g g g g g g
ANSWERS WITH RATIONALE |A+ g g g gg
GR RATRATIONALE(LATEST VE
g g
RSION) (A+ GRADED) g g
1. Agnursegisgcaringgforgagclientgwithghyperparathyroidismg andgnot
esgthatgthegclient'sgserumgcalciumglevelgisg13gmg/dL.gWhichgmedica
tiongshouldgthegnursegpreparegtogadministergasgprescribedgtogthegcl
ient?
1. Calciumgchloride
2. Calciumggluconate
3. Calcitoning (Miacalcin)
4. LargegdosesgofgvitamingDg3.gCalcitoning(Miacalcin)gRati
onale:
Thegnormalgserumgcalciumglevelgisg8.6gtog10.0gmg/dL.gThisgclientgisgexp
eriencingghypercalcemia.gCalciumggluconategandgcalciumgchloridegareg
medicationsgusedgforgthegtreatmentgofgtetany,gwhichgoccursgasgagresultg
ofgacuteghypocalcemia.gInghypercalcemia,glargeg dosesg ofgvitamingDgne
edgtogbegavoided.gCalcitonin,gagthyroidghormone,gdecreasesgthegplasma
g calciumglevelgbyginhibitinggbonegresorptiongandgloweringgthegserumgcal
ciumgconcentration.
,HESI PHARMACOLOGY TEST BANK |QUESTIONS &
g g g g g g
ANSWERS WITH RATIONALE |A+
g g g gg
GR RATRATIONALE(LATEST VE
g g
g g g gRSION)
2. The clinic nurse is performing an (A+ GRADED)
admission
g ggassessment on a client.
g g g g g
Thegnursegnotesgthatgthegclientgisgtakinggazelaicgacidg(Azelex).gBecauseg
ofgthegmedicationgprescription,gthegnursegwouldgsuspectgthatgthegclientg
isgbeinggtreatedgfor:
1. Acne
2. Eczema
3. Hairgloss
4. Herpesg simplexg 1.g Acne
Rationale:
Azelaicgacidgisgagtopicalgmedicationgusedgtogtreatgmildgtogmoderategac
ne.gThegacidgappearsgtogworkgbygsuppressinggtheggrowthgofgPropionibac
teriumgacnesgandgdecreasinggthegproliferationgofgkeratinocytes.gOption
sg2,g3,gandg4garegincorrect.
3. Saquinavirg(Invirase)gisgprescribedgforgthegclientgwhogisghumangimmu
nodeficiencygvirusgseropositive.gThegnursegreinforcesgmedicationginstruc
tionsgandgtellsgthegclientgto:
1. Avoidgsungexposure.
,HESI PHARMACOLOGY TEST BANK |QUESTIONS &
g g g g g g
ANSWERS WITH RATIONALE |A+
g g g gg
g GR RATRATIONALE(LATEST VE g
2. Eat low-calorie foods.RSION) (A+ GRADED)
g g g g
, HESI PHARMACOLOGY TEST BANK |QUESTIONS &
g g g g g g
ANSWERS WITH RATIONALE |A+ g g g gg
GR RATRATIONALE(LATEST VE
g g
RSION) (A+ GRADED) g g
3. Eatgfoodsgthatgareglowgingfat.
4. Takegthegmedicationgongangemptygstomach.
1.gAvoidgsungexpos
ure.
Rationale:
Saquinavirg(Invirase)gisgangantiretroviralg(proteaseginhibitor)g usedgwit
hgothergantiretroviralgmedicationsgtogmanageghumangimmunodeficien
cygvirusginfection.gSaquinavirgisgadministeredgwithgmealsgandgisgbestga
bsorbedgifgthegclientgconsumesghigh-calorie,ghigh-
g fatgmeals.gSaquinavirgcangcausegphotosensitivity,gandgtheg nursegshou
ldginstructgthegclientgtogavoidgsungexposure.
4. Ketoconazolegisgprescribedgforgagclientgwithgagdiagnosisgofgcandidiasi
s.gSelectgtheginterventionsgthatgthegnursegincludesgwhengadministeringgt
hisgmedication.gSelectgallgthatgapply.
1. Restrictg fluidgintake.
2. Instructgthegclientgtogavoidgalcohol.
3. Monitorghepaticgandglivergfunctiongstudies.