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NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIONS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A+ LATEST UPDATE 2022

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NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIONS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A+ LATEST UPDATE 2022

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NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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A client who has trouble swallowing pills intermittently has been prescribed venlaf
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axine (Effexor XR) for depression. The medication comes in capsule form.What shou
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ld the nurse include in the discharge teaching plan for this client?
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A. Capsule contents can be sprinkled on pudding or applesauce.
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B. Chew the medication thoroughly to enhance absorption.
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C. Take the medication with a large glass of water or juice.
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D. Contact the health care provider for another form of medication.
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D. Contact the health care provider for another form of medication.
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Rationale:
Venlafaxine (Effexor XR) is administered PO in capsule form. Capsules that are exte
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nded-release (XR) or continuous-release (CR) contain delayed-release, enteric-
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coated granules to prevent decomposition of the drug in the acidic pH of the stoma
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ch. The client should notify the health care provider about the inability to swallow t
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he capsule (D). This medication should not be chewed or opened so thatthe delaye
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d-release, enteric- o




coated granules can remain intact (A and B). Water orjuice (C) will not affect the me
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dication.

A client who is HIV-
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NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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,NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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positive is receiving epoetin alfa (Epogen) for the managementof anemia secondar
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y to zidovudine (AZT) therapy. Which laboratory finding is most important for the n
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urse to report to the health care provider?
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A. Hematocrit (HCT) of 58% o o o




NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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,NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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B. Hemoglobin of 10.8 g/dL o o o




C. White blood cell count of 5000 mm3
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D. Serum potassium level of 5 mEq/L o o o o o




A. Hematocrit (HCT) of 58%
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Rationale:
(A) should be reported to the health care provider immediately because of the li
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kelihood of a hypertensive crisis and because seizure activity increases with anin
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crease in HCT of more than 4 points, or an HCT above 36%. Epogen stimulatesery
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thropoiesis (production of red blood cells), thereby decreasing the need for bloo
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d transfusions. Uncontrolled hypertension can occur if erythropoietin levelsare t
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oo high. (B) is the reason why the client is receiving Epogen. (C and D) are within
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normal limits. o




The nurse is scheduling a client's antibiotic peak and trough levels with the laborato
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ry personnel. What is the best schedule for drawing the trough level?
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A. Give the dose of medication, and call the laboratory to draw the trough STAT.
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B. Arrange for the laboratory to draw the trough 1 hour after the dose is given.
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C. Instruct the laboratory to draw the trough immediately before the nexts
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cheduled dose. o




NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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, NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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D. Give the first dose of medication after the laboratory reports that the troughh
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as been drawn.
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C. Instruct the laboratory to draw the trough immediately before the nextschedule
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d dose.
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Rationale:
The best time to draw a trough is the closest time to the next administration (C).
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(A) will provide a peak level. (B) will not provide the most accurate trough level.T
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he medication is given before peak and trough levels are obtained (D).
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During administration of theophylline (Theo-
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Dur), the nurse should monitor forsigns of toxicity. Which symptom would cause the
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nurse to suspect Theo-Dur toxicity?
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NR 509 HESI PRACTICE PHARMACOLOGY EXAM 3 QUESTIO
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NS AND ANSWERS (ANSWER WELL EXPLAINED) GRADED A
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+ LATEST UPDATE 2022
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