NRSG 101 Pharmacology Exam 4 Questions And Answers (GRADED A)

1) A patient is receiving an intravenous heparin drip. Which laboratory value requires immediate action by the nurse? 2) A patient who has been taking warfarin (Coumadin) is admitted with coffee-ground emesis. What can the nurse anticipate being prescribed for this patient? 3) The patient has an international normalized ratio (INR) value of 1.5. In response to this, the nurse could anticipate the health care provider placing which order? 4) A patient is receiving warfarin (Coumadin) for a chronic condition. Which patient statement requires immediate action by the nurse? 5) A nurse is preparing to administer enoxaparin sodium (Lovenox) to a patient for prevention of deep vein thrombosis. Which is an essential nursing intervention? 6) A patient has arrived at the emergency department and requires immediate surgery. He has been receiving heparin. Which intervention is essential? 7) A patient taking warfarin (Coumadin) asks for an aspirin for a headache. What is the nurse’s best action? 8) A patient is started on warfarin (Coumadin) therapy while also receiving intravenous heparin. The patient is concerned about the risk for bleeding. What will the nurse tell the patient? 9) The nurse evaluates that the patient has understood discharge teaching regarding warfarin (Coumadin) based on which statement? 10) Which intervention is essential before the nurse administers tenecteplase (TNKase)? 11) Which statement indicates the patient understands discharge instructions regarding cholestyramine (Questran)? 12) Which nursing intervention will decrease the flushing reaction of niacin? 13) Which statement made by the patient indicates to the nurse that understanding about discharge instructions on antihyperlipidemic medications has occurred? 14) A patient is taking pravastatin sodium (Pravachol). Which assessment finding requires immediate action by the nurse? 15) The nurse would question an order for colesevelam (Welchol) if the patient has which condition in the medical history? 16) The nurse reviews the history for a patient taking atorvastatin (Lipitor). What will the nurse act on immediately? 17. What is the priority nursing intervention when administering intravenous potassium replacement to the patient? 18. The nurse is administering hypertonic saline solution to treat a patient with severe hyponatremia. Which nursing intervention is the priority? 19. A patient receiving a unit of red blood cells suddenly develops shortness of breath, chills, and fever. What will the nurse do first? 20. Which is the priority intervention when the nurse is assessing a patient with a potassium level of 3.2 mEq/L? 21. The health care provider has ordered 5% dextrose in water as a maintenance fluid for the patient. The nurse is assessing the patient at the beginning of the shift and observes the fluid hanging to be 50% dextrose in water (D50W). Which is the highest priority nursing action? 22. The patient is ordered an isotonic intravenous fluid. Which intravenous fluid is most likely to be ordered by the health care provider? 23. Based on the condition of the patient, an intravenous fluid that is hypertonic will be ordered. Which intravenous fluid is most likely to be ordered by the health care provider? 24. What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant? 25. Which is a priority nursing action when assessing for side effects expected in a patient taking analeptics? 26. The nurse is caring for a child taking methylphenidate (Ritalin). Assessment reveals a heart rate of 110, and the child is complaining of chest pain. What is the nurse’s highest priority action? 27. A patient taking methylphenidate (Ritalin) is nauseous and vomiting. What is the nurse’s best action? a. Monitor the patient’s vital signs. b. Ask the patient if he or she has been taking the medication regularly. Correct c. Assess the patient’s temperature. d. Administer an antiemetic medication. 28. The patient has been ordered doxapram HCl (Dopram). The nurse recognizes that this medication is intended as a/an 29. The nurse is caring for a patient who describes symptoms indicative of narcolepsy. The nurse recognizes that the physician is most likely to order which medication for the patient? 30. The nurse is assessing a patient taking morphine sulfate. Which assessment requires immediate action? 31. A patient is admitted for treatment of opioid addiction. Which intervention is a priority? 32. A patient has been admitted after overdosing on acetaminophen (Tylenol). The nurse plans to monitor this patient for development of which complication related to the overdose? 33. Which assessment is most important for the nurse to monitor in a patient receiving an opioid analgesic? 34. A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse why she is receiving codeine when she is free of pain. What is the nurse’s best response? 35. The nurse is preparing to administer an injection of morphine to a patient and notes a respiratory rate of 10 breaths/min. What is the nurse’s best action? 36. What will the nurse teach the patient to minimize gastrointestinal (GI) side effects of opioid analgesics for chronic pain? 37. What will the nurse teach the patient who is prescribed a fentanyl (Duragesic) transdermal delivery system? 38. A patient is admitted to the emergency department with an overdose of a benzodiazepine. Which antidote will the nurse expect to administer? 38. The nurse is caring for a patient who is taking a barbiturate. Which assessment finding requires immediate action by the nurse? 39. The patient is receiving triazolam (Halcion) as part of treatment for insomnia. The patient complains of experiencing memory problems. The nurse recognizes this as 40. Which laboratory value will the nurse report to the health care provider as a potential adverse response to hydrochlorothiazide? 41. What is the best information for the nurse to provide to the patient who is receiving spironolactone (Aldactone) and furosemide (Lasix) therapy? 42. The nurse is assessing a patient who is taking furosemide (Lasix). The patient’s potassium level is 3.4 mEq/L; chloride is 90 mmol/L, and sodium is 140 mEq/L. Based on the nurse’s understanding of the laboratory results, what prescribed therapy can the nurse anticipate administering? 43. A patient taking spironolactone (Aldactone) has been taught about the medication. Which menu selection indicates that the patient understands teaching related to this medication? 44. Which patient would the nurse need to assess first if the patient is receiving mannitol (Osmitrol)? 45. A patient with acute pulmonary edema is receiving furosemide (Lasix). What assessment finding indicates to the nurse that the intervention is working? 46. Which assessment indicates to the nurse a therapeutic effect of mannitol (Osmitrol) has been achieved? 47. What intervention will the nurse perform when monitoring a patient receiving triamterene (Dyrenium)? 48. A patient is ordered furosemide (Lasix) to be given via intravenous push. Which interventions will the nurse perform? (Select all that apply.)