EVOLVE HESI PHARMACOLOGY EXAM 2024/ LATEST UPDATE EXAM WITH CORRECT DETAILED AND VERIFIED ANSWERS/100% VERIFIED/A GRADE Terms in this set (354) A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The nurse knows that which medication would be contraindicated for this client? Pentobarbital sodium (Nembutal Sodium) for sleep. The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a client in labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse should program the infusion pump at how many ml/hour? 3 The nurse is preparing to give an A 40-week primigravida who is at 6 cm cervical dilatation enema to a laboring client. Which and the presenting part is not engaged A newborn, whose mother is HIV positive, is scheduled for follow -up assessments. The nurse knows that the most likely presenting symptom for a pediatric client with AIDS is A persistent cold A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement tells the nurse, "I don't want any more blood taken for those useless tests." Which narrative documentation should the nurse enter in the client's medical record? Healthcare provider notified of client's refusal to have blood specimens collected for testing. A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20% solution (200 mg acetylcysteine per ml) is prescribed by nasogastric tube for a client with acetaminophen toxicity. How many ml of diluent should be added to the medication to obtain a 1:4 concentration? 120 The RN reviews the new prescription, phenelzine, a monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which information is most important for the RN to assess? Consumption of any alcohol or tyramine -rich foods Which symptoms are serious Wheezing, hypotension, and AV block adverse effects of beta-adrenergic blockers such as propranolol (Inderal)? The RN is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. Which condition should the RN ask the client about his medical history? Ulcerative colitis The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern? Edema, basilar rales and an irregular pulse The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit. Which complaint related to administration of this drug would the nurse expect this client to make "My mouth feels like cotton" The nurse is planning the case for a 32-year-old male client with acute depression. Which nursing intervention would be best in helping this client deal with his depression Assist the client in exploring feelings of shame, anger and guilt During an initial clinic visit, the African -american ethnicity nurse is taking the history for a client who wants to confirm her pregnancy. The client's last child has a history of low-birth-weight (LBW). Which additional finding is most important for the nurse to consider A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous IV infusion. Which assessment data would indicate to the nurse that the client is experiencing magnesium sulfate toxicity Blood pressure 140/90 A 64-year-old client is admitted to the hospital with a fractured right hip. One of the concerns following surgical repair is to promote dorsiflexion. Which intervention would a nurse implement Provide a foot board The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin. Which assessment should the nurse identify before beginning the teaching session willingness of the client to learn the injection sites. in evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended watery, diarrhea stools
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