Pharmacology drugs (final hesi) evolve
Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the
next nursing action? - ANSStop the transfusion.
The healthcare provider prescribes an intravenous medication for a client who has been
admitted for a chronic obstructive pulmonary disease exacerbation. When preparing to initiate
an intravenous line, the nurse applies the tourniquet to select the site. When should the nurse
release the tourniquet? - ANSWhen the needle enters the vein
A nurse is teaching an older adult client about managing chronic pain with acetaminophen.
Which client statement indicates that the teaching is effective? - ANS"I have to be careful about
which over-the-counter cold preparations I take when I have a cold."
Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the
nurse what this medication does. Which action does the nurse mention when replying? -
ANSInhibits gastric acid secretion
A client who had a kidney transplant develops leukopenia 3 weeks after surgery. What does the
nurse conclude is the most probable cause of the leukopenia? - ANSAntirejection medications
After surgery a client develops a deep vein thrombosis and a pulmonary embolus. Heparin via a
continuous drip is prescribed. Several hours later, vancomycin intravenously every 12 hours is
prescribed. The client has one intravenous (IV) site: a peripheral line in the left forearm. What
action should the nurse take? - ANSStart another IV line for the vancomycin and continue the
heparin as prescribed.
A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of
cerebral edema after surgery, the nurse anticipates the use of drugs from which class? -
ANSSteroids
A health care provider prescribes ranitidine for a client with heartburn. During a teaching
session, which information will the nurse share with the client about how this drug works? -
ANSRanitidine reduces gastric acidity in the stomach
A Total Parenteral Nutrition (TPN) solution is prescribed to infuse one liter every 12 hours for a
malnourished client. What is most important for the nurse to monitor? - ANSSerum glucose
levels
Which medication does the nurse anticipate will be prescribed to relieve anxiety and
apprehension in a client with pulmonary edema? - ANSMorphine
, Hydrochlorothiazide, a thiazide diuretic, has been prescribed for a client with hypertension. The
client reports hearing that furosemide is more effective and requests a prescription change. How
should the nurse respond? - ANS"HCTZ has fewer side effects."
Which action should the nurse take first when a client's gravity flow IV rate is too slow? -
ANSEvaluate the appearance of the catheter insertion site
A client is scheduled for discharge following surgery. The medical record indicates that the client
has not had a bowel movement since before surgery, which was 4 days ago. During the hospital
stay, the client received a stool softener daily and an oral laxative the day before discharge.
Which one of the prescribed medications should the nurse administer to ensure a bowel
movement prior to discharge? - ANSBisacodyl 10-mg suppository
A nurse is instructing a group of volunteer nurses on the technique of administering the
smallpox vaccine. What injection method should the nurse teach? - ANSIntradermal scratch
The health care provider prescribes propylthiouracil (PTU) for a client with the diagnosis of
Graves' disease. What should the nurse teach the client when discussing the self-administration
of this medication? - ANSObserve for signs of infection
A client is diagnosed with tuberculosis associated with human immunodeficiency virus infection.
What crucial laboratory test results should the nurse review before antitubercular
pharmacotherapy is started? - ANSLiver function studies
A nurse is administering an intradermal skin test injection to a client. What is the next action the
nurse needs to do after the medication has been injected? - ANSWithdraw the needle and place
a piece of gauze over the injection site.
The person with which type of blood is known to be the universal recipient? - ANSAB
A client is considered to be in septic shock when what changes are assessed in the client's
labwork? - ANSAn increased serum lactate level
A nurse is giving an educational program to paramedics who have volunteered to give the
smallpox vaccine in a community vaccination drive. Which type of needle and method of
administration should the nurse teach the volunteers to use when administering the smallpox
vaccine? - ANSBifurcated needle for 15 injections within 5 mm
A client is started on tetracycline antibiotic therapy. What should the nurse do when
administering this drug? - ANSGive the medication an hour before milk products are ingested.
A healthcare provider prescribes ampicillin for a client with an infection. What information should
the nurse include in the teaching plan about this medication? - ANSNotify the healthcare
provider if diarrhea develops.
Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the
next nursing action? - ANSStop the transfusion.
The healthcare provider prescribes an intravenous medication for a client who has been
admitted for a chronic obstructive pulmonary disease exacerbation. When preparing to initiate
an intravenous line, the nurse applies the tourniquet to select the site. When should the nurse
release the tourniquet? - ANSWhen the needle enters the vein
A nurse is teaching an older adult client about managing chronic pain with acetaminophen.
Which client statement indicates that the teaching is effective? - ANS"I have to be careful about
which over-the-counter cold preparations I take when I have a cold."
Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the
nurse what this medication does. Which action does the nurse mention when replying? -
ANSInhibits gastric acid secretion
A client who had a kidney transplant develops leukopenia 3 weeks after surgery. What does the
nurse conclude is the most probable cause of the leukopenia? - ANSAntirejection medications
After surgery a client develops a deep vein thrombosis and a pulmonary embolus. Heparin via a
continuous drip is prescribed. Several hours later, vancomycin intravenously every 12 hours is
prescribed. The client has one intravenous (IV) site: a peripheral line in the left forearm. What
action should the nurse take? - ANSStart another IV line for the vancomycin and continue the
heparin as prescribed.
A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of
cerebral edema after surgery, the nurse anticipates the use of drugs from which class? -
ANSSteroids
A health care provider prescribes ranitidine for a client with heartburn. During a teaching
session, which information will the nurse share with the client about how this drug works? -
ANSRanitidine reduces gastric acidity in the stomach
A Total Parenteral Nutrition (TPN) solution is prescribed to infuse one liter every 12 hours for a
malnourished client. What is most important for the nurse to monitor? - ANSSerum glucose
levels
Which medication does the nurse anticipate will be prescribed to relieve anxiety and
apprehension in a client with pulmonary edema? - ANSMorphine
, Hydrochlorothiazide, a thiazide diuretic, has been prescribed for a client with hypertension. The
client reports hearing that furosemide is more effective and requests a prescription change. How
should the nurse respond? - ANS"HCTZ has fewer side effects."
Which action should the nurse take first when a client's gravity flow IV rate is too slow? -
ANSEvaluate the appearance of the catheter insertion site
A client is scheduled for discharge following surgery. The medical record indicates that the client
has not had a bowel movement since before surgery, which was 4 days ago. During the hospital
stay, the client received a stool softener daily and an oral laxative the day before discharge.
Which one of the prescribed medications should the nurse administer to ensure a bowel
movement prior to discharge? - ANSBisacodyl 10-mg suppository
A nurse is instructing a group of volunteer nurses on the technique of administering the
smallpox vaccine. What injection method should the nurse teach? - ANSIntradermal scratch
The health care provider prescribes propylthiouracil (PTU) for a client with the diagnosis of
Graves' disease. What should the nurse teach the client when discussing the self-administration
of this medication? - ANSObserve for signs of infection
A client is diagnosed with tuberculosis associated with human immunodeficiency virus infection.
What crucial laboratory test results should the nurse review before antitubercular
pharmacotherapy is started? - ANSLiver function studies
A nurse is administering an intradermal skin test injection to a client. What is the next action the
nurse needs to do after the medication has been injected? - ANSWithdraw the needle and place
a piece of gauze over the injection site.
The person with which type of blood is known to be the universal recipient? - ANSAB
A client is considered to be in septic shock when what changes are assessed in the client's
labwork? - ANSAn increased serum lactate level
A nurse is giving an educational program to paramedics who have volunteered to give the
smallpox vaccine in a community vaccination drive. Which type of needle and method of
administration should the nurse teach the volunteers to use when administering the smallpox
vaccine? - ANSBifurcated needle for 15 injections within 5 mm
A client is started on tetracycline antibiotic therapy. What should the nurse do when
administering this drug? - ANSGive the medication an hour before milk products are ingested.
A healthcare provider prescribes ampicillin for a client with an infection. What information should
the nurse include in the teaching plan about this medication? - ANSNotify the healthcare
provider if diarrhea develops.
