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Med-Surg Success – Chapter 19 Pharmacology Review and Study Notes

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This document provides a focused review of Chapter 19 pharmacology content from Med-Surg Success, including key drug information and clinical applications. It is structured to support exam preparation and understanding of essential concepts.

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Med-Surg Success Chapter 19 Pharmacology



The client recently has had a myocardial 2. Vitamin E and a daily low-dose aspirin.
infarction. Which medications should the
nurse anticipate the health-care provider
recommending to prevent another heart
attack?
1. Vitamin K and a nonsteroidal anti-
inflammatory drug.
2. Vitamin E and a daily low-dose aspirin.
3. Vitamin A and an anticoagulant.
4. Vitamin B complex and an iron
supplement.




4/16/2026, 12:59:57 PM

,Med-Surg Success Chapter 19 Pharmacology


The client diagnosed with essential 1. OTC medications for the flu should not be taken because of
hypertension calls the clinic and tells the your hypertension.
nurse she
needs something for the flu. Which
information should the nurse tell the client?
1. OTC medications for the flu should not be
taken because of your hypertension.
2. If OTC medications do not relieve
symptoms within three (3) days, contact the
HCP.
3. Tell the client to ask the pharmacist to
recommend an OTC medication for the flu.
4. Make an appointment for the client to
receive the influenza vaccine.


Which laboratory test should the nurse 3. Glucose level.
monitor for the client receiving the
intravenous steroid Solu-Medrol?
1. Potassium level.
2. Sputum culture and sensitivity.
3. Glucose level.
4. Arterial blood gases.
4/16/2026, 12:59:57 PM

,Med-Surg Success Chapter 19 Pharmacology


The client diagnosed with methicillin- 3. Determine if the trough level has been drawn.
resistant Staphylococcus aureus (MRSA) is
receiving the aminoglycoside antibiotic
vancomycin. Peak and trough levels are
ordered for the dose the nurse is
administering. Which priority intervention
should the nurse implement?
1. Ask the client if he has had any diarrhea.
2. Monitor the aminoglycoside peak level.
3. Determine if the trough level has been
drawn.
4. Check the client's culture and sensitivity
report.




4/16/2026, 12:59:57 PM

, Med-Surg Success Chapter 19 Pharmacology


The nurse is caring for an elderly client who 2. Initiate pain medication at the lowest dose.
is eight (8) hours postoperative hip
replacement and is reporting incisional pain.
Which intervention is priority for this client?
1. Assist the client to sit in the bedside chair.
2. Initiate pain medication at the lowest
dose.
3. Assess the client's pupil size and
accommodation.
4. Monitor the client's urinary output hourly.


The client is diagnosed with pernicious 2. Intramuscular vitamin B12.
anemia. Which health-care provider order
should the nurse anticipate in treating this
condition?
1. Subcutaneous iron dextran.
2. Intramuscular vitamin B12.
3. Intravenous folic acid.
4. Oral thiamine medication.




4/16/2026, 12:59:57 PM

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