PHARMACOLOGY EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is providing teaching to a client who has gout and a new
prescription for allopurinol. Which of the following statements by
the client indicates an understanding of the teaching?
A. "If I get a rash from this medication, I will take my usual
antihistamine."
B. "I need to increase my fluid intake while taking this
medication."
C. "I should take this medicine on an empty stomach."
D. "If I get a fever while taking this medication, I will take some
aspirin." - ANSWER--B. "I need to increase my fluid intake while
taking this medication."
Clients who have gout should increase their fluid intake to 2 to
3L per day to prevent toxicity of allopurinol and decrease uric
acid levels.
A nurse is providing instructions to a client who has a new
prescription for sublingual nitroglycerin to treat angina pectoris.
Which of the following instructions should the nurse include?
A. "Place the tablet under your tongue, and then take a small sip
of water."
, VATI RN PHARMACOLOGY 2023 TEST BANK /
PHARMACOLOGY EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
B. "The medication can take up to 15 minutes to take effect."
C. "Avoid taking the medication prior to exercising."
D. "Stop taking the medication and notify your provider if you
develop a headache." - ANSWER--A. "Place the tablet under your
tongue, and then take a small sip of water."
A client who takes a sublingual medication should place it under his
tongue. A sip of water can help the medication dissolve. The
nurse should tell the client that the medication takes effect
rapidly in 1-3 min. The nurse should tell the client that the
medication can be used to terminate an ongoing anginal attack
as well as to prevent anginal pain prior to exertion. Therefore
the client might need the medication prior to exercising.
Headache is a common adverse effect of this medication that
often dissipates with prolonged use. The client should continue
to take the medication and take aspirin or acetaminophen for
headache.
A nurse is teaching a client who has a new prescription for
phenytoin. The nurse should instruct the client to monitor for and
report which of the following adverse effects of this medication?
A. Metallic taste
B. Diarrhea
, VATI RN PHARMACOLOGY 2023 TEST BANK /
PHARMACOLOGY EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
C. Skin rash
D. Anxiety - ANSWER--C. Skin rash
Phenytoin is an antiepileptic medication used to treat partial
seizures and generalized tonic-clonic seizures. Phenytoin can
cause a rash that can progress to Stevens-Johnson syndrome
(SJS) or toxic epidermal necrolysis (TEN). If a rash develops, the
client should notify the provider immediately and stop the use
of phenytoin.
Adverse effects of clarithromycin include an altered taste.
Phenytoin can cause gingival hyperplasia. Adverse effects of
phenytoin include constipation. Adverse effects of phenytoin
include suicidal tendencies and aggression.
A nurse is caring for a client who has atrial fibrillation and receives
digoxin daily. Before administering this medication, which of the
following actions should the nurse take?
A. Offer the client a light snack
B. Measure the client's blood pressure
C. Measure the client's apical pulse
D. Weigh the client - ANSWER--C. Measure the client's apical pulse
, VATI RN PHARMACOLOGY 2023 TEST BANK /
PHARMACOLOGY EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Digoxin decreases the heart rate, so the nurse should count the
apical pulse for at least 1 min before administering. The nurse
should hold the medication and notify the provider if the
client's heart rate is below 60/min or if a change in heart rhythm
is detected.
A nurse is providing discharge teaching to a client who has a new
prescription for lithium. Which of the following information should
the nurse include in the teaching?
A. Follow a low-sodium diet.
B. Limit daily fluid intake.
C. Obtain a daily weight.
D. Avoid foods that have a high tyramine content. - ANSWER--C.
Obtain a daily weight
Clients who are taking lithium should monitor their daily
weight due to the risk of fluid imbalance.
Clients who are taking lithium should avoid a low-sodium diet
due to the risk of hyponatremia. Clients who are taking lithium
should drink plenty of fluids. Clients who are taking a