PHARMACOLOGY II BSN 315 HESI
REVIEW EXAM QUESTIONS AND
ANSWERS
Aspirin caution - Answer-The most important nursing action is to assess the client for
bleeding because large doses of aspirin can cause GI irritation and ulceration, &
coupled with aspirins actions to decrease platelet aggregation, this also places the client
at high risk for bleeding. Using the 10 point pain assessment scale provides valuable
information about analgesic effect of the aspirin, bit it does not have the same priority
that bleeding does.
Prednisone- Moon face - Answer-The moon face caused by long-term use of
glucocorticoids such as Prednisone may subside with a gradual decrease in dose or the
use of an alternate daytime treatment.
Miacalcin- rhinitis - Answer-The nurse should inform the client to alternate the nostril in
which the medication is sprayed is recommended to reduce rhinitis, which is a common
side effect of calcitonin nasal spray.
Flaygl-treat partner - Answer-For a female client being treated for trichomonas vaginalis
who receives a prescription for Metronidazole, it is important that the male partners of
the infected women are also treated, even if they are asymptomatic.
Viagra contraindication - Answer-When combined with nitrates, Sildenafil can cause
fatal hypotension, so concurrent use is contraindicated.
Pregabalin - action - Answer-Pregabalin is used to manage the pain associated with
diabetic peripheral neuropathy but does not promote wound healing. The nurse should
review the treatment plan & evaluate the strategies used to provide care for the foot
ulceration.
Carbamazepine serum level - Answer-Carbamazepine, an anti convulsant, is used to
treat bipolar disorder in clients who do not respond to other antimanic agents, & has a
wider margin of safety than lithium but can still produce side effects. The therapeutic
serum drug level of carbamazepine is 8-12 mg/L (33.9-50.8 mmol/L), so the drug should
be administered as prescribed.
CT- Diarrhea- Action - Answer-Octreotide is given to treat diarrhea & acts to inhibit
gastric secretion & decrease intestinal fluid loss that results from inflammation of the
gastrointestinal mucosa caused by chemotherapy. Octreotide can cause hyperglycemia
& symptoms of acidosis, such as fruity breath odor which should be reported to the
health care provider immediately.
REVIEW EXAM QUESTIONS AND
ANSWERS
Aspirin caution - Answer-The most important nursing action is to assess the client for
bleeding because large doses of aspirin can cause GI irritation and ulceration, &
coupled with aspirins actions to decrease platelet aggregation, this also places the client
at high risk for bleeding. Using the 10 point pain assessment scale provides valuable
information about analgesic effect of the aspirin, bit it does not have the same priority
that bleeding does.
Prednisone- Moon face - Answer-The moon face caused by long-term use of
glucocorticoids such as Prednisone may subside with a gradual decrease in dose or the
use of an alternate daytime treatment.
Miacalcin- rhinitis - Answer-The nurse should inform the client to alternate the nostril in
which the medication is sprayed is recommended to reduce rhinitis, which is a common
side effect of calcitonin nasal spray.
Flaygl-treat partner - Answer-For a female client being treated for trichomonas vaginalis
who receives a prescription for Metronidazole, it is important that the male partners of
the infected women are also treated, even if they are asymptomatic.
Viagra contraindication - Answer-When combined with nitrates, Sildenafil can cause
fatal hypotension, so concurrent use is contraindicated.
Pregabalin - action - Answer-Pregabalin is used to manage the pain associated with
diabetic peripheral neuropathy but does not promote wound healing. The nurse should
review the treatment plan & evaluate the strategies used to provide care for the foot
ulceration.
Carbamazepine serum level - Answer-Carbamazepine, an anti convulsant, is used to
treat bipolar disorder in clients who do not respond to other antimanic agents, & has a
wider margin of safety than lithium but can still produce side effects. The therapeutic
serum drug level of carbamazepine is 8-12 mg/L (33.9-50.8 mmol/L), so the drug should
be administered as prescribed.
CT- Diarrhea- Action - Answer-Octreotide is given to treat diarrhea & acts to inhibit
gastric secretion & decrease intestinal fluid loss that results from inflammation of the
gastrointestinal mucosa caused by chemotherapy. Octreotide can cause hyperglycemia
& symptoms of acidosis, such as fruity breath odor which should be reported to the
health care provider immediately.
