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olution Q & As GUARANTEED SUCCESS Latest update 2 f f f f f f f f
022/2023 RATED A+ f f
HESI PRACTICE EXAM 3 PHARMACOLOGY
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A client with mild parkinsonism is started on oral amantadine (Symmetrel). Whats
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tatement accurately describes the action of this medication?
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dopamine in central nervous system is increased f f f f f f
A 52-year-
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old client is admitted to the hospital for possible duodenal ulcers. Thehealthcare
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provider prescribes ranitidine hydrochloride (Zantac) 150 mg BID PO.Which data
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would indicate that this medication is effective?
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Within 4 hours after meals, the client denies having pain.
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The charge nurse is reviewing the admission history and physical data for fourclients
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newly admitted to the unit. Which client is at greatest risk for adversereactions to m
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edications?
A. 30-year-old man with a fracture f f f f
B. 7-year-old child with an ear infection f f f f f
C. 75-year-old woman with liver disease f f f f
NR 509 Pharmacology HESI Practice Exam 3 Best Exam Solutio
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n Q & As GUARANTEED SUCCESS Latest update 2022/2023 RA
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TED A+ f
,NR 509 Pharmacology HESI Practice Exam 3 Best Exam S
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olution Q & As GUARANTEED SUCCESS Latest update 2
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022/2023 RATED A+ f f
D. 50-year-
old man with an upper respiratory tract infectionA. 75-year-
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old woman with liver disease
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Rationale:
Impaired hepatic metabolic pathways for drug and chemical degradation place (C)a
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t greatest risk for adverse reactions to medications based on advancing age and live
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r disease. (A and D) have no predisposing factors, such as genetics, pathophysiologi
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c dysfunction, or drug allergies, that would increase the risk for cumulative toxicity
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or adverse drug reactions. (B) is at risk for dose-
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related adverse reactions but is at less risk than (C).
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NR 509 Pharmacology HESI Practice Exam 3 Best Exam Solutio
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n Q & As GUARANTEED SUCCESS Latest update 2022/2023 RA
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TED A+ f
,NR 509 Pharmacology HESI Practice Exam 3 Best Exam S
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olution Q & As GUARANTEED SUCCESS Latest update 2 f f f f f f f f
022/2023 RATED A+ f f
The healthcare provider prescribes ipratropium (Atrovent) for a client. An allergicrea
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ction to what other medication would cause the nurse to question the prescription f
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or Atrovent?
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Atropine sulfate (Atropine) f f
68-year-old client has been diagnosed with open- f f f f f f
angle glaucoma. The healthcareprovider prescribes pilocarpine (Isopto Carpine) ey
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e drops. What action of this drug makes it a useful treatment for the client's conditi
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on?
The outflow of aqueous humor in the eyes is increased.
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The nurse is preparing to apply a surface anesthetic agent for a client. Which action
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should the nurse implement to reduce the risk of systemic absorption?
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A. Apply the anesthetic to mucous membranes.
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B. Limit the area of application to inflamed areas.
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C. Avoid abraded skin areas when applying the anesthetic.
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D. Spread the topical agent over a large surface area.
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C. Avoid abraded skin areas when applying the anesthetic
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NR 509 Pharmacology HESI Practice Exam 3 Best Exam Solutio
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n Q & As GUARANTEED SUCCESS Latest update 2022/2023 RA
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TED A+ f
, NR 509 Pharmacology HESI Practice Exam 3 Best Exam S
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olution Q & As GUARANTEED SUCCESS Latest update 2 f f f f f f f f
022/2023 RATED A+ f f
Rationale:
To minimize systemic absorption of topical anesthetics, the anesthetic agent shoul
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d be applied to the smallest surface area of intact skin (C). Application to themucou
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s membranes poses the greatest risk (A) of systemic absorption because absorption
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occurs more readily through mucous membranes than through the skin. Inflamed a
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reas generally have an increased blood supply, which increases therisk of systemic a
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bsorption, so (B) should be avoided. A large surface area increases the amount of to
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pical drug that is available for transdermal absorption, so the smallest area should
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be covered, not (D).
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The healthcare provider prescribes the anticonvulsant carbamazepine (Tegretol)
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for a client with a seizure disorder. The nurse should instruct the client to notifyt
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he healthcare provider if which condition occurs?
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Experiences a sore throat f f f
NR 509 Pharmacology HESI Practice Exam 3 Best Exam Solutio
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n Q & As GUARANTEED SUCCESS Latest update 2022/2023 RA
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TED A+ f