RN PHARMACOLOGY ONLINE PRACTICE 2023 A
STUDY QUESTIONS WITH ANSWERS 100%
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,A nurse is caring for a client who is to receive treatment for opiod use disorder. Which of the
following medications should the nurse expect to administer?
A. Bupropion
B. Disulfiram
C. Modafinil
D. Methadone - Answer>>>D. Methadone
Rationale:
The nurse should expect to administer methadone for treatment of opioid use disorder.
Methadone can be administered for withdrawal and to assist with maintenance and suppressive
therapy.
The nurse should administer modafinil to assist with the fatigue and prolonged sleep from
methamphetamine withdrawal.
The nurse should administer disulfiram as an aversion therapy to assist with maintaining
abstinence from alcohol.
The nurse should administer bupropion to assist the client with smoking cessation.
A nurse is caring for a client on a medical-surgical unit.
Nurses' Notes:
Yesterday:Client was admitted 1 week ago with a Crohn's disease exacerbation. A central venous
access device (CVAD) was placed in the client's right subclavian vein. Total parental nutrition
(TPN) and lipids initiated 3 days ago. The client is NPO. The client reports abdominal pain as 5
on a scale of 0 to 10. Bowel sounds are hyperactive and lower right quadrant is tender to
palpation.
Today:The 24-hr bag of TPN infusion was complete 1 hr ago, pharmacy notified and waiting for
a new bag. CVAD dressing is clean, dry, and intact. CVAD is difficult to flush. The client
reports abdominal pain as 4 on a scale of 0 to 10 and chills.
Vital Signs:
,Yesterday:
Oral temperature 36.6° C (97.9° F)
Pulse 80/min
Respiratory rate 16/min
Blood pressure 105/78 mm Hg
Oxygen saturation 99% on room air
Today:
Oral temperature 37.4° C (99.4° F)
Pu - Answer>>>The nurse should first address the client's Glucose level, followed by the client's
CVAD.
Rationale:
When analyzing cues, the nurse should identify that the client is developing hypoglycemia and
experiencing a complication with the central venous line (CVL). Hypoglycemia can occur if the
TPN is stopped abruptly. A CVAD can become occluded or infected. Findings of a CVL
complication can include difficulty flushing, pain while flushing, fever, or chills.
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the
following actions should the nurse take prior to administering the medication?
A. Ask the client to drink 8 oz of water.
B. Review the client's most recent Hgb level.
C. Obtain the client's blood pressure.
D. Determine if the client is allergic to NSAIDs. - Answer>>>C. Obtain the client's blood
pressure.
, Rationale:
HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and
edema. The nurse should obtain the client's blood pressure prior to administration of the
medication.
HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and
edema. The client does not need to drink 8 oz of water prior to taking the medication.
HCTZ does not affect Hgb levels. The nurse should monitor the client's electrolytes, especially
potassium, before and periodically while the client is taking this medication.
The nurse should assess the client for an allergy to sulfonamides due to the potential of cross-
sensitivity with HCTZ. NSAIDs can decrease the effectiveness of HCTZ.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
Which of the following adverse effects should the nurse monitor the client for?
A. Weight loss
B. Increased intraocular pressure
C. Auditory hallucinations
D. Bibasilar crackles - Answer>>>D. Bibasilar crackles
Rationale:
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. Therefore, the
nurse should recognize lung crackles as an indicator of a potential complication and stop the
infusion.
STUDY QUESTIONS WITH ANSWERS 100%
VERIFIED GUARANTEED PASS | RATED A+
I Wish You the Best in Your Studies and Exam Revision.
You are blessed!
,A nurse is caring for a client who is to receive treatment for opiod use disorder. Which of the
following medications should the nurse expect to administer?
A. Bupropion
B. Disulfiram
C. Modafinil
D. Methadone - Answer>>>D. Methadone
Rationale:
The nurse should expect to administer methadone for treatment of opioid use disorder.
Methadone can be administered for withdrawal and to assist with maintenance and suppressive
therapy.
The nurse should administer modafinil to assist with the fatigue and prolonged sleep from
methamphetamine withdrawal.
The nurse should administer disulfiram as an aversion therapy to assist with maintaining
abstinence from alcohol.
The nurse should administer bupropion to assist the client with smoking cessation.
A nurse is caring for a client on a medical-surgical unit.
Nurses' Notes:
Yesterday:Client was admitted 1 week ago with a Crohn's disease exacerbation. A central venous
access device (CVAD) was placed in the client's right subclavian vein. Total parental nutrition
(TPN) and lipids initiated 3 days ago. The client is NPO. The client reports abdominal pain as 5
on a scale of 0 to 10. Bowel sounds are hyperactive and lower right quadrant is tender to
palpation.
Today:The 24-hr bag of TPN infusion was complete 1 hr ago, pharmacy notified and waiting for
a new bag. CVAD dressing is clean, dry, and intact. CVAD is difficult to flush. The client
reports abdominal pain as 4 on a scale of 0 to 10 and chills.
Vital Signs:
,Yesterday:
Oral temperature 36.6° C (97.9° F)
Pulse 80/min
Respiratory rate 16/min
Blood pressure 105/78 mm Hg
Oxygen saturation 99% on room air
Today:
Oral temperature 37.4° C (99.4° F)
Pu - Answer>>>The nurse should first address the client's Glucose level, followed by the client's
CVAD.
Rationale:
When analyzing cues, the nurse should identify that the client is developing hypoglycemia and
experiencing a complication with the central venous line (CVL). Hypoglycemia can occur if the
TPN is stopped abruptly. A CVAD can become occluded or infected. Findings of a CVL
complication can include difficulty flushing, pain while flushing, fever, or chills.
A nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of the
following actions should the nurse take prior to administering the medication?
A. Ask the client to drink 8 oz of water.
B. Review the client's most recent Hgb level.
C. Obtain the client's blood pressure.
D. Determine if the client is allergic to NSAIDs. - Answer>>>C. Obtain the client's blood
pressure.
, Rationale:
HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and
edema. The nurse should obtain the client's blood pressure prior to administration of the
medication.
HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and
edema. The client does not need to drink 8 oz of water prior to taking the medication.
HCTZ does not affect Hgb levels. The nurse should monitor the client's electrolytes, especially
potassium, before and periodically while the client is taking this medication.
The nurse should assess the client for an allergy to sulfonamides due to the potential of cross-
sensitivity with HCTZ. NSAIDs can decrease the effectiveness of HCTZ.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion.
Which of the following adverse effects should the nurse monitor the client for?
A. Weight loss
B. Increased intraocular pressure
C. Auditory hallucinations
D. Bibasilar crackles - Answer>>>D. Bibasilar crackles
Rationale:
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. Therefore, the
nurse should recognize lung crackles as an indicator of a potential complication and stop the
infusion.
