NUR 2230C Pharmacology Assessment A Keiser
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Answers Latest Update
Question: A nurse is caring for a client who has multiple sclerosis and has a new prescription
for baclofen. Which of the following findings indicates to the nurse that the medication is
having a therapeutic effect?
A) Decreased muscle spasticity The nurse should identify that baclofen is an antispasmodic
that decreases muscle spasticity in a client who has multiple sclerosis.
B) Increased urinary output Urinary frequency is an adverse effect of baclofen rather than a
therapeutic effect.
C) Increased mental alertness Baclofen is an antispasmodic that can cause CNS adverse
effects, such as drowsiness, fatigue, and confusion, and does not produce an increase in the
client's mental alertness as a therapeutic effect.
D) Decreased heart rate Baclofen is an antispasmodic and does not decrease the client's
heart rate as a therapeutic effect.
Answer:
A) Decreased muscle spasticity The nurse should identify that baclofen is an antispasmodic
that decreases muscle spasticity in a client who has multiple sclerosis.
Question: A nurse is collecting data from a client who is taking ferrous sulfate orally. Which
of the following findings reported by the client should indicate to the nurse that the
medication is having a therapeutic effect?
A) Passage of a soft, formed stool daily Passing a soft, formed stool is not an indication the
medication is having a therapeutic effect. Ferrous sulfate can cause constipation.
B) Decreased number of viral illnesses A decreased number of viral illnesses is not an
indication the ferrous sulfate is having a therapeutic effect.
C) Improved ability to fall asleep An improved ability to fall asleep is not an indication the
ferrous sulfate is having a therapeutic effect.
D) Increased tolerance to exercise The client who takes ferrous sulfate, which is used to
treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low
hemoglobin level. An increased tolerance to exercise is an indication
Answer:
D) Increased tolerance to exercise The client who takes ferrous sulfate, which is used to
treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low
hemoglobin level. An increased tolerance to exercise is an indication the ferrous sulfate is
having a therapeutic effect. Increased tolerance to exercise occurs when the hemoglobin
level increases, allowing more oxygen to be carried to the vital organs and tissue.
Question: A nurse is collecting data from a client who is asking about taking celecoxib for
treatment of joint pain. The nurse should identify that which of the following findings is a
contraindication to receiving celecoxib?
A) Hyperglycemia Celecoxib is not contraindicated for a client who has hyperglycemia.
B) Allergy to penicillin Celecoxib can cause hypersensitivity reactions in clients who are
,allergic to sulfonamides or salicylates rather than penicillin.
C) History of myocardial infarction Celecoxib increases the risk of myocardial infarction
caused by increased vasoconstriction and unimpeded platelet aggregation. It is
contraindicated for a client who has a history of myocardial infarction or heart disease.
D) Peptic ulcer disease Celecoxib should be used with caution for clients who have peptic
ulcer disease; however, it is not contraindicated.
Answer:
C) History of myocardial infarction Celecoxib increases the risk of myocardial infarction
caused by increased vasoconstriction and unimpeded platelet aggregation. It is
contraindicated for a client who has a history of myocardial infarction or heart disease.
Question: A client comes to an urgent care clinic and announces with great enthusiasm, "I
am an expert at all things medical as they apply to me, and I require zolpidem." The client's
pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse
should suspect intoxication with which of the following substances?
A) Alcohol The client who has alcohol intoxication typically has slurred speech, drowsiness,
impaired judgment, irritability, and decreased blood pressure.
B) Cocaine The client who has cocaine intoxication typically has tachycardia, elevated blood
pressure, dilated pupils, and displays delusions. This client's behavior and physiological
data indicate cocaine intoxication.
C) Barbiturates The client who has barbiturate toxicity typically has respiratory depression,
constricted pupils, drowsiness, impaired judgment, irritability, and decreased blood
pressure.
D) Heroin The client who has her
Answer:
B) Cocaine The client who has cocaine intoxication typically has tachycardia, elevated blood
pressure, dilated pupils, and displays delusions. This client's behavior and physiological
data indicate cocaine intoxication.
