItheIclientItoItakeItheImedicationIinItheImorning, IratherIthanIatIbedtime. AI45-year-oldIfemaleIclientIisIreceivingIalprazolamI(Xanax)IforIanxiety.IWhichIclient IbehaviorsIwouldIindicateIthatItheIdrugIisIeffective? A. Personal IhygieneIisImaintainedIbyItheIclientIforItheIfirstItimeIinIaIweek. B. TheIclientIhasIanIaverageIrestingIheartIrateIofI120Ibeats/min. C. TheIstaffIobservesItheIclientIsittingIinItheIdayIroomIreadingIaIbook. D. TheInurseIrecordsIthatItheIclientIlostI2IlbIofIbodyIweightIinItheIpastIweek. C.ITheIstaffIobserveItheIclientIsittingIinItheIdayIroomIreadingIaIbook. Rationale: TheIabilityItoIsitIandIconcentrateIonIreadingI(C)IindicatesIdecreasedIanxiety.I(A,IB,Iand ID)IareInotIrelatedItoItheIuseIofIalprazolamI(Xanax)IforIanxiety. 55-year-oldImaleIclientIwasIdiagnosedIwithIschizophreniaI5IyearsIearlier.IHeIhas IhadInumerousIhospitalizationsIsinceIdiagnosisIbecauseIofInoncomplianceIwith ItheIprescribedImedicationIregime.IWhichIdrugImightIworkIbestIforIthisIparticular Iclient? FluphenazineIdecanoateI(ProlixinIdecanoate) TheInurseInotesIthatIaIclientIreceivingIphenytoinI(Dilantin)I300ImgIPOIdailyIhas IaIserumIphenytoinIlevel IofI14Imcg/ml.IWhatIinterventionIshouldItheInurse Iimplement? MakeIsureIthatItheIclientIisIperformingIthoroughIoral Icare. therapeuticIrangeIforIphenytoinIisI10ItoI20Imcg/ml AmoxicillinI500ImgIPOIeveryI8IhoursIisIprescribedIforIaIclientIwithIanIinfection.IThe IdrugIisIavailableIinIaIsuspensionIofI125Img/5Iml.IHowImanyImillilitersIshouldIthe InurseIadministerIwithIeachIdose? 20 AIclientIhasIaIpositiveIskinItestIforItuberculosis.IWhatIprophylacticIdrugIshouldIthe InurseIexpectItoIadministerItoIthisIclient? IsoniazidI(INH) AIclientIwithIacuteIlymphocyticIleukemiaIisItoIbeginIchemotherapyItoday.IThe IhealthcareIprovider'sIprescriptionIspecifiesIthatIondansetronI(Zofran)IisItoIbe IadministeredIIVI30IminutesIpriorItoItheIinfusionIofIcisplatinI(Platinol).IWhatIis ItheIrationaleIforIadministeringIZofranIpriorItoItheIchemotherapyIinduction? ReductionIorIeliminationIofInauseaIandIvomiting WhenIcaringIforIaIclientIonIdigoxinI(Lanoxin)Itherapy, ItheInurseIknowsItoIbeIalertIfor IdigoxinI(Lanoxin)Itoxicity.IWhichIfindingIwouldIpredisposeIthisIclientItoIdeveloping IdigoxinItoxicity? LowIserumIpotassium AIclientIwithIviral IinfluenzaIisIreceivingIvitaminICI1000ImgIPOIdailyIand IacetaminophenIelixirI650ImgIPOIeveryI4IhoursIPRN.ITheInurseIcallsItheIhealthcare IproviderItoIreportIthatItheIclientIhasIdevelopedIdiarrhea.IWhichIchangeIin IprescriptionsIshouldItheInurseIanticipate? DecreaseItheIdoseIofIvitaminIC. A I26-year-old Iprimigravida Iclient Iis Iexperiencing Iincreasing Idiscomfort Iand IanxietyIduring Ithe Iactive Iphase Iof Ilabor. IShe Irequests Isomething Ifor Ipain. IWhich IanalgesicIshouldItheInurseIanticipateIadministering? A. Butorphanol