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Pharmacology Evolve HESI
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HESI PHARM 315 - 2024 Hesi Pharmacology Phlebotomy Practice
103 terms 55 terms Teacher 95 terms
Ren_chen03 Preview Avigayel_Nyambura Preview Ann_Mwende8
A 19-year-old male client who B. Neostigmine bromide
has sustained a severe head
injury is intubated and placed on Neostigmine bromide and atropine sulfate, both anticholinergic
assisted mechanical ventilation. drugs, reverse the respiratory muscle paralysis caused by
To facilitate optimal ventilation pancuronium bromide. Options A, C, and D are not antagonists
and prevent the client from to pancuronium bromide and would not be helpful in reversing
"fighting" the ventilator, the the effects of the drug compared with the use of
health care provider administers anticholinergics.
pancuronium bromide IV, with
adjunctive opioid analgesia.
What medication should be
immediately accessible for a
potential complication with this
drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine
See an expert-written answer!
,A client with viral influenza is C. Decrease the dose of vitamin C.
receiving vitamin C, 1000 mg PO
daily, and acetaminophen elixir,
650 mg PO every 4 hours PRN.
The nurse calls the health care
provider to report that the client
has developed diarrhea. Which
change in prescriptions should
the nurse anticipate?
A. Change the acetaminophen
to ibuprofen.
B. Change the elixir to an
injectable route.
C. Decrease the dose of vitamin
C.
D. Begin treatment with an
antibiotic.
When providing nursing care for B. Assess respiratory status and breath sounds often.
a client receiving pyridostigmine
bromide for myasthenia gravis,
which nursing intervention has
the highest priority?
A. Monitor the client frequently
for urinary retention.
B. Assess respiratory status and
breath sounds often.
C. Monitor blood pressure each
shift to screen for hypertension.
D. Administer most medications
after meals to decrease
gastrointestinal irritation.
A client with a dislocated B. Midazolam IV
shoulder is being prepared for a
closed manual reduction using
conscious sedation. Which
medication should the nurse
explain as a sedative used
during the procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
,A client is being discharged with D. Drink at least eight glasses of fluid a day.
a prescription for sulfasalazine
to treat ulcerative colitis. Which
instruction should the nurse
provide to this client prior to
discharge?
A. Maintain good oral hygiene.
B. Take the medication 30
minutes before a meal.
C. Discontinue use of the drug
gradually.
D. Drink at least eight glasses of
fluid a day.
The health care provider C. Myelosuppression
prescribes carbamazepine for a
child whose tonic-clonic Myelosuppression is the highest priority complication that can
seizures have been poorly potentially affect clients managed with carbamazepine therapy.
controlled. The nurse informs The client requires close monitoring for this condition by weekly
the mother that the child must laboratory testing. Hepatic function may be altered, but this
have blood tests every week. complication does not have as great a potential for occurrence
The mother asks why so many as option C. Options A and B are not typical complications of
blood tests are necessary. carbamazepine therapy.
Which complication is assessed
through frequent laboratory
testing that the nurse should
explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
When developing a written D. Cyclophosphamide
nursing care plan for a client
receiving chemotherapy for Hemorrhagic cystitis is the characteristic adverse reaction of
treatment of cancer, the nurse cyclophosphamide. Administration of options A, B, and C does
writes, "Assess each voiding for not typically cause hemorrhagic cystitis.
hematuria." The administration of
which type of chemotherapeutic
agent would prompt the nurse
to add this intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
See an expert-written answer!
, A client is receiving oral A. "I'll wear sunscreen whenever I mow the lawn."
griseofulvin for a persistent tinea
corporis infection. Which Photosensitivity is a side effect of griseofulvin, so clients should
response by the client indicates be cautioned to wear protective sunscreen during sun exposure.
an accurate understanding of Options B, C, and D are not accurate statements about side
the drug teaching conducted by effects of this medication.
the nurse?
A. "I'll wear sunscreen whenever
I mow the lawn."
B. "This is the worse bacterial
infection I've ever had."
C. "I will need to take the
medication for 7 days."
D. "My urine will probably turn
brown due to this drug."
A 6-year-old child is admitted to B. Diazepam
the emergency department with
status epilepticus. His parents Diazepam is the drug of choice for treatment of status
report that his seizure disorder epilepticus. Options A, C, and D are used for the long-term
has been managed with management of seizure disorders but are not as useful in the
phenytoin, 50 mg PO bid, for the emergency management of status epilepticus.
past year. Which drug should
the nurse plan to administer in
the emergency department?
A. Phenytoin
B. Diazepam
C. Phenobarbital
D. Carbamazepine
A client who has trouble D. Contact the health care provider for another form of
swallowing pills intermittently medication.
has been prescribed venlafaxine
(XR) for depression. The Venlafaxine is administered PO in capsule form. Capsules that are
medication comes in capsule extended-release (XR) or continuous-release (CR) contain
form. What should the nurse delayed-release, enteric-coated granules to prevent
include in the discharge decomposition of the drug in the acidic pH of the stomach. The
teaching plan for this client? client should notify the health care provider about the inability to
swallow the capsule. This medication should not be chewed or
A. Capsule contents can be opened so that the delayed-release, enteric-coated granules
sprinkled on pudding or can remain intact. Water or juice will not affect the medication.
applesauce.
B. Chew the medication
thoroughly to enhance
absorption.
C. Take the medication with a
large glass of water or juice.
D. Contact the health care
provider for another form of
medication.
