Hesi Pharmacology Version 2 (V2) Exam 2022/2023

HESI PHARMACOLOGY VERSION 2 (V2) EXAM 2022/2023 1. A client receiving tetracycline( Azithromycin) for chlamydia urethritis. The PN should reinforce which instruction a. Protect the client from sun exposure 2. How should the PN administer the ear drops for the child? a. Pull the ear down and back 3. A client asks the PN to crush an enteric coated medication so that it will be easier to swallow. What is the action of the enteric coating? a. The coating delays dissolution until the medication is exposed to intestinal secretions 4. What is the nursing measures for Mannitol ( Osmitol ) a. Monitor the urinary output 5. Missed dose of Amphetamine a. Resume the medication dosing schedule with the noon dose 6. Valsartan ( Diovan) angiotensin II receptor antagonist which parameter should the PN monitor to evaluate therapeutic response to this drug? a. Monitor the BP 7. What lab should the nurse monitor for a client with the Chronic Kidney Disease? a. Hemoglobin 8. What is the therapeutic response of Keratolytic properties to a client with psoriasis? a. Scaley areas of the skin appear softer with less peeling 9. What is Prednisone ( Deltasone) a. It is a corticoid steroid 10. What are the side effects of Viagra? Back pain Dizziness Flushing Headache Indigestion Muscle aches Nausea Stuffy or runny nose 11. What should the nurse monitor for a client who is taking Neupogen-Filgrastin a. Monitor the WBC’s Pharm Remediation 1. Pulmonary Embolus- Heparin a. The PN should check the heparin protocol for parameters to adjust the infusion rate based on the client current partial thromboplastin time. 2. Iron administration- Orange Juice preference a. Drink such as orange juice which is high in ascorbic acid enhance the reabsorption of orally administered iron 3. Nitroglycerin Patch a. The Priority action is to ensure removal of patch for resting hours. 4. Urinary Antispasmodic a. The goal of treatment for the client with an overactive bladder is to reduce unpleasant symptoms w/o reducing urinary output, so a decrease in urinary output should be reported. 5. Hypothyroid treatment monitoring pulse & weight a. It provides data regarding metabolic responses to levothyroxine and abnormalities or changes in measurements. They can interfere with absorption of levothyroxine. 6. Eye GTTS- Glaucoma a. Eye drops are used to decrease eye pressure, but it does not restart it. 7. Macrolides a. Macrolides can cause hepatoxicity which is manifested by jaundice. 8. Carbamazepine a. The PN should monitor the temp 9. Alzehimer’s Conex a. The PN should monitor the mental status exam 10. Vaginal Cream a. The pt need to remain supine for a short period (5-10) min 11. Hypokalemia with Digoxin a. Monitoring the potassium and heart rate is very important 12. Nephrotoxic drug a. It provides data about the effectiveness of the antibiotic, but not about compromised renal function, which is priority concern 13. Sodium Polystyrene Sulfonate-results a. It is very important that PN report 1-2 watery stools to the physician 14. Ambien a. PN should decrease any external stimuli to provide a quiet restful environment