RN Pharmacology 2019 (B) (60 Questions And Answered + Rationale | Firm A+ Score Guide

RN Pharmacology 2019 (B) (60 Questions And Answered | Firm A+ Score Guide >>A nurse contacts a client's provider on the telephone to obtain a prescription for pain medication. Which of the following actions should the nurse take? {{Answer:- Have the provider spell out the unfamiliar medication names. -The nurse should ask the provider to spell out the name of the medication if the stated name is one the nurse is not familiar with. -The nurse should read the prescription back to the provider using words in place of abbreviations to reduce the risk of error. The nurse should ask the provider to acknowledge that the prescription is correct after having it read back. -The nurse should write the order on the provider's order form in the client's medical record or place the order into the computer on the provider's order form according to facility policy. >>A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism? {{Answer:- tinnitus Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness. -Excessive bruising is a possible adverse effect of aspirin therapy, caused by the antiplatelet effects of the medication. However, excessive bruising is not an indication of salicylism. -Kidney impairment is an adverse effect associated with aspirin use. Manifestations include reduced urinary output, weight gain, and elevated BUN and creatinine levels. However, oliguria is not an indication of salicylism. -Gastric distress is a possible adverse effect of aspirin therapy, but it is not an indication of salicylism. Gastric distress can be minimized by taking aspirin with food or an enteric form of the medication. >>A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? {{Answer:- place monitoring cords and tubes in a stockinet The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. -The nurse should schedule the client for the first surgery of the day to minimize the client's exposure to latex, including latex dust. -The nurse should ensure that latex-free products are used in the care of this client. Rubber injection ports contain latex, which puts the client at risk for a severe allergic reaction. -The nurse should ensure that epinephrine is readily available in the operating room in case of an anaphylactic reaction caused by an accidental exposure to latex. >>A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? {{Answer:- increased blood pressure The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly, hypertension and seizures can result. The nurse should monitor the client's blood pressure and ensure hypertension is controlled prior to administering the medication. -Heart failure is an adverse effect of epoetin alfa. The nurse should monitor the client's respiratory status and notify the provider if the client develops crackles or rhonchi. However, epoetin alfa does not cause respiratory depression. >>A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following actions should the nurse take prior to administering the medication? {{Answer:- Obtain the client's blood pressure HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to administration of the medication. -The nurse should assess the client for an allergy to sulfonamides due to the potential of cross-sensitivity with HCTZ. NSAIDs can decrease the effectiveness of HCTZ. -HCTZ does not affect Hgb levels. The nurse should monitor the client's electrolytes, especially potassium, before and periodically while the client is taking this medication. -HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. The client does not need to drink 8 oz of water prior to taking the medication.