I(Stadol) B. HydromorphoneI(Dilaudid) C. MorphineIsulfate D. CodeineIsulfate A.IButorphanol I(Stadol) Rationale: Butorphanol I(Stadol)I(A)IisIaImixedIagonist-antagonistIanalgesicIresultingIin IgoodIanalgesiaIbutIwithIlessIrespiratoryIdepression, Inausea, IandIvomitingIcompared IwithIopioidIagonistIanalgesicsI(B, IC, IandID). AIclientIreceivesIanIantihypertensiveIagentIdaily.IWhichIactionIisImostIimportantIfor ItheInurseItoIimplementIpriorItoIadministeringItheImedication? A. VerifyItheIexpirationIdate. B. ObtainItheIclient'sIbloodIpressure. C. DetermineItheIclient'sIhistoryIofIadverseIreactions. D. ReviewItheIclient'sImedical IrecordIforIaIchangeIinIdrugIroute. B.IObtainItheIclient'sIbloodIpressure. Rationale: ToIdetermineItheImostIaccurateIresponseItoIantihypertensiveItherapy,IbaselineIblood IpressuresIshouldIbeIobtainedIbeforeIanIantihypertensiveIdrugIisIadministeredIand IshouldIbeIcomparedIwithIorthostaticIvital IsignsItoIdetermineIwhetherIanyIside IeffectsIareIoccurringI(B).IAlthoughI(A, IC, IandID)IareIrequiredInursingIactionsIpriorIto IgivingIanyIdrug, ItheItherapeuticIresponseIshouldIbeIdeterminedIbeforeIanother IdoseIisIadministered. An Iolder Iclient Iwho Ihad Ia Icolon Iresection Iyesterday Iis Ireceiving Ia Iconstant Idose Iof Imeperidine I(Demerol) Ivia IPCA Ipump. IWhich Iassessment Ifinding Iis Imost IsignificantIandIrequiresIthatItheInurseIintervene? AInewIhandItremorIisInoted. ClientsIreceivingIdisulfiramI(Antabuse)IforItreatmentIofIalcoholismIshould IbeIcautionedIaboutItheIimportanceIofIavoidingIalcohol, IparticularlyIduring IconcurrentItreatmentIwithIcephalosporinIantibiotics, IbecauseIanIAntabuse IreactionImayIbeIinitiated.IWhichIsymptomIwouldIindicateIthatItheIclientIis IexperiencingIaIreactionItoIdisulfiramI(Antabuse)? Headache femaleIclientIisIreceivingIsulfisoxazoleI(Gantrisin)IforIaIurinaryItractIinfection.IWhat IinstructionIshouldItheInurseIincludeIinItheIteachingIplanIforIthisIclient? AvoidIcranberryIjuiceIwhileItakingIthisIdrug. AIclientIwhoIisIreceivingIphenytoinI(Dilantin)IbeginsItoIexhibitInystagmus IandIdiplopia.IWhichIphysiologicImanifestationIisIconsistentIwithItheseIfindings? PhenytoinItoxicity TheInurseIgivesIaIclientINPHIinsulinI15IunitsIsubcutaneouslyIbeforeIbreakfastI(7:30 IAM).IAtIwhatItimeIshouldItheInurseIbeIparticularlyIalertIforIsignsIorIsymptomsIofIa Ipotential IhypoglycemicIreaction? 