NURS 4003B 2022-2023 HESI Pharmacology V2-Practice 120
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=. A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a postoperative
infection. It is most important for the nurse to assess for what additional drug allergy before
administering this prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.
A) Penicillins.
Cross-allergies exist between penicillins (A) and cephalosporins, such as cephalexin monohydrate (Keflex), so
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checking for penicillin allergy is a wise precaution before administering this drug.
Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine
arabinoside (Arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity.
C) Inspect the client's oral mucosa for ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body, therefore stomatitis and mucosal
ulcerations are key signs of antimetabolite toxicity (C). (A, B, and D) are not typical interventions associated
with the administration of antimetabolites.
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, 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) Flank.
B) Abdomen.
C) Chest.
D) Head.
B) Abdomen.
Acetaminophen toxicity can result in liver damage; therefore, it is especially important for the nurse to assess
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,for pain in the right upper quadrant of the abdomen (B), which might indicate liver damage. (A, C, and D) are
not areas where pain would be anticipated.
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.
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.
A) Increase fluid intake, especially cranberry juice.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
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, F) Ensure that all sexual partners are treated at the same time.
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