EVOLVE - HESI PHARM
1.Which response best supports the observations that the nurse identifies in a client who is experiencing a placebo effect?
Psychological response to inert medication
2.Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of this child newly diagnosed with ADHD, which instruction is most important for the nurse to provide to the parents?
Administer the medication in the morning before the child goes to school. 3.Which physiologic mechanism explains a drug's increased metabolism that is triggered by a disease process?
Pharmacokinetics
4.The health care provider prescribes ipratropium (Atrovent) for a client. An allergic reaction to which other medication would cause the nurse to question the prescription for Atrovent?
Atropine sulfate (Atropine)
5.A 42-year-old client is admitted to the emergency department after taking an overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse plan to administer to reverse the cardiac and central nervous system effects of amitriptyline (Elavil)?
Sodium bicarbonate
6.A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) – thiazide diuretic cause potassium wasting in the urine . When teaching about the side effects of this drug, which symptoms are most important for the nurse to instruct the client to report? Fatigue and muscle weakness
7.The nurse is preparing to apply a surface anesthetic agent for a client. Which action should the nurse implement to reduce the risk of systemic absorption?
Avoid abraded skin areas when applying the anesthetic. – apply to the smallest surface of intact skin
8.The health care 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
9.A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client
from "fighting" the ventilator, the health care provider administers pancuronium bromide (Pavulon) IV, with adjunctive opioid analgesia. What medication should the nurse maintain at the client's bedside?
Neostigmine bromide (Prostigmin) 10.The nurse is reviewing a client's laboratory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider?
Hypokalemia - Low potassium levels enhance the effects of neuromuscular blocking agents
11.A female client with myasthenia gravis is taking a cholinesterase inhibitor and asks the nurse what can be done to remedy her fatigue and difficulty swallowing. What action should the nurse implement?
Develop a teaching plan for the client to self-adjust the dose of medication in response to symptoms. - Clients should be taught to recognize signs of overmedication and undermedication so that they can modify the dosage themselves based on a prescribed sliding scale.
12.A client receives pancuronium (Pavulon), a long-acting, nondepolarizing neuromuscular blocker, during surgical anesthesia. Which client situation should alert the nurse to evaluate the client for a prolonged muscle relaxation response to this medication?
Renal insufficiency
1.Which response best supports the observations that the nurse identifies in a client who is experiencing a placebo effect?
Psychological response to inert medication
2.Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of this child newly diagnosed with ADHD, which instruction is most important for the nurse to provide to the parents?
Administer the medication in the morning before the child goes to school. 3.Which physiologic mechanism explains a drug's increased metabolism that is triggered by a disease process?
Pharmacokinetics
4.The health care provider prescribes ipratropium (Atrovent) for a client. An allergic reaction to which other medication would cause the nurse to question the prescription for Atrovent?
Atropine sulfate (Atropine)
5.A 42-year-old client is admitted to the emergency department after taking an overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse plan to administer to reverse the cardiac and central nervous system effects of amitriptyline (Elavil)?
Sodium bicarbonate
6.A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) – thiazide diuretic cause potassium wasting in the urine . When teaching about the side effects of this drug, which symptoms are most important for the nurse to instruct the client to report? Fatigue and muscle weakness
7.The nurse is preparing to apply a surface anesthetic agent for a client. Which action should the nurse implement to reduce the risk of systemic absorption?
Avoid abraded skin areas when applying the anesthetic. – apply to the smallest surface of intact skin
8.The health care 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
9.A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client
from "fighting" the ventilator, the health care provider administers pancuronium bromide (Pavulon) IV, with adjunctive opioid analgesia. What medication should the nurse maintain at the client's bedside?
Neostigmine bromide (Prostigmin) 10.The nurse is reviewing a client's laboratory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider?
Hypokalemia - Low potassium levels enhance the effects of neuromuscular blocking agents
11.A female client with myasthenia gravis is taking a cholinesterase inhibitor and asks the nurse what can be done to remedy her fatigue and difficulty swallowing. What action should the nurse implement?
Develop a teaching plan for the client to self-adjust the dose of medication in response to symptoms. - Clients should be taught to recognize signs of overmedication and undermedication so that they can modify the dosage themselves based on a prescribed sliding scale.
12.A client receives pancuronium (Pavulon), a long-acting, nondepolarizing neuromuscular blocker, during surgical anesthesia. Which client situation should alert the nurse to evaluate the client for a prolonged muscle relaxation response to this medication?
Renal insufficiency
