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NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO
4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100
mcg PO is prescribed. Which information is most important for the nurse to
include in client teaching?
A) Use contraception during intercourse.
B) Ensure the Cytotec is taken on an empty stomach.
C) Encourage oral fluid intake to prevent constipation.
D) Take Cytotec 30 minutes prior to Motrin.
A) Use contraception during intercourse.
Cytotec, a synthetic form of a prostaglandin, is classified as pregnancy Category X
and can act as an abortifacient, so the client should be instructed to use
contraception during intercourse (A) to prevent loss of an early pregnancy. (B) is
not necessary. A common side effect of Cytotec is diarrhea, so constipation
prevention strategies are usually not needed (C). Cytotec and Motrin should be
taken together (D) to provide protective properties against gastrointestinal
bleeding.
A client with heart failure is prescribed spironolactone (Aldactone).
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
,NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
Which information is most important for the nurse to provide to the client
about diet modifications?
A) Do not add salt to foods during preparation.
B) Refrain for eating foods high in potassium.
C) Restrict fluid intake to 1000 ml per day.
D) Increase intake of milk and milk products.
B) Refrain for eating foods high in potassium.
Spironolactone (Aldactone), an aldosterone antagonist, is a potassium-sparing
diuretic, so a diet high in potassium should be avoided (B), including potassium
salt substitutes, which can lead to hyperkalemia. Although (A) is a common diet
modification in heart failure, the risk of hyperkalemia is more important with
Aldactone. Restriction of fluids (C) or increasing milk and milk products (D) are
not indicated with this prescription.
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
,NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
In evaluating the effects of lactulose (Cephulac), which outcome should
indicate that the drug is performing as intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin.
B) Two or three soft stools per day.
Lactulose is administered to reduce blood ammonia by excretion of ammonia
through the stool. Two to three stools a day indicate that lactulose is performing
as intended (B). (A) would be expected if the patient received a diuretic. (C)
would indicate an overdose of lactulose and is not expected. Lactulose does not
affect (D).
The healthcare provider prescribes naproxen (Naproxen) twice daily for a
client with osteoarthritis of the hands. The client tells the nurse that the drug
does not seem to be effective after three weeks. Which is the best response for
the nurse to provide?
A) The frequency of the dosing is necessary to increase the effectiveness.
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
, NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
D) Systemic corticosteroids are the next drugs of choice for pain relief.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
Individual responses to nonsteroidal antiinflammatory drugs are variable, so (C) is
the best response. Naproxen is usually prescribed every 8 hours, so (A) is not
indicated. The peak for naproxen is one to two hours, not (B). Corticosteroids are
not indicated for osteoarthritis (D).
Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment of
trichomonas vaginalis? (Select all that apply.)
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
C) Check blood pressure daily to detect hypertension.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
NUR 0242 HESI PHARMACOLOGY MYOSIN EXAM
QUESTIONS AND ANSWERS 100% CORRECT/VERIFIED
BEST GRADED A+ NEW UPDATE
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