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Pharmacology Exit HESI Word; Complete Solution Guide.

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Pharmacology Exit HESI Nurse should observe most closely for drug toxicity when a client receives med that has what characteristic Nurse is conducting DC teaching about anti-anxiety drug diazep... am (valium) Nursing instruction most important for patient on Zyloprim Client getting Tofranil (Imipramine) Magnesium antidote Patient with hyperthyroidism taking inderal (propanalol) Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900 units what is the Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg, how many will you give every 6 hours Patient on benzos Patient Dx with bipolar-how to know if meds are effective Patient on Heparin going for surgery in a.m.,-priority Best time to give patient Abx (I think) Medication calculation-patient weighs equal to 16kg-order for Tamiflu 45mg BID Peptic ulcer med-what action Patient on folliculitis medication-what to teach Vasopressin Know why Digoxin and Lasix are used together Tamoxifen Citrate use and therapeutic outcome Fosomax for osteoarthritis patient teaching Rifampin for TB Pyridium for bladder infection Stay in bed for 3 hours post first Ace Inhibitor dose Avoid grapefruit juice with CCB Lipitor (statins) in PM only-no grapefruit juice Trough draw Peak draw Potassium sparing diuretic need to watch for hyperkalemia Using bronchodilators before steroids for asthma teaching Insulin can be kept at room temp Drawing insulin Know the insulins and their peak/onset (there are several Qs about this in different formats) Chlamidia Trichomoniasis Candidiasis Herpes Simplex 2 Parkinson’s disease Phenobarbitol Preparing to administer a drug to a pt with an infection RN is teaching a pt about a new drug… what’s most important to teach the pt to improve the intensity of the response to the drug A nurse is giving morphine 2 mg IV to a pt after surgery and she has followed the “six rights of administration”… RN doesn’t understand why a pt is to receive a prescribed med Administration of schedule IV drug, the RN understands Where would a RN direct a pt to obtain more info about prescribed medications RN is prepared to administer Epinephrine to pt that has a severe allergic reaction Digoxin has 36-48 hr half life – because of the length of half life, the RN expects to be dosing this medication Pt is prescribed Cimetidine (histamine 2 antagonist) to treat gastric ulcer Drug X has a therapeutic index of 10 and drug Y has an index of 2 A pt taking Digoxin is also prescribed Propanolol. The 2 drugs combined may cause a serious decrease in HR A pt prescribed CCB Diltiazem to treat hypertension Which of the pts would be at highest risk for an adverse reaction RN receives a handwritten medication order – can’t read A breast-feeding pt is prescribed an antimicrobial medication The RN is evaluating the kidney fx of an 82 yo pt before administration of medications – The most important factor in an adverse drug reaction in the elderly population is A pt is prescribed Bethanocol (Muscarinic Agonist) for urinary retention – if pt exhibits signs of overdose such as: increased salivation, sweating, bradycardia, hypotention, the RN would administer The pt takes Oxybutinin (anticholenergic) for OOB takes an OTC antihistamine (anticholenergic) for hay fever After IM injection of penicillin the pt develops severe difficulty breathing and swollen tongue (Anaphylaxis) A pt receives Dopamine for shock (hypotention, vascular collapse, comatose) Pt receives a drug that blocks adrenergic receptors Orthostatic hypotension (no BP to the brain) A pt with diabetes gets a beta blocker (mask the signs of hypoglycemia and blocks beta receptors – inhibits glycogenolysis) A pt with depression is prescribed an antidepressant – the medication will reach full therapeutic effect A pt taking Levadopa/Carbadopa (dopaminergic) and experiences a frequent “on – off” episodes A pt is prescribed a Dopamine agonist (Mirapex) (adrenergic agonist) for Parkinson’s Pt with mild symptoms of Alzheimer’s is prescribed Donepezil (Aricept) Pt is concerned about developing Alzheimer’s disease Which assessment best determines the effectiveness of Sumatriptan (triptans are used for treatment of Migraines so… Pt with schizophrenia is prescribed chlorpromazine (Thorazine – first generation antipsychotic) oral concentrate Which best assessment best determines the pt is developing tardive dyskinesia Pt with depression is proscribed Fluoxitine (Prozac) Pt is on Marplan (MAOIs – have the most food interactions) for depression Pt on Lithium Pt is prescribed Lunesta for insomnia A 24 yo female gets Triazolam (Halcion) for insomnia at home (remember to use the process of elimination) A pt is prescribed Venlafaxine and the pt asks what the purpose of medication is, you should state A pt with OCD is prescribed Zoloft – which is not a true statement about the medication An RN is teaching a parent about administration of aderol to treat their child’s ADD Amphetamines can cause growth suppression in children Pt states that he’s on Oxycodone and the dose that he currently receives does not provide the same pain relief A pt with HF is getting Furosemide (Lasix) (loop diuretic is K+ wasting) Oranges, spinach, and potatoes A client in renal failure asks why he is being given antacids Receiving Digoxin for the onset supraventricular tachycardia (SVT) Receiving Albuterol (Proventil) tablets complains of nausea every evening with her 9pm The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room A client who has been taking levadopa PO Tid to control the symptoms of Parkinson’s disease has a new prescription for sustained-release levadopa/carbidopa (Simemet 25/100) PO Bid and took his levadopa at 0800 Which action is most important for the nurse to implement during the administration of the antirrhythmic drug adenosine (Adenocard) Nurse is teaching a client with cancer about opioid management for intractable