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Pharmacology HESI V2 Preparation 2023/2024
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Pharmacology HESI V2 Preparation 2023/2024
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PHARMACOLOGY 1. A nurse is administering subcutaneous herprin to a client who is at risk for deep vein thrombosis . Which of the following actions should the nurse take? a. Administer the m edication into the cl ient’s abdo men. b. Inject the medicati on into a mu scle. c. Massage the site aft er adminis tering the medication d. Use a 22 -gauge needle to administer the medication 2. A nurse is pro viding teaching to a client who ha s a u rinary tract infection and new prescription for phe nazopyridine and ciprofloxacin. Which of the following statem ents by the client indicates the need for fu rther t eaching? a. “If the phen azopyridine upsets my stomach , I can take it wi th meals. ” b. “The phen azopyridin e will relieve my disco mfort , but the ciprofl oxacin will get rid of the infection. ” c. “ I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin .” d. “ I should notify my provider immediately if my u rine turns an o range color. ” 3. A nurse is provid ing teaching to a group of new parents a bout medications. The nurse should include that aspirin is contraindi cated for child ren wh o have a viral infection due to the risk o f developing which of the following adverse effects? a. Reye’s syndrome b. Visual disturbances c. Diabetes mellitus d. Willm’s tumor 4. A nurse ir prepa ring to administer lactated R inger ’s (LR) 1,00 0 mL IV to infuse over 8 hr. the drop fac tor or the manual IV tubing is 10 gt /mL. The nurse should set the manual IV inf usion to deliver how ma y gtt/min? (Round th e answer to the nearest whole number ). 1 hr/60 min = 8 hr/X min X = 480 min 1,000 mL/480 min X 10 gtt/mL = X Gtt/min X = 20.833 21 gtt/min 5. A nurse is caring for a cli ent who has a new prescription for tamoxifen. The nurse should reco gnize th at tamoxifen ha s which of the followi ng therapeu tic effects? a. Antiestrogenic b. Antimicrobial c. Androgenic d. Anti-inflammatory 6. A nurse is preparing to admin ister furosemide 4 mg/kg/day PO di vided in to 2 equal do ses daily to a todd ler who wei ghs 22lb. how many mg should the nurse administer per do se? ( round the answer to the neares t whole number ) 2.2 lb/ 1kg = 22lb/X kg X = 10kg 4 mg x 10 kg = 40 mg/ day 20 mg 7. A nurse is assessing a client who is rec eiving IV gentamicin th ree ti mes daily . Which of the following findings indica tes tha t the cli ent is experie ncing an adverse effect of this medicati on? a. Hypoglycemia b. Proteinuria c. Nasal congestion d. Visual disturbance 8. A nurse i s providing teaching t o a cli ent who ha s cirrhosis and a new prescri ption for lactulose . The nurse should in struct the client that lactose has which of the followi ng therap eutic e ffects ? a. Increases blood p ressure b. Prevents esophageal b leeding c. Decreasing heart rate d. Reduces amm onia levels 9. A nurse i s prov iding teaching to a newly licensed nurse about meto clopramide . The nurse should include in the teaching that which of the following con ditions is a contraindication to this medication ? a. Hyperthyroidism b. Intestinal obstruction c. Glaucoma d. Low blood pressure 10. A nurse is teaching a newly l icensed nurse about contraindication to ceftriaxone . The nurse should include a se vere allergy to which of the following medications i s a contraindication to ce ftriaxone ? a. Gentamicin b. Clindamycin c. Piperacillin d. Sulfamethoxaz ole-trimethoprim 11. A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse sh ould recognize that candidiasis is a manifestation of which of the following adverse eff ects? a. Allergic response b. Superinfection c. Renal toxicity d. Hepatoto xicity 12. A nurse is reviewing the laboratory values for a client wh o is receiving a continuous IV heparin infusio n and ha s an aPTT of 90 seconds . Which of the following ac tions should the nurse prepare to take ? a. Administer vitamin K b. Reduce the inf usion rate c. Give the client a low -dose a spirin d. Request an INR 13. A nurse is planning to administer dilti azem via IV b olus to a client who ha s atrial fi brillation . When assessing the client , the n urse should recognize that which o f the foll owin g findings is a contraindication to administration of diltiazem? Hypotension tachycardia Decreased level of consciousness History of diuretic use 14. A nurse is pla nning to administer epoetin al fa to a client wh o ha s chr onic kidney failure. Which of the foll owing data should the nurse plan t o review prior to admi nistration of this medication ? a. Blood pressure b. Temperature blood c. Glucose levels d. Total protein levels 15. A nurse is providing discharge te aching to a client wh o has heart fa ilure and a new prescription for digoxin 0.215 mg PO daily and furosemide 20 m g PO daily. Which of the foll owing statem ents by the client indicates an understanding of the teac hing? a. “ I know that blurred visio n is something I will expect to happen while taking digo xin.” b. “ I will measure my urin e output each day and document daily. ” c. “ I will s kip a dose of my digoxin i f my res ting heart ra te is below 72 beats per minute. ”The benefits of buying summaries with Stuvia:
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