ICHS Pharm Test 1
A forty six-12 months-old guy started antihypertensive drug remedy 3 months in advance
and is within the office for a observe-up visit. While the nurse is taking his blood strain, he
informs the nurse that he has had some troubles with sexual intercourse. Which is the most
suitable response by way of the nurse? - ANS-"The physician can work with you on
converting the dose and/or capsules."
A 47-12 months-old patient with diabetes is being discharged to home and must take insulin
injections twice an afternoon. The nurse keeps in mind which principles while considering
patient coaching? - ANS-Teaching desires to begin at the time of analysis or admission and
is individualized to the patient's analyzing stage.
A drug that provides three hundred mg has a 1/2-existence of 4 hours. How many milligrams
of drug will remain within the frame after 1 half of-lifestyles? - ANS-150mg
A hospitalized affected person is complaining of having problem sleeping. Which action will
the nurse take first to cope with this problem? - ANS-Provide an surroundings this is restful,
and decrease loud noises
A nurse administering niacin would put in force which movement to help to lessen
unfavourable effects? - ANS-Administer a small dose of aspirin or an NSAID 30 minutes
before the niacin dose.
A nurse is instructing a patient who is prescribed warfarin to keep away from taking aspirin
and explains that taking both tablets collectively may additionally purpose excessive
bleeding. Which phenomenon is the nurse teaching about? - ANS-Additive
A nursing student is figuring out conditions that involve the psychomotor domain of learning
as part of a category assignment. Which are examples of mastering sports that involve the
psychomotor domain? (Select all that observe.) - ANS-Teaching a affected person the way to
self-administer eye drops
Teaching a patient the way to degree the heart beat earlier than taking a beta blocker
Teaching a family member the way to supply an injection
A affected person at a weight management hospital who turned into given a prescription for
orlistat calls the health facility hotline complaining of a "terrible aspect effect." The nurse
suspects that the patient is relating to which hassle? - ANS-Fecal incontinence
A affected person comes to the medical institution complaining of elbow pain after an harm.
He states that he has been taking two pain drugs, 8 instances a day, for the beyond few
days. The medicine bottle consists of acetaminophen, 325-mg tablets. Calculate how a good
deal medicine he has been taking per day. Is this a safe dose of this medicinal drug? -
ANS-5200mg/day
No
,A affected person recognized with thyroid cancer undergoes a thyroidectomy and is
prescribed 75mcg of levothyroxine sodium. Which type of remedy has the affected person
been prescribed? - ANS-Supplemental
A affected person experiencing ethanol withdrawal is starting to reveal extreme
manifestations of delirium tremens. The nurse will plan to enforce which interventions for this
patient? (Select all that observe.) - ANS-Doses of an intravenous benzodiazepine
Restraints if the affected person will become stressed, agitated, or a danger to himself or
others
Thiamine supplementation
Monitoring within the intensive care unit
A patient has a new prescription for a blood strain medicine that may cause him to
experience dizzy at some stage in the first few days of therapy. Which is the great human
wishes announcement for this example? - ANS-Physical protection
A patient has a new prescription for an angiotensin II receptor blocker (ARB). During a
assessment of the patient's listing of cutting-edge medicines, which might purpose concern
for a possible interaction with this new prescription? (Select all that practice.) - ANS-A
potassium supplement taken daily
An NSAID taken as wished for complications
A patient has a new prescription for sumatriptan. The nurse imparting patient coaching on
self-administration will encompass which statistics? - ANS-Take the medicine earlier than the
headache worsens.
A affected person has been admitted to the emergency department after a suspected
overdose of benzodiazepines combined with alcohol. The patient is lethargic and can not
communicate. The nurse expects which instant measures to be carried out? (Select all that
apply.) - ANS-Prepare to administer flumazenil.
Prepare for capability respiratory arrest
A patient has been admitted to the emergency department due to an overdose of an oral
benzodiazepine. He could be very drowsy however nevertheless responsive. The nurse will
prepare for which immediately intervention? - ANS-Administration of flumazenil
A patient has been given a prescription for transdermal scopolamine patches for movement
sickness to be used at some point of a holiday cruise. The nurse will consist of which
instructions? (Select all that practice.) - ANS-"Apply the patch four to five hours earlier than
boarding the ship."
"The patch desires to be positioned on a nonhairy place simply in the back of your ear."
"Change the patch every 3 days."
"Rotate the utility sites."