Pharmacology Evolve HESI
Save
Students also studied
Flashcard sets Study guides
HESI PHARM 315 - 2024 Hesi Pharmacology Phlebotomy Practice
103 terms 55 terms Teacher 95 terms
Ren_chen03 Preview Avigayel_Nyambura Preview Ann_Mwende8
A 19-year-old male client who B. Neostigmine bromide
has sustained a severe head
injury is intubated and placed on Neostigmine bromide and atropine sulfate, both anticholinergic
assisted mechanical ventilation. drugs, reverse the respiratory muscle paralysis caused by
To facilitate optimal ventilation pancuronium bromide. Options A, C, and D are not antagonists
and prevent the client from to pancuronium bromide and would not be helpful in reversing
"fighting" the ventilator, the the effects of the drug compared with the use of
health care provider administers anticholinergics.
pancuronium bromide IV, with
adjunctive opioid analgesia.
What medication should be
immediately accessible for a
potential complication with this
drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine
See an expert-written answer!
,A client with viral influenza is C. Decrease the dose of vitamin C.
receiving vitamin C, 1000 mg PO
daily, and acetaminophen elixir,
650 mg PO every 4 hours PRN.
The nurse calls the health care
provider to report that the client
has developed diarrhea. Which
change in prescriptions should
the nurse anticipate?
A. Change the acetaminophen
to ibuprofen.
B. Change the elixir to an
injectable route.
C. Decrease the dose of vitamin
C.
D. Begin treatment with an
antibiotic.
When providing nursing care for B. Assess respiratory status and breath sounds often.
a client receiving pyridostigmine
bromide for myasthenia gravis,
which nursing intervention has
the highest priority?
A. Monitor the client frequently
for urinary retention.
B. Assess respiratory status and
breath sounds often.
C. Monitor blood pressure each
shift to screen for hypertension.
D. Administer most medications
after meals to decrease
gastrointestinal irritation.
A client with a dislocated B. Midazolam IV
shoulder is being prepared for a
closed manual reduction using
conscious sedation. Which
medication should the nurse
explain as a sedative used
during the procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
,A client is being discharged with D. Drink at least eight glasses of fluid a day.
a prescription for sulfasalazine
to treat ulcerative colitis. Which
instruction should the nurse
provide to this client prior to
discharge?
A. Maintain good oral hygiene.
B. Take the medication 30
minutes before a meal.
C. Discontinue use of the drug
gradually.
D. Drink at least eight glasses of
fluid a day.
The health care provider C. Myelosuppression
prescribes carbamazepine for a
child whose tonic-clonic Myelosuppression is the highest priority complication that can
seizures have been poorly potentially affect clients managed with carbamazepine therapy.
controlled. The nurse informs The client requires close monitoring for this condition by weekly
the mother that the child must laboratory testing. Hepatic function may be altered, but this
have blood tests every week. complication does not have as great a potential for occurrence
The mother asks why so many as option C. Options A and B are not typical complications of
blood tests are necessary. carbamazepine therapy.
Which complication is assessed
through frequent laboratory
testing that the nurse should
explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
When developing a written D. Cyclophosphamide
nursing care plan for a client
receiving chemotherapy for Hemorrhagic cystitis is the characteristic adverse reaction of
treatment of cancer, the nurse cyclophosphamide. Administration of options A, B, and C does
writes, "Assess each voiding for not typically cause hemorrhagic cystitis.
hematuria." The administration of
which type of chemotherapeutic
agent would prompt the nurse
to add this intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
See an expert-written answer!
, A client is receiving oral A. "I'll wear sunscreen whenever I mow the lawn."
griseofulvin for a persistent tinea
corporis infection. Which Photosensitivity is a side effect of griseofulvin, so clients should
response by the client indicates be cautioned to wear protective sunscreen during sun exposure.
an accurate understanding of Options B, C, and D are not accurate statements about side
the drug teaching conducted by effects of this medication.
the nurse?
A. "I'll wear sunscreen whenever
I mow the lawn."
B. "This is the worse bacterial
infection I've ever had."
C. "I will need to take the
medication for 7 days."
D. "My urine will probably turn
brown due to this drug."
A 6-year-old child is admitted to B. Diazepam
the emergency department with
status epilepticus. His parents Diazepam is the drug of choice for treatment of status
report that his seizure disorder epilepticus. Options A, C, and D are used for the long-term
has been managed with management of seizure disorders but are not as useful in the
phenytoin, 50 mg PO bid, for the emergency management of status epilepticus.
past year. Which drug should
the nurse plan to administer in
the emergency department?
A. Phenytoin
B. Diazepam
C. Phenobarbital
D. Carbamazepine
A client who has trouble D. Contact the health care provider for another form of
swallowing pills intermittently medication.
has been prescribed venlafaxine
(XR) for depression. The Venlafaxine is administered PO in capsule form. Capsules that are
medication comes in capsule extended-release (XR) or continuous-release (CR) contain
form. What should the nurse delayed-release, enteric-coated granules to prevent
include in the discharge decomposition of the drug in the acidic pH of the stomach. The
teaching plan for this client? client should notify the health care provider about the inability to
swallow the capsule. This medication should not be chewed or
A. Capsule contents can be opened so that the delayed-release, enteric-coated granules
sprinkled on pudding or can remain intact. Water or juice will not affect the medication.
applesauce.
B. Chew the medication
thoroughly to enhance
absorption.
C. Take the medication with a
large glass of water or juice.
D. Contact the health care
provider for another form of
medication.