1:30ItoI3:30IPM NPH, IanIintermediate-actingIinsulin, IpeaksIwithinI4IandI12IhoursIafter IsubcutaneousIinjection, IsoItheImostIlikelyItimeIforIthisIclientItoIexperience IaIhypoglycemicIreactionIisIbetweenI1:30IPMIandI3:30IPM TheInurseIisIreviewingIaIclient'sIlaboratoryIresultsIbeforeIaIprocedureIinIwhichIa IneuromuscularIblockingIagentIisIaIstandingIorder.IWhichIfindingIshouldIthe InurseIreportItoItheIhealthcareIprovider? Hypokalemia AImaleIclientIwhoIresidesIinIaIlong-termIcareIfacilityIhasIaIseizureIdisorderIthatIhas IbeenImanagedIwithIphenobarbital I(Nembutal)IforIseveralIyears.ILately, Ihe IhasIbecomeImoreIdifficultItoIarouse, IandIfrequentlyItellsItheInurseIthatIheIwantsIto ItakeIaInap.IWhatIinterventionIshouldItheInurseIimplement? HoldItheImedicationIandInotifyItheIhealthcareIprovider. TheInurseIknowsIthatIcertainIantipsychoticIdrugsIcauseIextrapyramidal Isymptoms.IWhichIextrapyramidal IsymptomIisIaIpermanentIandIirreversible IadverseIeffectIofIlong-termIphenothiazineIadministration? TardiveIdyskinesia PhenazopyridineI(Pyridium)IisIcommonlyIprescribedIforIclientsIwithIurinaryItract Iinfections.IWhatIstatementIshouldIbeIincludedIbyItheInurseIwhenIteaching IclientsIaboutItheIadministrationIofIphenazopyridineI(Pyridium)? TakeIthisImedicationIwithIfoodItoIdecreaseIgastricIirritation. AI46-year-oldIfemaleIclientIisIinstructedItoItakeILugol'sIsolutionI(strongIiodine Isolution)IinIpreparationIforIthyroidectomyIsurgery.IWhichIfoodIshouldIthe InurseIinstructIthisIclientItoIremoveIfromIherIdiet? Shrimp AIclientIisIreceivingIpyridostigmineIbromideI(Mestinon)ItoIcontrol ItheIsymptomsIof Imyasthenia Igravis. IWhich Iclient Ibehavior Iwould Iindicate Ithat Ithe Idrug ItherapyIis Ieffective? ClearIspeech ClearIspeechI(B)IisItheIresultIofIincreasedImuscleIstrength.IMuscleIweakness IcharacteristicIofImyastheniaIgravisIoftenIfirstIappearsIinItheImusclesIofItheIneckIand Iface. WhatImedicationIisIuseful IinItreatingIdigoxinI(Lanoxin)Itoxicity?IDigoxin IimmuneIFabI(Digibind) WhatIinterventionIisImostIimportantIforIaInurseItoIimplementIpriorItoIadministering IatropineIPO? DetermineItheIpresenceIofI5ItoI35Ibowel IsoundsIperIminute. TheInurseIisIpreparingIaIchildIforItransportItoItheIoperatingIroomIforIanIemergency Iappendectomy.ITheIanesthesiologistIprescribesIatropineIsulfateI(Atropine)IM ISTATIWhatIisItheIprimaryIpurposeIforIadministeringIthisIdrugItoItheIchildIatIthis Itime? DecreaseItheIoral Isecretions AIclientIreceivesIaIprescriptionIforItheophyllineI(Theo-Dur)IPOItoIbeIinitiatedIinIthe Imorning.ITheInurseIdeterminesIthatIaItheophyllineIlevelIdrawnIyesterdayIwasI15 Imcg/ml.IBasedIonIthisIinformation, IwhatIshouldItheInurseItell ItheInurseIonItheInext IshiftIaboutIinitiatingItheInewIprescription? TheItheophyllineIdoseIcanIbeIinitiatedIasIplanned. TheItherapeuticIrangeIforItheophyllineIisI10ItoI20Imcg/ml! AImaleIclientIwhoIhasIchronicIbackIpainIisIonIlong-termIpainImedication ImanagementIandIasksItheInurseIwhyIhisIpainIreliefIisInotIasIeffectiveIasIitIwas I2ImonthsIago.IHowIshouldItheInurseIrespond? "PharmacodynamicItoleranceIrequiresIincreasedIdrugIlevelsItoIachieveIthe IsameIeffect." AIchildIisIbeingItreatedIwithImebendazoleI(Vermox)IforIpinworms.IWhatItypeIofIdiet