RN Pharmacology Online Practice 2023 A Practice Exam Questions And 100% Verified Answers.

NGN: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. Relevant info: Heart rate 110/min Nurses' Notes: Today: Adult female client is here for 3 month follow up visit after receiving a new prescription 3 months ago. Client reports feeling nervous and being irritable. Client is alert and oriented to person place and time. Skin moist and intact some sweating noted on forehead. Heart rate regular and fast. Respirations even and non-labored. Bowel sounds hyperactive in all 4 quadrants. Reports occasional loose stools that have increased lately. Lab Results: TSH 0.1 mU/L (0.3 to 5 mU/L); Triiodothyronine 220 ng/dL (70 to 205 ng/dL); Thyroxine 4 ng/dL (0.8 to 2.8 ng/dL) Provider Prescriptions: 3 months ago: Levothyroxine 50 mcg PO daily - correct answer The client is likely experiencing hyperthyroidism as evidenced by the client's blood thyroxine level. A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? - correct answer "Rinse your mouth after inhaling the beclomethasone" The client should rinse their mouth after using beclomethasone, a glucocorticoid inhaler, to prevent oropharyngeal candidiasis and hoarseness. NGN: A nurse is caring for a client in an inpatient setting. The nurse is preparing to administer the client's 1300 antibiotic doses. Click to highlight the findings that would indicate the nurse should hold the next dose of gentamycin until further direction from the provider. - correct answer BUN 48 mg/dL (10 to 20 mg/dL); Creatinine 2.7 mg/dL (0.5 to 1.1 mg/dL); Output 60 mL; Urine is dark amber When recognizing cues, the nurse should review the client's EMR, the nurse should recognize the client's elevated BUN, elevated creatinine level, urine output of less than 30mL/hr, and dark amber colored urine are manifestations of nephrotoxicity which is an adverse effect gentamycin and other aminoglycosides. Therefore, the nurse should hold the dose until further directions from the provider. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? - correct answer Administer the medication outside the 5cm (2in) radius of the umbilicus The nurse should admi. the heparin by subQ injection to the abdomen in an area that is above the iliac crest and at least 5 cm (2 in) away fro the umbilicus. NGN: A nurse on a mental health unit is caring for a client. Select the 4 actions the nurse should take. Fluphenazine 2.5 mg PO four times daily LPN entered client's room to administer medication and noted that client did not respond to verbal or tactile stimulation, was diaphoretic, and hot to palpation. Notified RN. Vital signs obtained. Client noted to be incontinent of urine. Client mumbles in response to painful stimuli, muscle rigidity noted. Provider notified. Temperature 40° C (104° F)Heart rate 122/min; Blood pressure 168/112 mm Hg; Respiratory rate 22/min; SpO2 94% on room air - correct answer When taking actions, the nurse should administer dantrolene and bromocriptine, apply a cooling blanket, and discontinue the fluphenazine. The client is exhibiting manifestations of neuroleptic malignant syndrome (NMS), a potentially fatal adverse effect of antipsychotic medications, such as fluphenazine. Other manifestations can include electrolyte imbalance, delirium, and dysrhythmias. Dantrolene and bromocriptine can relieve muscle rigidity and decrease body temperature. Cooling blankets can also assist in decreasing body temperature. The fluphenazine should be discontinued and the client should be transferred to a critical care unit for ongoing treatment. A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? - correct answer Pregnancy Test The nurse should instruct the client that isotretinoin has teratogenic effects; therefore, pregnancy must be ruled out before the client can obtain a refill. the client must provide two negative pregnancy tests for the initial prescription and one negative test before monthly refills. A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understating of the teaching? - correct answer "I will take the patch off right after my evening meal" Clients should remove the patch each evening for a medication free time of 12 to 14 hours before applying a new patch to avoid developing a tolerance to the medication's effects. a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? - correct answer Carbamazepine carbamazepine causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes. A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication?