NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment of
trichomonas vaginalis? (Select all that apply.)
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
C) Check blood pressure daily to detect hypertension.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
A) Increase fluid intake, especially cranberry juice.
D) Avoid drinking alcohol while taking this
medication. E) Use condoms until treatment is
completed.
F) Ensure that all sexual partners are treated at the same time.
Correct selections are (A, D, E, and F). Increased fluid intake and cranberry juice
(A) are recommended for prevention and treatment of urinary tract infections,
which frequently accompany vaginal infections. It is not necessary to taper use
of this drug (B) or to check the blood pressure daily (C), as this condition is not
related to hypertension. Flagyl can cause a disulfiram-like reaction if taken in
conjunction with ingestion of alcohol, so the client should be instructed to avoid
alcohol (D). All sexual partners should be treated at the same time (E) and
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
condoms should be used until after treatment is completed to avoid reinfection
(F).
A client receiving albuterol (Proventil) tablets complains of nausea every
evening with her 9
p.m. dose. What action should the nurse take to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the
dose. C) Administer the dose with a
snack.
Administering oral doses with food (C) helps minimize GI discomfort. (A) would be
appropriate
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
only if changing the time of the dose corresponds to meal times while at the
same time maintaining an appropriate time interval between doses. (B) would
disrupt the dosing schedule, and could result in a nontherapeutic serum level of
the medication. (D) should not be attempted before other interventions, such as
(C), have been proven ineffective in relieving the nausea.
Which dosing schedule should the nurse teach the client to observe for a
controlled-release oxycodone prescription?
A) As needed.
B) Every 12 hours.
C) Every 24 hours.
D) Every 4 to 6
hours.
B) Every 12 hours.
A controlled-release oxycodone provides long-acting analgesia to relieve
moderate to severe pain, so a dosing schedule of every 12 hours (B) provides the
best around-the-clock pain management. Controlled-release oxycodone is not
prescribed for breakthrough pain on a PRN or as needed schedule (A). (C) is
inadequate for continuous pain management. Using a schedule of every 4 to 6
hours (D) may jeopardize patient safety due to cumulative effects.
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
, NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
postoperative client has been receiving a continuous IV infusion of
meperidine (Demerol) 35 mg/hr for four days. The client has a PRN prescription
for Demerol 100 mg PO q3h. The nurse notes that the client has become
increasingly restless, irritable and confused, stating that there are bugs all over
the walls. What action should the nurse take first?
A) Administer a PRN dose of the PO meperidine (Demerol).
B) Administer naloxone (Narcan) IV per PRN protocol.
C) Decrease the IV infusion rate of the meperidine (Demerol) per protocol.
D) Notify the healthcare provider of the client's confusion and
hallucinations. C) Decrease the IV infusion rate of the meperidine
(Demerol) per protocol.
The client is exhibiting symptoms of Demerol toxicity, which is consistent with the
large dose of Demerol received over four days. (C) is the most effective action to
immediately decrease the amount of serum Demerol. (A) will increase the toxic
level of medication in the bloodstream.
Naloxone (B) is an opioid antagonist that is used during an opioid overdose, but
it is not beneficial during Demerol toxicity and can precipitate seizures. The
healthcare provider should be notified (D), but that is not the initial action the
nurse should take; first the amount of drug infusing should be decreased.
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
(QUESTIONS AND ANSWERS) 2023/2024
update
Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment of
trichomonas vaginalis? (Select all that apply.)
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
C) Check blood pressure daily to detect hypertension.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
A) Increase fluid intake, especially cranberry juice.
D) Avoid drinking alcohol while taking this
medication. E) Use condoms until treatment is
completed.
F) Ensure that all sexual partners are treated at the same time.
Correct selections are (A, D, E, and F). Increased fluid intake and cranberry juice
(A) are recommended for prevention and treatment of urinary tract infections,
which frequently accompany vaginal infections. It is not necessary to taper use
of this drug (B) or to check the blood pressure daily (C), as this condition is not
related to hypertension. Flagyl can cause a disulfiram-like reaction if taken in
conjunction with ingestion of alcohol, so the client should be instructed to avoid
alcohol (D). All sexual partners should be treated at the same time (E) and
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
condoms should be used until after treatment is completed to avoid reinfection
(F).
A client receiving albuterol (Proventil) tablets complains of nausea every
evening with her 9
p.m. dose. What action should the nurse take to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the
dose. C) Administer the dose with a
snack.
Administering oral doses with food (C) helps minimize GI discomfort. (A) would be
appropriate
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
only if changing the time of the dose corresponds to meal times while at the
same time maintaining an appropriate time interval between doses. (B) would
disrupt the dosing schedule, and could result in a nontherapeutic serum level of
the medication. (D) should not be attempted before other interventions, such as
(C), have been proven ineffective in relieving the nausea.
Which dosing schedule should the nurse teach the client to observe for a
controlled-release oxycodone prescription?
A) As needed.
B) Every 12 hours.
C) Every 24 hours.
D) Every 4 to 6
hours.
B) Every 12 hours.
A controlled-release oxycodone provides long-acting analgesia to relieve
moderate to severe pain, so a dosing schedule of every 12 hours (B) provides the
best around-the-clock pain management. Controlled-release oxycodone is not
prescribed for breakthrough pain on a PRN or as needed schedule (A). (C) is
inadequate for continuous pain management. Using a schedule of every 4 to 6
hours (D) may jeopardize patient safety due to cumulative effects.
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
, NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
postoperative client has been receiving a continuous IV infusion of
meperidine (Demerol) 35 mg/hr for four days. The client has a PRN prescription
for Demerol 100 mg PO q3h. The nurse notes that the client has become
increasingly restless, irritable and confused, stating that there are bugs all over
the walls. What action should the nurse take first?
A) Administer a PRN dose of the PO meperidine (Demerol).
B) Administer naloxone (Narcan) IV per PRN protocol.
C) Decrease the IV infusion rate of the meperidine (Demerol) per protocol.
D) Notify the healthcare provider of the client's confusion and
hallucinations. C) Decrease the IV infusion rate of the meperidine
(Demerol) per protocol.
The client is exhibiting symptoms of Demerol toxicity, which is consistent with the
large dose of Demerol received over four days. (C) is the most effective action to
immediately decrease the amount of serum Demerol. (A) will increase the toxic
level of medication in the bloodstream.
Naloxone (B) is an opioid antagonist that is used during an opioid overdose, but
it is not beneficial during Demerol toxicity and can precipitate seizures. The
healthcare provider should be notified (D), but that is not the initial action the
nurse should take; first the amount of drug infusing should be decreased.
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2023/2024
update
