2023 HESI Pharmacology (Pharm) Exam Version 1 V1, V2, V3 BRAND NEW Q&As

Nurse should observe most closely for drug toxicity when a client receives med that has what characteristic - Narrow therapeutic index 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 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 pill Q6H Patient on benzos - Answer is not narcan Patient Dx with bipolar-how to know if meds are effective - Family states patient is doing better with manic phases 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 Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes Peak: .75-1.5 hours Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours (IV ok) Intermediate acting- NPH Onset: 1-2 hours Pea:k 6-12 hours Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours (DO NOT MIX) - Chlamidia - Tetracycline Trichomoniasis - Flagyl Candidiasis - Nystatin Herpes Simplex 2 - Acyclovir Parkinson's disease - Levodopa/Carbidopa Phenobarbitol - Seizures Preparing to administer a drug to a pt with an infection - The drug will destroy the microorganism RN is teaching a pt about a new drug... what's most important to teach the pt to improve the intensity of the response to the drug - Take the prescribed dose A nurse is giving morphine 2 mg IV to a pt after surgery and she has followed the "six rights of administration"... - Know the possible reactions to morphine RN doesn't understand why a pt is to receive a prescribed med - Verity the reason with the prescribing healthcare provider for use Administration of schedule IV drug, the RN understands - The drug has acceptable medical application with low potential for abuse Where would a RN direct a pt to obtain more info about prescribed medications - A pharmacist RN is prepared to administer Epinephrine to pt that has a severe allergic reaction - IV - no first pass effect Digoxin has 36-48 hr half life - because of the length of half life, the RN expects to be dosing this medication - Once a day Pt is prescribed Cimetidine (histamine 2 antagonist) to treat gastric ulcer - Inhibit the action of histamine at receptor sites and block gastric acid secretion