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1) The client who chronically uses nonsteroidal anti-
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inflammatory drugs has beentaking misoprostol (Cytotec). The nurs f f f f f f f f
e determines that the medication is having the intended therapeutic e
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ffect if which of the following is noted?
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1. Resolved diarrhea f
2. Relief of epigastric pain f f f
3. Decreased platelet count f f
4. Decreased white blood cell count f f f f
2. Relief of epigastric painRationale:
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The client who chronically uses nonsteroidal anti-
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inflammatory drugs (NSAIDs) isprone to gastric mucosal injury. Miso f f f f f f f f f
prostol is a gastric protectant and is given specifically to prevent this o
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ccurrence. Diarrhea can be a side effect of the medication, but is not a
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n intended effect. Options 3 and 4 are incorrect.
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2 A client who has been newly diagnosed with diabetes mellitus has
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f been stabilized with daily insulin injections. Which information sho
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uld the nurse teachwhen carrying out plans for discharge?
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1. Keep insulin vials refrigerated at alltimes.
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2. Rotate the insulin injection sitessystematically.
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3. Increase the amount of insulin before unusual exercise.
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4. Monitor the urine acetone level to determine the insulin dosage.
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NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
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2. Rotate theinsulin injection sites systematically.
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Rationale:
Insulindosagesshouldnotbeadjustedorincreasedbeforeunusuale
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xercise.If acetone is found in the urine, it may possibly indicate the
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need for additional insulin.Tominimizethediscomfortassociatedwi
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thinsulininjections,theinsulin should be administered at room tem
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perature. Injection sites should be systematicallyrotatedfromone
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areatoanother.Theclientshouldbeinstructedtogiveinjectionsinon
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earea,about1inchapart,untilthewholeareahasbeenused andthen
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tochangetoanothersite.Thispreventsdramaticchangesindailyins
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ulinabsorption. f
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis.
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The nurse monitors the client, knowing that which of the following wo
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uld indicate the presenceof systemic toxicity from thismedication?
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1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations f
1. TinnitusRationale:
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Salicylic acid is absorbed readily through the skin, and systemic toxici
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ty (salicylism)can result. Symptoms include tinnitus, dizziness, hyper
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pnea, and psychological disturbances. Constipation and diarrhea are
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not associated with salicylism.
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NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
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4.) f
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a bu
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rn injury. When applying the medication, the client complains of local
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discomfort and burning.Which of the following is the most appropriate
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f nursing action? f
1. Notifying the registered nurse f f f
2. Discontinuing the medication f f
3. Informing the client that this is normal f f f f f f
4. Applying a thinner film than prescribed to the burn site 3. Informi
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ng the clientthat this is normal
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Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-
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positive organisms and is used to treat burns to reduce bacteria prese
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nt in avascular tissues. The clientshould be informed that the medicati
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on will cause local discomfort and burning and that this is a normal reac
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tion; therefore options 1, 2, and 4 are incorrect
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6.) The burn client is receiving treatments of topical mafenide acetate (
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Sulfamylon)to the site of injury. The nurse monitors the client, knowi
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ng that which of the following indicates that a systemic effect has occu
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rred?
1.Hyperventilation 2.E f
levated blood pressur f f
e 3.Local pain at the bu
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rnsite f
NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
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4.Local rash at theburn site1.Hyperventilation
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NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
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