RN Pharmacology Online Practice A.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Pharmacology%20On
RN Pharmacology Online Practice A With NGN
1. NGN: A nurse at a clinic is evaluating a client. Drag 1 condition and 1 clientfinding 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 visitafter
receiving a new prescription 3 months ago. Client reports feeling nervous and being
irritable. Client is alert and oriented to person place and time. Skinmoist 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: ANS Theclient is
likely experiencing hyperthyroidism as evidenced by the client's blood thyroxine level.
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2. 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
ANS "Rinse your mouth afterinhaling the beclomethasone"
The client should rinse their mouth after using beclomethasone, a glucocorticoidinhaler, to
prevent oropharyngeal candidiasis and hoarseness.
3. NGN: A nurse is caring for a client in an inpatient setting.The nurse ispreparing
to administer the client's 1300 antibiotic doses.
Click to highlight the findings that would indicate the nurse should hold thenext dose of
gentamycin until further direction from the provider
ANS 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 shouldrecognize the
client's elevated BUN, elevated creatinine level, urine output of less than 30mL/hr, and dark
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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.
4. A nurse is preparing to administer heparin subcutaneously to a client. Which of the
following actions should the nurse plan to take
ANS Administer themedication outside the 5cm (2in) radius of the umbilicus
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The nurse should admi. the heparin by subQ injection to the abdomen in an areathat is above the
iliac crest and at least 5 cm (2 in) away fro the umbilicus.
5. NGN: A nurse on a mental health unit is caring for a client. Select the 4actions 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 ofurine. 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:
ANS When taking actions, the nurse should administer dantrolene and bromocriptine, apply a
cooling blanket, anddiscontinue the fluphenazine. The client is exhibiting manifestations of
neurolep- tic malignant syndrome (NMS), a potentially fatal adverse effect of antipsychotic
medications, such as fluphenazine. Other manifestations can include electrolyte imbalance,
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