CAPSTONE PHARMACOLOGY 2 50 QUESTIONS AND ANSWERS

CAPSTONE PHARMACOLOGY 2 50 QUESTIONS AND ANSWERS 1. A nurse is caring for a client who reports using the herbal medication garlic along with prescribed warfarin. The nurse should identify that which of the following is a potential adverse effect of taking both of these products concurrently? • Altered renal perfusion • Elevated blood pressure • Increased ecchymosis- The nurse should identify that ecchymosis occurs when there is bleeding under the skin. Additionally, the nurse should recognize that, garlic has antiplatelets effects that can result in bleeding. When taken concurrently with an anticoagulant, such as warfarin, there is an increased risk for bleeding. 2. A nurse is providing teaching t a client who is starting to take aspirin. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication? • Black, tarry stools- A client who takes aspirin can have an increased risk for bleeding because aspirin suppresses platelet aggregation. The nurse should instruct the client to monitor for and report indications of bleeding, such as bruising, petechiae, and blood in stools or urine. • Nystagmus • Dry mouth 3. A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication? • B-type natriuretic peptide (BNP) • Creatinine - The nurse should monitor creatinine, BUN and urine output for a client who is receiving gentamicin, and aminoglycoside antibiotic. Gentamicin is an aminoglycoside that has both nephrotoxic and ototoxic adverse effects. • Amylase level 4. A nurse is assessing a client who has diabetes insipidus and is starting intranasal desmopressin. Which of the following findings should indicate to the nurse that medication is effective? • The client has clear mucus • The client’s 24 hr urine output is 1.256 mL - Desmopressin is effective for the treatment of diabetes insipidus, a disorder of the posterior pituitary gland in which large amount of dilute urine are produced due to a deficiency in vasopressin. The action of desmopressin causes reabsorption of water and a decrease in urine volume. A urine output of 1.256 mL over 24 hr is within the expected reference range and indicates the medication is effective.