A affected person has been receiving a dopamine infusion. This morning, whilst on rounds,
the nurse noted that the IV has infiltrated. After preventing the infusion, the nurse prepares
to manage phentolamine. The ordered dose is 10 mg, mixed with 10 mL normal saline, then
, injected into the region of extravasation. The medicinal drug is to be had in vials that
incorporates 5 mg in 2 mL. How many milliliters of phentolamine will the nurse mix with the
regular saline? - ANS-4mL
A patient has been taking simvastatin for six months. Today he obtained a name that he
needs to return to the office for a "laboratory check." The nurse expects which laboratory
research to be ordered at this time? (Select all that follow.) - ANS-Total ldl cholesterol
Triglycerides
Liver characteristic studies
HDL and LDL stages
A patient has simply received a prescription for an enteric-lined stool softener. When
coaching the patient, the nurse must encompass which statements? (Select all that follow.) -
ANS-"Be sure to drink 6 to eight ounces of water with this tablet."
"Be certain to swallow the tablet whole with out chewing it."
A affected person is set to undergo cardioversion, and the nurse is reviewing the technique
and explaining moderate sedation with propofol. The affected person asks, "I am frightened
of feeling it once they surprise me." What is the nurse's fine reaction? - ANS-"These
medicines will help ease any ache in the course of the technique, and lots of patients
frequently report having no recollection of the procedure."
A affected person is being assessed before a newly ordered antilipemic remedy is began.
Which situation might be a ability contraindication? - ANS-Liver cirrhosis
A patient is presently taking a statin. The nurse considers that the affected person may also
have a higher hazard for developing rhabdomyolysis whilst additionally taking which
product? - ANS-A fibric acid spinoff
A patient is experiencing withdrawal from opioids. The nurse expects to see which
assessment findings maximum usually associated with acute opioid withdrawal? (Select all
that practice.) - ANS-Elevated blood stress
Diaphoresis
Vomiting
A affected person is in the workplace for a observe-up visit, and states that he does now not
just like the aspect outcomes of his blood pressure remedy, clonidine, and desires to prevent
it immediately. The nurse knows that which of those situations may additionally occur if this
remedy is stopped abruptly? - ANS-Severe rebound high blood pressure
A patient is receiving an opioid via a PCA pump as a part of his postoperative ache
management application. During rounds, the nurse finds him unresponsive, with respirations
of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion,
what ought to the nurse do subsequent? - ANS-Administer an opiate antagonist in keeping
with status orders.
A forty six-12 months-old guy started antihypertensive drug remedy 3 months in advance
and is within the office for a observe-up visit. While the nurse is taking his blood strain, he
informs the nurse that he has had some troubles with sexual intercourse. Which is the most
suitable response by way of the nurse? - ANS-"The physician can work with you on
converting the dose and/or capsules."
A 47-12 months-old patient with diabetes is being discharged to home and must take insulin
injections twice an afternoon. The nurse keeps in mind which principles while considering
patient coaching? - ANS-Teaching desires to begin at the time of analysis or admission and
is individualized to the patient's analyzing stage.
A drug that provides three hundred mg has a 1/2-existence of 4 hours. How many milligrams
of drug will remain within the frame after 1 half of-lifestyles? - ANS-150mg
A hospitalized affected person is complaining of having problem sleeping. Which action will
the nurse take first to cope with this problem? - ANS-Provide an surroundings this is restful,
and decrease loud noises
A nurse administering niacin would put in force which movement to help to lessen
unfavourable effects? - ANS-Administer a small dose of aspirin or an NSAID 30 minutes
before the niacin dose.
A nurse is instructing a patient who is prescribed warfarin to keep away from taking aspirin
and explains that taking both tablets collectively may additionally purpose excessive
bleeding. Which phenomenon is the nurse teaching about? - ANS-Additive
A nursing student is figuring out conditions that involve the psychomotor domain of learning
as part of a category assignment. Which are examples of mastering sports that involve the
psychomotor domain? (Select all that observe.) - ANS-Teaching a affected person the way to
self-administer eye drops
Teaching a patient the way to degree the heart beat earlier than taking a beta blocker
Teaching a family member the way to supply an injection
A affected person at a weight management hospital who turned into given a prescription for
orlistat calls the health facility hotline complaining of a "terrible aspect effect." The nurse
suspects that the patient is relating to which hassle? - ANS-Fecal incontinence
A affected person comes to the medical institution complaining of elbow pain after an harm.
