Pharmacology HESI
. A purchaser who takes lithium is admitted to the intellectual fitness unit for suicidal
ideations. The nurse shares the client's serum lithium degree consequences of one.Five
mEq/L with the patron who will become very disturbing, asking the nurse what to do. Which
action need to the nurse enforce?
A. Ask the healthcare issuer if hemodialysis is wanted.
B. Encourage the purchaser to consume a low sodium diet.
C. Instruct the purchaser to drink 3 liters of fluid for twenty-four hours.
D. Tell the customer to transport approximately and boom his hobby. - ANSA.
. A postoperative male customer asks the nurse to deliver the biggest possible dose of a
prescribed narcotic. Which movement ought to the nurse implement first?
A. Review the records for beyond use of leisure drugs.
B. Ask the purchaser to describe his cutting-edge pain using a pain scale.
C. Encourage the consumer to apply diversional mind to control ache.
D. Determine whilst the final dose turned into administered. - ANSB.
6. A customer receiving a heparin sodium infusion develops hemoptysis. The nurse reviews
the customer's
laboratory values to encompass hemoglobin 8 g/dL and platelet depend of fifty,000/mm3.
Vital signs are: oxygen saturation ninety two% on 50% venturi mask, coronary heart rate one
hundred thirty beats/minute, respiratory 32 breaths/minute, and blood pressure 76/50mmHg.
Which intervention must the nurse enforce first?
A. Obtain consent for a blood transfusion.
B. Stop the heparin sodium infusion.
C. Titrate Venturi mask oxygen to 60%.
D. Administer protamine sulfate. - ANSB.
A patron identified with myasthenia gravis receives a prescription for the anticholinesterase
remedy, pyridostigmine. Which intervention must the nurse enforce whilst preparing to
administer this medication?
A. Schedule the medication to take delivery of just earlier than bedtime.
B. Administer the medicine thirty minutes previous to meals.
C. Break the medicine into small pieces and sprinkle onto meals.
D. Instruct the customer to keep away from dairy products for at least half-hour. - ANSB.
A patron is admitted for commentary because he is reporting gradually growing fatigue
during the last month and short episodes of dizziness that happened nowadays. He has a
history of heartburn
and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding
must the nurse record right away to the healthcare company?
A. Positive guaiac stool.
, B. Hemoglobin 13 grams/dL.
C. Gastric pH 2.0
d. Hematocrit forty two%. - ANSA.
A patron is scheduled for a spiral computed tomography (CT) experiment with comparison to
evaluate for a pulmonary embolism. Which records in the purchaser's history calls for
follow-up through the nurse?
A. Report of consumer's sobriety for the closing 5 years.
B. Takes metformin hydrochloride for kind 2 diabetes mellitus.
C. Metal hip prothesis became located two decades in the past.
D. CT experiment that turned into achieved six months earlier. - ANSB.
A client obtained succinylcholine, a depolarizing neuromuscular blockading agent at some
stage in surgical operation. Which evaluation locating is maximum important for the nurse to
file to the general practitioner? A. Observable pores and skin flushing.
B. Ventricular tachycardia
c. Neck and shoulder pain
d. Blood strain 114/seventy two mm/Hg - ANSB.
A purchaser gets a prescription for haloperidol 2 mg intramuscular STAT. The medication is
available in 5 mg/ml vial. How many mL need to the nurse administer? (Enter numerical fee
ONLY, spherical to nearest 10th). - ANS0.Four
A consumer receiving the urinary antispasmodic oxybutynin reviews having extremely dry
mouth. How must the nurse reply?
A. You can suck on difficult candy to help relieve the mouth dryness, which is a common
facet impact.
B. Stop taking the medicine immediately and schedule an appointment to peer the
healthcare company.
C. It sounds as if you are dropping too much fluid, so growth your fluid intake to 3 liters
consistent with day.
D. Secondary infections, which should be handled with a distinctive medicinal drug, once in
a while arise during remedy. - ANSA.
A client lately diagnosed with Parkinson's Disease gets a brand new prescription for
carbidopa levodopa, a dopaminergic drug. To reduce the patron's threat for damage, which
coaching must the nurse offer?
A. Use caution when converting from sitting to standing role.
B. Place small rugs on smooth surfaces inclusive of tile or timber flooring.
C. Ambulate the use of a four-factor cane or a walker with wheels.
D. Obtain a sanatorium bed with aspect rails and an over-bed trapeze. - ANSC.
A client scheduled to receive an IM dose of corticotropin tells the nurse approximately feeling
swollen and gaining weight. The client not wants to take the medication. What action need to
the nurse take?
A. Distract the consumer whilst administering the medicine inside the deltoid web site. B.
Hold the dose and file the purchaser's refusal to take the medicine.
