Pharmacology Exam 3
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1. A client w/ RA is to begin taking ibuprofen 800mg PO A. "I need to report any
TID. The nurse provides education about the medica- dark tarry stools."
tion's side effects. The nurse concludes that the teach- B. "I will need to stop tak-
ing was effective when the client makes which state- ing this medication before
ments? Select all that apply. any scheduled surgery."
A. "I need to report any dark tarry stools."
B. "I will need to stop taking this medication before any
scheduled surgery."
C. "I should change positions slowly."
D. "I will take the medication on an empty stomach."
E. "I need to stop taking low-dose aspirin while I take
this medication."
2. A client is given a loading dose of digoxin and placed A. Resolution of heart fail-
on a maintenance dose of digoxin 0.25mg by mouth ure
daily. Which responses would the nurse expect the
client to exhibit when a therapeutic effect of digoxin is
achieved?
A. Resolution of heart failure
B. Decreased anginal episodes
C. Conversion of A-fib
D. Decreased BP
3. Which advice will the nurse include when teaching a D. Report increasing fa-
client about digoxin for left ventricular failure? tigue
A. Sleep on flat bed
B. Follow a low-K diet
C. Take the pulse 3x/day
D. Report increasing fatigue
4. Digoxin is prescribed for a client w/ heart failure. The
nurse will assess for which signs and symptoms that
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Pharmacology Exam 3
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indicate digoxin toxicity? Select all that apply. A. Nausea
A. Nausea B. Yellow vision
B. Yellow vision C. Irregular pulse
C. Irregular pulse
D. increased urine output
E. HR of 64bpm
5. The client w/ pernicious anemia is prescribed A. "I should have a vit-
cyan0cobalamin (vitamin B12). Which client statement amin B12 injection every
demonstrates an understanding of this treatment? month."
A. "I should have a vitamin B12 injection every month."
B. "I'll take vitB12 supplements every morning w/ my
breakfast."
C. "I'll eat a diet high in green vegetables."
D. "I will increase my intake of processed foods forti-
fied w/ vitB12
6. Which OTC medication would the nurse teach a client D. Pseudoephedrine
taking antihypertensive medication to avoid?
A. Omeprazole
B. Acetaminophen
C. Docusate sodium
D. Pseudoephedrine
7. Which instructions regarding the use of fluticasone A. Use the medication on a
nasal spray are appropriate for client teaching? Select regular basis, not PRN
all that apply. B. Clear the nasal pas-
A. Use the medication on a regular basis, not PRN sages before using the
B. Clear the nasal passages before using the medica- medication
tion C. Discontinue use of the
C. Discontinue use of the medication if nasal infection medication if nasal infec-
develops tion develops
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Pharmacology Exam 3
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D. Remember that driving may be dangerous b/c of the
medication's sedative effect
E. Begin taking the medication 2wks before pollen sea-
son starts, and use it throughout the season
8. A child w/ iron-deficiency anemia is prescribed oral C. Greenish-black stool
iron therapy. Anticipatory guidance regarding which
side effect would the nurse provide?
A. Bloody stool
B. Orange urine
C. Greenish-black stool
D. Staining of the mouth
9. Which action would the nurse perform when adminis- C. Rinsing the oral cavity
tering fluticasone propionate to a client w/ asthma? w/ water after use
A. Assessing heart rate and rhythm
B. Monitoring liver function blood tests
C. Rinsing the oral cavity w/ water after use
D. Obtaining bg levels before meals
E. Giving stool softeners to prevent constipation
10. When a client w/ a venous thrombosis is receiving A. International Normal-
warfarin, which test result would the nurse use to de- ized Ratio (INR)
termine whether the daily dose of warfarin is thera-
peutic?
A. International Normalized Ratio (INR)
B. Accelerated partial thromboplastin (APTT)
C. Bleeding time
D. Sedimentation rate
11. An adolescent w/ a hx of asthma is brought to the ED in A. Administering the neb-
respiratory distress. The primary HCP admits the ado- ulizer treatment to facili-
lescent. Which is the priority prescription to implement tate breathing
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