HESI-Pharmacology Remediation
in the morning before the child goes to school - ANSMethylphenidate:
A CNS stimulant for (ADHD) in children, dose should be administered
GI complaints, such as diarrhea - ANSQuinidine:
given for dysrhythmias, has the most common side effect of
Have another nurse check the prescription.
An important intervention because death can occur from overdose. - ANSMethotrexate:
A disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis
What is the most important priority to administering this medication?
Clients should be taught to recognize signs of overmedication and undermedication so that they
can modify the dosage themselves based on a prescribed sliding scale. - ANSCholinesterase
Inhibitor:
given for myasthenia gravis
With a client experiencing fatigue and difficulty swallowing, what action should the nurse take
first?
Schizophrenia and manifestations of psychotic disorder - ANSPhenothiazine antipsychotic
medication is used to treat
Tardive dyskinesia - ANSWhat extrapyramidal symptom is a permanent and irreversible adverse
effect of long-term phenothiazine administration?
Diarrhea - ANSHigh doses of vitamin C may cause the adverse effect of
Lipemia is an excess of lipid (fat) in the blood
Antilipemic agents acts to reduce lipids. - ANSWhat does an Antilipemic do?
With the evening meal.
The enzyme that helps metabolize cholesterol is activated at night. - ANSWhen is the best time
to take antilipemic drug lovastatin?
Hypotension - ANSNifedipine reduces peripheral vascular resistance and Nitrates produce
vasodilation, so concurrent use of nitrates with nifedipine can cause
Pharmacokinetics
definition - ANSThe physiologic process of a drug's movement throughout the body and how the
drug's interaction is affected by an underlying disease.
, Ipratropium - ANSClients who have experienced allergic reactions to atropine sulfate and
belladonna alkaloids may also be allergic to
Resistance of the tubercle bacilli. - ANSA multidrug regimen is prescribed for a client with HIV
and TB to prevent the development of
Restlessness, anorexia, nausea, vomiting, insomnia, tachycardia, arrhythmias, and seizures -
ANSTheophylline S/S of toxicity
Allergic to sulfa drug: aspirin, and nonsteroidal antiinflammatory drugs (NSAIDs).
Drug safety for adolescents is not yet established
During the third trimester of pregnancy because they can cause a premature closure of the
patent ductus arteriosus - ANSCOX-2 inhibitors are contraindicated for
subcutaneously when given as a prophylaxis for deep vein thrombosis - ANSEnoxaparin is a
low-molecular-weight heparin that should be administered
Protamine sulfate
The antagonist for heparin and is given for episodes of acute hemorrhage. - ANSA client
receiving a continuous infusion of heparin IV starts to hemorrhage from an arterial access site.
Which medication should the nurse anticipate administering to prevent further heparin-induced
hemorrhaging?
Increase in urine output - ANSDopamine is administered to a client who is hypotensive. Which
finding should the nurse identify as a therapeutic response?
An increase in glomerular filtration caused by increased arterial blood pressure - ANSIntropin
activates dopamine receptors in the kidney and dilates blood vessels to improve renal perfusion,
so an increase in urine output indicates
Naloxone - ANSThe nurse is assessing a stuporous client in the emergency department who is
suspected of overdosing with opioids. Which agent should the nurse prepare to administer if the
client becomes comatose?
Respirations decrease to 10 breaths/min. - ANSAn 80-year-old client who had a colon resection
yesterday is receiving a constant dose of hydromorphone via a patient-controlled analgesia
(PCA) pump. Which finding requires immediate nursing action?
Uric acid level - ANSA client with chronic gouty arthritis is talking allopurinol, 100 mg PO daily.
Which laboratory serum level should the nurse report to the health care provider to determine
the therapeutic outcome?
Reduced serum uric acid levels with a lower frequency of acute gouty attacks - ANSThe primary
therapeutic outcome associated with allopurinol therapy is
in the morning before the child goes to school - ANSMethylphenidate:
A CNS stimulant for (ADHD) in children, dose should be administered
GI complaints, such as diarrhea - ANSQuinidine:
given for dysrhythmias, has the most common side effect of
Have another nurse check the prescription.
An important intervention because death can occur from overdose. - ANSMethotrexate:
A disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis
What is the most important priority to administering this medication?
Clients should be taught to recognize signs of overmedication and undermedication so that they
can modify the dosage themselves based on a prescribed sliding scale. - ANSCholinesterase
Inhibitor:
given for myasthenia gravis
With a client experiencing fatigue and difficulty swallowing, what action should the nurse take
first?
Schizophrenia and manifestations of psychotic disorder - ANSPhenothiazine antipsychotic
medication is used to treat
Tardive dyskinesia - ANSWhat extrapyramidal symptom is a permanent and irreversible adverse
effect of long-term phenothiazine administration?
Diarrhea - ANSHigh doses of vitamin C may cause the adverse effect of
Lipemia is an excess of lipid (fat) in the blood
Antilipemic agents acts to reduce lipids. - ANSWhat does an Antilipemic do?
With the evening meal.
The enzyme that helps metabolize cholesterol is activated at night. - ANSWhen is the best time
to take antilipemic drug lovastatin?
Hypotension - ANSNifedipine reduces peripheral vascular resistance and Nitrates produce
vasodilation, so concurrent use of nitrates with nifedipine can cause
Pharmacokinetics
definition - ANSThe physiologic process of a drug's movement throughout the body and how the
drug's interaction is affected by an underlying disease.
, Ipratropium - ANSClients who have experienced allergic reactions to atropine sulfate and
belladonna alkaloids may also be allergic to
Resistance of the tubercle bacilli. - ANSA multidrug regimen is prescribed for a client with HIV
and TB to prevent the development of
Restlessness, anorexia, nausea, vomiting, insomnia, tachycardia, arrhythmias, and seizures -
ANSTheophylline S/S of toxicity
Allergic to sulfa drug: aspirin, and nonsteroidal antiinflammatory drugs (NSAIDs).
Drug safety for adolescents is not yet established
During the third trimester of pregnancy because they can cause a premature closure of the
patent ductus arteriosus - ANSCOX-2 inhibitors are contraindicated for
subcutaneously when given as a prophylaxis for deep vein thrombosis - ANSEnoxaparin is a
low-molecular-weight heparin that should be administered
Protamine sulfate
The antagonist for heparin and is given for episodes of acute hemorrhage. - ANSA client
receiving a continuous infusion of heparin IV starts to hemorrhage from an arterial access site.
Which medication should the nurse anticipate administering to prevent further heparin-induced
hemorrhaging?
Increase in urine output - ANSDopamine is administered to a client who is hypotensive. Which
finding should the nurse identify as a therapeutic response?
An increase in glomerular filtration caused by increased arterial blood pressure - ANSIntropin
activates dopamine receptors in the kidney and dilates blood vessels to improve renal perfusion,
so an increase in urine output indicates
Naloxone - ANSThe nurse is assessing a stuporous client in the emergency department who is
suspected of overdosing with opioids. Which agent should the nurse prepare to administer if the
client becomes comatose?
Respirations decrease to 10 breaths/min. - ANSAn 80-year-old client who had a colon resection
yesterday is receiving a constant dose of hydromorphone via a patient-controlled analgesia
(PCA) pump. Which finding requires immediate nursing action?
Uric acid level - ANSA client with chronic gouty arthritis is talking allopurinol, 100 mg PO daily.
Which laboratory serum level should the nurse report to the health care provider to determine
the therapeutic outcome?
Reduced serum uric acid levels with a lower frequency of acute gouty attacks - ANSThe primary
therapeutic outcome associated with allopurinol therapy is
