Pharmacology Exit HESI

Pharmacology Exit HESI
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Nurse should observe most closely for drug toxicity when a client receives
med that has what characteristic
Narrow therapeutic index
The nurse should observe most closely for drug toxicity when a client receives a
medication that has which characteristic?

 Low bioavailability

 Rapid onset of action

 Short half life

 Narrow therapeutic index.

 Rationale: A drug with a narrow therapeutic index has a high risk for toxicity
because there is a narrow range between the therapeutic dose and the toxic
dose.



Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium)
Evaluate the ingredients of all over-the-counter drugs for alcohol content

Nursing instruction most important for patient on Zyloprim
Increase fluid intake

Client getting Tofranil (Imipramine)
Give medication at night

Magnesium antidote
Calcium gluconate

Patient with hyperthyroidism taking inderal (propanalol)
Decreases pulse rate
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates
that the medication is having the desired effect?

,  Decrease in serum T4 levels

 Increase in blood pressure
 Decrease in pulse rate

 Goiter no longer palpable


Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900
units what is the
Mls/hr

Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg,
how many will you give every 6 hours
1

Patient on benzos
Answer is not narcan
- A client experiencing withdrawal from the benzodiazepines alprazolam (Xanax) is
demonstrating severe agitation and tremors. What is the best initial nursing action?
 Administer naloxone (Narcan) per PNR protocol

 Initiate seizure precautions
 Obtain a serum drug screen

 Instruct the family about withdrawal symptoms.
 Rationale: Withdrawal of CNS depressants, such as Xanax, results in rebound
over-excitation of the CNS. Since the client exhibiting tremors, the nurse should
anticipate seizure activity and protect the client.


Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
- A client with bipolar disorder began taking valproic acid (Depakote) 250 mg
PO three times daily two months ago. Which finding provides the best
indication that the medication regimen is effective?
•The family reports a great reduction in client’s maniac behavior

, Patient on Heparin going for surgery in a.m.,-priority
Assess patient for bleeds

Best time to give patient Abx (I think)
Time was like 1000, 1400, 1200, and 0400…best to give around the clock

Medication calculation-patient weighs equal to 16kg-order for Tamiflu 45mg
BID
Must round up-answer is 3.8ml

Peptic ulcer med-what action
Histamine 2 agonist

Patient on folliculitis medication-what to teach
Drink with full glass of water

Vasopressin
Vasoconstrictor

Know why Digoxin and Lasix are used together
- Someone's on digoxin and Lasix how do you know the meds are working; is it
because potassium is at 4, magnesium or something else


Tamoxifen Citrate use and therapeutic outcome
- Breast cancer

Fosomax for osteoarthritis patient teaching
1. A female client receives a prescription for alendronate sodium (Fosamax) to treat her
newly diagnose osteoporosis. W /hat instruction should the nurse include in the client’s
teaching plan?

 Take on an empty stomach with a full glass of water

Rifampin for TB
Rusty-orange/red colored urine and body fluids