Question: A nurse is planning to administer metoprolol to a client who has heart failure and
a heart rate of 48/min. Which of the following actions should the nurse take?
A) Ambulate the client before administering the medication. A client who has a heart rate of
50/min or below can become hypotensive. Therefore, ambulating can increase the client's
risk of falling. However, the nurse should not administer this medication because of the
client's bradycardia.
B) Give the medication when the client has an empty stomach. The nurse should administer
the medication to the client with meals or immediately after meals. This medication can
mask manifestations of hypoglycemia if the client has diabetes.
C) Administer one-half of the client's prescribed dose. The nurse should notify the provider
of the client's heart rate to determine when to administer the next dose or if a decrease in
the dosage is needed.
D) Withhold the client's
Answer:
D) Withhold the client's medication. The nurse should withhold the metoprolol when the
, client's heart rate is 50/min or less and notify the provider.
Question: A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to
infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should
ensure that the manual infusion is set to deliver how many gtt/min? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer:
Step 1: What is the unit of measurement the nurse should calculate? gtt/min Step 2: What is
the quantity of the drop factor that is available ? 15 gtt/mL Step 3: What is the volume the
nurse should infuse? 1,000 mL Step 4: What is the total infusion time? 8 hr Step 5: Should
the nurse convert the units of measurement? Yes (hr does not equal min) 1 hr/min = 8 hr/
60 min X = 480 min Step 6: Set up an equation and solve for X. Volume (mL)/Time (min) x
drop factor (gtt/mL) = X 1,000 mL/480 min x 15 gtt/mL = X gtt/min X = 31.25 Step 7: Round
if necessary. 31.25 = 31 gtt/min Step 8: Reassess to determine whether the amount to
administer makes sense. If the prescription reads 0.9% sodium chloride 1,000 mL IV to
infuse over 8 hr, the drop factor on the manual IV tubing is 15 gtt/mL, it makes sense to
administer 31 gtt/min. The nurse should set the manual IV infusion to deliver 0.9% sodium
chloride 1,000 mL IV at 31 gtt /min over 8 hr.
Question: A nurse is reinforcing teaching with a client following placement of a cast for a
fractured ankle. The client is to take oxycodone for pain management. The nurse should
instruct the client that which of the following over-the-counter medications is
contraindicated while taking oxycodone?
A) Docusate sodium Use of oxycodone can result in constipation. The client can take a stool
softener, such as docusate sodium, to manage this adverse effect.
B) Ranitidine There are no known interactions between oxycodone and ranitidine and no
indication for the client to avoid the use of ranitidine while taking oxycodone.
C) Diphenhydramine Both diphenhydramine, an antihistamine, and oxycodone, an opioid
analgesic, can cause CNS depression. Therefore, when a client uses the two medications
together, the client is at increased risk for sedation, respiratory depression, and injury.
D) Ibuprofen Clients who have a musculoskeletal inju
Answer:
C) Diphenhydramine Both diphenhydramine, an antihistamine, and oxycodone, an opioid
analgesic, can cause CNS depression. Therefore, when a client uses the two medications
together, the client is at increased risk for sedation, respiratory depression, and injury.
Question: A nurse is reviewing the laboratory results of a client who takes insulin for the
management of diabetes mellitus. Which of the following findings should indicate to the
nurse the medication is effective?
A) Fasting blood glucose 260 mg/dL The expected reference range for a fasting blood
glucose level is 70 to 110 mg/dL. The nurse should identify that a client who has a fasting
blood glucose level of 260 mg/dL is hyperglycemic and does not indicate effective
management of diabetes mellitus.
B) HbA1c 9.2% The expected reference range for HbA1c is 5.5% to 7%. The nurse should
identify that a client who has an HbA1c of 9.2% has poor diabetic control and does not
indicate effective management of diabetes mellitus.
