RNuLearninguSystemuPharmacologyuFinaluQu
iz
Aunurseuisuassessinguauclientuwhoureportsuusinguseveraluherbaluanduvitamin
usupplementsudaily,uincluding usawupalmetto.uTheunurseushouldurecognizeut
hatusawupalmettouisuausupplementuusedubyuclientsutouelicituwhichuofutheufoll
owingutherapeuticueffects?
A.uUrinaryuhealthupromotion
B.uImmuneusystemustimulation
C.uDecreasedulegupainufromuarterialudisease
D.uPreventionuofunauseaucausedubyumotionusicknessu-
uCORRECTuANSWER✔A.uUrinaryuhealthupromotion
Explanation:uSawupalmettouisuuseduprimarilyuforumanifestationsurelatedutou
prostaticuconditions,usuchuasubenignuprostaticuhypertrophyu(BPH).uItsueffe
ctivenessuhasunotubeenuscientificallyuproven,uhowever.uTheunurseushouldut
eachutheuclientutoucheckuwithutheuprovideruaboutuinteractionsubetweenusawu
palmettouanduotherumedications.
B.EchinaceauisuaupopularuherbuwidelyuuseduinutheuU.S.uprimarilyutoureduce
utheumanifestations uandudurationuofucoldsuanduflu-
likeuillnesses,ualthoughuitsueffectivenessuhasunotubeenuproven.
,C.uGinkgoubilobauhasubecomeuauwidelyuusedudietaryusupplementuinutheuUn
iteduStatesuforuincreasingucognitiveufunctionsuinuelderlyupeople,ualthoughut
hisueffectuhasunotubeenuproven.uGinkgouhasubeenushownutouimproveulegupai
nuofuintermittentuclaudicationuanduotheruperipheraluarterialudisorders.
D.uGingerurootuisusometimesuusedutoupreventuandutreatunauseaucausedubyum
otionusickness,useasickness,uanduotherucauses.
Aunurseuisupreparinguaudischargeuteachinguplanuforuau6-year-
olduclientuwhouhasuasthmauanduseveraluprescriptionumedicationsuusingumet
eredudoseuinhalersu(MDIs).uWhichuofutheufollowinguinterventionsushouldut
heunurseuincludeuinutheuplan?
A.uAdduauspacerutoueachuMDI
B.uInstructutheuchildutouinhaleumoreurapidlyuthanuusualuwhenuusinguanuMDI
C.uRequestuthatutheuprovideruchangeutheuchild'sumedicationsufromuinhaledu
touoraluformulations.
D.uAdministeruoxygenubyufacemaskualonguwithutheuMDIu-
uCORRECTuANSWER✔A.uAdduauspacerutoueachuMDIu
Explanation:uMDIsuareudifficultutouuseucorrectlyuand,uevenuwhenuproperlyu
used,uonlyuauportionuofutheumedicationuisudeliveredutoutheulungs.uAuspaceru
appliedutouanuMDIucanumakeuupuforulackuofuhand-
lungucoordinationubyuincreasingutheuamountuofumedicationudeliveredutouth
eulungs.
,B.uTheuclientuwhouusesuanuinhalerushouldubeutaughtutouinhaleutheumedicatio
nuslowlyuoveru3utou5usecondsuforumaximumueffectiveness.
C.uThereuareuadvantagesutoudeliveringumedicationsuforuasthmaubyuinhalati
on,uincludinguenhancedutherapeuticueffects,udecreasedusystemicuadverseuef
fects,uanduquickureliefuwhenushort-
actingubronchodilatorsuareuused.uChangingutheuchild'sumedicationsutouoralu
formulationsuisunotuanueffectiveuintervention.
D.uAdministeringuoxygenualonguwithuinhaledumedicationsudoesunotuincrea
seutheuamountuofumedicationureachingutheulungs.uInuaddition,uoxygenuthera
pyushouldubeuadministereduonutheubasisuofulowuoxygenusaturationuanduothe
ruassessments.uItuisunotuappropriateutouadministeruoxygenubyufacemaskualo
nguwithutheuMDI.
