Pharmacology Evolve HESI Questions And Answers Graded A+ 2024. A s19-year-old smale sclient swho shas ssustained sa ssevere shead sinjury sis sintubated sand splaced son sassisted smechanical sventilation. sTo sfacilitate soptimal sventilation sand sprevent sthe sclient sfrom s"fighting" sthe sventilator, sthe shealth scare sprovider sadministers spancuronium sbromide sIV, swith sadjunctive sopioid sanalgesia. sWhat smedication sshould sbe simmediately saccessible sfor sa spotential scomplication swith sthis sdrug? A. sDantrolene ssodium B. sNeostigmine sbromide C. sSuccinylcholine sbromide D. sEpinephrine s- s s s scorrect sanswer.B. sNeostigmine sbromide Neostigmine sbromide sand satropine ssulfate, sboth santicholinergic sdrugs, sreverse sthe srespiratory smuscle sparalysis scaused sby spancuronium sbromide. sOptions sA, sC, sand sD sare snot santagonists sto spancuronium sbromide sand swould snot sbe shelpful sin sreversing sthe seffects sof sthe sdrug scompared swith sthe suse sof santicholinergics. A sclient swith sviral sinfluenza sis sreceiving svitamin sC, s1000 smg sPO sdaily, sand sacetaminophen selixir, s650 smg sPO severy s4 shours sPRN. sThe snurse scalls sthe shealth scare sprovider sto sreport sthat sthe sclient shas sdeveloped sdiarrhea. sWhich schange sin sprescriptions sshould sthe snurse santicipate? A. sChange sthe sacetaminophen sto sibuprofen. B. sChange sthe selixir sto san sinjectable sroute. C. sDecrease sthe sdose sof svitamin sC. D. sBegin streatment swith san santibiotic. s- s s s scorrect sanswer.C. sDecrease sthe sdose sof svitamin sC. When sproviding snursing scare sfor sa sclient sreceiving spyridostigmine sbromide sfor smyasthenia sgravis, swhich snursing sintervention shas sthe shighest spriority? A. sMonitor sthe sclient sfrequently sfor surinary sretention. B. sAssess srespiratory sstatus sand sbreath ssounds soften. C. sMonitor sblood spressure seach sshift sto sscreen sfor shypertension. D. sAdminister smost smedications safter smeals sto sdecrease sgastrointestinal sirritation. s- s s s scorrect sanswer.B. sAssess srespiratory sstatus sand sbreath ssounds soften. A sclient swith sa sdislocated sshoulder sis sbeing sprepared sfor sa sclosed smanual sreduction susing sconscious ssedation. sWhich smedication sshould sthe snurse sexplain sas sa ssedative sused sduring sthe sprocedure? A.Inhaled snitrous soxide B.Midazolam sIV C.Ketamine sIM D.Fentanyl sand sdroperidol sIM s- s s s scorrect sanswer.B. sMidazolam sIV A sclient sis sbeing sdischarged swith sa sprescription sfor ssulfasalazine sto streat sulcerative scolitis. sWhich sinstruction sshould sthe snurse sprovide sto sthis sclient sprior sto sdischarge? A. sMaintain sgood soral shygiene. B. sTake sthe smedication s30 sminutes sbefore sa smeal. C. sDiscontinue suse sof sthe sdrug sgradually. D. sDrink sat sleast seight sglasses sof sfluid sa sday. s- s s s scorrect sanswer.D. sDrink sat sleast seight sglasses sof sfluid sa sday. The shealth scare sprovider sprescribes scarbamazepine sfor sa schild swhose stonic -clonic sseizures shave sbeen spoorly scontrolled. sThe snurse sinforms sthe smother sthat sthe schild smust shave sblood stests severy sweek. sThe smother sasks swhy sso smany sblood stests sare snecessary. sWhich scomplication sis sassessed sthrough sfrequent slaboratory stesting sthat sthe snurse sshould sexplain sto sthis smother? A. sNephrotoxicity B. sOtotoxicity C. sMyelosuppression D.Hepatotoxicity s- s s s scorrect sanswer.C. sMyelosuppression Myelosuppression sis sthe shighest spriority scomplication sthat scan spotentially saffect sclients smanaged swith scarbamazepine stherapy. sThe sclient srequires sclose smonitoring sfor sthis scondition sby sweekly slaboratory stesting. sHepatic sfunction smay sbe saltered, sbut sthis scomplication sdoes snot shave sas sgreat sa spotential sfor soccurrence sas soption sC. sOptions sA sand sB sare snot stypical scomplications sof scarbamazepine stherapy. When sdeveloping sa swritten snursing scare splan sfor sa sclient sreceiving schemotherapy sfor streatment sof scancer, sthe snurse swrites, s"Assess seach svoiding sfor shematuria." sThe sadministration sof swhich stype sof schemotherapeutic sagent swould sprompt sthe snurse sto sadd sthis sintervention? A. sVincristine B. sBleomycin ssulfate C. sChlorambucil D. sCyclophosphamide s- s s s scorrect sanswer.D. sCyclophosphamide Hemorrhagic scystitis sis sthe scharacteristic sadverse sreaction sof scyclophosphamide. sAdministration sof soptions sA, sB, sand sC sdoes snot stypically scause shemorrhagic scystitis. A sclient sis sreceiving soral sgriseofulvin sfor sa spersistent stinea scorporis sinfection. sWhich sresponse sby sthe sclient sindicates san saccurate sunderstanding sof sthe sdrug steaching sconducted sby sthe snurse? A. s"I'll swear ssunscreen swhenever sI smow sthe slawn." B. s"This sis sthe sworse sbacterial sinfection sI've sever shad." C. s"I swill sneed sto stake sthe smedication