BSN 315 HESI RN Specialty Pharmacology Exam V2 (Latest Update 2024 / 2025) Questions & Answers | 100% Correct | Grade A - Nightingale
Question:
A client who is diagnosed with methicillin-resistant Staphylococcus aureus receives a prescription for vancomycin. Which assessment should the nurs...
Question:
A client who is diagnosed with methicillin-resistant Staphylococcus aureus
receives a prescription for vancomycin. Which assessment should the nurse
perform to identify a potential adverse effect?
a. Whisper test.
b. Romberg test.
c. Tactile discrimination.
d. Skin turgor.
Answer:
Whisper test.
(Assesses hearing acuity and is related to potential ototoxicity. Vanco can
cause damage to the inner ear.)
,Question:
The nurse should withhold which medication if a client reports nausea,
vomiting, and diarrhea?
a. Colchicine.
b. Erythromycin.
c. Naproxen.
d. Labetalol.
Answer:
Colchicine.
(Associated with GI side effects, N/V/D can indicate toxicity.)
Question:
The mother of a newborn asks the nurse why her infant needs the vitamin K
injection. Which information should the nurse provide?
a. Bacteria that synthesize vitamin K are not present in the newborn's
intestinal tract.
b. Oral vitamin K impedes the synthesis of clotting factors in the liver.
c. The maternal diet is often deficient in vitamin K, so the infant is also
deficient in the vitamin.
d. The synthesis of vitamin K is inadequate for 3 to 4 months in the newborn.
Answer:
Bacteria that synthesize vitamin K are not present in the newborn's intestinal
tract.
,Question:
A client is receiving fentanyl via an epidural infusion. Which side effect
should the nurse anticipate in the first 24 hours of epidural analgesia?
a. Headache.
b. Agitation.
c. Urinary retention.
d. Abdominal cramping and diarrhea.
Answer:
Urinary retention.
Question:
Which route should the nurse clarify with the healthcare provider prior to
administering a drug with a high first-pass effect?
a. Oral.
b. Buccal.
c. Sublingual.
d. Intravenous.
Answer:
Oral.
(The first-pass effect occurs when hepatic metabolism decreases the
bioavailability of a drug. Oral forms of medications are processed through the
GI tract, absorbed through the small intestines, and undergo the first-pass
effect in the liver in which some of the active ingredients are removed from
the drug before it reaches the intended site of action.)
, Question:
The nurse should instruct a client to avoid which product while taking
carisoprodol for muscle spasms?
a. Aspirin products.
b. Antacids.
c. Alcoholic beverages.
d. Dairy products.
Answer:
Alcoholic beverages.
Question:
Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.)
a. Mood swings.
b. Decreased appetite.
c. Increased weight gain.
d. Serum glucose level of 65 mg/dl.
e. Delayed incisional wound healing.
f. Serum hemoglobin level of 9 mg/dl.
Answer:
Mood swings
Increased weight gain
Delayed incisional wound healing
Serum hemoglobin level of 9mg/dl.
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