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BSN 315 Nightingale College -BSN 315 PHARM II HESI QUESTIONS WITH COMPLETE SOLUTIONS
- Course
- BSN 315
- Institution
- Nightingale College
BSN 315 Nightingale College -BSN 315 PHARM II HESI QUESTIONS WITH COMPLETE SOLUTIONS
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BSN 315 PHARM II HESI QUESTIONS WITHCOMPLETE SOLUTIONS
A 38-year-old gravida 2 para 2 is diagnosed with bacterial
vaginosis 9-months postpartum. A prescription is written for
metronidazole. Which information is most important for the
nurse to obtain from the client before initiating treatment?
Sexual history.
Use of oral contraceptives.
Method of infant feeding.
Possibility of pregnancy. Correct Answers Method of infant
feeding.
A 48-year-old client is experiencing a severe anaphylactic
reaction to an injection of contrast media. Which pharmacologic
agent is of greatest use in this situation?
Dopamine.
Loratadine.
Nitroprusside.
Epinephrine. Correct Answers Epinephrine.
A client asks the nurse to explain the meaning of a narrow
therapeutic index of a medication. Which information should the
nurse use to answer the question?
The onset of action for the medication occurs very quickly.
A small margin exists between safe and toxic plasma levels.
Bioavailability is significantly reduced by the first-pass effect.
,Minimum dosage is needed for the medication to be effective.
Correct Answers A small margin exists between safe and toxic
plasma levels.
(the difference between the dose that produces a therapeutic
effect and the dose that causes toxicity is minimal)
A client at 30 weeks gestation is in preterm labor. The
healthcare provider prescribes two 12-mg doses of
betamethasone intramuscularly every 12 hours. The client asks
the nurse why she is receiving betamethasone. Which
information should the nurse use to explain the action of the
medication?
Suppresses uterine contractions.
Stimulates fetal surfactant production.
Reduces maternal and fetal tachycardia associated with
terbutaline administration.
Maintains adequate maternal respiratory effort and ventilation
with magnesium administration. Correct Answers Stimulates
fetal surfactant production.
(Bethamethasone is a corticosteroid used in preterm labor)
A client calls the clinic and states that she forgot to take her oral
contraceptives for the past two days. Which instruction is best
for the nurse to provide to this client?
Take 2 pills a day for 2 days and use an alternate method of
contraception for 7 days.
Quit the pills for this cycle, use an alternate method of
contraception, and resume pills on the fifth day of menstruation.
, Take one extra pill per day for the rest of this cycle, then resume
taking pills as usual next cycle.
Take 4 pills now and use an alternate method of contraception
for the rest of this cycle.
Submit Correct Answers Take 2 pills a day for 2 days and use
an alternate method of contraception for 7 days.
A client diagnosed with multiple sclerosis is experiencing
profound weakness, blurry vision, and shooting pains in both
legs. Which medication is considered the best course of
treatment for the nurse to administer?
High dose methylprednisolone intravenously.
Baclofen three times a day.
Broad spectrum antibiotic coverage orally.
Immunomodulatory drug therapy periodically. Correct Answers
High dose methylprednisolone intravenously.
(for acute relapses in MS)
A client is admitted for atrial fibrillation, and the healthcare
provider prescribes disopyramide. After explaining the action of
this antidysrhythmic agent, which complaint should the nurse
instruct the client to report?
Joint pain.
Dizziness or muscle weakness.
Daily weight gain of 2 pounds.
Dry mouth. Correct Answers Daily weight gain of 2 pounds.
(fluid retention r/t poor cardia output.)
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