sfor s7 sdays." D. s"My surine swill sprobably sturn sbrown sdue sto sthis sdrug." s- s s s scorrect sanswer.A. s"I'll swear ssunscreen swhenever sI smow sthe slawn." Photosensitivity sis sa sside seffect sof sgriseofulvin, sso sclients sshould sbe scautioned sto swear sprotective ssunscreen sduring ssun sexposure. sOptions sB, sC, sand sD sare snot saccurate sstatements sabout sside seffects sof sthis smedication. A s6-year-old schild sis sadmitted sto sthe semergency sdepartment swith sstatus sepilepticus. sHis sparents sreport sthat shis sseizure sdisorder shas sbeen smanaged swith sphenytoin, s50 smg sPO sbid, sfor sthe spast syear. sWhich sdrug sshould sthe snurse splan sto sadminister sin sthe semergency sdepartment? A. sPhenytoin B. sDiazepam C. sPhenobarbital D. sCarbamazepine s- s s s scorrect sanswer.B. sDiazepam Diazepam sis sthe sdrug sof schoice sfor streatment sof sstatus sepilepticus. sOptions sA, sC, sand sD sare sused sfor sthe slong-term smanagement sof sseizure sdisorders sbut sare snot sas suseful sin sthe semergency smanagement sof sstatus sepilepticus. A sclient swho shas strouble sswallowing spills sintermittently shas sbeen sprescribed svenlafaxine s(XR) sfor sdepression. sThe smedication scomes sin scapsule sform. sWhat sshould sthe snurse sinclude sin sthe sdischarge steaching splan sfor sthis sclient? A. sCapsule scontents scan sbe ssprinkled son spudding sor sapplesauce. B. sChew sthe smedication sthoroughly sto senhance sabsorption. C. sTake sthe smedication swith sa slarge sglass sof swater sor sjuice. D. sContact sthe shealth scare sprovider sfor sanother sform sof smedication. s- s s s scorrect sanswer.D. sContact sthe shealth scare sprovider sfor sanother sform sof smedication. Venlafaxine sis sadministered sPO sin scapsule sform. sCapsules sthat sare sextended -release s(XR) sor scontinuous -release s(CR) scontain sdelayed -release, senteric -coated sgranules sto sprevent sdecomposition sof sthe sdrug sin sthe sacidic spH sof sthe sstomach. sThe sclient sshould snotify sthe shealth scare sprovider sabout sthe sinability sto sswallow sthe scapsule. sThis smedication sshould snot sbe schewed sor sopened sso sthat sthe sdelayed -release, senteric -
coated sgranules scan sremain sintact. sWater sor sjuice swill snot saffect sthe smedication. The snurse sis spreparing sto sapply sa ssurface sanesthetic sagent sfor sa sclient. sWhich saction sshould sthe snurse simplement sto sreduce sthe srisk sof ssystemic sabsorption? A. sApply sthe sanesthetic sto smucous smembranes. B. sLimit sthe sarea sof sapplication sto sinflamed sareas. C. sAvoid sabraded sskin sareas swhen sapplying sthe sanesthetic. D. sSpread sthe stopical sagent sover sa slarge ssurface sarea. s- s s s scorrect sanswer.C. sAvoid sabraded sskin sareas swhen sapplying sthe sanesthetic. To sminimize ssystemic sabsorption sof stopical sanesthetics, sthe sanesthetic sagent sshould sbe sapplied sto sthe ssmallest ssurface sarea sof sintact sskin. sApplication sto sthe smucous smembranes sposes sthe sgreatest srisk sof ssystemic sabsorption sbecause sabsorption soccurs smore sreadily sthrough smucous smembranes sthan sthrough sthe sskin. sInflamed sareas sgenerally shave san sincreased sblood ssupply, swhich sincreases sthe srisk sof ssystemic sabsorption, sso soption sB sshould sbe savoided. sA slarge ssurface sarea sincreases sthe samount sof stopical sdrug sthat sis savailable sfor stransdermal sabsorption, sso sthe ssmallest sarea sshould sbe scovered, snot soption sD. A sclient sexperiencing sdysrhythmias sis sgiven squinidine, s300 smg sPO severy s6 shours. sThe snurse splans sto sobserve sthis sclient sfor swhich scommon sside seffect sassociated swith sthe suse sof sthis smedication? A. sDiarrhea B. sHypothermia C. sSeizures D. sDysphagia s- s s s scorrect sanswer.A. sDiarrhea The smost scommon sside seffects sassociated swith squinidine stherapy sare sgastrointestinal scomplaints, ssuch sas sdiarrhea. sOptions sB, sC, sand sD sare snot susually sassociated swith squinidine stherapy. The shealth scare sprovider sprescribes sthe sH2 santagonist sfamotidine, s20 smg sPO sin sthe smorning sand sat sbedtime. sWhich sstatement sregarding sthe saction sof sH2 santagonists soffers sthe scorrect srationale sfor sadministering sthe smedication sat sbedtime? A. sGastric sacid ssecreted sat snight sis sbuffered, spreventing spepsin sformation. B. sHydrochloric sacid ssecreted sduring sthe snight sis sblocked. C. sThe sdrug srelaxes sstomach smuscles sat snight sto sreduce sacid. D. sIngestion sof sthe smedication sat snight soffers sa ssedative seffect, spromoting ssleep. s- s s s scorrect sanswer.B. sHydrochloric sacid ssecreted sduring sthe snight sis sblocked. H2 santagonists sact son sthe sparietal scells sto sinhibit sgastric ssecretion. sSome sgastric ssecretion soccurs sall sthe stime, seven swhen sthe sstomach sis sempty, sunless smedications
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