Pharmacology Evolve HESI (questions and answers)

Pharmacology Evolve HESI
(questions and answers)
Atr19-year-
oldtrmaletrclienttrwhotrhastrsustainedtratrseveretrheadtrinjurytristrintubatedtrandtrplacedtr
ontrassistedtrmechanicaltrventilation.trTotrfacilitatetroptimaltrventilationtrandtrpreventtrt
hetrclienttrfromtr"fighting"trthetrventilator,trthetrhealthtrcaretrprovidertradministerstrpan
curoniumtrbromidetrIV,trwithtradjunctivetropioidtranalgesia.trWhattrmedicationtrshouldtrb
etrimmediatelytraccessibletrfortratrpotentialtrcomplicationtrwithtrthistrdrug?


A.trDantrolenetrsodium
B.trNeostigminetrbromide
C.trSuccinylcholinetrbromide
D.trEpinephrinetr-transwertrtrtrB.trNeostigminetrbromide


Neostigminetrbromidetrandtratropinetrsulfate,trbothtranticholinergictrdrugs,trreversetrth
etrrespiratorytrmuscletrparalysistrcausedtrbytrpancuroniumtrbromide.trOptionstrA,trC,tran
dtrDtraretrnottrantagoniststrtotrpancuroniumtrbromidetrandtrwouldtrnottrbetrhelpfultrintrre
versingtrthetreffectstroftrthetrdrugtrcomparedtrwithtrthetrusetroftranticholinergics.


AtrclienttrwithtrviraltrinfluenzatristrreceivingtrvitamintrC,tr1000trmgtrPOtrdaily,trandtraceta
minophentrelixir,tr650trmgtrPOtreverytr4trhourstrPRN.trThetrnursetrcallstrthetrhealthtrcare

, providertrtotrreporttrthattrthetrclienttrhastrdevelopedtrdiarrhea.trWhichtrchangetrintrpre
tr

scriptionstrshouldtrthetrnursetranticipate?


A.trChangetrthetracetaminophentrtotribuprofen.
B.trChangetrthetrelixirtrtotrantrinjectabletrroute.
C.trDecreasetrthetrdosetroftrvitamintrC.
D.trBegintrtreatmenttrwithtrantrantibiotic.tr-
transwertrtrtrC.trDecreasetrthetrdosetroftrvitamintrC.




Whentrprovidingtrnursingtrcaretrfortratrclienttrreceivingtrpyridostigminetrbromidetrfortr
myastheniatrgravis,trwhichtrnursingtrinterventiontrhastrthetrhighesttrpriority?


A.trMonitortrthetrclienttrfrequentlytrfortrurinarytrretention.
B.trAssesstrrespiratorytrstatustrandtrbreathtrsoundstroften.
C.trMonitortrbloodtrpressuretreachtrshifttrtotrscreentrfortrhypertension.
D.trAdministertrmosttrmedicationstraftertrmealstrtotrdecreasetrgastrointestinaltrirritatio
n.tr-transwertrtrtrB.trAssesstrrespiratorytrstatustrandtrbreathtrsoundstroften.


Atrclienttrwithtratrdislocatedtrshouldertristrbeingtrpreparedtrfortratrclosedtrmanualtrreduc
tiontrusingtrconscioustrsedation.trWhichtrmedicationtrshouldtrthetrnursetrexplaintrastratrs
edativetrusedtrduringtrthetrprocedure?


A.Inhaledtrnitroustroxide
B.MidazolamtrIV

,C.KetaminetrIM
D.FentanyltrandtrdroperidoltrIMtr-transwertrtrtrB.trMidazolamtrIV


Atrclienttristrbeingtrdischargedtrwithtratrprescriptiontrfortrsulfasalazinetrtotrtreattrulcerat
ivetrcolitis.trWhichtrinstructiontrshouldtrthetrnursetrprovidetrtotrthistrclienttrpriortrtotrdis
charge?


A.trMaintaintrgoodtroraltrhygiene.
B.trTaketrthetrmedicationtr30trminutestrbeforetratrmeal.
C.trDiscontinuetrusetroftrthetrdrugtrgradually.
D.trDrinktrattrleasttreighttrglassestroftrfluidtratrday.tr-
transwertrtrtrD.trDrinktrattrleasttreighttrglassestroftrfluidtratrday.




Thetrhealthtrcaretrprovidertrprescribestrcarbamazepinetrfortratrchildtrwhosetrtonic-
clonictrseizurestrhavetrbeentrpoorlytrcontrolled.trThetrnursetrinformstrthetrmothertrthattr
thetrchildtrmusttrhavetrbloodtrteststreverytrweek.trThetrmothertraskstrwhytrsotrmanytrbloo
dtrteststraretrnecessary.trWhichtrcomplicationtristrassessedtrthroughtrfrequenttrlaborat
orytrtestingtrthattrthetrnursetrshouldtrexplaintrtotrthistrmother?


A.trNephrotoxicity
B.trOtotoxicity
C.trMyelosuppression
D.Hepatotoxicitytr-transwertrtrtrC.trMyelosuppression

, Myelosuppressiontristrthetrhighesttrprioritytrcomplicationtrthattrcantrpotentiallytraffecttr
clientstrmanagedtrwithtrcarbamazepinetrtherapy.trThetrclienttrrequirestrclosetrmonitorin
gtrfortrthistrconditiontrbytrweeklytrlaboratorytrtesting.trHepatictrfunctiontrmaytrbetraltere
d,trbuttrthistrcomplicationtrdoestrnottrhavetrastrgreattratrpotentialtrfortroccurrencetrastro
ptiontrC.trOptionstrAtrandtrBtraretrnottrtypicaltrcomplicationstroftrcarbamazepinetrtherapy
.


Whentrdevelopingtratrwrittentrnursingtrcaretrplantrfortratrclienttrreceivingtrchemotherap
ytrfortrtreatmenttroftrcancer,trthetrnursetrwrites,tr"Assesstreachtrvoidingtrfortrhematuria
."trThetradministrationtroftrwhichtrtypetroftrchemotherapeutictragenttrwouldtrprompttrthet
rnursetrtotraddtrthistrintervention?




A.trVincristine
B.trBleomycintrsulfate
C.trChlorambucil
D.trCyclophosphamidetr-transwertrtrtrD.trCyclophosphamide


Hemorrhagictrcystitistristrthetrcharacteristictradversetrreactiontroftrcyclophosphamide.
trAdministrationtroftroptionstrA,trB,trandtrCtrdoestrnottrtypicallytrcausetrhemorrhagictrcyst

itis.


Atrclienttristrreceivingtroraltrgriseofulvintrfortratrpersistenttrtineatrcorporistrinfection.trW
hichtrresponsetrbytrthetrclienttrindicatestrantraccuratetrunderstandingtroftrthetrdrugtrtea
chingtrconductedtrbytrthetrnurse?


A.tr"I'lltrweartrsunscreentrwhenevertrItrmowtrthetrlawn."