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1) The client who chronically uses nonsteroidal anti-
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inflammatory drugs has beentaking misoprostol (Cytotec). The nur q q q q q q q q
se determines that the medication is having the intended therapeut
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ic effect if which of the following is noted?
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1. Resolved diarrhea q
2. Relief of epigastric pain q q q
3. Decreased platelet count q q
4. Decreased white blood cell count q q q q
2. Relief of epigastric painRationale:
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The client who chronically uses nonsteroidal anti-
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inflammatory drugs (NSAIDs) isprone to gastric mucosal injury. Mis q q q q q q q q q
oprostol is a gastric protectant and is given specifically to prevent t
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his occurrence. Diarrhea can be a side effect of the medication, but i
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s not an intended effect. Options 3 and 4 are incorrect.
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2 A client who has been newly diagnosed with diabetes mellitus h
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as been stabilized with daily insulin injections. Which information
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q should the nurse teachwhen carrying out plans for discharge?
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1. Keep insulin vials refrigerated at all times.
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2. Rotate the insulin injection sites systematically.
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3. Increase the amount of insulin before unusual exercise.
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4. Monitor the urine acetone level to determine the insulin dosage.
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NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
q q q q q q q
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,NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
q q q q q q q
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2. Rotate theinsulin injection sites systematically.
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Rationale:
Insulin dosages should not be adjusted or increased before unusua
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l exercise. If acetone is found in the urine, it may possibly indicat
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e the need for additional insulin. To minimize the discomfort assoc
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iated with insulin injections, the insulin should be administered at
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room temperature. Injection sites should be systematically rotat
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ed from one area to another. The client should be instructed togive i
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njections in one area, about 1 inch apart, until the whole area has b
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een used and then to change to another site. This prevents dramati
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c changes in daily insulinabsorption.
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3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasi
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s. The nurse monitors the client, knowing that which of the following
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would indicate the presenceof systemic toxicity from this medicatio
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n?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations q
1. TinnitusRationale:
q q
Salicylic acid is absorbed readily through the skin, and systemic toxi
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city (salicylism)can result. Symptoms include tinnitus, dizziness, hy
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perpnea, and psychological disturbances. Constipation and diarrhe
q q q q q q
NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
q q q q q q q
AND ANSWERS BEST RATED A+ GUARNTEED SUCCESS NE
q q q q q q q q
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q q
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q q q q q q q
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q q q q q q q q
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a are not associated with salicylism.
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4.) q
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a
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burn injury. When applying the medication, the client complains of l
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ocal discomfort and burning.Which of the following is the most appr
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opriate nursing action? q q
1. Notifying the registered nurse q q q
2. Discontinuing the medication q q
3. Informing the client that this is normal q q q q q q
4. Applying a thinner film than prescribed to the burn site 3. Infor
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ming the clientthat this is normal
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Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-
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positive organisms and is used to treat burns to reduce bacteria pres
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ent in avascular tissues. The clientshould be informed that the medi
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cation will cause local discomfort and burning and that this is a norm
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al reaction; therefore options 1, 2, and 4 are incorrect
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6.) The burn client is receiving treatments of topical mafenide acetat
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e (Sulfamylon)to the site of injury. The nurse monitors the client, kn
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owing that which of the following indicates that a systemic effect ha
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s occurred?
q
1.Hyperventilation 2. q
Elevated blood pressu q q
NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
q q q q q q q
AND ANSWERS BEST RATED A+ GUARNTEED SUCCESS NE
q q q q q q q q
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, NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
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AND ANSWERS BEST RATED A+ GUARNTEED SUCCESS NE
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re 3.Local pain at the
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burn site
q
4.Local rash at the burn site
q q q q q 1.Hyperventilation
NUR 1111V HESI Pharmacology Version 1 EXAM QUESTIONS
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AND ANSWERS BEST RATED A+ GUARNTEED SUCCESS NE
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