Pharmacology Evolve HESI
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Terms in this set (125)
B. Neostigmine bromide A 19-year-old male client who has sustained a
severe head injury is intubated and placed on
Neostigmine bromide assisted mechanical ventilation. To facilitate optimal
and atropine sulfate, both ventilation and prevent the client from "fighting" the
anticholinergic drugs, ventilator, the health care provider administers
reverse the respiratory pancuronium bromide IV, with adjunctive opioid
muscle paralysis caused analgesia. What medication should be immediately
by pancuronium bromide. accessible for a potential complication with this
Options A, C, and D are drug?
not antagonists to
pancuronium bromide A. Dantrolene sodium
and would not be helpful B. Neostigmine bromide
in reversing the effects of C. Succinylcholine bromide
the drug compared with D. Epinephrine
the use of
anticholinergics.
A client with viral influenza is receiving vitamin C,
1000 mg PO daily, and acetaminophen elixir, 650 mg
PO every 4 hours PRN. The nurse calls the health
care provider to report that the client has
developed diarrhea. Which change in prescriptions
C. Decrease the dose of
should the nurse anticipate?
vitamin C.
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
, When providing nursing care for a client receiving
pyridostigmine bromide for myasthenia gravis,
which nursing intervention has the highest priority?
B. Assess respiratory
A. Monitor the client frequently for urinary retention.
status and breath sounds
B. Assess respiratory status and breath sounds often.
often.
C. Monitor blood pressure each shift to screen for
hypertension.
D. Administer most medications after meals to
decrease gastrointestinal irritation.
A client with a dislocated shoulder is being
prepared for a closed manual reduction using
conscious sedation. Which medication should the
nurse explain as a sedative used during the
procedure?
B. Midazolam IV
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
A client is being discharged with a prescription for
sulfasalazine to treat ulcerative colitis. Which
instruction should the nurse provide to this client
prior to discharge?
D. Drink at least eight
glasses of fluid a day.
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day.
,C. Myelosuppression The health care provider prescribes carbamazepine
for a child whose tonic-clonic seizures have been
Myelosuppression is the poorly controlled. The nurse informs the mother that
highest priority the child must have blood tests every week. The
complication that can mother asks why so many blood tests are necessary.
potentially affect clients Which complication is assessed through frequent
managed with laboratory testing that the nurse should explain to
carbamazepine therapy. this mother?
The client requires close
monitoring for this A. Nephrotoxicity
condition by weekly B. Ototoxicity
laboratory testing. C. Myelosuppression
Hepatic function may be D.Hepatotoxicity
altered, but this
complication does not
have as great a potential
for occurrence as option
C. Options A and B are
not typical complications
of carbamazepine
therapy.
When developing a written nursing care plan for a
D. Cyclophosphamide
client receiving chemotherapy for treatment of
cancer, the nurse writes, "Assess each voiding for
Hemorrhagic cystitis is
hematuria." The administration of which type of
the characteristic adverse
chemotherapeutic agent would prompt the nurse to
reaction of
add this intervention?
cyclophosphamide.
Administration of options
A. Vincristine
A, B, and C does not
B. Bleomycin sulfate
typically cause
C. Chlorambucil
hemorrhagic cystitis.
D. Cyclophosphamide
, A. "I'll wear sunscreen A client is receiving oral griseofulvin for a persistent
whenever I mow the tinea corporis infection. Which response by the
lawn." client indicates an accurate understanding of the
drug teaching conducted by the nurse?
Photosensitivity is a side
effect of griseofulvin, so A. "I'll wear sunscreen whenever I mow the lawn."
clients should be B. "This is the worse bacterial infection I've ever
cautioned to wear had."
protective sunscreen C. "I will need to take the medication for 7 days."
during sun exposure. D. "My urine will probably turn brown due to this
Options B, C, and D are drug."
not accurate statements
about side effects of this
medication.
B. Diazepam A 6-year-old child is admitted to the emergency
department with status epilepticus. His parents
Diazepam is the drug of report that his seizure disorder has been managed
choice for treatment of with phenytoin, 50 mg PO bid, for the past year.
status epilepticus. Which drug should the nurse plan to administer in
Options A, C, and D are the emergency department?
used for the long-term
management of seizure A. Phenytoin
disorders but are not as B. Diazepam
useful in the emergency C. Phenobarbital
management of status D. Carbamazepine
epilepticus.