pain and tolerance related side effects Which dosing schedule should the nurse teach the client to observe for a controlled release oxycodone Rx The healthcare provider prescribes digitalis (Digoxin) for a client Dx with congestive heart failure Which method of medication administration provides the client with the greatest first pass effect Most important when caring for a client receiving the antimetabolite cytosine arabinoside (ARC-C) for chemotherapy Identify as being at high risk for complications during the use of an opioid analgesic Rheumatoid arthritis takes ibuprophin (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed Receiving methylprednisolone (Solu-Medrol) 40 mg IV daily anticipates an increase in which lab value Parkinson’s Dz and is taking carbidopa-levodopa (Sinemet) indicate that the desired outcome of the medication is being achieved Preparing the 0900 dose of losartan (Cozaar) an angiotension-II receptor blocker (ARB) for a client with hypertension and heart failure Taking hydromorphone (Dilaudid) PO q4h at home. Following surgery Dilaudid IV q4h PRN and but butorphanol tartrate (Stadol) IV q4h PRN. The pt received a dose of the drug 4 hours ago and is again requesting pain medication Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for which condition Giardiasis is taking metronidazole (Flagyl) 2 grams PO The nitrate isosorbide denitrate (Isordil) is prescribed for a client with angina Reviewing the use of the patient controlled analgesics (PCA) pump with a client in the immediate postoperative period The client will receive Morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour A peak and trough level must be drawn for a client receiving antibiotic therapy When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body A client has myxedema which results from a deficiency of thyroid hormone synthesis in adults Receiving ampicillin sodium (Omnipen) for a sinus infection A client is being treated for osteoporosis with alendronate (Fosamax) and the nurse has completed discharge teaching regarding medication administration Continuous IV infusion of dopamine (Intiropin) and an IV of normal saline at 50 ml/hr the nurse notes that the clients urinary output has been 20 ml/hr for the last 2 hours Which change in data indicates to the nurse that the desired effect of the angiotension II receptor antagonist valsartan (Diovan) has been achieved A healthcare provider prescribes cephalexin monohydrate (Keflex) for a postoperative infection Prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis Prescriptions for morphine sulphate 2.5 mg IV q6h and ketorolac (Toradol) 30 mg IV q6h Hyperlipidemia receives a prescription for niacin (Niaspan) Which drug is used as a palliative treatment for a client with tumor-induced spinal cord compression Admission to the emergency center, an adult client with acute status asthmaticus is prescribed this series of medications In which order 43-year-old female receiving thyroid replacement hormone following a thyroidectomy Receiving clonidine (Catapres) 0.1 mg q24h via transdermal patch Which nursing Dx is important to include in the plan of care for a client receiving the angiotension II receptor antagonist irbesartan (Avapro) Osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom management. The nurse notes the client is allergic to sulfa In evaluating the effects of lactulose (Cefulac) Patient with dysrhythmia is to receive procainamide (Pronestyl) in a 4 divided dose over the next 24 hours The nurse is transcribing a new prescription for spironolactone (Adactone) for pt who receives an angiotension-converting enzyme (ACE) inhibitor Admitted to the coronary care unit with a medical Dx of acute myocardial infarction After abdominal surgery prescribed low molecular weight heparin (LMWH) An antacid, (Maalox) is prescribed for a client with peptic ulcer Dz Pt states “I am allergic to penicillin” A category X drug is prescribed for a young adult female client Admitted to the hospital for Dx testing for possible myasthenia gravis prepares for IV administration of edrophonium chloride (Tensilon) Which symptoms are serious adverse affects of Beta-adrenergic blockers such as propranolol (Inderal) Prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands Dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily Coronary artery Dz. is taking digoxin (Lanoxin) receives a new prescription for atorvastatin (Lipitor) A client is being treated for hyperthyroidism with propylthiouracil (PTU) Following sublingual nitroglycerin to a pt experiencing an acute anginal attack Spironolactone (Aldactone) for heart failure is Rx Medication described as a Beta1 agonist is most commonly prescribed for a client with which condition Assessing a client that is experiencing anaphylaxis from an insect sting Instruction to give to a female who just received a Rx for oral metronidazoleI(Flagyl) for treatment of trichomonas vaginalis Receiving doxorubicin (Adriamycin) IV complains of pain at the insertion site and the nurse notes edema at the site Assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis Pt asks the nurse if glipizide (Glucotrol) is oral insulin Which medication should the nurse caution the client about taking while receiving an opioid analgesic Postoperative and has been receiving a continuous IV infusion of mepreidine (Demerol) 35 mg per hr for 4 days and has a PRN Rx for Demerol for 100 mg PO q3h Congestive heart failure (CHF) is being discharged with a new Rx for the angiotension-converting enzyme (ACE) inhibitor captopril (Capoten) Heparin Tx for a pulmonary embolism a client is being discharged with a Rx for warfarin (Coumadin) Receiving metoprolol (Lopressor SR) Teaching for liver transplant about cyclosporine (Sandimmune) the nurse should encourage the pt to report which adverse response Older client with a decreased percentage of lean body receives a Rx that is adjusted based on which pharmacokinetic process? 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