EDMUNDS PHARMACOLOGY FOR THE
PRIMARY CARE PROVIDER FINAL PAPER
UPDATED COMPLETE QUESTIONS AND
CORRECT ANSWERS BUNDLED REVIEW
GUIDE
●● A female client calls the clinic and talks with the nurse to inquire
about a possible reaction after taking amoxicillin for 5 days. She reports
having vaginal discomfort, itching, and a white discharge. The nurse
should discuss which action with the client?
Answer: Discontinue the antibiotic because original symptoms have
subsided.
Continue taking medication until finished until the symptoms subside.
Consult with healthcare provider about another treatment for this effect.
Correct
Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
A superinfection with normal flora yeast may occur during antibiotic
therapy. If suspected, the new onset of findings should be reported to the
healthcare provider for another prescribed treatment to treat the
superinfection.
,●● The nurse is making early morning rounds on a group of clients
when a client begins exhibiting symptoms of an acute asthma attack.
The nurse administers a PRN prescription for a Beta 2 receptor agonist
agent. Which client response should the nurse expect?
Answer: Tachycardia.
Increased blood pressure.
Rapid resolution of wheezing. Correct
Improved pulse oximetry values. Correct
Reduce fever airway inflammation.
Beta 2 receptor agonist agents should provide immediate return of
airflow and resolve wheezing and improve oxygenation.
●● A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Which action should the nurse take?
Answer: Lower the head of the bed and assess the client for orthostatic
vital sign changes.
,Give the medication as prescribed and continue to monitor the client.
Correct
Prepare to administer atropine sulfate IV push.
Hold the prescribed dose and contact the healthcare provider.
Since the client's blood pressure is within normal limits, and the pulse is
above 50 beats/min with a first degree block, the medication can be
administered. Atenolol is a beta-blocker that slows the heart rate and
lowers the blood pressure; this drug is generally held if the heart rate is
less than 50 beats/min or the client exhibits dizziness related to
hypotension.
●● The nurse is preparing the 0900 dose of losartan (Cozaar), an
angiotensin II receptor blocker (ARB), for a client with hypertension and
heart failure. The nurse reviews the client's laboratory results and notes
that the client's serum potassium level is 5.9 mEq/L. Which action
should the nurse take first?
Answer: Withhold the scheduled dose. Correct
Check the client's apical pulse.
Notify the healthcare provider.
, Repeat the serum potassium level.
The nurse should first withhold the scheduled dose of Cozaar because
the client is hyperkalemic (normal range 3.5 to 5 mEq/l). Although
hypokalemia is usually associated with diuretic therapy in heart failure,
hyperkalemia is associated with several heart failure medications,
including ARBs. Because hyperkalemia may lead to cardiac
dysrhythmias, the nurse should check the apical pulse for rate and
rhythm, and blood pressure.
Awarded 1.0 points out of 1.0 possible
●● Upon admission to the emergency center, an adult client with acute
status asthmaticus is prescribed this series of medications. In which
order should the nurse administer the prescribed medications? (Arrange
from first to last.)
Answer: Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
Status asthmaticus is potentially a life-threatening respiratory event, so
albuterol, a beta2 adrenergic agonist and short acting bronchodilator,
PRIMARY CARE PROVIDER FINAL PAPER
UPDATED COMPLETE QUESTIONS AND
CORRECT ANSWERS BUNDLED REVIEW
GUIDE
●● A female client calls the clinic and talks with the nurse to inquire
about a possible reaction after taking amoxicillin for 5 days. She reports
having vaginal discomfort, itching, and a white discharge. The nurse
should discuss which action with the client?
Answer: Discontinue the antibiotic because original symptoms have
subsided.
Continue taking medication until finished until the symptoms subside.
Consult with healthcare provider about another treatment for this effect.
Correct
Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
A superinfection with normal flora yeast may occur during antibiotic
therapy. If suspected, the new onset of findings should be reported to the
healthcare provider for another prescribed treatment to treat the
superinfection.
,●● The nurse is making early morning rounds on a group of clients
when a client begins exhibiting symptoms of an acute asthma attack.
The nurse administers a PRN prescription for a Beta 2 receptor agonist
agent. Which client response should the nurse expect?
Answer: Tachycardia.
Increased blood pressure.
Rapid resolution of wheezing. Correct
Improved pulse oximetry values. Correct
Reduce fever airway inflammation.
Beta 2 receptor agonist agents should provide immediate return of
airflow and resolve wheezing and improve oxygenation.
●● A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Which action should the nurse take?
Answer: Lower the head of the bed and assess the client for orthostatic
vital sign changes.
,Give the medication as prescribed and continue to monitor the client.
Correct
Prepare to administer atropine sulfate IV push.
Hold the prescribed dose and contact the healthcare provider.
Since the client's blood pressure is within normal limits, and the pulse is
above 50 beats/min with a first degree block, the medication can be
administered. Atenolol is a beta-blocker that slows the heart rate and
lowers the blood pressure; this drug is generally held if the heart rate is
less than 50 beats/min or the client exhibits dizziness related to
hypotension.
●● The nurse is preparing the 0900 dose of losartan (Cozaar), an
angiotensin II receptor blocker (ARB), for a client with hypertension and
heart failure. The nurse reviews the client's laboratory results and notes
that the client's serum potassium level is 5.9 mEq/L. Which action
should the nurse take first?
Answer: Withhold the scheduled dose. Correct
Check the client's apical pulse.
Notify the healthcare provider.
, Repeat the serum potassium level.
The nurse should first withhold the scheduled dose of Cozaar because
the client is hyperkalemic (normal range 3.5 to 5 mEq/l). Although
hypokalemia is usually associated with diuretic therapy in heart failure,
hyperkalemia is associated with several heart failure medications,
including ARBs. Because hyperkalemia may lead to cardiac
dysrhythmias, the nurse should check the apical pulse for rate and
rhythm, and blood pressure.
Awarded 1.0 points out of 1.0 possible
●● Upon admission to the emergency center, an adult client with acute
status asthmaticus is prescribed this series of medications. In which
order should the nurse administer the prescribed medications? (Arrange
from first to last.)
Answer: Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
Status asthmaticus is potentially a life-threatening respiratory event, so
albuterol, a beta2 adrenergic agonist and short acting bronchodilator,
