Pharm Hesi Exam ii Exam

1. Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 antagonist irbesartan (Avapro)? - Risk for injury 2. A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? - Blood pressure has changed from 180/120 to 140/70 3. A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication? - Serum Glucose 4. An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac (Toradol) 30 mg IV q6h. Which action should the nurse implement? - Administer both medications according to the prescription. 5. A clients dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When the client reports the onset of a headache prior to the next scheduled dose, which action should the nurse implement? - Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen (Tylenol. 6. When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), It is most important for the nurse to assess for pain in which area of the body? - Abdomen. 7. Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? - bismuth subsalicylate (Pepto Bismol). 8. The nurse is assessing the effectiveness of high dose aspirin therapy for an 88- year-old client with arthritis. The client reports that she can't hear he nurse's questions because her ears are ringing. What action should the nurse implement? - Notify the healthcare provider of this finding immediately. 9. The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest priority before initiating the PCA pump? - The rate and depth of the clients respirations. 10. The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective? The client's... - Respiratory rate is 16 breaths/minute. 11. A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent? - Decreased muscle fatigue. 12. A client who has been taking levodopa PO TID to control the symptoms of Parkinson's disease has a new prescription for sustained release levodopa/carbidopa) Sinemet 25/100) PO BID. The client took his levodopa at 0800. Which instruction should the nurse include in the teaching plan for this client? - "You can begin taking the Sinemet this evening, but do not take any more levodopa." 13. While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to another type of anti-infective agent should the nurse ask the client about when taking the nursing history? - Cephalosporins. 14. A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs? - Rash. 15. A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the optimum time for the nurse to obtain the trough level? - Immediately before the next antibiotic dose is given. 16. A client receiving albuterol (Proventil) tablets complains of nausea every evening with her 9:00 p.m. dose. What action can the nurse take to alleviate this side effect? - Administer the dose with a snack. 17. A 43-year0old female is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider? - Tachycardia and chest pain.