He states that he has been taking two pain drugs, 8 instances a day, for the beyond few
days. The medicine bottle consists of acetaminophen, 325-mg tablets. Calculate how a good
deal medicine he has been taking per day. Is this a safe dose of this medicinal drug? -
ANS-5200mg/day
No
,A affected person recognized with thyroid cancer undergoes a thyroidectomy and is
prescribed 75mcg of levothyroxine sodium. Which type of remedy has the affected person
been prescribed? - ANS-Supplemental
A affected person experiencing ethanol withdrawal is starting to reveal extreme
manifestations of delirium tremens. The nurse will plan to enforce which interventions for this
patient? (Select all that observe.) - ANS-Doses of an intravenous benzodiazepine
Restraints if the affected person will become stressed, agitated, or a danger to himself or
others
Thiamine supplementation
Monitoring within the intensive care unit
A patient has a new prescription for a blood strain medicine that may cause him to
experience dizzy at some stage in the first few days of therapy. Which is the great human
wishes announcement for this example? - ANS-Physical protection
A patient has a new prescription for an angiotensin II receptor blocker (ARB). During a
assessment of the patient's listing of cutting-edge medicines, which might purpose concern
for a possible interaction with this new prescription? (Select all that practice.) - ANS-A
potassium supplement taken daily
An NSAID taken as wished for complications
A patient has a new prescription for sumatriptan. The nurse imparting patient coaching on
self-administration will encompass which statistics? - ANS-Take the medicine earlier than the
headache worsens.
A affected person has been admitted to the emergency department after a suspected
overdose of benzodiazepines combined with alcohol. The patient is lethargic and can not
communicate. The nurse expects which instant measures to be carried out? (Select all that
apply.) - ANS-Prepare to administer flumazenil.
Prepare for capability respiratory arrest
A patient has been admitted to the emergency department due to an overdose of an oral
benzodiazepine. He could be very drowsy however nevertheless responsive. The nurse will
prepare for which immediately intervention? - ANS-Administration of flumazenil
A patient has been given a prescription for transdermal scopolamine patches for movement
sickness to be used at some point of a holiday cruise. The nurse will consist of which
instructions? (Select all that practice.) - ANS-"Apply the patch four to five hours earlier than
boarding the ship."
"The patch desires to be positioned on a nonhairy place simply in the back of your ear."
"Change the patch every 3 days."
"Rotate the utility sites."
A affected person has been receiving a dopamine infusion. This morning, whilst on rounds,
the nurse noted that the IV has infiltrated. After preventing the infusion, the nurse prepares
to manage phentolamine. The ordered dose is 10 mg, mixed with 10 mL normal saline, then
, injected into the region of extravasation. The medicinal drug is to be had in vials that
incorporates 5 mg in 2 mL. How many milliliters of phentolamine will the nurse mix with the
regular saline? - ANS-4mL
A patient has been taking simvastatin for six months. Today he obtained a name that he
needs to return to the office for a "laboratory check." The nurse expects which laboratory
research to be ordered at this time? (Select all that follow.) - ANS-Total ldl cholesterol
Triglycerides
Liver characteristic studies
HDL and LDL stages
A patient has simply received a prescription for an enteric-lined stool softener. When
coaching the patient, the nurse must encompass which statements? (Select all that follow.) -
ANS-"Be sure to drink 6 to eight ounces of water with this tablet."
"Be certain to swallow the tablet whole with out chewing it."
A affected person is set to undergo cardioversion, and the nurse is reviewing the technique
and explaining moderate sedation with propofol. The affected person asks, "I am frightened
of feeling it once they surprise me." What is the nurse's fine reaction? - ANS-"These
medicines will help ease any ache in the course of the technique, and lots of patients
frequently report having no recollection of the procedure."
A affected person is being assessed before a newly ordered antilipemic remedy is began.
Which situation might be a ability contraindication? - ANS-Liver cirrhosis
A patient is presently taking a statin. The nurse considers that the affected person may also
have a higher hazard for developing rhabdomyolysis whilst additionally taking which
product? - ANS-A fibric acid spinoff
A patient is experiencing withdrawal from opioids. The nurse expects to see which
assessment findings maximum usually associated with acute opioid withdrawal? (Select all
that practice.) - ANS-Elevated blood stress
Diaphoresis
Vomiting
A affected person is in the workplace for a observe-up visit, and states that he does now not
just like the aspect outcomes of his blood pressure remedy, clonidine, and desires to prevent
it immediately. The nurse knows that which of those situations may additionally occur if this
remedy is stopped abruptly? - ANS-Severe rebound high blood pressure
A patient is receiving an opioid via a PCA pump as a part of his postoperative ache
management application. During rounds, the nurse finds him unresponsive, with respirations
of 8 breaths/min and blood pressure of 102/58 mm Hg. After stopping the opioid infusion,
what ought to the nurse do subsequent? - ANS-Administer an opiate antagonist in keeping
with status orders.
