2024 Pharmacology Final Quiz EXAM with QUESTIONS AND CORRECT ANSWERS GRADED A+
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Course
2024 Pharmacology
Institution
2024 Pharmacology
2024 Pharmacology Final Quiz EXAM with QUESTIONS AND CORRECT ANSWERS GRADED A+
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg three times per day, to the client for restlessness ...
2024 Pharmacology Final Quiz
EXAM with QUESTIONS AND
CORRECT ANSWERS GRADED
A+
A home health nurse is visiting an older adult client who has Alzheimer's disease.
His caregiver tells the nurse she has been administering prescribed lorazepam, 1
mg three times per day, to the client for restlessness and anxiety during the past
few days. For which of the following adverse effects should the nurse assess the
client?
Low-grade fever
Sedation
Diuresis
,Tonic-clonic seizures - ✔✔✔ANSWER-Sedation (Lorazepam is a benzodiazepine
with anti-anxiety and sedative effects. Older adult clients, especially, are at risk for
central nervous system depression even with low doses of benzodiazepines.
Clients who are 50 years or older can have a more profound and prolonged
sedation than younger clients.)
A nurse is providing teaching to a client who has postmenopausal osteoporosis
and a new prescription for intranasal calcitonin-salmon. Which of the following
statements by the client indicates an understanding of the teaching?
"I will administer a spray into each nostril daily."
"I should expect nasal bleeding for the first week."
"I will need to depress the side arms to activate the pump."
"I should expect to take this medication for a short-term course of treatment." -
✔✔✔ANSWER-"I will need to depress the side arms to activate the pump." (The
nurse should instruct the client to activate the pump on the initial use by holding
the bottle upright and depressing the two white side arms toward the bottle six
times.)
A nurse is providing teaching to a client who has type 2 diabetes mellitus and a
new prescription for metformin. Which of the following adverse effects of
metformin should the nurse instruct the client to watch for and report to the
provider?
Weight gain
Myalgia
Hypoglycemia
Severe constipation - ✔✔✔ANSWER-Myalgia (Myalgia, malaise, somnolence, and
hyperventilation are manifestations of lactic acidosis, which rarely occur while
, taking metformin due to blockage of lactic acid oxidation. The nurse should
instruct the client to report these findings promptly to the provider.)
A nurse is providing teaching to a client who is to start taking hydrochlorothiazide
for hypertension. The nurse instructs the client to eat foods rich in potassium.
Which of the following statements by the client indicates an understanding of the
teaching?
"This medication will not work unless I have enough potassium."
"Potassium will increase the therapeutic effect of my blood pressure medication."
"Potassium will lower my blood pressure."
"This medication can cause a loss of potassium." - ✔✔✔ANSWER-"This
medication can cause a loss of potassium." (Hydrochlorothiazide can result in
hypokalemia caused by excessive potassium excretion by the kidneys. The client
should supplement his diet with potassium-rich foods to avoid the occurrence of
hypokalemia. Foods that are high in potassium include bananas, raisins, baked
potatoes, pumpkins, and milk.)
A hospice nurse is caring for a client who has cancer and is taking naproxen 250
mg three times daily PO and gabapentin 1,800 mg three times daily PO to manage
pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd
like most of the time." Which of the following additions should the nurse
anticipate to the client's medication regimen?
Oral meperidine
Parenteral naloxone
Parenteral diazepam
Oral oxycodone - ✔✔✔ANSWER-Oral oxycodone (The client's current pain
regimen consists of a nonopioid analgesic, naproxen, and an adjuvant medication
for neuropathic pain, gabapentin. According to the WHO analgesic ladder for
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