EVOLVE HESI PHARM
Terms in this set (65)
The healthcare provider B. Assess the serum potassium level
prescribes digitalis
(Digoxin) for a client Rationale:
diagnosed with heart Hypokalemia (decreased serum potassium) will
failure. Which intervention precipitate digitalis toxicity in persons receiving digoxin.
should the nurse implement The nurse should monitor the client's serum potassium
prior to administering the levels. Blood pressure and respiratory rate will not
digoxin? inform the nurse about potential safety issues with
A. observe the respiratory digitalis.
rate and depth
B. assess the serum
potassium level
C. obtain the client blood
pressure
D. monitor serum glucose
level
B. benzodiazepines
Which medications should Rationale
the nurse caution the client Respiratory depression increases with the concurrent
about taking while receiving use of opioid analgesics and other central nervous
an opioid analgesic? system depressant agents, such as alcohol, barbiturates,
A. antiacids and benzodiazepines. Antacids and antidiabetic agents
B. benzodiazepines do not interact with opiates to produce adverse effects.
C. antihypertensives Antihypertensives may cause morphine-induced
D. oral antidiabetics hypotension, but should not be withheld without
notifying the healthcare provider.
,The nurse is assessing the C. notify the healthcare provider of this finding
effectiveness of high dose immediately
aspirin therapy for an 88-
year-old client with arthritis. Rationale
The client reports that she Tinnitus is an early sign of salicylate toxicity. The
can't hear the nurse's healthcare provider should be notified immediately, and
questions because her ears the medication discontinued
are ringing. What action
should the nurse
implement?
A. Refer the client to an
audiologist for evaluation of
her hearing.
B. Advise the client that this
is a common side effect of
aspirin therapy.
C. Notify the healthcare
provider of this finding
immediately.
D. Ask the client to turn off
her hearing aid during the
exam
,A client asks the nurse if C. "No, it is not an oral insulin and can be used only
glipizide (Glucotrol) is an when some beta cell function is present."
oral insulin. Which response
should the nurse provide? Rationale
A. "Yes, it is an oral insulin An effective oral form of insulin has not yet been
and has the same actions developed because when insulin is taken orally, it is
and properties as destroyed by digestive enzymes. Glipizide (Glucotrol) is
intermediate insulin." an oral hypoglycemic agent that enhances pancreatic
B. "Yes, it is an oral insulin production of insulin
and is distributed,
metabolized, and excreted
in the same manner as
insulin."
C. "No, it is not an oral
insulin and can be used
only when some beta cell
function is present."
D. "No, it is not an oral
insulin, but it is effective for
those who are resistant to
injectable insulins."
B. Two or three soft stools per day
In evaluating the effects of Rationale
lactulose (Cephulac), which The medication lactulose can be administered for either
outcome would indicate chronic constipation or for portal-systemic
that the drug is performing encephalopathy in clients with hepatic disease. Two to
as intended? three stools a day indicate that lactulose is performing
A. An increase in urine as intended for chronic constipation. This would also
output. indicate it should be effective for the clients with
B. Two or three soft stools encephalopathy because the lactulose's action prevents
per day. absorption of ammonia in the colon as it increases water
C. Watery, diarrhea stools. absorption and softens the stool. The efficacy of the use
D. Increased serum for ammonia absorption would have to be verified by a
bilirubin. serum ammonia level and observation of clearing of the
client's mental status
, An antacid (Maalox) is C. maintain a gastric pH of 3.5 or above.
prescribed for a client with
peptic ulcer disease. The Rationale
nurse knows that the The objective of antacids is to neutralize gastric acids
purpose of this medication and keep pH of 3.5 or above which is necessary for
is to pepsinogen inactivity
A. decrease production of
gastric secretions.
B. produce an adherent
barrier over the ulcer.
C. maintain a gastric pH of
3.5 or above.
D. decrease gastric motor
activity
A client is admitted to the D. Decreased muscle weakness
hospital for diagnostic
testing for possible Rationale
myasthenia gravis. The Administration of edrophonium chloride (Tensilon), a
nurse prepares for cholinergic agent, will temporarily reduce muscle
intravenous administration weakness, the most common complaint of newly-
of edrophonium chloride diagnosed clients with myasthenia gravis. This
(Tensilon). What is the medication is used to diagnose myasthenia gravis due to
expected outcome for this its short duration of action. This drug would temporarily
client following reverse difficulty in swallowing and respiratory effort
administration of this
pharmacologic agent?
A. Progressive difficulty
with swallowing.
B. Decreased respiratory
effort.
C. Improvement in
generalized fatigue.
