PHARMACOLO 2407 Mod 4 Quiz-Pharm practice exam questions and answers docs 2021

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PHARMACOLO 2407 Mod 4 Quiz-Pharm practice exam questions and answers docs 2021 Lantus Insulin (glargine) is prescribed for a hospitalized patient who is diabetic. When is Lantus insulin usually admin... istered? Approximately 15 to 30 minutes before each meal In the morning and at 4 PM Once daily at bedtime After meals and at bedtime A public health nurse is providing client education for a client who is being treated for scabies. The client has been prescribed 5% permethrin cream to eradicate the scabies. What instruction about applying the cream should the nurse provide? “Apply lotion, covering head to toe every day for 7 to 10 days. Shower after 30 minutes” “Apply cream once over body, but not head, if scratching wrap with gauze, rinse after 8-12 hours.” “Apply cream once, cover yourself from head to toe and rinse after 10 minutes.” “Shampoo your hair with Permethrin. Cover with a shower cap. "Leave in place for 16 hours." When metronidazole (Flagyl) is a component of the H. pylori treatment regimen, what instructions should the client receive? Avoid foods containing tyramine. Take the drug with food. Take the drug on an empty stomach. Avoid any alcoholic beverages. Parents bring their child to the clinic because they suspect the child has pinworms. What education is most important for the nurse to provide to the parents? “Albendazole (Albenza) can only be given once in a life time “The infestation is not easily spread.” “Everyone in the family should be treated.” “The treatment should be limited to symptomatic infestations.” A client calls from home to report that his lispro (Humalog) insulin has granules in it. What would be the nurse’s best response? “Agitate the solution, and the granules should disperse.” “Discard the vial. The solution should be clear.” “Tell the client to draw it up using a filter needle” “Lispro is always cloudy. Proceed with the injection.” The nurse is caring for a client who comes to the clinic with tinea corporis, for which the prescriber orders clotrimazole. What education about this medication should the nurse provide? “Use the medication over the entire body once a week for 1 month.” “Sun exposure will negate the drug’s effects.” “Continue the therapy for at least 1 week after the symptoms have cleared up.” “This drug is effective after a single application.” A campus nurse is teaching a group of college students about safe use of oral contraceptives. Which of these groups should be counseled to avoid the use of oral contraceptives? Women who had an abortion Women who have given birth Women who have had an IUD in the past. Women who smoke heavily A client is receiving Diflucan. What should the nurse know to give this medication safely? It is safe to take in states of liver insufficiency but not with renal insufficiency It can only be given with orange juice It is a class D medication but breastfeeding is fine due to its short half life It is sometimes taken as a single dose because of its lingering effects In which of these situations would the nurse question the administration of steroid eye drops? for an eye infection after cataract surgery after a corneal abrasion after a chemical eye splash Given these reports on clients receiving chemotherapy, which client should the nurse see first? The client whose gums bleed when he brushes his teeth The client with persistent nausea The client with a fever of 100.3° F The client with perianal irritation and mouth sores A client with type I diabetes reports taking propranolol for hypertension. Why would this cause the nurse to be concerned? The beta blocker can cause insulin resistance and hyperglycemia. Using the two agents together increases the risk of ketoacidosis. Propranolol increases insulin requirements because of receptor blocking. The beta blocker can mask the symptoms of hypoglycemia. A nurse is reinforcing instructions about the effects of diphenhydramine, an antihistamine. Which statement by the client indicates that this client needs further instruction? "I should avoid driving or activities requiring alertness when taking this medicine.” "I should to use sugarless gum, candy, or oral rinses to decrease dry mouth." "I should avoid alcohol while taking this medication." "I should only take this medication in the morning." The nurse is providing client education after laboratory findings reveal am elevated thyroid-stimulating hormone (TSH). How would the nurse best explain the implications of the laboratory finding to the client? Hypothyroidism causes a decrease in TSH. The test probably is erroneous, because you don’t have a goiter. TSH is not a good screening test for thyroid disease. A high TSH implies the need for thyroid medication. A client in ketoacidosis needs intravenous insulin. What should the nurse understand before giving IV insulin? The nurse should ask whether Levimir or Glargine should be given. The same dose that would be given subcutaneously per sliding scale should be used. Insulin should never be given IV, so this order should be questioned. Only regular insulin can be administered IV. It is given in smaller increments. The nurse manages care for a client with diabetes who takes metformin (Glucophage). Which laboratory result would cause the nurse to question the prescription? Elevated creatinine Decreased hemoglobin Decreased platelets Increased iron An elderly client who lives alone in the community is concerned about recent exposure to the flu and asks for an influenza vaccination. What client education should the nurse provide? “Because exposure has already occurred, the injection will not be of any use to you” “Protection against the flu should begin about 1 to 2 weeks after injection.” “A person should not receive the vaccine unless direct contact has been confirmed.” “The vaccine is given only if the exposures have been verified as type A influenza.” The nurse is giving an injection to a client with suspected hepatitis B. After the injection the nurse suffers a dirty needle stick. What is the most important thing the nurse should do for protection? Have repeated titers to determine exposure to Hepatitis B Start hepatitis immune globulin injections and the hepatitis B vaccine series (if needed). Start antibiotic therapy immediately Go on sick leave until all screening tests are negative. What advice should the nurse offer a client who is being started on a significant amount of Prednisone? Consult your doctor if nausea prevents you from taking this drug. Don’t stop it abruptly. Take the medication on an empty stomach. This will help assure full absorption Snack often on simple starches and comfort foods. This will help you avoid hypoglycemia Use table salt. Avoid salt substitute because steroids cause potassium retention and sodium losses The nurse is administering the first dose of Vancomycin to a client with MRSA. The client suddenly becomes hypotensive, nauseated and develops hives. What should the nurse do? Give Benadryl to control the symptoms and continue the infusion Stop the IV and consult the MD for next steps Report that sepsis is setting in and obtain a stat order for blood cultures Slow down the infusion and offer the client hydroxyzine A steroid dependent client has a blood glucose level of 249 mg/dL. Her blood pressure is 178/99 and she is complaining of muscle aches and weakness. Her face appears very round and puffy.” What would the nurse suspect? What type of advocacy does the client need? Advocacy for a TSH level is needed because these symptoms indicate Grave’s disease Advocacy for fludrocortisone is needed because these symptoms are consistent with Addison’s disease Diuretics and glucose control may be needed. Cushing’s syndrome presents this way Diabetic ketoacidosis is causing the clients sodium pump to shut down. An IV insulin drip is needed. [Show More]

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