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Exam (elaborations)

2021 HESI Pharmacology Versioni1 (100 Questions and Answers with rationale). Verified.

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2021 HESI Pharmacology Versioni1 (100 Questions and Answers with rationale). Verified. 2020 i HESI i Pharmacology i Version i 1 i – i Questions i 1 ithrough i 100 1) iA inurse iis icaring ifor ia iclient iwith ihyperparathyroidism iand inotes ithat ithe iclient's iserum icalcium ilevel iis i13 img/dL. iWhich imedication ishould ithe inurse iprepare ito iadminister ias iprescribed ito ithe iclient? 1. Calcium ichloride 2. Calcium igluconate 3. Calcitonin i(Miacalcin) 4. Large idoses iof ivitamin iD 3. iCalcitonini(Miacalcin) iRationale: The inormal iserum icalcium ilevel iis i8.6 ito i10.0 img/dL. iThis iclient iis i experiencing ihypercalcemia. iCalcium igluconate iand icalcium ichloride iare imedications iused ifor ithe itreatment iof itetany, iwhich ioccurs ias i a iresult iof iacute ihypocalcemia. iIn ihypercalcemia, ilarge idoses iof ivitamin iD ineed ito ibe iavoided. iCalcitonin, ia ithyroid ihormone, idecreases ithe iplasma icalcium ilevel iby iinhibiting ibone iresorption iand ilowering ithe i serum icalcium iconcentration. 2.) iOral iiron isupplements iare iprescribed ifor ia i6-year-old ichild iwith iiron ideficiency iane item? 1. Milk 2. Water 3. Apple ijuice 4. Orange ijuice 4. iOrange ijuice iRationale: Vitamin iC i increases ithe iabsorption iof i iron iby i the ibody. iThe imother ishould ibe iinstructed ito iadminister ithe imedication iwith ia icitrus ifruit ior ia ijuice ithat i is i high iin ivitamin iC. iMilk imay iaffect iabsorption iof ithe iiron. iWater iwill inot iassist iin iabsorption. iOrange ijuice icontains ia igreater iamount iof ivitamin iC ithan iapple ijuice. 3.) iSalicylic iacid iis iprescribed ifor ia iclient iwith ia idiagnosis iof ipsoriasis. iThe inurse imonitors ithe iclient, iknowing ithat iwhich iof ithe ifollowing iwould iindicate ithe ipresence iof isystemic itoxicity ifrom ithis imedication? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Decreased irespirations 1. iTinnitus iRationale: mia. The nurse instructs the mother toadminister the iron with which best food Salicylic iacid iis iabsorbed ireadily ithrough ithe iskin, iand i systemic itoxicity i(salicylism) ican iresult. iSymptoms iinclude itinnitus, idizziness, ihyperpnea, iand ipsychological idisturbances. iConstipation iand idiarrhea iare inot iassociated iwith isalicylism. 4.) iThe icamp inurse iasks ithe ichildren ipreparing ito iswim iin ithe i lake i if i they ihave iapplied isunscreen. iThe inurse ireminds ithe ichildren ithat ichemical isunscreens iare imost ieffective iwhen iapplied: 1. Immediately ibefore iswimming 2. 15 iminutes ibefore iexposure ito ithe isun 3. Immediately ibefore iexposure ito itheisun 4. At ileast i30 iminutes ibefore iexposure ito ithe isun 4. iAt ileast i30 iminutes ibefore iexposure ito ithe isun Rationale: Sunscreens iare imost ieffective iwhen iapplied iat ileast i30 iminutes ibefore iexposure ito ithe isun iso ithat ithey ican ipenetrate ithe iskin. iAll isunscreens ishould ibe ireapplied iafter iswimming ior isweating. 5.) iMafenide iacetate i(Sulfamylon) iis iprescribed ifor ithe iclient iwith i a iburn iinjury. iWhen iapplying ithe imedication, ithe iclient icomplains iof i local idiscomfort iand iburning. iWhich iof ithe i following iis ithe imost iappropriate inursing iaction? 1. Notifying ithe iregistered inurse 2. Discontinuing ithe imedication 3. Informing ithe iclient ithat ithis iis inormal 4. Applying ia ithinner ifilm ithan iprescribed ito ithe iburn isite i3. iInforming ithe iclient ithat ithis i isinormal Rationale: Mafenide iacetate iis ibacteriostatic ifor igram-negative iand igram-positive iorganisms iand iis iused ito itreat iburns ito ireduce ibacteria ipresent iin iavascular itissues. iThe iclient ishould ibe iinformed ithat ithe imedication iwill icause ilocal idiscomfort iand iburning iand ithat ithis iis ia inormal ireaction; itherefore ioptions i1, i2, iand i4 iare iincorrect 6.) iThe iburn iclient iis ireceiving itreatments iof itopical imafenide iacetate i(Sulfamylon)ito ithe i site iof i injury. iThe inurse imonitors ithe iclient, iknowing ithat iwhich iof i the i following iindicates ithat ia isystemic ieffect ihas ioccurred? 1.Hyperventilation i2.Elevated iblood ipressure i3.Local ipain iat ithe iburn isite 4.Local irash iat i the iburn isite 1.Hyperventilation

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