University-Ft Lauderdale Questions with 100% Verified
Answers Latest Update
Question: A nurse is caring for a client who has multiple sclerosis and has a new prescription
for baclofen. Which of the following findings indicates to the nurse that the medication is
having a therapeutic effect?
A) Decreased muscle spasticity The nurse should identify that baclofen is an antispasmodic
that decreases muscle spasticity in a client who has multiple sclerosis.
B) Increased urinary output Urinary frequency is an adverse effect of baclofen rather than a
therapeutic effect.
C) Increased mental alertness Baclofen is an antispasmodic that can cause CNS adverse
effects, such as drowsiness, fatigue, and confusion, and does not produce an increase in the
client's mental alertness as a therapeutic effect.
D) Decreased heart rate Baclofen is an antispasmodic and does not decrease the client's
heart rate as a therapeutic effect.
Answer:
A) Decreased muscle spasticity The nurse should identify that baclofen is an antispasmodic
that decreases muscle spasticity in a client who has multiple sclerosis.
Question: A nurse is collecting data from a client who is taking ferrous sulfate orally. Which
of the following findings reported by the client should indicate to the nurse that the
medication is having a therapeutic effect?
A) Passage of a soft, formed stool daily Passing a soft, formed stool is not an indication the
medication is having a therapeutic effect. Ferrous sulfate can cause constipation.
B) Decreased number of viral illnesses A decreased number of viral illnesses is not an
indication the ferrous sulfate is having a therapeutic effect.
C) Improved ability to fall asleep An improved ability to fall asleep is not an indication the
ferrous sulfate is having a therapeutic effect.
D) Increased tolerance to exercise The client who takes ferrous sulfate, which is used to
treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low
hemoglobin level. An increased tolerance to exercise is an indication
Answer:
D) Increased tolerance to exercise The client who takes ferrous sulfate, which is used to
treat iron-deficiency anemia, can have fatigue and shortness of breath due to a low
hemoglobin level. An increased tolerance to exercise is an indication the ferrous sulfate is
having a therapeutic effect. Increased tolerance to exercise occurs when the hemoglobin
level increases, allowing more oxygen to be carried to the vital organs and tissue.
Question: A nurse is collecting data from a client who is asking about taking celecoxib for
treatment of joint pain. The nurse should identify that which of the following findings is a
contraindication to receiving celecoxib?
A) Hyperglycemia Celecoxib is not contraindicated for a client who has hyperglycemia.
B) Allergy to penicillin Celecoxib can cause hypersensitivity reactions in clients who are
,allergic to sulfonamides or salicylates rather than penicillin.
C) History of myocardial infarction Celecoxib increases the risk of myocardial infarction
caused by increased vasoconstriction and unimpeded platelet aggregation. It is
contraindicated for a client who has a history of myocardial infarction or heart disease.
D) Peptic ulcer disease Celecoxib should be used with caution for clients who have peptic
ulcer disease; however, it is not contraindicated.
Answer:
C) History of myocardial infarction Celecoxib increases the risk of myocardial infarction
caused by increased vasoconstriction and unimpeded platelet aggregation. It is
contraindicated for a client who has a history of myocardial infarction or heart disease.
Question: A client comes to an urgent care clinic and announces with great enthusiasm, "I
am an expert at all things medical as they apply to me, and I require zolpidem." The client's
pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse
should suspect intoxication with which of the following substances?
A) Alcohol The client who has alcohol intoxication typically has slurred speech, drowsiness,
impaired judgment, irritability, and decreased blood pressure.
B) Cocaine The client who has cocaine intoxication typically has tachycardia, elevated blood
pressure, dilated pupils, and displays delusions. This client's behavior and physiological
data indicate cocaine intoxication.
C) Barbiturates The client who has barbiturate toxicity typically has respiratory depression,
constricted pupils, drowsiness, impaired judgment, irritability, and decreased blood
pressure.
D) Heroin The client who has her
Answer:
B) Cocaine The client who has cocaine intoxication typically has tachycardia, elevated blood
pressure, dilated pupils, and displays delusions. This client's behavior and physiological
data indicate cocaine intoxication.
