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RN VATI Pharmacology Questions and Answers (100% Correct Answers) Already Graded A+

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RN VATI Pharmacology Questions and Answers (100% Correct Answers) Already Graded A+

Instelling
RN VATI Pharmacology
Vak
RN VATI Pharmacology

Voorbeeld van de inhoud

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RN VATI Pharmacology Questions and
Answers (100% Correct Answers) Already
Graded A+


A nurse is caring for a client who ingested a toxic amount of
acetaminophen 36 hr ago. For which of the following findings
should the nurse monitor? Select all that apply
a. elevated troponin level
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b. diaphoresis
c. hyperglycemia
d. abdominal discomfort
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e. increased alanine aminotransferase (ALT) level —ANS: b.
Diaphoresis is correct. The nurse should monitor the client for early
manifestations of acetaminophen toxicity, which includes
diaphoresis. Later manifestations of toxicity include liver failure,
which manifest 48 to 72 hr following ingestion of the toxic dose.


d. Abdominal discomfort is correct. The nurse should monitor the
client for early manifestations of acetaminophen toxicity, which
include abdominal discomfort, nausea, vomiting, and diarrhea.


e. Increased alanine aminotransferase (ALT) level is correct. The
nurse should monitor ALT levels because these enzymes may
elevate with liver inflammation from acetaminophen overdose.
A nurse is assessing a client who has a prescription for oral
albuterol for the long-term management of asthma. For which of
the following adverse effects should the nurse monitor?
a. Nystagmus

, 2
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b. Tachycardia
c. Drowsiness
d. Oral fungal infections —ANS: b. Tachycardia


Albuterol is a beta2-agonist, which can cause excessive
stimulation of cardiac and skeletal muscle beta cells. Therefore,
the nurse should monitor the client for tachycardia and
dysrhythmias.
A nurse is planning care for a client who has asthma and a
prescription for methylprednisolone. Which of the following lab
values should the nurse monitor?
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a. Aspartate aminotransferase (AST)
b. Fibrin split products
c. BUN
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d. Glucose —ANS: d. Glucose


Methylprednisolone therapy increases the synthesis of glucose
and decreases the uptake of glucose by the muscles and adipose
tissues, resulting in increased circulating glucose. Therefore, it is
important for the nurse to regularly monitor blood glucose levels
while clients are receiving corticosteroid therapy.
A nurse planning care for a client who has a prescription for
acetazolamide. Which of the following findings should the nurse
plan to monitor for as an adverse effect of this medication?
a. Bronchospasm
b. Constipation
c. Diplopia
d. Electrolyte imbalance —ANS: d. Electrolyte imbalance


Acetazolamide promotes renal excretion of sodium and
potassium and reduces the formation of bicarbonate, increasing

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the client's risk of electrolyte and acid-base imbalances.
Therefore, the nurse should monitor the client for findings of
electrolyte imbalance.
A nurse is caring for a client who reports an increase in migraine
headaches over the past 2 weeks and asks if sumatriptan might
be helpful. Which of the following conditions from the client's
medical history should the nurse recognize as a contraindication
for this medication?
a. Gastrointestinal reflux
b. Angina pectoris
c. Routine acetylsalicylic acid use
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d. Eczema —ANS: b. Angina pectoris


Sumatriptan is a vasoconstrictor and can cause angina from
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coronary vasospasm. The nurse should identify uncontrolled
hypertension, coronary artery disease, ischemic heart disease,
and angina pectoris as contraindications for receiving
sumatriptan.
A nurse on a telemetry unit is caring for a client who has a new
prescription for digoxin. The nurse should identify that which of the
following cardiac rhythms is a contraindication for administration
of the medication?
a. Atrial flutter
b. Second-degree heart block
c. Atrial fibrillation
d. Narrow QRS complexes —ANS: b. Second-degree heart block


A second-degree heart block results when there is a problem in
the atrioventricular conduction system. Each atrial impulse takes
progressively longer to go from the AV node to the ventricles until
a QRS complex drops. Digoxin slows atrioventricular conduction
and can cause progression to a complete heart block; therefore,

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