RN Pharmacology Online Practice B 2024-2025
All 1-80 Questions And Answers already
Updated With Rationale Answers Guaranteed
PASS
A nurse at a clinic is providing follow - up care to a client who is taking
fluoxetine for depression. Which of the following findings should the nurse
identify as an adverse effect of the medication?
-tingling toes
-absence of dreams
-sexual dysfunction
-pica - ✔ANASWER✔-sexual dysfunction
Rationale: sexual dysfunction, including a decreased libido, impotence, and
delayed orgasm, or anorgasmia, is a common adverse effect of fluoxetine
and occurs in about 70% of clients who take this SSRI antidepressant.
NGN - a nurse is monitoring a client after administering their prescribed
medications.
,neuro: client is alert to person, place, time, and situation. client reports
headache and occasional anxiety.
gi/gu: client reports nausea. abdomen soft and rounded, non-distended.
bowel sounds are normoactive in all 4 quadrants. bladder non-distended;
continent. urine output of 25 mL/hr.
vital signs: temp 38.4 C (101.2 F) HR 106/min, resp rate 20/min, BP 140/64
mm Hg, o2 97% on room air
integumentary: skin cool, dry and intact. small pinpoint petechiae is present
on bilateral extremities - ✔ANASWER✔-client reports headache.
client reports nausea.
small pinpoint petechiae is present on bilateral extremities.
Rationale: when analyzing cues, the nurse should identify that the client's
report of headache, nausea, and small pinpoint petechiae is present on
bilateral extremities are indications of a potential adverse reaction to
enoxaparin. low molecular weight heparins such as enoxaparin are
anticoagulants that are used to prevent thrombus formation. other findings
of an adverse reaction include, peripheral edema, insomnia, hematuria,
pruritis, and alopecia.
A nurses is assessing a client's vital signs prior to the administration of PO
digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and
,respiratory rate is 20/min. The nurse should withhold the medication and
contact the provider for which of the following findings?
-diastolic BP
-systolic BP
-heart rate
-respiratory rate - ✔ANASWER✔-heart rate
Rationale: digoxin slows the conduction rate through the SA and AV nodes,
thereby decreasing the heart rate. the nurse should withhold the
medication and notify the provider for a heart rate of 55/min because this
is an early indication of digoxin toxicity.
NGN - a nurse is caring for a client in an outpatient clinic.
the nurse is reviewing the client's medical record, which of the following is
the client at risk for developing
-hypocalcemia
-hypomagnesemia
-nocturia
due to
, -diclofenac
-omeprazole
-naproxen - ✔ANASWER✔-hypomagnesemia due to omeprazole
Rationale: upon analyzing cues, the nurse should identify that the client is
at risk for developing hypomagnesemia due to long-term use of
omeprazole and should monitor magnesium laboratory values and observe
for manifestations including tremors, seizures, and muscle cramps.
A nurse receives a verbal order from the provider to administer morphine
five milligrams every 4 hours subcutaneously for severe pain as needed. The
nurse should identify which of the following entries as the correct format
for the medication administration record (MAR)?
-MSO4 5 mg subcut every 4 hr PRN severe pain
-Morphine 5 mg subcut every 4 hr PRN severe pain
-MSO4 5mg SQ every 4 hr PRN severe pain
-Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain -
✔ANASWER✔-Morphine 5 mg subcut every 4 hr PRN severe pain
Rationale: the nurse should identify this entry as the correct format for the
MAR. the medication name is spelled out and there are not any
abbreviations from the Joint Commission's "Do Not Use" list included int he
transcription.
-use of MSO4 and SQ are prohibited
All 1-80 Questions And Answers already
Updated With Rationale Answers Guaranteed
PASS
A nurse at a clinic is providing follow - up care to a client who is taking
fluoxetine for depression. Which of the following findings should the nurse
identify as an adverse effect of the medication?
-tingling toes
-absence of dreams
-sexual dysfunction
-pica - ✔ANASWER✔-sexual dysfunction
Rationale: sexual dysfunction, including a decreased libido, impotence, and
delayed orgasm, or anorgasmia, is a common adverse effect of fluoxetine
and occurs in about 70% of clients who take this SSRI antidepressant.
NGN - a nurse is monitoring a client after administering their prescribed
medications.
,neuro: client is alert to person, place, time, and situation. client reports
headache and occasional anxiety.
gi/gu: client reports nausea. abdomen soft and rounded, non-distended.
bowel sounds are normoactive in all 4 quadrants. bladder non-distended;
continent. urine output of 25 mL/hr.
vital signs: temp 38.4 C (101.2 F) HR 106/min, resp rate 20/min, BP 140/64
mm Hg, o2 97% on room air
integumentary: skin cool, dry and intact. small pinpoint petechiae is present
on bilateral extremities - ✔ANASWER✔-client reports headache.
client reports nausea.
small pinpoint petechiae is present on bilateral extremities.
Rationale: when analyzing cues, the nurse should identify that the client's
report of headache, nausea, and small pinpoint petechiae is present on
bilateral extremities are indications of a potential adverse reaction to
enoxaparin. low molecular weight heparins such as enoxaparin are
anticoagulants that are used to prevent thrombus formation. other findings
of an adverse reaction include, peripheral edema, insomnia, hematuria,
pruritis, and alopecia.
A nurses is assessing a client's vital signs prior to the administration of PO
digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and
,respiratory rate is 20/min. The nurse should withhold the medication and
contact the provider for which of the following findings?
-diastolic BP
-systolic BP
-heart rate
-respiratory rate - ✔ANASWER✔-heart rate
Rationale: digoxin slows the conduction rate through the SA and AV nodes,
thereby decreasing the heart rate. the nurse should withhold the
medication and notify the provider for a heart rate of 55/min because this
is an early indication of digoxin toxicity.
NGN - a nurse is caring for a client in an outpatient clinic.
the nurse is reviewing the client's medical record, which of the following is
the client at risk for developing
-hypocalcemia
-hypomagnesemia
-nocturia
due to
, -diclofenac
-omeprazole
-naproxen - ✔ANASWER✔-hypomagnesemia due to omeprazole
Rationale: upon analyzing cues, the nurse should identify that the client is
at risk for developing hypomagnesemia due to long-term use of
omeprazole and should monitor magnesium laboratory values and observe
for manifestations including tremors, seizures, and muscle cramps.
A nurse receives a verbal order from the provider to administer morphine
five milligrams every 4 hours subcutaneously for severe pain as needed. The
nurse should identify which of the following entries as the correct format
for the medication administration record (MAR)?
-MSO4 5 mg subcut every 4 hr PRN severe pain
-Morphine 5 mg subcut every 4 hr PRN severe pain
-MSO4 5mg SQ every 4 hr PRN severe pain
-Morphine 5.0 mg subcutaneously every 4 hr PRN severe pain -
✔ANASWER✔-Morphine 5 mg subcut every 4 hr PRN severe pain
Rationale: the nurse should identify this entry as the correct format for the
MAR. the medication name is spelled out and there are not any
abbreviations from the Joint Commission's "Do Not Use" list included int he
transcription.
-use of MSO4 and SQ are prohibited