Question: A nurse is planning to administer metoprolol to a client who has heart failure and
a heart rate of 48/min. Which of the following actions should the nurse take?
A) Ambulate the client before administering the medication. A client who has a heart rate of
50/min or below can become hypotensive. Therefore, ambulating can increase the client's
risk of falling. However, the nurse should not administer this medication because of the
client's bradycardia.
B) Give the medication when the client has an empty stomach. The nurse should administer
the medication to the client with meals or immediately after meals. This medication can
mask manifestations of hypoglycemia if the client has diabetes.
C) Administer one-half of the client's prescribed dose. The nurse should notify the provider
of the client's heart rate to determine when to administer the next dose or if a decrease in
the dosage is needed.
D) Withhold the client's
Answer:
D) Withhold the client's medication. The nurse should withhold the metoprolol when the
, client's heart rate is 50/min or less and notify the provider.
Question: A nurse is caring for a client who is receiving 0.9% sodium chloride 1,000 mL to
infuse over 8 hr. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should
ensure that the manual infusion is set to deliver how many gtt/min? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer:
Step 1: What is the unit of measurement the nurse should calculate? gtt/min Step 2: What is
the quantity of the drop factor that is available ? 15 gtt/mL Step 3: What is the volume the
nurse should infuse? 1,000 mL Step 4: What is the total infusion time? 8 hr Step 5: Should
the nurse convert the units of measurement? Yes (hr does not equal min) 1 hr/min = 8 hr/
60 min X = 480 min Step 6: Set up an equation and solve for X. Volume (mL)/Time (min) x
drop factor (gtt/mL) = X 1,000 mL/480 min x 15 gtt/mL = X gtt/min X = 31.25 Step 7: Round
if necessary. 31.25 = 31 gtt/min Step 8: Reassess to determine whether the amount to
administer makes sense. If the prescription reads 0.9% sodium chloride 1,000 mL IV to
infuse over 8 hr, the drop factor on the manual IV tubing is 15 gtt/mL, it makes sense to
administer 31 gtt/min. The nurse should set the manual IV infusion to deliver 0.9% sodium
chloride 1,000 mL IV at 31 gtt /min over 8 hr.
Question: A nurse is reinforcing teaching with a client following placement of a cast for a
fractured ankle. The client is to take oxycodone for pain management. The nurse should
instruct the client that which of the following over-the-counter medications is
contraindicated while taking oxycodone?
A) Docusate sodium Use of oxycodone can result in constipation. The client can take a stool
softener, such as docusate sodium, to manage this adverse effect.
B) Ranitidine There are no known interactions between oxycodone and ranitidine and no
indication for the client to avoid the use of ranitidine while taking oxycodone.
C) Diphenhydramine Both diphenhydramine, an antihistamine, and oxycodone, an opioid
analgesic, can cause CNS depression. Therefore, when a client uses the two medications
together, the client is at increased risk for sedation, respiratory depression, and injury.
D) Ibuprofen Clients who have a musculoskeletal inju
Answer:
C) Diphenhydramine Both diphenhydramine, an antihistamine, and oxycodone, an opioid
analgesic, can cause CNS depression. Therefore, when a client uses the two medications
together, the client is at increased risk for sedation, respiratory depression, and injury.
Question: A nurse is reviewing the laboratory results of a client who takes insulin for the
management of diabetes mellitus. Which of the following findings should indicate to the
nurse the medication is effective?
A) Fasting blood glucose 260 mg/dL The expected reference range for a fasting blood
glucose level is 70 to 110 mg/dL. The nurse should identify that a client who has a fasting
blood glucose level of 260 mg/dL is hyperglycemic and does not indicate effective
management of diabetes mellitus.
B) HbA1c 9.2% The expected reference range for HbA1c is 5.5% to 7%. The nurse should
identify that a client who has an HbA1c of 9.2% has poor diabetic control and does not
indicate effective management of diabetes mellitus.
