WGU D441 PHARMACOLOGY
A client with anemia secondary to chronic kidney disease (CKD)
started a prescription for epoetin alfa two months ago. Which
client finding best indicates that the medication is effective?
Reference Range:Hemoglobin (Hgb) [14 to 18 g/dl. (8.7 to 11.2
mmol/L)]
A. Food diary shows increased consumption of iron-rich foods.
B. Reports of increased energy levels and decreased fatigue.
C. Takes concurrent iron therapy without adverse effects.
D. Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
D. Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
The nurse is teaching a client who has been diagnosed with
human immunodeficiency virus (HIV) about the antiretroviral
medication regimen. Which statement provided by the client
requires additional instruction by the nurse?
A. The viral load can be decreased to an undetectable level.
B. Antiretroviral medication prevents the transmission of the
virus.
C. The medications can decrease acquired immunodeficiency
syndrome (AIDS) related complications.
D. HIV infection is not cured by the antiretroviral regimen.
B. Antiretroviral medication prevents the transmission of the virus.
client with allergic rhinitis is taking the over-the-counter
antihistamine diphenhydramine HCL. Which instruction is most
important for the nurse to provide this client?
,A. Do not take the medication more than once every 8 hours.
B. Take the medication with food to prevent gastric upset.
C. Avoid driving, since this medication causes drowsiness.
D. Use sugarless candy or gum to help prevent a dry mout
C. Avoid driving, since this medication causes drowsiness
To control asthma, a client in a residential treatment facility uses
a fluticasone propionate and salmeterol discus inhalation system,
which provides an inhaled powdered form of these combined
medications. Which instruction should the nurse provide to this
client's caregivers?
A. Clients using the discus may experience decreased blood
pressure.
B. Explain that the client should not use the discus more than
twice daily.
C. When using the discus, have the client breathe out rapidly into
the mouthpiece.
D. Offer the discus to the client for use during an acute asthma
attack
B. Explain that the client should not use the discus more than twice
daily.
Which action should the nurse implement to assess the
effectiveness of amlodipine?
A. Monitor the client's serum electrolytes.
B. Measure the client's blood pressure.
C. Review the client's intake and output.
D. Note the client's serum calcium levels.
, B. Measure the client's blood pressure
A client who is newly diagnosed with diabetes insipidus (DI) is
receiving a synthetic vasopressin intravenously. Which side effect
of vasopressin reported by the client should the nurse report to
the healthcare provider?
A. Worsening headache.
B. Low urine specific gravity.
C. Polyuria.
D. Polydipsia.
A. Worsening headache.
A female client with a history of peptic ulcer disease receives a
prescription for misoprostol. Which information provided by the
client indicates to the nurse a need for further teaching?
A. Begin therapy 1 week before the next normal menstrual cycle.
B. Call the healthcare provider immediately if there is a chance of
conception.
C. Use condoms and a backup method of birth control to prevent
pregnancy.
D. Ensure a negative pregnancy test result 2 weeks before
therapy.
A. Begin therapy 1 week before the next normal menstrual cycle.
A client receives a prescription for penicillin 1.2 million units IM.
The available vial is labeled, "600,000 units/2 mL." How many
mL should the nurse administer? (Enter numeric value only.)
4
Calculations:
Desired dose: 1.2 million units
A client with anemia secondary to chronic kidney disease (CKD)
started a prescription for epoetin alfa two months ago. Which
client finding best indicates that the medication is effective?
Reference Range:Hemoglobin (Hgb) [14 to 18 g/dl. (8.7 to 11.2
mmol/L)]
A. Food diary shows increased consumption of iron-rich foods.
B. Reports of increased energy levels and decreased fatigue.
C. Takes concurrent iron therapy without adverse effects.
D. Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
D. Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
The nurse is teaching a client who has been diagnosed with
human immunodeficiency virus (HIV) about the antiretroviral
medication regimen. Which statement provided by the client
requires additional instruction by the nurse?
A. The viral load can be decreased to an undetectable level.
B. Antiretroviral medication prevents the transmission of the
virus.
C. The medications can decrease acquired immunodeficiency
syndrome (AIDS) related complications.
D. HIV infection is not cured by the antiretroviral regimen.
B. Antiretroviral medication prevents the transmission of the virus.
client with allergic rhinitis is taking the over-the-counter
antihistamine diphenhydramine HCL. Which instruction is most
important for the nurse to provide this client?
,A. Do not take the medication more than once every 8 hours.
B. Take the medication with food to prevent gastric upset.
C. Avoid driving, since this medication causes drowsiness.
D. Use sugarless candy or gum to help prevent a dry mout
C. Avoid driving, since this medication causes drowsiness
To control asthma, a client in a residential treatment facility uses
a fluticasone propionate and salmeterol discus inhalation system,
which provides an inhaled powdered form of these combined
medications. Which instruction should the nurse provide to this
client's caregivers?
A. Clients using the discus may experience decreased blood
pressure.
B. Explain that the client should not use the discus more than
twice daily.
C. When using the discus, have the client breathe out rapidly into
the mouthpiece.
D. Offer the discus to the client for use during an acute asthma
attack
B. Explain that the client should not use the discus more than twice
daily.
Which action should the nurse implement to assess the
effectiveness of amlodipine?
A. Monitor the client's serum electrolytes.
B. Measure the client's blood pressure.
C. Review the client's intake and output.
D. Note the client's serum calcium levels.
, B. Measure the client's blood pressure
A client who is newly diagnosed with diabetes insipidus (DI) is
receiving a synthetic vasopressin intravenously. Which side effect
of vasopressin reported by the client should the nurse report to
the healthcare provider?
A. Worsening headache.
B. Low urine specific gravity.
C. Polyuria.
D. Polydipsia.
A. Worsening headache.
A female client with a history of peptic ulcer disease receives a
prescription for misoprostol. Which information provided by the
client indicates to the nurse a need for further teaching?
A. Begin therapy 1 week before the next normal menstrual cycle.
B. Call the healthcare provider immediately if there is a chance of
conception.
C. Use condoms and a backup method of birth control to prevent
pregnancy.
D. Ensure a negative pregnancy test result 2 weeks before
therapy.
A. Begin therapy 1 week before the next normal menstrual cycle.
A client receives a prescription for penicillin 1.2 million units IM.
The available vial is labeled, "600,000 units/2 mL." How many
mL should the nurse administer? (Enter numeric value only.)
4
Calculations:
Desired dose: 1.2 million units