IshouldItheImotherIbeIinstructedItoIfeedItheIchildIwhileIreceivingIthisImedication? High-fatIdiet AIhigh-fatIdietIincreasesItheIabsorptionIofImebendazoleI(Vermox), IwhichIboostsIthe IeffectivenessIofItheImedicationIinIeliminatingItheIpinworms AIclientIwithIaIdislocatedIshoulderIisIbeingIpreparedIforIaIclosed, Imanual Ireduction IusingIconsciousIsedation.IWhichImedicationIshouldItheInurseIexplainIasIaIsedative IusedIduringItheIprocedure? MidazolamI(Versed)IV DuringIadministrationIofItheophyllineI(Theo-Dur), ItheInurseIshouldImonitorIforIsigns IofItoxicity.IWhatIsymptomIwouldIcauseItheInurseItoIsuspectITheo-DurItoxicity? Restlessness TheInurseIperformsIaIclientIassessmentIpriorItoItheIadministrationIofIa IprescribedIdoseIofIdipyridamoleIandIaspirinI(Aggrenox)IPO.ITheInurseInotesIthatIthe Iclient'sIcarotidIbruitIisIlouderIthanIpreviouslyIassessed.IWhatIactionIshouldIthe InurseIimplement? AdministerItheIprescribedIdoseIofIAggrenoxIasIscheduled. AIclientIwhoIisIexperiencingIanIacuteIattackIofIgoutyIarthritisIisIprescribed IColchicineIUSPI1ImgIPOIdaily.IWhichIinformationIisImostIimportantIforItheInurseIto IprovideItheIclient? ReportIanyIvomitingItoItheIclinic. AnIolderImaleIclientIwithITouretteIsyndromeItakesIhaloperidol I(Haldol)Ito IcontrolIticsIandIvocalizations.IHeIhasIbecomeIincreasinglyIdrowsyIoverItheIpastI2 IdaysIandIreportsIbecomingIdizzyIwhenIchangingIfromIaIsupineItoIsittingIposition. IWhatIactionIshouldItheInurseItake? AssessIforIpoorIskinIturgor, IsunkenIeyeballs,IandIconcentratedIurineIoutput. BeforeIadministeringIanIantiinfectiveIagentItoIaIclientIwithIaIurinaryItractIinfection, IwhichInursingIinterventionIisImostIimportant? ObtainIaIcleanIcatchIurineIspecimen. TheIhealthcareIproviderIprescribesIcisplatinI(Platinol)ItoIbeIadministeredIin I5%IdextroseIandI0.45%Inormal IsalineIwithImannitol I(Osmitrol)Iadded.IWhich IassessmentIparametersIwouldIbeImostIhelpful ItoItheInurseIinIevaluatingIthe IeffectivenessIofItheIOsmitrol Itherapy? UrineIoutput ToIevaluateIwhetherItheIadministrationIofIanIantihypertensiveImedicationIhasIcaused IaItherapeuticIeffect, IwhatIactionIshouldItheInurseIimplement? CompareItheIclient'sIbloodIpressureIbeforeIandIafterItakingItheImedication. DuringItherapyIwithIisoniazidI(INH), IitIisImostIimportantIforItheInurseIto ImonitorIwhichIlabIvalueIclosely? LiverIenzymes The Iclient Ireceiving Iisoniazid I(INH) Iis Iat Irisk Ifor Ideveloping Ihepatitis; Itherefore,IliverIfunctionItestsIshouldIbeImonitoredIcarefullyIduringIdrugItherapy In Iadministering Ithe Iantiinfective Iagent Ichloramphenicol I(Chloromycetin) IIV Ito Ia Iclient, Ithe Inurse Iobserves Ithe Iclient Iclosely Ifor Isigns Iof Ibone Imarrow Idepression. IWhich Ilaboratory Idata Iwould Ibe Imost Iimportant Ifor Ithe Inurse Ito Imonitor? PlateletIcount