1 | P a g e [Type here] davie academia HESI PN PHARMACOLOGY PROCTORED EXAM VERSION 2 Pharmacology HESI A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin). Which of the following findings is an adverse effect of this medicHESIon? (adverse affect is thrombocytopenia) o Ecchymos o Ototoxi y o Hypert ion o Anxiety A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL. How many gtt/min of IV fluid should the clien t receive? (Round your answer to the nearest whole number). 31 gtt/min 3. A nurse is admitting a client to a long-term care facility. While reconciling the medicHESIon prescribed at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which 2 | P a g e [Type here] davie academia action should the nurse take? o Clarify the medicHESIon dosages with the provider. Change the prescribed medicHESIon dosages to reconcile the discrepancy o Contact the pharmacist regarding the dosage discrepancies Ask a family member to verify the medicHESIon dosages A nurse is caring for a client who is receiving a fentany l transdermal system (Duragesic). What is important to document in the client’s record? o Fluid intake o Skin integrity o Respiratory rate o Pulse rate A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when administering this medicHESIon? o Massage the nitroglycerin ointment completely into the skin. o Replace the nitroglycerin transdermal patch every 4 hours. o Administer a sus tained nitroglycerin tablet orally. o Administer a nitroglycerin tablet sublingually every 5 minutes. A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should watch the pHESIent for which of the following adverse effects? (Select all that apply.) o Bradycard ia o Jaundice o Polyuri a o Urtipenia o Fever A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning medicHESIon therapy with 6. 3 | P a g e [Type here] davie academia zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching. (Select all t hat apply.) o Must be taken with other retroviral medicines. o Has few adverse effects o Cures an HIV infection o Prevents you from transmitting the HIV infection o Increases CD4+ cell count A nurse is assessing a school age client who is experienci ng seizure activity and is prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving a continuous infusion of which of the following IV: o Lactated Ringers solution o 0.9% Sodium chloride with 100 units of regular insulin o 0.9% sodium chloride o 0.9% Sodium chloride with 20 mEq of potassium chloride A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure. Which of the following indicates an expected finding? o Activity tolerance o OrthostHESIc hypotension o Loss of strength o Increase in blood pressure A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of the following therapeutic effects should the nurse monitor? o Increased urine output o Increased energy o Decreased anxiety o Decreased spacity 11. Clinical findings of a client who has a prescription for lithium carbonate (Lithobid). For which reasons should the nurse withhold the medicHESIon
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 Davieacademia. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.