WGU D236 Pharmacology Hesi Practice 2 –
Questions & Verified Solutions
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Terms in this set (67)
A client receives a prescription for History of deep vein thrombosis.
esomeprazole (Nexium) for
heartburn. Which finding in the
client's history should the nurse
report to the healthcare provider
before administering the
prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on
weekends.
Family history of diabetes mellitus.
,A male client who is in the terminal Titrate the morphine dose upward until the client
stage of cancer is cared for at home has adequate pain relief.
by his family and receives a
prescription for morphine at a rate to
control intractable pain. When the
hospice nurse visits, the client
awakens, moans in severe pain, and
asks for an increase in the morphine
dosage. After determining the client's
respirations are 10 per minute, what is
the best action for the nurse to
implement?
Titrate the morphine dose upward
until the client has adequate pain
relief.
Suggest to the family that they can
also give the client ibuprofen, a non-
narcotic analgesic.
Hold additional morphine until the
client's respirations are at least 16 per
minute.
Inform the client that an increased
dose of morphine increases side
effects without additional pain
control.
A client with Paget's disease is started Observe the client for signs of hypersensitivity.
on calcitonin (Calcimar) 500 mcg
subcutaneously daily. During the
initial treatment, what is the priority
nursing action?
Assess the injection site for
inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline
phosphatase levels.
Observe the client for signs of
hypersensitivity.
,A client is taking cyclosporine for Creatinine 28 mg/dl.
renal allograft rejection prevention.
After 9 months of drug therapy, the
nurse reviews laboratory data and
notes that the blood urea nitrogen
level is 36 mg/dl. What additional
finding should the nurse identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction.
The nurse receives a unit of blood Return the blood to the blood bank for refrigeration
from the blood bank for a within 30 minutes.
postoperative client who is currently
in the X-ray department. What action
should the nurse implement?
Return the blood to the blood bank
for refrigeration within 30 minutes.
Hang the blood transfusion as soon
as the client returns to the unit.
Store the blood bag in the nursing
unit's refrigerator until the client
returns.
Take the unit of blood to the X-ray
department to initiate the transfusion.
, Which side effects should the nurse Mood swings.
monitor for a client who is receiving Increased weight gain.
dexamethasone (Decadron) Delayed incisional wound healing.
following neurosurgery? (Select all Serum hemoglobin level of 9 mg/dl.
that apply.)
Select all that apply
Mood swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
A client is taking danazol (Danocrine) Proceed to the closest emergency room.
for endometriosis and calls the clinic
nurse to complain of a dark, swollen,
and painful leg. What instructions
should the nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency
room.
Walk for 20 to 30 minutes to reduce
muscle cramps.
Questions & Verified Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (67)
A client receives a prescription for History of deep vein thrombosis.
esomeprazole (Nexium) for
heartburn. Which finding in the
client's history should the nurse
report to the healthcare provider
before administering the
prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on
weekends.
Family history of diabetes mellitus.
,A male client who is in the terminal Titrate the morphine dose upward until the client
stage of cancer is cared for at home has adequate pain relief.
by his family and receives a
prescription for morphine at a rate to
control intractable pain. When the
hospice nurse visits, the client
awakens, moans in severe pain, and
asks for an increase in the morphine
dosage. After determining the client's
respirations are 10 per minute, what is
the best action for the nurse to
implement?
Titrate the morphine dose upward
until the client has adequate pain
relief.
Suggest to the family that they can
also give the client ibuprofen, a non-
narcotic analgesic.
Hold additional morphine until the
client's respirations are at least 16 per
minute.
Inform the client that an increased
dose of morphine increases side
effects without additional pain
control.
A client with Paget's disease is started Observe the client for signs of hypersensitivity.
on calcitonin (Calcimar) 500 mcg
subcutaneously daily. During the
initial treatment, what is the priority
nursing action?
Assess the injection site for
inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline
phosphatase levels.
Observe the client for signs of
hypersensitivity.
,A client is taking cyclosporine for Creatinine 28 mg/dl.
renal allograft rejection prevention.
After 9 months of drug therapy, the
nurse reviews laboratory data and
notes that the blood urea nitrogen
level is 36 mg/dl. What additional
finding should the nurse identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction.
The nurse receives a unit of blood Return the blood to the blood bank for refrigeration
from the blood bank for a within 30 minutes.
postoperative client who is currently
in the X-ray department. What action
should the nurse implement?
Return the blood to the blood bank
for refrigeration within 30 minutes.
Hang the blood transfusion as soon
as the client returns to the unit.
Store the blood bag in the nursing
unit's refrigerator until the client
returns.
Take the unit of blood to the X-ray
department to initiate the transfusion.
, Which side effects should the nurse Mood swings.
monitor for a client who is receiving Increased weight gain.
dexamethasone (Decadron) Delayed incisional wound healing.
following neurosurgery? (Select all Serum hemoglobin level of 9 mg/dl.
that apply.)
Select all that apply
Mood swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
A client is taking danazol (Danocrine) Proceed to the closest emergency room.
for endometriosis and calls the clinic
nurse to complain of a dark, swollen,
and painful leg. What instructions
should the nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency
room.
Walk for 20 to 30 minutes to reduce
muscle cramps.
