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Exam (elaborations)

Exam (elaborations) Hesi exit

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HESI EXIT EXAM 3 PHARMACOLOGY: EXPERT SOLVED Before administering an antiinfective agent to a client with a urinary tract infection, which nursing intervention is most important? Obtain a clean catch urine specimen. The healthcare provider prescribes cisplatin (Platinol) to be administered in 5% dextrose and 0.45% normal saline with mannitol (Osmitrol) added. Which assessment parameters would be most helpful to the nurse in evaluating the effectiveness of the Osmitrol therapy? Urine output To evaluate whether the administration of an antihypertensive medication has caused a therapeutic effect, what action should the nurse implement? Compare the client's blood pressure before and after taking the medication. During therapy with isoniazid (INH), it is most important for the nurse to monitor which lab value closely? Liver enzymes The client receiving isoniazid (INH) is at risk for developing hepatitis; therefore, liver function tests should be monitored carefully during drug therapy In administering the antiinfective agent chloramphenicol (Chloromycetin) IV to a client, the nurse observes the client closely for signs of bone marrow depression. Which laboratory data would be most important for the nurse to monitor? Platelet count The nurse is preparing to administer the disease-modifying antirheumatic drug (DMARD) methotrexate (Rheumatrex) to a client diagnosed with rheumatoid arthritis. Which intervention is most important to implement prior to administering this medication Have another nurse check the prescription. Double-checking the prescription (C) is an important intervention since death can occur from an overdose. This medication is administered weekly and in low doses for rheumatoid arthritis and should not be confused with administration of the drug as a chemotherapeutic agent


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