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2024 Newest|NUR2474 Pharmacology Final Exam| UPDATE| COMPLETE FREQUENTLY TESTED QUESTIONS WITH VERIFIED ANSWERS|GET IT 100% ACCURATE!! 1. The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just admitte17,53 €
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2024 Newest|NUR2474 Pharmacology Final Exam| UPDATE| COMPLETE FREQUENTLY TESTED QUESTIONS WITH VERIFIED ANSWERS|GET IT 100% ACCURATE!! 1. The nurse working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just admitte
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2024 Newest|NUR2474 Pharmacology
2024 Newest|NUR2474 Pharmacology Final Exam|
UPDATE| COMPLETE FREQUENTLY TESTED
QUESTIONS WITH VERIFIED ANSWERS|GET IT
100% ACCURATE!!
1. The nurse working on a high-acuity medical-surgical
unit is prioritizing care for four patients who were just
admitted. Which patient should the nurse asse...
2024 Newest|NUR2474 Pharmacology Final Exam|
UPDATE| COMPLETE FREQUENTLY TESTED
QUESTIONS WITH VERIFIED ANSWERS|GET IT
100% ACCURATE!!
1. The nurse working on a high-acuity medical-surgical
unit is prioritizing care for four patients who were just
admitted. Which patient should the nurse assess first?
a. The NPO patient with a blood glucose level of 80
mg/dL who just received 20 units of 70/30 Novolin
insulin.
b. The patient with a pulse of 58 beats per minute who is
about to receive digoxin (Lanoxin)
c. The patient with a blood pressure of 136/92 mm Hg
who complains of having a headache
d. The patient with an allergy to penicillin who is
receiving an infusion of vancomycin (Vancocin) -
✔✔ANSW✔✔..a. The NPO patient with a blood glucose
level of 80 mg/dL who just received 20 units of 70/30
Novolin insulin.
,*low/normal BGL and insulin will continue to drop
glucose level. At risk for hypoglycemia.
103. A nurse provides teaching to a patient with angina
who also has type 2 diabetes mellitus, asthma, and
hypertension. Which statement by the patient indicates a
need for further teaching?
a. "An ACE inhibitor, in addition to nitroglycerin, will
lower my risk of cardiovascular death."
b. "Beta blockers can help control hypertension."
c. "I should begin regular aerobic exercise."
d. "Long-acting, slow-release calcium channel blockers
can help with anginal pain." - ✔✔ANSW✔✔..b. "Beta
blockers can help control hypertension."
*contraindicated in patients with asthma, because they
cause bronchoconstriction.
104. A patient with atrial fibrillation is receiving warfarin
(Coumadin). The nurse notes that the patient's INR is 2.7.
Before to giving the next dose of warfarin, the nurse will
notify the provider and:
a. administer the dose as ordered.
b. request an order to decrease the dose.
c. request an order to give vitamin K (phytonadione).
,d. request an order to increase the dose. -
✔✔ANSW✔✔..a. administer the dose as ordered.
*therapeutic range is 2.0-3.0
105. A patient who takes warfarin for atrial fibrillation
undergoes hip replacement surgery. On the second
postoperative day, the nurse assesses the patient and notes
an oxygen saturation of 83%, pleuritic chest pain,
shortness of breath, and hemoptysis. The nurse will
contact the provider to report possible _____ and request
an order for _____.
a. congestive heart failure furosemide (Lasix)
b. hemorrhage vitamin K (phytonadione)
c. myocardial infarction tissue plasminogen activator
(tPA) d. pulmonary embolism heparin -
✔✔ANSW✔✔..d. pulmonary embolism heparin
*Symptoms of a PE are shortness of breath, low O2
saturation, especially after surgery. Heparin is fast acting.
106. A patient who takes warfarin (Coumadin) is brought
to the emergency department after accidentally taking too
much warfarin. The patient's heart rate is 78 beats per
minute and the blood pressure is 120/80 mm Hg. A
dipstick urinalysis is normal. The patient does not have
, any obvious hematoma or petechiae and does not
complain of pain. The nurse will anticipate an order for:
a. vitamin K (phytonadione).
b. protamine sulfate.
c. a PTT.
d. a PT and an INR. - ✔✔ANSW✔✔..d. a PT and an
INR.
*there are no signs of bleeding as of now to indicate the
Vitamin K reversal is needed.
107. A patient who has taken warfarin (Coumadin) for a
year begins taking carbamazepine. The nurse will
anticipate an order to:
a. decrease the dose of carbamazepine.
b. increase the dose of warfarin.
c. perform more frequent aPTT monitoring.
d. provide extra dietary vitamin K. - ✔✔ANSW✔✔..a.
decrease the dose of carbamazepine.
*Carbamazepine is known to induce the cytochrome P450
enzyme system, which can increase the metabolism of
warfarin and reduce its effectiveness. As a result, the
patient's INR may decrease, leading to a decreased
anticoagulant effect of warfarin.
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