Exam (elaborations)
Pharmacological and Parenteral Therapies NCLEX RN NCSBN TESTBANK LATEST UPDATE 2024.!!!
- Course
- Institution
Pharmacological and Parenteral Therapies NCLEX RN NCSBN TESTBANK LATEST UPDATE 2024.!!!
[Show more]
Seller
Follow
Content preview
Pharmacological and Parenteral Therapies NCLEX RN x x x x xx NCSBN TESTBANKLATEST UPDATE x x x 2024.!!!
Question 1 x
A nurse is providing care to a female client who is 32-weeks pregnant. The client
x x x x x x x x x x x x x x
has been diagnosed with hypertension and will begin prescribed pharmacological
x x x x x x x x x
treatment. The nurse will clarify which medication if observed in the client’s
x x x x x x x x x x x x
record?...
x
A
Spironolactone
B
Methyldopa
C
Lisinopril Correct Answer x x
D
Hydralazine
Question Explanation x
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used in the
x x x x x x x x x x
treatment of hypertension. ACE inhibitors are pregnancy risk category D and are
x x x x x x x x x x x x
contraindicated during the second and third trimesters of pregnancy. Spironolactone
x x x x x x x x x x
and methyldopa are pregnancy risk category B and have been used routinely and safely
x x x x x x x x x x x x x x
during pregnancy. Hydralazine is a pregnancy risk category C, but its use has been
x x x x x x x x x x x x x x
proven to be safe during pregnancy.
x x x x x x
Concepts tested x
NCLEX: Pharmacological and Parenteral Therapies
x x x x
Question 2 x
A nurse is preparing to administer plasma to a client with a coagulation disorder. Which
x x x x x x x x x x x x x x
identification step will the nurse verify prior to initiating the transfusion?
x x x x x x x x x x x
P a g e 1 | 411
x x x x x x
, A
Cross match x
B
Expiration date x
C
ABO compatibility Correct Answer
x x x
D
Hemoglobin level x
Question Explanation x
Rationale: Plasma is a blood product that needs to be typed prior to administration to
x x x x x x x x x x x x x x
avoid a reaction. Typing determines if the blood product is compatible with the client’s
x x x x x x x x x x x x x x
blood type. A cross match for antigens is only required for transfusions containing red
x x x x x x x x x x x x x x
blood cells. The expiration date is an important component to check prior to
x x x x x x x x x x x x x
administration. However, this does not identify the client. Plasma does not contain red
x x x x x x x x x x x x x
blood cells, so checking the hemoglobin level is not indicated and does not identify
x x x x x x x x x x x x x x
theclient.
x x
Concepts tested x
NCLEX: Pharmacological and Parenteral Therapies
x x x x
Question 3 x
The nurse is preparing to administer newly prescribed intravenous phenytoin to a client.
x x x x x x x x x x x x
When reviewing the client’s medical record, which prescription should the nurse
x x x x x x x x x x x
x question?
A
Continuous infusion of dextrose 5% in 0.9% saline Correct Answer
x x x x x x x x x
B
NPH insulin 40 units before meals
x x x x x
C
Labetalol 100 mg orally twice per day Your Answer
x x x x x x x x
D
, Pharmacological and Parenteral Therapies NCLEX RN x x x x x
x NCSBN TESTBANKLATEST UPDATE x x x 2024.!!!
Ketorolac 15 mg IV push as needed for pain x x x x x x x x
Question Explanation x
Rationale: Phenytoin is not compatible with most IV fluids, especially those with
x x x x x x x x x x x
dextrose. If the nurse observes a continuous infusion of a fluid that contains dextrose,
x x x x x x x x x x x x x x
they should understand that incompatibilities are likely and should not administer the
x x x x x x x x x x x x
medication as prescribed. Insulin, labetalol, and ketorolac do not have potential
x x x x x x x x x x x
incompatibilities.
x
Concepts tested x
NCLEX: Pharmacological and Parenteral Therapies
x x x x
Question 4 x
The nurse is assisting a client who is taking amlodipine with meal planning. Which fluid
x x x x x x x x x x x x x x
selected by the client would require follow up by the nurse?
x x x x x x x x x x x
A
Black coffee x
B
Grapefruit juice Correct Answer x x x
C
Green tea x
D
Chocolate Milk x
Question Explanation x
Rationale: Grapefruit juice affects the metabolism of certain medications, such as
x x x x x x x x x x
amlodipine, and may cause toxicity if taken together. Clients who are taking antibiotics,
x x x x x x x x x x x x x
such as tetracycline, should avoid consuming milk products. Clients who are taking
x x x x x x x x x x x x
warfarin should avoid consuming green tea. Clients who are taking stimulants should
x x x x x x x x x x x x
avoid consuming black coffee.
x x x x
P a g e 3 | 411
x x x x x x
, Concepts tested x
NCLEX: Pharmacological and Parenteral Therapies
x x x x
Question 5 x
The nurse is providing teaching to the client taking metoclopramide. Serious side
x x x x x x x x x x x
effects that should be reported to the provider are included in the teaching plan.
x x x x x x x x x x x x x x
Which of the following side effects is the priority?
x x x x x x x x x
A
Involuntary muscle movements Correct Answer x x x x
B
Report of increased fatigue x x x
C
Onset of headaches x x
D
Difficulty with sleep x x
Question Explanation
x x
Rationale: Metoclopramide is a GI stimulant that is effective in reducing headache,
x x x x x x x x x x x
xnausea, and vomiting. Metoclopramide can cause a serious movement disorder called
x x x x x x x x x x
xtardive dyskinesia (TD). This condition is often irreversible. TD is characterized by
x x x x x x x x x x x
xinvoluntary movements of the face, tongue, or extremities. The risk of developing TD is
x x x x x x x x x x x x x
increased with longer treatment and increased dosage. To help prevent TD, this drug
x x x x x x x x x x x x x
xshouldn’t be used for longer than 12 weeks. The more common side effects of
x x x x x x x x x x x x x
xmetoclopramide can include headache, confusion, drowsiness, dizziness, restlessness,
x x x x x x x
xand insomnia.
x
Concepts tested x
NCLEX: Pharmacological and Parenteral Therapies
x x x x
Question 6 x
The nurse is assessing a client who is taking rifampin for the treatment of tuberculosis.
x x x x x x x x x x x x x x
Which finding reported by the client should the nurse immediately report to the
x x x x x x x x x x x x x
x healthcare provider? x
A
Blurred vision x
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TestbanksCove. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85651 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now