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Exam (elaborations)

HESI Pharm Speciality Exam Questions and Answers 2024

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After abdominal surgery prescribed low molecular weight heparin (LMWH) - this medication is a blood thinner given to prevent blood clot formation An antacid, (Maalox) is prescribed for a client with peptic ulcer Dz - maintain a gastric pH of 3.5 or above pt states "I am allergic to penicillin" - cephalosporins A category X drug is prescribed for a young adult female client - use a reliable form of birth control admitted to the hospital for Dx testing for possible myasthenia gravis prepares for IV administration of edrophonium chloride (Tensilon) - decreases muscle weakness Which symptoms are serious adverse affects of Beta-adrenergic blockers such as propranolol (Inderal) - wheezing, hypo tension and AV block prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs - make an appointment to see the healthcare provider because muscle pain may be a serious side effect The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands - another type of non- steroidal anti-inflammatory drug may be indicated dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily - administer the 60 mg dose of Imdur and a PRN dose of acetaminophen (Tylenol) coronary artery Dz. is taking digoxin (Lanoxin) receives a new prescription for atorvastatin (Lipitor) - vomiting A client is being treated for hyperthyroidism with propylthiouracil (PTU) - inhibit synthesis of T3 and T4 by the thyroid gland Following sublingual nitroglycerin to a pt experiencing an acute anginal attack - client states chest pain is relieved spironolactone (Aldactone) for heart failure is Rx - refrain from eating foods high in potassium medication described as a Beta1 agonist is most commonly prescribed for a client with which condition - heart failure assessing a client that is experiencing anaphylaxis from an insect sting - epinephrine instruction to give to a female who just received a Rx for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis - —increase fluid intake, especially cranberry juice —avoid drinking alcohol while taking this medication —use condoms until Tx is completed —ensure that all sexual partners are Tx at the same time receiving doxorubicin (Adriamycin) IV complains of pain at the insertion site and the nurse notes edema at the site - D/C IV fluids assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis - notify the healthcare provider of this finding immediately Pt asks the nurse if glipizide (Glucotrol) is oral insulin - No, it is not oral insulin and can be used only when some Beta cell function is present Which medication should the nurse caution the client about taking while receiving an opioid analgesic - benzodiazepines postoperative and has been receiving a continuous IV infusion of mepreidine (Demerol) 35 mg per hr for 4 days and has a PRN Rx for Demerol for 100 mg PO q3h - decrease the IV infusion rate of the mepreidine (Demerol) per protocol congestive heart failure (CHF) is being discharged with a new Rx for the angiotension-converting enzyme (ACE) inhibitor captopril (Capoten) - dizziness heparin Tx for a pulmonary embolism a client is being discharged with a Rx for warfarin (Coumadin) - Prothrombin Time (PT/INR) receiving metoprolol (Lopressor SR) monitor - blood pressure teaching for liver transplant about cyclosporine (Sandimmune) the nurse should encourage the pt to report which adverse response - presence of hand tremors older

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