Aunurseuisuprovidinguteachingutouauclientuwhouhasupostmenopausaluosteop
orosisuanduaunewuprescriptionuforuintranasalucalcitonin-
salmon.uWhichuofutheufollowingustatementsubyutheuclientuindicatesuanuund
erstandinguofutheuteaching?
A.u"Iuwilluadministeruausprayuintoueachunostriludaily."
B.u"Iushoulduexpectunasalubleedinguforutheufirstuweek."
C.u"Iuwilluneedutoudepressutheusideuarmsutouactivateutheupump."
D.u"Iushoulduexpectutoutakeuthisumedicationuforuaushort-
termucourseuofutreatment."u-
uCORRECTuANSWER✔C.u"Iuwilluneedutoudepressutheusideuarmsutouactiv
ateutheupump."
, Explanation:uTheunurseushoulduinstructutheuclientutouactivateutheupumpuonut
heuinitialuuseubyuholdingutheubottleuuprightuandudepressingutheutwouwhiteusi
deuarmsutowardutheubottleusixutimes.
A.uTheunurseushoulduinstructutheuclientutouadministerucalcitonin-
salmonutouoneunostriludaily,ualternatingunostrils.
B.uTheunurseushoulduinstructutheuclientuthatunasalubleeding,uoruulcerations,u
areuindicationsutoudiscontinueutheumedicationuandutounotifyutheuprovideruifu
nasalubleedinguoccurs.
D.uCalcitonin-salmonuisuaulong-
termutreatmentutherapyuforupostmenopausaluosteoporosis.uTheumedicationu
hasunoudocumentedulong-termuadverseueffects.
Aunurseuinuanuoutpatientufacilityuisuassessinguauclientuwhouisuprescribedufur
osemideu40umgudaily,ubututheuclientureportsuthatusheuhasubeenutakinguextrau
dosesutoupromoteuweightuloss.uWhichuofutheufollowingufindingsushoulduind
icateutoutheunurseuthatutheuclientuisudehydrated?
A.uUrineuspecificugravityu1.035
B.uDistendeduneckuveins
C.uBUNu18umg/dL
D.uBoudinguradialupulsesu-
uCORRECTuANSWER✔A.uUrineuspecific ugravityu1.035
iz
Aunurseuisuassessinguauclientuwhoureportsuusinguseveraluherbaluanduvitamin
usupplementsudaily,uincluding usawupalmetto.uTheunurseushouldurecognizeut
hatusawupalmettouisuausupplementuusedubyuclientsutouelicituwhichuofutheufoll
owingutherapeuticueffects?
A.uUrinaryuhealthupromotion
B.uImmuneusystemustimulation
C.uDecreasedulegupainufromuarterialudisease
D.uPreventionuofunauseaucausedubyumotionusicknessu-
uCORRECTuANSWER✔A.uUrinaryuhealthupromotion
Explanation:uSawupalmettouisuuseduprimarilyuforumanifestationsurelatedutou
prostaticuconditions,usuchuasubenignuprostaticuhypertrophyu(BPH).uItsueffe
ctivenessuhasunotubeenuscientificallyuproven,uhowever.uTheunurseushouldut
eachutheuclientutoucheckuwithutheuprovideruaboutuinteractionsubetweenusawu
palmettouanduotherumedications.
B.EchinaceauisuaupopularuherbuwidelyuuseduinutheuU.S.uprimarilyutoureduce
utheumanifestations uandudurationuofucoldsuanduflu-
likeuillnesses,ualthoughuitsueffectivenessuhasunotubeenuproven.
,C.uGinkgoubilobauhasubecomeuauwidelyuusedudietaryusupplementuinutheuUn
iteduStatesuforuincreasingucognitiveufunctionsuinuelderlyupeople,ualthoughut
hisueffectuhasunotubeenuproven.uGinkgouhasubeenushownutouimproveulegupai
nuofuintermittentuclaudicationuanduotheruperipheraluarterialudisorders.
D.uGingerurootuisusometimesuusedutoupreventuandutreatunauseaucausedubyum
otionusickness,useasickness,uanduotherucauses.
Aunurseuisupreparinguaudischargeuteachinguplanuforuau6-year-
olduclientuwhouhasuasthmauanduseveraluprescriptionumedicationsuusingumet
eredudoseuinhalersu(MDIs).uWhichuofutheufollowinguinterventionsushouldut
heunurseuincludeuinutheuplan?