D. Decreased muscle
weakness
Terms in this set (65)
The healthcare provider B. Assess the serum potassium level
prescribes digitalis
(Digoxin) for a client Rationale:
diagnosed with heart Hypokalemia (decreased serum potassium) will
failure. Which intervention precipitate digitalis toxicity in persons receiving digoxin.
should the nurse implement The nurse should monitor the client's serum potassium
prior to administering the levels. Blood pressure and respiratory rate will not
digoxin? inform the nurse about potential safety issues with
A. observe the respiratory digitalis.
rate and depth
B. assess the serum
potassium level
C. obtain the client blood
pressure
D. monitor serum glucose
level
B. benzodiazepines
Which medications should Rationale
the nurse caution the client Respiratory depression increases with the concurrent
about taking while receiving use of opioid analgesics and other central nervous
an opioid analgesic? system depressant agents, such as alcohol, barbiturates,
A. antiacids and benzodiazepines. Antacids and antidiabetic agents
B. benzodiazepines do not interact with opiates to produce adverse effects.
C. antihypertensives Antihypertensives may cause morphine-induced
D. oral antidiabetics hypotension, but should not be withheld without
notifying the healthcare provider.
,The nurse is assessing the C. notify the healthcare provider of this finding
effectiveness of high dose immediately
aspirin therapy for an 88-
year-old client with arthritis. Rationale
The client reports that she Tinnitus is an early sign of salicylate toxicity. The
can't hear the nurse's healthcare provider should be notified immediately, and
questions because her ears the medication discontinued
are ringing. What action
should the nurse
implement?
A. Refer the client to an
audiologist for evaluation of
her hearing.
B. Advise the client that this
is a common side effect of
aspirin therapy.
C. Notify the healthcare
provider of this finding
immediately.
D. Ask the client to turn off
her hearing aid during the
exam
,A client asks the nurse if C. "No, it is not an oral insulin and can be used only
glipizide (Glucotrol) is an when some beta cell function is present."
oral insulin. Which response
should the nurse provide? Rationale
A. "Yes, it is an oral insulin An effective oral form of insulin has not yet been
and has the same actions developed because when insulin is taken orally, it is
and properties as destroyed by digestive enzymes. Glipizide (Glucotrol) is
intermediate insulin." an oral hypoglycemic agent that enhances pancreatic
B. "Yes, it is an oral insulin production of insulin
and is distributed,
metabolized, and excreted
in the same manner as
insulin."
C. "No, it is not an oral
insulin and can be used
only when some beta cell
function is present."
D. "No, it is not an oral
insulin, but it is effective for
those who are resistant to
injectable insulins."
B. Two or three soft stools per day
In evaluating the effects of Rationale
lactulose (Cephulac), which The medication lactulose can be administered for either
outcome would indicate chronic constipation or for portal-systemic
that the drug is performing encephalopathy in clients with hepatic disease. Two to
as intended? three stools a day indicate that lactulose is performing
A. An increase in urine as intended for chronic constipation. This would also
output. indicate it should be effective for the clients with
B. Two or three soft stools encephalopathy because the lactulose's action prevents
per day. absorption of ammonia in the colon as it increases water
C. Watery, diarrhea stools. absorption and softens the stool. The efficacy of the use
D. Increased serum for ammonia absorption would have to be verified by a
bilirubin. serum ammonia level and observation of clearing of the
client's mental status
, An antacid (Maalox) is C. maintain a gastric pH of 3.5 or above.
prescribed for a client with
peptic ulcer disease. The Rationale
nurse knows that the The objective of antacids is to neutralize gastric acids
purpose of this medication and keep pH of 3.5 or above which is necessary for
is to pepsinogen inactivity
A. decrease production of
gastric secretions.
B. produce an adherent
barrier over the ulcer.
C. maintain a gastric pH of
3.5 or above.
D. decrease gastric motor
activity
A client is admitted to the D. Decreased muscle weakness
hospital for diagnostic
testing for possible Rationale
myasthenia gravis. The Administration of edrophonium chloride (Tensilon), a
nurse prepares for cholinergic agent, will temporarily reduce muscle
intravenous administration weakness, the most common complaint of newly-
of edrophonium chloride diagnosed clients with myasthenia gravis. This
(Tensilon). What is the medication is used to diagnose myasthenia gravis due to
expected outcome for this its short duration of action. This drug would temporarily
client following reverse difficulty in swallowing and respiratory effort
administration of this
pharmacologic agent?
A. Progressive difficulty
with swallowing.
B. Decreased respiratory
effort.
C. Improvement in
generalized fatigue.
D. Decreased muscle
weakness
