12/10/2023,h21:30 DetailedhAnswerhKey.pdf
DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
1. Ahnursehishcaringhforhahclienthwhohhashactivehpulmonaryhtuberculosish(TB)handhishtohbehstartedhonhintraven
oushrifampinhtherapy.hThehnursehshouldhinstrucththehclienththaththishmedicationhcanhcausehwhichhofhthehfollow
inghadverseheffects?
A. Constipation
Rationale:hRifampinh doesh noth causeh constipation.h Moreh commonh gastrointestinalh effectsh areh diarrheah
andhnausea.
B. Blackhcoloredhstools
Rationale:hIth ish mosth commonlyh ironh supplementsh thath causeh stoolsh toh turnh black,h noth rifampin.
C. Staininghofhteeth
Rationale:hTeethh mayh beh stainedh fromh takingh liquidh ironh preparations,h noth fromh takingh rifampin.
D. Bodyhsecretionshturninghahred-orangehcolor
Rationale:hRifampinh ish usedh inh combinationh withh otherh medicinesh toh treath TB.h Rifampinh willh causeh the
h urine,hstool,hsaliva,hsputum,hsweat,handhtearshtohturnhreddish-orangehtohreddish-brown.
2. Ahnursehishcaringhforhahclienthwhohhashcongestivehhearthfailurehandhishtakinghdigoxinhdaily.hThehclienthrefus
edhbreakfasthandhishcomplaininghofhnauseahandh weakness.hWhichhofhthehfollowinghactionshshouldhthehnurse
htakehfirst?
A. Checkhthehclient'shvitalhsigns.
Rationale:hIth ish possibleh thath theh client'sh nauseah ish secondaryh toh digoxinh toxicity.h Byh obtainingh vitalh sig
ns,h thehnursehcanhassesshforhbradycardia,hwhichhishahsymptomhofhdigoxinhtoxicity.hThehnur
sehshouldhwithholdhthehmedicationhandhcallhthehproviderhifhthehclient'shhearthratehishlesshth
anh60hbpm.
B. Requesthahdietitianhconsult.
Rationale:hWhileh theh dietitianh mighth beh ableh toh assisth theh clienth withh makingh appropriateh foodh choices,
h thish ishnoththehfirsthactionhthehnursehshouldhtake.
C. Suggesththaththehclienthrestshbeforeheatinghthehmeal.
Rationale:hWhileh thish interventionh mighth beh appropriate,h thish ish noth theh firsth actionh theh nurseh shouldh take.
D. Requesthanhorderhforhanhantiemetic.
Rationale:hWhileh thish interventionh mighth relieveh theh client'sh nausea,h thish ish noth theh firsth actionh the
h nursehshouldhtake.
3. Ahnursehishcaringhforhahclienthwhohhashdifficultyhswallowinghmedicationshandhishprescribedhenteric-
coatedhaspirinhPOhoncehdaily.hThehclienthaskshifhthehmedicationhcanhbehcrushedhtohmakehitheasierhtohswallo
w.hWhichhofhthehfollowinghresponseshshouldhthehnursehprovide?
Created hon:08/29/2018 Pageh1
DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
A. "Crushinghthehmedicationhmighthcausehyouhtohhavehahstomachachehorhindigestion."
Rationale:hTheh pillh ish enteric-
coatedh toh preventh breakdownh inh theh stomachh andh decreaseh theh possibilityh ofh GIhdistress.hCr
ushinghthehpillhdestroyshthathprotection.
B. "Crushinghthehmedicationhishahgoodhidea,handhIhcanhmixhithinhsomehicehcreamhforhyou."
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,12/10/2023,h21:30 DetailedhAnswerhKey.pdf
Rationale:hCrushingh theh pillh willh destroyh theh enterich coating,h andh theh clienth shouldh beh advisedh againsth this.
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,12/10/2023,h21:30 DetailedhAnswerhKey.pdf
Created hon:08/29/2018 Pageh1
DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
A. "Crushinghthehmedicationhmighthcausehyouhtohhavehahstomachachehorhindigestion."
Rationale:hTheh pillh ish enteric-
coatedh toh preventh breakdownh inh theh stomachh andh decreaseh theh possibilityh ofh GIhdistress.hCr
ushinghthehpillhdestroyshthathprotection.
B. "Crushinghthehmedicationhishahgoodhidea,handhIhcanhmixhithinhsomehicehcreamhforhyou."
Rationale:hCrushingh theh pillh willh destroyh theh enterich coating,h andh theh clienth shouldh beh advisedh againsth this.
Thehclienthshouldhbehtoldhnothtohbreak,hcrush,horhchewhenteric-coatedhtablets.
C. "Crushinghthehmedicationhwouldhreleasehallhthehmedicationhathonce,hratherhthanhoverhtime."
Rationale:hCrushingh theh pillh willh destroyh theh enterich coating,h andh theh clienth shouldh beh advisedh again
sth this,hbuththehenterichcoatinghdoeshnothprevenththehreleasehofhmedication.hSustainedhre
leasehpreparationshdisbursehthehmedicationhoverhtime.
