RN Pharmacology

i RN Pharmacology
i




aiclientiisiprescribediaisecondidoseiofiiviceftriaxoneipostoperatively.itheinurseinotesiurticariai
andidyspnea.iwhichiofitheifollowingiactionsishoulditheinurseiprioritize?i-
icorrectianswearsdiscontinueitheiinfusion




Theigreatestiriskitoitheiclientiisianaphylaxis.iTherefore,itheipriorityiinterventioniisitoistopit
heimedication.

Ainurseiadminstersiaidoseiofimetforminitoiaiclientiinsteadiofitheiprescribedidoseiofimetaclopra
mide.iWhichiofitheiactionsishoulditheinurseitakeifirst?i-
icorrectianswearsCheckitheiclientsibloodiglucose




Theifirstiactionitheinurseishoulditakeiusingitheinursingiprocessiisitoiassessitheiclient.itheiclie
ntiisiatiriskiforihypoglycemia.itheinurseishouldimonitoritheiclient'sibloodiglucoseiandiprovideit
heiclientiwithiaisnackitoireduceitheiriskiforihypoglycemia.

Ainurseiatianiurgenticareicliniciisicollectingiaihistoryifromiaifemaleiclientiwhoihasiaiurinaryitra
ctiinfection.iTheinurseianticipatesiaiprescriptionsiforiciprofloxacin.iTheinurseishouldiidentifyit
hatiwhichiofitheifollowingiclientistatementsiindicatesiaicontraindicationiforiadministeringithisi
medication?i-icorrectianswears"Iihaveitendonitis,isoiIihaven'tibeeniableitoiexercise"

Theinurseishouldiidentifyitendonitisiasiaicontraindicationiforitakingiciprofloxacinidueitoitheiriski
ofitendonirupture.

Ainurseicontactsiaiclient'siproviderionitheitelephoneitoiobtainiaiprescriptioniforipainimedicatio
n.iWhichiofitheifollowingiactionsishoulditheinurseitake?i-
icorrectianswearshaveitheiproviderispellioutitheiunfamiliarimedicationinames




Theinurseishouldiaskitheiprovideritoispellioutitheinameiofitheimedicationiifitheistatedinameiision
eitheinurseiisinotifamiliariwith.

Ainurseiiniaiprovider'siofficeiisiassessingiaiclientiwhoihasibeenitakingiaspirinidailyiforitheipasti
year.iForiwhichiofitheifollowingifindingsishoulditheinurseinotifyitheiprovideriimmediately?i-
icorrectianswearsHyperventilation




Wheniusingitheiurgentivs.inonurgentiapproachitoiclienticare,itheinurseishouldidetermineitha
titheipriorityifindingiisihyperventilation.iThisifindingiindicatesitheiclientimightihaveiacuteisalic
ylateipoisoning,iwhichicausesirespiratoryialkalosisiinitheiearlyistages.

, Ainurseiinitheiemergencyidepartmentiisicaringiforiaiclientiwhoihasimyastheniaigravisiandiisi
iniaicholinergicicrisis.iWhichiofitheifollowingimedicationsishoulditheinurseiplanitoiadminist
er?i-icorrectianswearsAtropine

Aicholinergiciisicausedibyianiexcessiamountioficholinesteraseiinhibitor,isuchiasineostigmine.i
Theinursesishouldiplanitoiadministeriatropine,ianianticholinergiciagent,itoireverseicholinergicit
oxicity.

Ainurseiisiassessingiaiclienti1ihoursiafteriadministeringimorphineiforipain.iTheinurseishouldiid
entifyiwhichiofitheifollowingifindingsiasibestiindicationithatithemimorphineihasibeenieffective?i-
icorrectianswearsTheiclientiratesipainiasi3ioniaiscaleiofi0/10




theiclient'sidescriptioniofitheipainiisitheimostiaccurateiassessmentiofipain.

Ainurseiisiassessingiaiclientiwhoihasireceivediatropineieyeidropsiduringianieyeiexaminat
ion.iWhichiofitheifollowingifindingsishoulditheinurseiexpectiasianiadverseieffectiofitheime
dication?i-icorrectianswearsblurredivision

Blurredivisioniisianiexpectedifindingifollowingitheiadministrationiofiatropineieyeidrops.iThisiisid
ueitoitheicycloplegicieffectsiofitheimedication,iwhichicauseineariobjectsitoiappeariblurryitoithei
client.

Ainurseiisiassessingiaiclientiwhoihasischizophreniaiandiisitakingihaloperidol.iTheinurseishou
ldireportiwhichiofitheifollowingitoitheiprovideriasiaimanifestationiofineurolepticimalignantisyn
dromei(NMS)?i-icorrectianswearsTemperatureiofi39.7i(103.5)

theinurseishouldireportifeveritoitheiprovideriasianiindicationiofiNMS,ianiacuteilife-
ithreateningiemergency.iOtherimanifestationsicaniincludeirespiratoryidistress,idiaphor

esis,iandieitherihyper-iorihypotension.

Ainurseiisiassessingiaiclientiwhoiisireceivingiepoetinialfaitoitreatianemia.iWhichiofitheifollowi
ngifindingsishoulditheinurseimonitor?i-icorrectianswearsincreasedibloodipressure

Theitherapeuticieffectiofiepoetinialfaiisianiincreaseiinihematocritilevels,iwhichicaniresultiinia
niincreaseiiniaiclient'sibloodipressure.iIfitheiclient'sihematocritilevelirisesitooirapidly,ihyperte
nsioniandiseizuresicaniresult.iTheinurseishouldimonitoritheiclient'sibloodipressureiandiensu
reihypertensioniisicontrollediprioritoiadministeringitheimedication.

Ainurseiisicaringiforiai20iyearioldifemaleiclientiwhoihasiaiprescriptioniforiisotretinoiniforisev
ereinodulocysticiacneivulgarism.iBeforeitheiclienticaniobtainiairefill,itheinurseishouldiadvis
eitheiclientithatiwhichiofitheifollowingitestsiisirequired?i-icorrectianswearsPregnancyiTest