PHARMACOLOGY QUESTIONS AND VERIFIED ANSWERS, 100%
GUARANTEE
A nurse is reviewing the laboratory reports of a client who has been taking Warfarin for atrial
fibrillation. Which of the following results should the nurse report to the provider immediately? -
INR 5.5
Rationale:
When using the urgent vs nonurgent approach to client care, the nurse should determine that the
priority laboratory result is an INR of 5.5. A client who is taking Warfarin for the treatment of
atrial fibrillation is expected to have an INR in the range of 2 to 3. A level of 5.5 is considered a
critical value and places the client at risk of bleeding; therefore, the nurse should report this
result to the provider immediately
A nurse is caring for a client who has asthma and a prescription for Zileuton. Which of the
following laboratory values should the nurse monitor while the client is taking this medication? -
Alanine aminotransferase (ALT)
Rationale:
The nurse should identify that ALT is a lever function test. Zileuton is a leukotriene modifier that
can affect the liver, causing increased ALT levels. The nurse should monitor this laboratory
value closely while the client is taking the medication.
A nurse suspects that a client is having an allergic reaction to a medication. Which of the
following factors should the nurse identify as increasing the likelihood of an allergic reaction to
the medication? - The client has had previous exposure to the medication
Rationale:
,Once the immune system has developed sensitization to a medication, subsequent exposure to
that same medication can result in an allergic response. The more exposure the client has to the
medication, the more intense the reaction will likely be.
A nurse is preparing to administer Meperidine to a client who is postoperative and reports a pain
level of 8 on a scale of 0 to 10. Which of the following routes of administration will deliver the
medication with the shortest time of onset? - Intravenous
Rationale:
The nurse should identify that Meperidine given intravenously has no barriers to absorption
because it is deposited directly into the circulatory system, An instantaneous time of onset and
absorption gives the client immediate relief.
A nurse is teaching about adverse effects of Ergotamine with a client who has migraine
headaches. Which of the following client statements should the indicate an understanding of the
teaching? - "If I overuse this medication, I might become addicted to it"
Rationale:
The client should take the Ergotamine according to the prescribed dose and should only take the
medication when needed to avoid developing a physical dependence
A nurse is teaching a client who has a prescription for Chenodiol for the treatment of gallstones.
Which of the following client statements indicates an understanding of the teaching/ -
"Liver function tests are required while taking this medication"
Rationale:
The nurse should identify that Chenodiol is hepatotoxic and can injure the liver. Periodic liver
function tests are required during treatment. This medication is contraindicated in clients who
have a preexisting liver condition
, A nurse is providing teaching about Benzodiazepines to a client who is discontinuing long-term
Alprazolam. Which of the following pieces of information should the nurse include in the
teaching? - "Plan to taper the dose slowly over several months"
Rationale:
The nurse should instruct the client to plan to taper the Alprazolam dose slowly over several
weeks or months to ease the physiological and psychological manifestations of withdrawal
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The
client has an increased thyroid-stimulating hormone (TSH) level and a decreased total T3 and T4
level. The nurse should anticipate a prescription for which of the following medications? -
Levothyroxine
Rationale:
Levothyroxine replaces thyroid hormone for a client who has hypothyroidism. Laboratory values
for hypothyroidism include an increased TSH level and decreased total T3 and T4 levels.
Clinical manifestations of hypothyroidism include fatigue, cold intolerance, and a decreased
body temperature and pulse
A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of
the following times should the nurse plan to administer PO Morphine to the client for peak
analgesic effect during the ambulation? - 60 to 90 min prior to ambulation
Rationale:
The peak effect of PO Morphine takes 60 to 90 minutes to occur. Medicating the client 60 to 90
minutes prior to ambulation will provide the greatest analgesic effect
GUARANTEE
A nurse is reviewing the laboratory reports of a client who has been taking Warfarin for atrial
fibrillation. Which of the following results should the nurse report to the provider immediately? -
INR 5.5
Rationale:
When using the urgent vs nonurgent approach to client care, the nurse should determine that the
priority laboratory result is an INR of 5.5. A client who is taking Warfarin for the treatment of
atrial fibrillation is expected to have an INR in the range of 2 to 3. A level of 5.5 is considered a
critical value and places the client at risk of bleeding; therefore, the nurse should report this
result to the provider immediately
A nurse is caring for a client who has asthma and a prescription for Zileuton. Which of the
following laboratory values should the nurse monitor while the client is taking this medication? -
Alanine aminotransferase (ALT)
Rationale:
The nurse should identify that ALT is a lever function test. Zileuton is a leukotriene modifier that
can affect the liver, causing increased ALT levels. The nurse should monitor this laboratory
value closely while the client is taking the medication.
A nurse suspects that a client is having an allergic reaction to a medication. Which of the
following factors should the nurse identify as increasing the likelihood of an allergic reaction to
the medication? - The client has had previous exposure to the medication
Rationale:
,Once the immune system has developed sensitization to a medication, subsequent exposure to
that same medication can result in an allergic response. The more exposure the client has to the
medication, the more intense the reaction will likely be.
A nurse is preparing to administer Meperidine to a client who is postoperative and reports a pain
level of 8 on a scale of 0 to 10. Which of the following routes of administration will deliver the
medication with the shortest time of onset? - Intravenous
Rationale:
The nurse should identify that Meperidine given intravenously has no barriers to absorption
because it is deposited directly into the circulatory system, An instantaneous time of onset and
absorption gives the client immediate relief.
A nurse is teaching about adverse effects of Ergotamine with a client who has migraine
headaches. Which of the following client statements should the indicate an understanding of the
teaching? - "If I overuse this medication, I might become addicted to it"
Rationale:
The client should take the Ergotamine according to the prescribed dose and should only take the
medication when needed to avoid developing a physical dependence
A nurse is teaching a client who has a prescription for Chenodiol for the treatment of gallstones.
Which of the following client statements indicates an understanding of the teaching/ -
"Liver function tests are required while taking this medication"
Rationale:
The nurse should identify that Chenodiol is hepatotoxic and can injure the liver. Periodic liver
function tests are required during treatment. This medication is contraindicated in clients who
have a preexisting liver condition
, A nurse is providing teaching about Benzodiazepines to a client who is discontinuing long-term
Alprazolam. Which of the following pieces of information should the nurse include in the
teaching? - "Plan to taper the dose slowly over several months"
Rationale:
The nurse should instruct the client to plan to taper the Alprazolam dose slowly over several
weeks or months to ease the physiological and psychological manifestations of withdrawal
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The
client has an increased thyroid-stimulating hormone (TSH) level and a decreased total T3 and T4
level. The nurse should anticipate a prescription for which of the following medications? -
Levothyroxine
Rationale:
Levothyroxine replaces thyroid hormone for a client who has hypothyroidism. Laboratory values
for hypothyroidism include an increased TSH level and decreased total T3 and T4 levels.
Clinical manifestations of hypothyroidism include fatigue, cold intolerance, and a decreased
body temperature and pulse
A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of
the following times should the nurse plan to administer PO Morphine to the client for peak
analgesic effect during the ambulation? - 60 to 90 min prior to ambulation
Rationale:
The peak effect of PO Morphine takes 60 to 90 minutes to occur. Medicating the client 60 to 90
minutes prior to ambulation will provide the greatest analgesic effect