C. Inform the client that fluid retention suggests the want for an expanded dose.
. A purchaser who takes lithium is admitted to the intellectual fitness unit for suicidal
ideations. The nurse shares the client's serum lithium degree consequences of one.Five
mEq/L with the patron who will become very disturbing, asking the nurse what to do. Which
action need to the nurse enforce?
A. Ask the healthcare issuer if hemodialysis is wanted.
B. Encourage the purchaser to consume a low sodium diet.
C. Instruct the purchaser to drink 3 liters of fluid for twenty-four hours.
D. Tell the customer to transport approximately and boom his hobby. - ANSA.
. A postoperative male customer asks the nurse to deliver the biggest possible dose of a
prescribed narcotic. Which movement ought to the nurse implement first?
A. Review the records for beyond use of leisure drugs.
B. Ask the purchaser to describe his cutting-edge pain using a pain scale.
C. Encourage the consumer to apply diversional mind to control ache.
D. Determine whilst the final dose turned into administered. - ANSB.
6. A customer receiving a heparin sodium infusion develops hemoptysis. The nurse reviews
the customer's
laboratory values to encompass hemoglobin 8 g/dL and platelet depend of fifty,000/mm3.
Vital signs are: oxygen saturation ninety two% on 50% venturi mask, coronary heart rate one
hundred thirty beats/minute, respiratory 32 breaths/minute, and blood pressure 76/50mmHg.
Which intervention must the nurse enforce first?
A. Obtain consent for a blood transfusion.
B. Stop the heparin sodium infusion.
C. Titrate Venturi mask oxygen to 60%.
D. Administer protamine sulfate. - ANSB.
A patron identified with myasthenia gravis receives a prescription for the anticholinesterase
remedy, pyridostigmine. Which intervention must the nurse enforce whilst preparing to
administer this medication?
A. Schedule the medication to take delivery of just earlier than bedtime.
B. Administer the medicine thirty minutes previous to meals.
C. Break the medicine into small pieces and sprinkle onto meals.
D. Instruct the customer to keep away from dairy products for at least half-hour. - ANSB.
A patron is admitted for commentary because he is reporting gradually growing fatigue
during the last month and short episodes of dizziness that happened nowadays. He has a
history of heartburn
and indigestion that he self-treats with ibuprofen and antacids. Which assessment finding
must the nurse record right away to the healthcare company?
A. Positive guaiac stool.
, B. Hemoglobin 13 grams/dL.
C. Gastric pH 2.0
d. Hematocrit forty two%. - ANSA.
A patron is scheduled for a spiral computed tomography (CT) experiment with comparison to
evaluate for a pulmonary embolism. Which records in the purchaser's history calls for
follow-up through the nurse?
A. Report of consumer's sobriety for the closing 5 years.
B. Takes metformin hydrochloride for kind 2 diabetes mellitus.
C. Metal hip prothesis became located two decades in the past.
D. CT experiment that turned into achieved six months earlier. - ANSB.
A client obtained succinylcholine, a depolarizing neuromuscular blockading agent at some
stage in surgical operation. Which evaluation locating is maximum important for the nurse to
file to the general practitioner? A. Observable pores and skin flushing.
B. Ventricular tachycardia
c. Neck and shoulder pain
d. Blood strain 114/seventy two mm/Hg - ANSB.
A purchaser gets a prescription for haloperidol 2 mg intramuscular STAT. The medication is
available in 5 mg/ml vial. How many mL need to the nurse administer? (Enter numerical fee
ONLY, spherical to nearest 10th). - ANS0.Four
A consumer receiving the urinary antispasmodic oxybutynin reviews having extremely dry
mouth. How must the nurse reply?
A. You can suck on difficult candy to help relieve the mouth dryness, which is a common
facet impact.
B. Stop taking the medicine immediately and schedule an appointment to peer the
healthcare company.
C. It sounds as if you are dropping too much fluid, so growth your fluid intake to 3 liters
consistent with day.
D. Secondary infections, which should be handled with a distinctive medicinal drug, once in
a while arise during remedy. - ANSA.
A client lately diagnosed with Parkinson's Disease gets a brand new prescription for
carbidopa levodopa, a dopaminergic drug. To reduce the patron's threat for damage, which
coaching must the nurse offer?
A. Use caution when converting from sitting to standing role.
B. Place small rugs on smooth surfaces inclusive of tile or timber flooring.
C. Ambulate the use of a four-factor cane or a walker with wheels.
D. Obtain a sanatorium bed with aspect rails and an over-bed trapeze. - ANSC.
A client scheduled to receive an IM dose of corticotropin tells the nurse approximately feeling
swollen and gaining weight. The client not wants to take the medication. What action need to
the nurse take?
A. Distract the consumer whilst administering the medicine inside the deltoid web site. B.
Hold the dose and file the purchaser's refusal to take the medicine.
C. Inform the client that fluid retention suggests the want for an expanded dose.
