RN Pharmacology Final Exam with Complete Solution

RN Pharmacology Final Exam with Complete Solution20
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22/2023
Ayprovideryprescribesyphenobarbitalyforyayclientywhoyhasyayseizureydisorder.yTheymedicationyhasyaylongy
half-lifeyofy4ydays.yHowy manyytimesyperydayy shouldytheynurseyexpectytoyadministerythisymedication?

A. One

B. Two

C. Three

D. Four
{{CorrectyAns-yA.yMedicationsywithylongyhalf-
livesyremainyatytheirytherapeuticylevelsybetweenydosesyforylongyperiodsyofytime.yTheynurseyshouldyexpectytoy
administerythisymedicationyonceyayday.

Aystaffyeducatoryisyreviewingymedicationydosagesyandyfactorsythatyinfluenceymedicationymetabolismywithy
aygroupyofynursesyatyanyin-
serviceypresentation.yWhichyofytheyfollowingyfactorsyshouldytheyeducatoryincludeyasyayreasonytoyadminister
ylowerymedicationydosages?y(Selectyallythatyapply.)




A. Increasedyrenalysecretion

B. Increasedymedication-metabolizingyenzymes

C. Liveryfailure

D. Peripheralyvascularydisease

E. Concurrentyuseyofymedicationytheysameypathwayymetabolizes
{{CorrectyAns-y:

C.yLiveryfailureydecreasesymetabolismyandythusyincreasesytheyconcentrationyofyaymedication.yThisyrequi
resydecreasingytheydosage.

E.yWhenytheysameypathwayymetabolizesytwoymedications,ytheyycompeteyforymetabolism,ytherebyyincrea
singytheyconcentrationyofyoneyorybothymedications.yThisyrequiresydecreasingytheydosageyofyoneyor ybothym
edications.

Aynurseyisypreparingytoyadministeryeyeydropsytoyayclient.yWhichyofytheyfollowingyactionsyshouldytheynurs
eytake?y(Selectyallythatyapply.)

,A. haveytheyclientylieyonyheryside.


B. Askytheyclientytoylookyupy aty theyceiling.


C. Tellytheyclientytoyblinkywhenythey dropsyenteryheryeye.


D. Dropy theymedicationyintoytheycenteryofythey client'syconjunctivalysac.


E. Instructytheyclientytoy closeyheryeyeygentlyyafteryinstillation
{{CorrectyAns-
B.y Theyclientyshouldylookyupwardytoykeepytheydropsyfromyfallingyontoyherycornea.
D.y They nurseyshouldydropytheymedicationyintoythey centeryofytheyconjunctivalysacytoy promoteydistribution.

E.y They clientyshouldycloseyheryeyeygentlyytoypromoteydistributionyofytheymedication

Aynurseyisycompletingydischargeyteachingyforyayclientywhoyhasyaynewyprescriptionyforytransdermalypatch
es.yWhichyofytheyfollowing
statementsyshouldytheynurseyidentifyyasyanyindicationythatytheyclienty
understandsytheyinstructions?

A. "IywillycleanytheysiteywithyanyalcoholyswabybeforeyIyapplyytheypatch."


B. "Iy willyrotateytheyapplicationysitesyweekly."


C. "Iywillyapplyytheypatchytoy any areayofy skinywithynoyhair."


D. "Iy willyplaceytheynewypatchyonytheysiteyofy theyoldypatch.
{{CorrectyAns-
yC.yTheyclientyshouldyapplyytheypatchytoyayhairlessyareayofyskinytoypromoteyabsorptionyofytheymedication.




Ay nurseyreviewingyayclient's
medicalyrecordynotesyay newyprescriptionyforyverifyingytheytrough
levelyofytheyclient'symedication.yWhichyofytheyfollowingyactionsyshouldytheynurseytake?

A. Obtainyaybloody specimeny
immediatelyypriorytoyadmin
isteringythey nextydoseyofym
edication.

B. Verifyythatytheyclientyhasy
beenytakingytheymedicationyf
ory24y hrybeforeyobtaining

,ay bloodyspecimen.

C. Askytheyclientytoypr
ovideyayurineyspecimenyafterytheynextydoseyofymedication.

D. Administerytheymedication,andyobtainyaybloodyspecimeny30yminy late
{{CorrectyAns-
y A.yToy verifyytroughylevelsyofy aymedication,ytheynurseyshouldyob

tainyaybloodyspecimenyimmediately
beforeyadministeringytheynextydoseyofymedication.

Aynurseyisypreparingyayclient'symedications.yWhichyofytheyfollowingyactionsyshouldytheynurseytakeyinyfollowi
ngylegalypractice
guidelines?y(Selectyally thatyapply.)

A.maintainyskillycompetency.yB.Deter

mineytheydosage.

C. monitoryforyadversey effects.

D. Safeguardymedications.


E. Identifyytheyclient'sydiagnosis
{{CorrectyAns-
A.maintainingyskillycompetencyyandyusingyappropriateyadministratio
nytechniquesyareylegalyresponsibilitiesyofytheynurse

C.y Ay nurseyisylegallyyresponsibleyforymonitoringyfo
rysideyandyadverseyeffectsyofymedication

D.y Safeguardingyofymedications,ysuchyasycontrolledysubstances
,yisyaylegalyresponsibilityyofytheynurse

Aynurseyreviewingyayclient'syhealthyrecordynotesyaynewyprescriptionyforylisinoprily10ymgyPOyonceyeveryyday.y
They nurseyshouldyidentifyythisyasywhichyofytheyfollowingytypesyofyprescription?

A.SingleyB

.Stat

C.Routine

, D.Standing
{{CorrectyAns-
yC.yAyroutineyorystandardyprescriptionyidentifiesymedicationsytoygiveyonyay reg

ularyscheduleywithyorywithoutyaytermination
dateyory ay specificynumberyofydoses.yTheynurseywillyadministeryt
hisymedicationyeveryydayyuntilytheyproviderydiscontinuesyit.

Aynurseyisyreviewingyaynewyprescriptio
nyforyondansetrony4ymg
POyPRNyforynauseayandyvomitingyforyayclientywhoyhasyhyperemesisygravi
darum.yTheynurseyshouldyclarifyywhichyofytheyfollowingypartsyofytheypresc
riptionywithytheyprovider?

A.Namey

B.Dosagey

C.Route

D.Frequency
{{CorrectyAns-
yD.yThisyprescriptionydoesynotyincludeytheytimeyoryfrequencyyofymedicationyadministration.yTheynurseymusty


clarifyythisywithytheyprescribingyprovide

Ay nursey isyadmittingyayclientyandycompletingyaypreassessmentybeforeyadministeringymedications.
Whichyofy theyfollowingydata
shouldytheynurseyincludeyinytheypreassessment?y(Selectyallythatyapply.)

A.Useyofy herbalyteasy

B.Dailyyfluidyintake

C.CurrentyhealthystatusyD.Pr

eviousysurgicaly history

E.Foodyallergies
{{CorrectyAns-
yA.yTheynurseyshouldyinquireyaboutytheyclient'syuseyofyherbalyproducts,ywhichyoftenycontainycaffeine,yprioryt

oymedication
administrationybecauseycaffeineycanyaffectymedicationybiotransformation

C.y Theynurseyshouldyreviewytheyclient'sycurrentyhealthystatus
becauseynewyprescriptionsycanycauseyalterationsyinycurrentyhealthystatus