Houston Community College BIOL 2301
PHARMACOLOGY EVOLVE HESI
EXAM WITH ALL QURIFICATION
C
Terms in this set (125)
A 19-year-old male client who has sustained B. Neostigmine
bromide a severe head injury is intubated and placed
on assisted mechanical ventilation. To Neostigmine bromide and atropine sulfate, both
facilitate optimal ventilation and prevent the anticholinergic drugs, reverse the respiratory muscle
paralysis client from "fighting" the ventilator, the caused by pancuronium bromide. Options A, C, and
D are not health care provider administers antagonists to pancuronium bromide and would not be
pancuronium bromide IV, with adjunctive helpful in reversing the effects of the drug compared with the
opioid analgesia. What medication should use of anticholinergics.
be immediately accessible for a potential
complication with this drug?
A. Dantrolene sodium
B.Neostigmine bromide
C. Succinylcholine bromide
D.Epinephrine
,A client with viral influenza is receiving C. Decrease the dose of vitamin C.
vitamin C, 1000 mg PO daily, and
acetaminophen elixir, 650 mg PO every 4
hours PRN. The nurse calls the health care
provider to report that the client has
developed diarrhea. Which change in
prescriptions should the nurse anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
When providing nursing care for a client B. Assess respiratory status and breath sounds often.
receiving pyridostigmine bromide for
myasthenia gravis, which nursing
intervention has the highest priority?
A. Monitor the client frequently for urinary
retention.
B. Assess respiratory status and breath
sounds often.
C. Monitor blood pressure each shift to
screen for hypertension.
D. Administer most medications after meals
to decrease gastrointestinal irritation.
A client with a dislocated shoulder is being B. Midazolam IV
prepared for a closed manual reduction
using conscious sedation. Which medication
should the nurse explain as a sedative used
during the procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
A client is being discharged with a D. Drink at least eight glasses of fluid a
day. prescription for sulfasalazine to treat
ulcerative colitis. Which instruction
should the nurse provide to this client
prior to discharge?
,A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a
meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day.
, The health care provider prescribes C. Myelosuppression
carbamazepine for a child whose tonic-
clonic seizures have been poorly
controlled. The nurse informs the mother Myelosuppression is the highest priority complication that can
that the child must have blood tests every potentially affect clients managed with carbamazepine
week. The mother asks why so many therapy. The client requires close monitoring for this condition
blood tests are necessary. Which by weekly laboratory testing. Hepatic function may be
complication is assessed through altered, but this complication does not have as great a
frequent laboratory testing that the nurse potential for occurrence as option C. Options A and B are
should explain to this mother? not typical complications of carbamazepine therapy.
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
When developing a written nursing care D. Cyclophosphamide
plan for a client receiving chemotherapy for
treatment of cancer, the nurse writes,
"Assess each voiding for hematuria." The Hemorrhagic cystitis is the characteristic adverse reaction of
administration of which type of cyclophosphamide. Administration of options A, B, and C does
chemotherapeutic agent would prompt the not typically cause hemorrhagic cystitis.
nurse to add this intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
A client is receiving oral griseofulvin for a A. "I'll wear sunscreen whenever I mow the lawn."
persistent tinea corporis infection. Which
response by the client indicates an accurate
understanding of the drug teaching Photosensitivity is a side effect of griseofulvin, so clients
conducted by the nurse? should be cautioned to wear protective sunscreen during sun
exposure. Options B, C, and D are not accurate statements
about side effects of this medication.
A. "I'll wear sunscreen whenever I mow the
lawn."
B. "This is the worse bacterial infection I've
ever had."
C. "I will need to take the medication for 7
days."
D. "My urine will probably turn brown due to
this drug."
PHARMACOLOGY EVOLVE HESI
EXAM WITH ALL QURIFICATION
C
Terms in this set (125)
A 19-year-old male client who has sustained B. Neostigmine
bromide a severe head injury is intubated and placed
on assisted mechanical ventilation. To Neostigmine bromide and atropine sulfate, both
facilitate optimal ventilation and prevent the anticholinergic drugs, reverse the respiratory muscle
paralysis client from "fighting" the ventilator, the caused by pancuronium bromide. Options A, C, and
D are not health care provider administers antagonists to pancuronium bromide and would not be
pancuronium bromide IV, with adjunctive helpful in reversing the effects of the drug compared with the
opioid analgesia. What medication should use of anticholinergics.
be immediately accessible for a potential
complication with this drug?
A. Dantrolene sodium
B.Neostigmine bromide
C. Succinylcholine bromide
D.Epinephrine
,A client with viral influenza is receiving C. Decrease the dose of vitamin C.
vitamin C, 1000 mg PO daily, and
acetaminophen elixir, 650 mg PO every 4
hours PRN. The nurse calls the health care
provider to report that the client has
developed diarrhea. Which change in
prescriptions should the nurse anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
When providing nursing care for a client B. Assess respiratory status and breath sounds often.
receiving pyridostigmine bromide for
myasthenia gravis, which nursing
intervention has the highest priority?
A. Monitor the client frequently for urinary
retention.
B. Assess respiratory status and breath
sounds often.
C. Monitor blood pressure each shift to
screen for hypertension.
D. Administer most medications after meals
to decrease gastrointestinal irritation.
A client with a dislocated shoulder is being B. Midazolam IV
prepared for a closed manual reduction
using conscious sedation. Which medication
should the nurse explain as a sedative used
during the procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
A client is being discharged with a D. Drink at least eight glasses of fluid a
day. prescription for sulfasalazine to treat
ulcerative colitis. Which instruction
should the nurse provide to this client
prior to discharge?
,A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a
meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day.
, The health care provider prescribes C. Myelosuppression
carbamazepine for a child whose tonic-
clonic seizures have been poorly
controlled. The nurse informs the mother Myelosuppression is the highest priority complication that can
that the child must have blood tests every potentially affect clients managed with carbamazepine
week. The mother asks why so many therapy. The client requires close monitoring for this condition
blood tests are necessary. Which by weekly laboratory testing. Hepatic function may be
complication is assessed through altered, but this complication does not have as great a
frequent laboratory testing that the nurse potential for occurrence as option C. Options A and B are
should explain to this mother? not typical complications of carbamazepine therapy.
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
When developing a written nursing care D. Cyclophosphamide
plan for a client receiving chemotherapy for
treatment of cancer, the nurse writes,
"Assess each voiding for hematuria." The Hemorrhagic cystitis is the characteristic adverse reaction of
administration of which type of cyclophosphamide. Administration of options A, B, and C does
chemotherapeutic agent would prompt the not typically cause hemorrhagic cystitis.
nurse to add this intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
A client is receiving oral griseofulvin for a A. "I'll wear sunscreen whenever I mow the lawn."
persistent tinea corporis infection. Which
response by the client indicates an accurate
understanding of the drug teaching Photosensitivity is a side effect of griseofulvin, so clients
conducted by the nurse? should be cautioned to wear protective sunscreen during sun
exposure. Options B, C, and D are not accurate statements
about side effects of this medication.
A. "I'll wear sunscreen whenever I mow the
lawn."
B. "This is the worse bacterial infection I've
ever had."
C. "I will need to take the medication for 7
days."
D. "My urine will probably turn brown due to
this drug."