D. "Crushinghishunsafe,hashithdestroyshthehingredientshinhthehmedication."
Rationale:hManyh medicationsh canh safelyh beh crushedh toh makeh themh easierh toh swallow.h Theh clienth
shouldhcheckhwithhhishproviderhforhinformationhabouthwhichhmedicationshcanhbehsafelyhc
rushed.
4. Ahnursehishcaringhforhfourhclientshforhwhomhshehhashtohadministerhoralhmedicationshinhthehmorning.hThehnurs
ehshouldhadministerhwhichhofhthehfollowinghmedicationshbeforehbreakfast?
A. Alendronate
Rationale:hTheh clienth musth takeh alendronateh firsth thingh inh theh morningh onh anh emptyh stomachh andh
waith athleasth30hminuteshbeforeheating,hdrinking,horhtakinghotherhmedications.
B. Digoxin
Rationale:hDigoxinh treatsh heartsh failureh andh dysrhythmias.h Whileh ith ish importanth thath theh clienth g
eth theh morninghdosehinhahtimelyhmanner,hthehnursehdoeshnothhavehtohadministerhithb
eforehahmeal.
C. Mycostatinhmouthwash
Rationale:hAnyh mouthwashh orh rinseh ish mosth effectiveh afterh ah meal.
D. Divalproex
Rationale:hDivalproex,h anh anticonvulsant,h helpsh controlh seizuresh andh treatsh theh manich phaseh ofh bi
polarhdisorder.hThehclienthshouldhtakehthehdosehonhtime,hbuthnothnecessarilyhbeforehah
meal.
5. Ahnursehishcaringhforhahclienthwhohhashbipolarhdisorderhandh hashbeenhtakinghlithiumhforh1hyear.hBeforehadmi
nisteringhthehmedication,hthehnursehshouldhcheckhtohseehthathwhichhofhthehfollowinghtestshhavehbeenhcomplet
ed?
A. Thyroidhhormonehassay
Rationale:hThyroidh testingh ish importanth becauseh long-termh useh ofh lithiumh mayh leadh toh thyroidh dysfunction.
B. Liverhfunctionhtests
Rationale:
Created hon:08/29/2018 Pageh2
DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
LFTshmusthbehmonitoredhbeforehandhduringhvalproichacidhtherapy,hnothlithiumhtherapy.
C. Erythrocytehsedimentationhrate
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Rationale:hThish ish noth ah necessaryh testh relatedh toh lithiumh therapy.
D. Brainhnatriuretichpeptide
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DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
1. Ahnursehishcaringhforhahclienthwhohhashactivehpulmonaryhtuberculosish(TB)handhishtohbehstartedhonhintraven
oushrifampinhtherapy.hThehnursehshouldhinstrucththehclienththaththishmedicationhcanhcausehwhichhofhthehfollow
inghadverseheffects?
A. Constipation
Rationale:hRifampinh doesh noth causeh constipation.h Moreh commonh gastrointestinalh effectsh areh diarrheah
andhnausea.
B. Blackhcoloredhstools
Rationale:hIth ish mosth commonlyh ironh supplementsh thath causeh stoolsh toh turnh black,h noth rifampin.
C. Staininghofhteeth
Rationale:hTeethh mayh beh stainedh fromh takingh liquidh ironh preparations,h noth fromh takingh rifampin.
D. Bodyhsecretionshturninghahred-orangehcolor
Rationale:hRifampinh ish usedh inh combinationh withh otherh medicinesh toh treath TB.h Rifampinh willh causeh the
h urine,hstool,hsaliva,hsputum,hsweat,handhtearshtohturnhreddish-orangehtohreddish-brown.
2. Ahnursehishcaringhforhahclienthwhohhashcongestivehhearthfailurehandhishtakinghdigoxinhdaily.hThehclienthrefus
edhbreakfasthandhishcomplaininghofhnauseahandh weakness.hWhichhofhthehfollowinghactionshshouldhthehnurse
htakehfirst?
A. Checkhthehclient'shvitalhsigns.
Rationale:hIth ish possibleh thath theh client'sh nauseah ish secondaryh toh digoxinh toxicity.h Byh obtainingh vitalh sig
ns,h thehnursehcanhassesshforhbradycardia,hwhichhishahsymptomhofhdigoxinhtoxicity.hThehnur
sehshouldhwithholdhthehmedicationhandhcallhthehproviderhifhthehclient'shhearthratehishlesshth
anh60hbpm.
B. Requesthahdietitianhconsult.
Rationale:hWhileh theh dietitianh mighth beh ableh toh assisth theh clienth withh makingh appropriateh foodh choices,
h thish ishnoththehfirsthactionhthehnursehshouldhtake.
C. Suggesththaththehclienthrestshbeforeheatinghthehmeal.
Rationale:hWhileh thish interventionh mighth beh appropriate,h thish ish noth theh firsth actionh theh nurseh shouldh take.
D. Requesthanhorderhforhanhantiemetic.
Rationale:hWhileh thish interventionh mighth relieveh theh client'sh nausea,h thish ish noth theh firsth actionh the
h nursehshouldhtake.
