When treating a patient with a hospital acquired Lugol's (Iodine) 1 hour before PTU
infection with Vancomycin, what would you do?
a) report the HAI to Medicare
b) assess patient's response A patient with cancer metastasis and renal
c) obtain WBC count insuficency is breathing shallow with respiration
d) ensure to obtain a peak and trough - rate of 8 breaths/min is getting Fentanyl- what
ANSWER -d) ensure to obtain a peak and should the nurse do first. - ANSWER -Notify
trough the Doctor
MD ordered 1000ml D5w to infuse over 12 Patient is taking verapamil (calan) what should
hours? How many ml/hr? - ANSWER -83 the nurse assess? - ANSWER -Asses BP;
mL/hr Verapamil (calan) is a BP med.
What further teaching is needed when rifampin Pt is very anxious and suicidal; Lithium level is 15
(rifordin) is given for TB? - ANSWER - mEq; Which action should the nurse implement?
Reduces effectiveness of oral contraceptives; - ANSWER -Instruct pt to drink 3 liters in 24
turns skin, sweat, tears, urine, feces, sputum, hours. Normal lithium is 0.8-1.2 mEq
saliva, & tongue red/orange/brown; stains
contacts.
A patient is taking Ginko Bilboa to help with
fatigue and improve memory. What is the main
Patient with ED reports congestion, dizziness, teaching point. - ANSWER -Do not take
and nausea. Which nursing assessment takes with Aspirin or NSAIDs.
priority?
a) muscle and back pain
b) breath sounds A patient is taking cimetidine for duodenal ulcer,
c) palpate for distention would should you monitor for? - ANSWER -
d) measure BP standing and lying down - Watch for toxicity; It can cause blood
ANSWER -D) measure BP standing and concentration of certain drugs.
lying down. Test for orthostatic hypotension.
A type 2 diabetic taking Amaryl PO reports
A patient on mechanical ventilation is getting nausea, vomiting and diarrhea. What response
Zantac; what is the purpose of this treatment? - should the nurse provide? - ANSWER -Tell
ANSWER -Prevents irritation to abdomen the patient to schedule a visit with their doctor.
due to decreased stomach acid. Zantac
decreases abdominal secretions.
Multiple sclerosis is treated with Bactofen to
control what? - ANSWER -Bactrofen
MD prescribes PTU (propylthiouracil) & Lugol's controls side effects of MS- treats muscle
(Iodine) for hyperthyroidism- how is it spasms by relaxing muscles.
administered? - ANSWER -Administer
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, PHARM HESI TEST QUESTIONS WITH ANSWERS GRADED A+
Patient with emphysema is having difficulty
Patient is taking tamiflu for an infection. What isbreathing with audible wheezing. Albuterol is
the response by the nurse. - ANSWER - given three times in 12 hours. What assessment
Come to the clinic for prescription medications; finding requires immediate interventions by
don't self treat. nurse?
a) throat irriation
b) shaking uncontrollable
Kidney transplant patient is taking sanimmune c) irregular heart rate
complains of headache and blurred vision. What d) increased anxiety - ANSWER -C)
should the nurse do? - ANSWER -Hold Irregular heart rate.
medication and notify doctor. Sanimmune treats Albuterol is a fast acting inhaler.
dry eyes and can cause increased BP and
kidney problems.
20 mEq of K+ is prescribed IV push stat. What
would you do? - ANSWER -Clarify order,
Bethanechol is effective with what condition? - K+ should not be given stat (bolis-quickly).
ANSWER -Urinary retention; relaxes
bladder. Output=intake.
Male patient wants a large dose of narcotics-
what should the nurse do? - ANSWER -
Patient was given scopolamine 2 hours prior to Assess pain level.
surgey. Four hours after SX the pt wants to know
why this patch is not working? - ANSWER -
Scopolamine dries secretions it is not for pain. Parkinsons patient is taking cardopa/levodopa is
at an increased risk for injury. What instruction
should the nurse provide? - ANSWER -Rise
After administering laxative to a bed fast patient slowly, don't miss doses and monitor for adverse
(bedrest). What assessment should the nurse effects.
perform? - ANSWER -Determine frequency
and consistency of BM.
Describe the effects of glucosamine? -
ANSWER -Alleviates joint pain.
Educate patient and family of a heavy smoker
taking phenytoin for seizures which intervention
is most important to implement? Which medication should be administered after
a)report nausea and vomiting breakfast?
b) note changes in behavior a) Lasix
c) smoking cessation b) 70/30 units of insulin
d) constipation - ANSWER -b) note c) Levothyroxone (treats hypothyroid)
changes in behavior. d) Sucrafate (tx GI problems and ulcers) -
ANSWER -b) 70/30 units of insulin
Antiepileptic drugs can increase depression.
Codein/acetaminophen was gievn but what not
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