A.uAdduauspacerutoueachuMDI
B.uInstructutheuchildutouinhaleumoreurapidlyuthanuusualuwhenuusinguanuMDI
C.uRequestuthatutheuprovideruchangeutheuchild'sumedicationsufromuinhaledu
touoraluformulations.
D.uAdministeruoxygenubyufacemaskualonguwithutheuMDIu-
uCORRECTuANSWER✔A.uAdduauspacerutoueachuMDIu
Explanation:uMDIsuareudifficultutouuseucorrectlyuand,uevenuwhenuproperlyu
used,uonlyuauportionuofutheumedicationuisudeliveredutoutheulungs.uAuspaceru
appliedutouanuMDIucanumakeuupuforulackuofuhand-
lungucoordinationubyuincreasingutheuamountuofumedicationudeliveredutouth
eulungs.
,B.uTheuclientuwhouusesuanuinhalerushouldubeutaughtutouinhaleutheumedicatio
nuslowlyuoveru3utou5usecondsuforumaximumueffectiveness.
C.uThereuareuadvantagesutoudeliveringumedicationsuforuasthmaubyuinhalati
on,uincludinguenhancedutherapeuticueffects,udecreasedusystemicuadverseuef
fects,uanduquickureliefuwhenushort-
actingubronchodilatorsuareuused.uChangingutheuchild'sumedicationsutouoralu
formulationsuisunotuanueffectiveuintervention.
D.uAdministeringuoxygenualonguwithuinhaledumedicationsudoesunotuincrea
seutheuamountuofumedicationureachingutheulungs.uInuaddition,uoxygenuthera
pyushouldubeuadministereduonutheubasisuofulowuoxygenusaturationuanduothe
ruassessments.uItuisunotuappropriateutouadministeruoxygenubyufacemaskualo
nguwithutheuMDI.
Aunurseuisuprovidinguteachingutouauclientuwhouhasupostmenopausaluosteop
orosisuanduaunewuprescriptionuforuintranasalucalcitonin-
salmon.uWhichuofutheufollowingustatementsubyutheuclientuindicatesuanuund
erstandinguofutheuteaching?
A.u"Iuwilluadministeruausprayuintoueachunostriludaily."
B.u"Iushoulduexpectunasalubleedinguforutheufirstuweek."
C.u"Iuwilluneedutoudepressutheusideuarmsutouactivateutheupump."
D.u"Iushoulduexpectutoutakeuthisumedicationuforuaushort-
termucourseuofutreatment."u-
uCORRECTuANSWER✔C.u"Iuwilluneedutoudepressutheusideuarmsutouactiv
ateutheupump."
, Explanation:uTheunurseushoulduinstructutheuclientutouactivateutheupumpuonut
heuinitialuuseubyuholdingutheubottleuuprightuandudepressingutheutwouwhiteusi
deuarmsutowardutheubottleusixutimes.
A.uTheunurseushoulduinstructutheuclientutouadministerucalcitonin-
salmonutouoneunostriludaily,ualternatingunostrils.
B.uTheunurseushoulduinstructutheuclientuthatunasalubleeding,uoruulcerations,u
areuindicationsutoudiscontinueutheumedicationuandutounotifyutheuprovideruifu
nasalubleedinguoccurs.
D.uCalcitonin-salmonuisuaulong-
termutreatmentutherapyuforupostmenopausaluosteoporosis.uTheumedicationu
hasunoudocumentedulong-termuadverseueffects.
Aunurseuinuanuoutpatientufacilityuisuassessinguauclientuwhouisuprescribedufur
osemideu40umgudaily,ubututheuclientureportsuthatusheuhasubeenutakinguextrau
dosesutoupromoteuweightuloss.uWhichuofutheufollowingufindingsushoulduind
icateutoutheunurseuthatutheuclientuisudehydrated?
A.uUrineuspecificugravityu1.035
B.uDistendeduneckuveins
C.uBUNu18umg/dL
D.uBoudinguradialupulsesu-
uCORRECTuANSWER✔A.uUrineuspecific ugravityu1.035
