Pharmacology HESI :{
The client has a new prescription for metoclopramide (Reglan). On review of the chart, the
nurse identifies that this medication can be safely administered with which condition? -
ANSVomiting following cancer chemotherapy.
The nurse has reinforced instructions to a client who has been prescribed cholestryramine
(Questran). Which statement by the client indicates a need for further instruction? - ANSThis
medication should only be taken with water.
A health care provider has written a prescription for rantidine (Zantac), one daily. The nurse
should schedule the medication for which of the following times? - ANSAt bedtime.
The client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this
client for relief of: - ANSNausea and Vomiting
A client is taking docusate sodium (Colace). The nurse monitors which of the following to
determine whether the client is having a therapeutic effect from this medication? -
ANSIncreased uric acid level
The nurse is reinforcing medication instructions to a client with breast cancer who is receiving
cyclophosphamide (Neosar). The nurse tells the client to: - ANSIncrease fluid intake to 2000 to
3000 mL daily.
A client receiving tetracycline (Azithromycin) for chlamyurethritis. The PN should reinforce which
instruction? - ANSProtect the client from sun exposure.
How should the PN administer ear drops for the child? - ANSPull the ear down and back.
A client asks the PN to crush an enteric coated medication so that it will be easier to swallow.
What is the action of the enteric coating? - ANSThe coating delays dissolution until the
medication is exposed to intestinal secretions.
What is the nursing measures for Mannitol (Osmitol)? - ANSMonitor the urinary output.
What should you do if you miss a dose of amphetamine? - ANSResume the medication dosing
schedule with the noon dose.
Valsartan (Diovan) angiotensin II receptor antagonist which parameter should the PN monitor to
evaluate therapeutic response to this drug? - ANSMonitor the BP.
, What lab should the nurse monitor for a client with the Chronic Kidney Disease? -
ANSHemoglobin
What is the therapeutic response of Kertolytic properties to a client with psoriasis? - ANSScaley
areas of the skin appear softer with less peeling.
What is prednisone (Deltasone)? - ANSIt is a corticoid steroid.
What are the side effects of Viagra? - ANSBack pain, dizziness, flushing, headache, indigestion,
muscle aches, nausea, stuffy or runny nose
What should the nurse monitor for a client who is taking Neupogen-Filgastin? - ANSMonitor the
WBCs
Pulmonary Embolism - Heparin - ANSThe PN should check the heparin protocol for parameters
to adjust the infusion rate based on the clients current PTT.
Iron Administration - Orange Juice - ANSDrink such as orange juice which is high in ascorbic
acid enhance the reabsorption of the orally administered iron.
Nitroglycerin Patch - ANSThe priority action is to ensure removal of patch for resting hours.
Urinary Antispasmodic - ANSThe goal of treatment for the client with an overactive bladder is to
reduce unpleasant symptoms w/o reducing urinary output, so a decrease in urinary output
should be reported.
Hypothyroid Treatment Monitoring Pulse & Weight - ANSIt provides data regarding metabolic
responses to levothyroxine and abnormalities or changes in measurements. They can interfere
with absorption of levothyroxine.
Eye GTTS - Glaucoma - ANSEye drops are used to decrease eye pressure, but it does not
restart it.
Macrolides - ANSMacrolides can cause hepatoxicity which is manifested by jaundice.
Carbamazepine - ANSThe PN should monitor the temperature.
Alzheimer's Conex - ANSThe PN should monitor the mental status exam.
Vaginal Cream - ANSThe patient needs to remain supine for a short period (5-10 mins)
Hypokalemia with Digoxin - ANSIt provides data about the effectiveness of the antibiotic, but not
about compromised renal function, which is a priority concern.
The client has a new prescription for metoclopramide (Reglan). On review of the chart, the
nurse identifies that this medication can be safely administered with which condition? -
ANSVomiting following cancer chemotherapy.
The nurse has reinforced instructions to a client who has been prescribed cholestryramine
(Questran). Which statement by the client indicates a need for further instruction? - ANSThis
medication should only be taken with water.
A health care provider has written a prescription for rantidine (Zantac), one daily. The nurse
should schedule the medication for which of the following times? - ANSAt bedtime.
The client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this
client for relief of: - ANSNausea and Vomiting
A client is taking docusate sodium (Colace). The nurse monitors which of the following to
determine whether the client is having a therapeutic effect from this medication? -
ANSIncreased uric acid level
The nurse is reinforcing medication instructions to a client with breast cancer who is receiving
cyclophosphamide (Neosar). The nurse tells the client to: - ANSIncrease fluid intake to 2000 to
3000 mL daily.
A client receiving tetracycline (Azithromycin) for chlamyurethritis. The PN should reinforce which
instruction? - ANSProtect the client from sun exposure.
How should the PN administer ear drops for the child? - ANSPull the ear down and back.
A client asks the PN to crush an enteric coated medication so that it will be easier to swallow.
What is the action of the enteric coating? - ANSThe coating delays dissolution until the
medication is exposed to intestinal secretions.
What is the nursing measures for Mannitol (Osmitol)? - ANSMonitor the urinary output.
What should you do if you miss a dose of amphetamine? - ANSResume the medication dosing
schedule with the noon dose.
Valsartan (Diovan) angiotensin II receptor antagonist which parameter should the PN monitor to
evaluate therapeutic response to this drug? - ANSMonitor the BP.
, What lab should the nurse monitor for a client with the Chronic Kidney Disease? -
ANSHemoglobin
What is the therapeutic response of Kertolytic properties to a client with psoriasis? - ANSScaley
areas of the skin appear softer with less peeling.
What is prednisone (Deltasone)? - ANSIt is a corticoid steroid.
What are the side effects of Viagra? - ANSBack pain, dizziness, flushing, headache, indigestion,
muscle aches, nausea, stuffy or runny nose
What should the nurse monitor for a client who is taking Neupogen-Filgastin? - ANSMonitor the
WBCs
Pulmonary Embolism - Heparin - ANSThe PN should check the heparin protocol for parameters
to adjust the infusion rate based on the clients current PTT.
Iron Administration - Orange Juice - ANSDrink such as orange juice which is high in ascorbic
acid enhance the reabsorption of the orally administered iron.
Nitroglycerin Patch - ANSThe priority action is to ensure removal of patch for resting hours.
Urinary Antispasmodic - ANSThe goal of treatment for the client with an overactive bladder is to
reduce unpleasant symptoms w/o reducing urinary output, so a decrease in urinary output
should be reported.
Hypothyroid Treatment Monitoring Pulse & Weight - ANSIt provides data regarding metabolic
responses to levothyroxine and abnormalities or changes in measurements. They can interfere
with absorption of levothyroxine.
Eye GTTS - Glaucoma - ANSEye drops are used to decrease eye pressure, but it does not
restart it.
Macrolides - ANSMacrolides can cause hepatoxicity which is manifested by jaundice.
Carbamazepine - ANSThe PN should monitor the temperature.
Alzheimer's Conex - ANSThe PN should monitor the mental status exam.
Vaginal Cream - ANSThe patient needs to remain supine for a short period (5-10 mins)
Hypokalemia with Digoxin - ANSIt provides data about the effectiveness of the antibiotic, but not
about compromised renal function, which is a priority concern.
