BSN 315 HESI Pharmacology Exam
TESTBANK (Latest Update)
Real Questions and Verified Answers |
100% Correct | Already Graded A+
The mother of a newborn asks the nurse why her infant needs the vitamin
K injection. Which information should the nurse provide? - ANSWER
Bacteria that synthesize vitamin K are not present in the newborn's
intestinal tract.
A client is diagnosed with peptic ulcer disease and receives a prescription
for esomeprazole 20 mg capsule daily. When providing this client with
discharge teaching, the nurse should include which instruction? -
ANSWER take at the same time each day one hour before eating a
meal
A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12
hours. The client asks the nurse why she is receiving betamethasone.
Which information should the nurse use to explain the action of the
medication? - ANSWER stimulates fetal surfactant production
A client receives a new prescription for pentazocine, a mixed opioid
agonist-antagonist after an opioid agonist is discontinued. Which is the
advantage for the client when the new prescription is implemented? -
ANSWER used to decrease substance abuse disorder
,The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client? -
ANSWER the infection is difficult to eradicate and requires
prolonged therapy for 3 to 6 months
A client receives a new prescription for an angiotensin-converting enzyme
(ACE) inhibitor. Which client history contraindicates its use? - ANSWER
renal artery stenosis
Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.) -
ANSWER Mood swings, increased weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical
procedures because it suppresses inflammation and has a low sodium-
retaining ability, which is important in averting cerebral edema. However,
the medication does produce the following side effects such as: mood
swings, an increase in appetite, resulting in weight gain, hyperglycemia
(serum glucose level above 120 mg/dl) which is related to the
gluconeogenesis properties of corticosteroids, delayed in wound healing
related to immune suppression properties, and complete blood count
resulting in a decreased in WBC and hemoglobin (less than 12mg/dl).
When a client is receiving dexamethasone, they should be monitored for
these side effects.
A client is taking sulfisoxazole for a urinary tract infection (UTI) and
complains of nausea and gastric upset since starting the medication. Which
additional adverse reaction should the nurse instruct the client to report? -
ANSWER rash
What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic
, antidepressant? - ANSWER decreases transmission of pain
impulses by altering serotonin and norepinephrine activity at nerve
synapses
Which statement by a client warrants further instruction by the nurse about
the changing insulin needs of a diabetic client during pregnancy? -
ANSWER I will increase my insulin dosage by 5 units each month
during the first trimester
A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
nurse implement first? - ANSWER withhold medication and report
symptoms and vital signs to the healthcare provider
A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide. After explaining the action of this antidysrhythmic
agent, which complaint should the nurse instruct the client to report? -
ANSWER daily weight gain of 2 pounds
A client is taking cyclosporine for renal allograft rejection prevention. After 9
months of drug therapy, the nurse reviews laboratory data and notes that
the blood urea nitrogen level is 36 mg/dl. What additional finding should the
nurse identify? - ANSWER creatinine 2.8 mg/dl
The healthcare provider prescribes pyridostigmine bromide tablets for a
client with myasthenia gravis (MG). Which instruction should the nurse
provide this client? - ANSWER that the medication is not a cure
but it does relieve symptoms
TESTBANK (Latest Update)
Real Questions and Verified Answers |
100% Correct | Already Graded A+
The mother of a newborn asks the nurse why her infant needs the vitamin
K injection. Which information should the nurse provide? - ANSWER
Bacteria that synthesize vitamin K are not present in the newborn's
intestinal tract.
A client is diagnosed with peptic ulcer disease and receives a prescription
for esomeprazole 20 mg capsule daily. When providing this client with
discharge teaching, the nurse should include which instruction? -
ANSWER take at the same time each day one hour before eating a
meal
A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12
hours. The client asks the nurse why she is receiving betamethasone.
Which information should the nurse use to explain the action of the
medication? - ANSWER stimulates fetal surfactant production
A client receives a new prescription for pentazocine, a mixed opioid
agonist-antagonist after an opioid agonist is discontinued. Which is the
advantage for the client when the new prescription is implemented? -
ANSWER used to decrease substance abuse disorder
,The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client? -
ANSWER the infection is difficult to eradicate and requires
prolonged therapy for 3 to 6 months
A client receives a new prescription for an angiotensin-converting enzyme
(ACE) inhibitor. Which client history contraindicates its use? - ANSWER
renal artery stenosis
Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.) -
ANSWER Mood swings, increased weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical
procedures because it suppresses inflammation and has a low sodium-
retaining ability, which is important in averting cerebral edema. However,
the medication does produce the following side effects such as: mood
swings, an increase in appetite, resulting in weight gain, hyperglycemia
(serum glucose level above 120 mg/dl) which is related to the
gluconeogenesis properties of corticosteroids, delayed in wound healing
related to immune suppression properties, and complete blood count
resulting in a decreased in WBC and hemoglobin (less than 12mg/dl).
When a client is receiving dexamethasone, they should be monitored for
these side effects.
A client is taking sulfisoxazole for a urinary tract infection (UTI) and
complains of nausea and gastric upset since starting the medication. Which
additional adverse reaction should the nurse instruct the client to report? -
ANSWER rash
What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic
, antidepressant? - ANSWER decreases transmission of pain
impulses by altering serotonin and norepinephrine activity at nerve
synapses
Which statement by a client warrants further instruction by the nurse about
the changing insulin needs of a diabetic client during pregnancy? -
ANSWER I will increase my insulin dosage by 5 units each month
during the first trimester
A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
nurse implement first? - ANSWER withhold medication and report
symptoms and vital signs to the healthcare provider
A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide. After explaining the action of this antidysrhythmic
agent, which complaint should the nurse instruct the client to report? -
ANSWER daily weight gain of 2 pounds
A client is taking cyclosporine for renal allograft rejection prevention. After 9
months of drug therapy, the nurse reviews laboratory data and notes that
the blood urea nitrogen level is 36 mg/dl. What additional finding should the
nurse identify? - ANSWER creatinine 2.8 mg/dl
The healthcare provider prescribes pyridostigmine bromide tablets for a
client with myasthenia gravis (MG). Which instruction should the nurse
provide this client? - ANSWER that the medication is not a cure
but it does relieve symptoms