Save
Terms in this set (125)
B. Neostigmine bromide A 19-year-old male client who has sustained a
severe head injury is intubated and placed on
Neostigmine bromide assisted mechanical ventilation. To facilitate optimal
and atropine sulfate, both ventilation and prevent the client from "fighting" the
anticholinergic drugs, ventilator, the health care provider administers
reverse the respiratory pancuronium bromide IV, with adjunctive opioid
muscle paralysis caused analgesia. What medication should be immediately
by pancuronium bromide. accessible for a potential complication with this
Options A, C, and D are drug?
not antagonists to
pancuronium bromide A. Dantrolene sodium
and would not be helpful B. Neostigmine bromide
in reversing the effects of C. Succinylcholine bromide
the drug compared with D. Epinephrine
the use of
anticholinergics.
A client with viral influenza is receiving vitamin C,
1000 mg PO daily, and acetaminophen elixir, 650 mg
PO every 4 hours PRN. The nurse calls the health
care provider to report that the client has
developed diarrhea. Which change in prescriptions
C. Decrease the dose of
should the nurse anticipate?
vitamin C.
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
, When providing nursing care for a client receiving
pyridostigmine bromide for myasthenia gravis,
which nursing intervention has the highest priority?
B. Assess respiratory
A. Monitor the client frequently for urinary retention.
status and breath sounds
B. Assess respiratory status and breath sounds often.
often.
C. Monitor blood pressure each shift to screen for
hypertension.
D. Administer most medications after meals to
decrease gastrointestinal irritation.
A client with a dislocated shoulder is being
prepared for a closed manual reduction using
conscious sedation. Which medication should the
nurse explain as a sedative used during the
procedure?
B. Midazolam IV
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
A client is being discharged with a prescription for
sulfasalazine to treat ulcerative colitis. Which
instruction should the nurse provide to this client
prior to discharge?
D. Drink at least eight
glasses of fluid a day.
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day.
,C. Myelosuppression The health care provider prescribes carbamazepine
for a child whose tonic-clonic seizures have been
Myelosuppression is the poorly controlled. The nurse informs the mother that
highest priority the child must have blood tests every week. The
complication that can mother asks why so many blood tests are necessary.
potentially affect clients Which complication is assessed through frequent
managed with laboratory testing that the nurse should explain to
carbamazepine therapy. this mother?
The client requires close
monitoring for this A. Nephrotoxicity
condition by weekly B. Ototoxicity
laboratory testing. C. Myelosuppression
Hepatic function may be D.Hepatotoxicity
altered, but this
complication does not
have as great a potential
for occurrence as option
C. Options A and B are
not typical complications
of carbamazepine
therapy.
When developing a written nursing care plan for a
D. Cyclophosphamide
client receiving chemotherapy for treatment of
cancer, the nurse writes, "Assess each voiding for
Hemorrhagic cystitis is
hematuria." The administration of which type of
the characteristic adverse
chemotherapeutic agent would prompt the nurse to
reaction of
add this intervention?
cyclophosphamide.
Administration of options
A. Vincristine
A, B, and C does not
B. Bleomycin sulfate
typically cause
C. Chlorambucil
hemorrhagic cystitis.
D. Cyclophosphamide
, A. "I'll wear sunscreen A client is receiving oral griseofulvin for a persistent
whenever I mow the tinea corporis infection. Which response by the
lawn." client indicates an accurate understanding of the
drug teaching conducted by the nurse?
Photosensitivity is a side
effect of griseofulvin, so A. "I'll wear sunscreen whenever I mow the lawn."
clients should be B. "This is the worse bacterial infection I've ever
cautioned to wear had."
protective sunscreen C. "I will need to take the medication for 7 days."
during sun exposure. D. "My urine will probably turn brown due to this
Options B, C, and D are drug."
not accurate statements
about side effects of this
medication.
B. Diazepam A 6-year-old child is admitted to the emergency
department with status epilepticus. His parents
Diazepam is the drug of report that his seizure disorder has been managed
choice for treatment of with phenytoin, 50 mg PO bid, for the past year.
status epilepticus. Which drug should the nurse plan to administer in
Options A, C, and D are the emergency department?
used for the long-term
management of seizure A. Phenytoin
disorders but are not as B. Diazepam
useful in the emergency C. Phenobarbital
management of status D. Carbamazepine
epilepticus.