3. Ahnursehishcaringhforhahclienthwhohhashdifficultyhswallowinghmedicationshandhishprescribedhenteric-
coatedhaspirinhPOhoncehdaily.hThehclienthaskshifhthehmedicationhcanhbehcrushedhtohmakehitheasierhtohswallo
w.hWhichhofhthehfollowinghresponseshshouldhthehnursehprovide?
Created hon:08/29/2018 Pageh1
DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
A. "Crushinghthehmedicationhmighthcausehyouhtohhavehahstomachachehorhindigestion."
Rationale:hTheh pillh ish enteric-
coatedh toh preventh breakdownh inh theh stomachh andh decreaseh theh possibilityh ofh GIhdistress.hCr
ushinghthehpillhdestroyshthathprotection.
B. "Crushinghthehmedicationhishahgoodhidea,handhIhcanhmixhithinhsomehicehcreamhforhyou."
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,12/10/2023,h21:30 DetailedhAnswerhKey.pdf
Rationale:hCrushingh theh pillh willh destroyh theh enterich coating,h andh theh clienth shouldh beh advisedh againsth this.
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,12/10/2023,h21:30 DetailedhAnswerhKey.pdf
Created hon:08/29/2018 Pageh1
DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
A. "Crushinghthehmedicationhmighthcausehyouhtohhavehahstomachachehorhindigestion."
Rationale:hTheh pillh ish enteric-
coatedh toh preventh breakdownh inh theh stomachh andh decreaseh theh possibilityh ofh GIhdistress.hCr
ushinghthehpillhdestroyshthathprotection.
B. "Crushinghthehmedicationhishahgoodhidea,handhIhcanhmixhithinhsomehicehcreamhforhyou."
Rationale:hCrushingh theh pillh willh destroyh theh enterich coating,h andh theh clienth shouldh beh advisedh againsth this.
Thehclienthshouldhbehtoldhnothtohbreak,hcrush,horhchewhenteric-coatedhtablets.
C. "Crushinghthehmedicationhwouldhreleasehallhthehmedicationhathonce,hratherhthanhoverhtime."
Rationale:hCrushingh theh pillh willh destroyh theh enterich coating,h andh theh clienth shouldh beh advisedh again
sth this,hbuththehenterichcoatinghdoeshnothprevenththehreleasehofhmedication.hSustainedhre
leasehpreparationshdisbursehthehmedicationhoverhtime.
D. "Crushinghishunsafe,hashithdestroyshthehingredientshinhthehmedication."
Rationale:hManyh medicationsh canh safelyh beh crushedh toh makeh themh easierh toh swallow.h Theh clienth
shouldhcheckhwithhhishproviderhforhinformationhabouthwhichhmedicationshcanhbehsafelyhc
rushed.
4. Ahnursehishcaringhforhfourhclientshforhwhomhshehhashtohadministerhoralhmedicationshinhthehmorning.hThehnurs
ehshouldhadministerhwhichhofhthehfollowinghmedicationshbeforehbreakfast?
A. Alendronate
Rationale:hTheh clienth musth takeh alendronateh firsth thingh inh theh morningh onh anh emptyh stomachh andh
waith athleasth30hminuteshbeforeheating,hdrinking,horhtakinghotherhmedications.
B. Digoxin
Rationale:hDigoxinh treatsh heartsh failureh andh dysrhythmias.h Whileh ith ish importanth thath theh clienth g
eth theh morninghdosehinhahtimelyhmanner,hthehnursehdoeshnothhavehtohadministerhithb
eforehahmeal.
C. Mycostatinhmouthwash
Rationale:hAnyh mouthwashh orh rinseh ish mosth effectiveh afterh ah meal.
D. Divalproex
Rationale:hDivalproex,h anh anticonvulsant,h helpsh controlh seizuresh andh treatsh theh manich phaseh ofh bi
polarhdisorder.hThehclienthshouldhtakehthehdosehonhtime,hbuthnothnecessarilyhbeforehah
meal.
5. Ahnursehishcaringhforhahclienthwhohhashbipolarhdisorderhandh hashbeenhtakinghlithiumhforh1hyear.hBeforehadmi
nisteringhthehmedication,hthehnursehshouldhcheckhtohseehthathwhichhofhthehfollowinghtestshhavehbeenhcomplet
ed?
A. Thyroidhhormonehassay
Rationale:hThyroidh testingh ish importanth becauseh long-termh useh ofh lithiumh mayh leadh toh thyroidh dysfunction.
B. Liverhfunctionhtests
Rationale:
Created hon:08/29/2018 Pageh2
DetailedhAnswerhhKeyhR
Nh46hC9hPharmacology
LFTshmusthbehmonitoredhbeforehandhduringhvalproichacidhtherapy,hnothlithiumhtherapy.
C. Erythrocytehsedimentationhrate
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Rationale:hThish ish noth ah necessaryh testh relatedh toh lithiumh therapy.
D. Brainhnatriuretichpeptide
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