1. A nurse is car- b. Diaphoresis is correct. The nurse should monitor the
ing for a client client for early manifestations of acetaminophen toxic-
who ingested a ity, which includes diaphoresis. Later manifestations of
toxic amount of toxicity include liver failure, which manifest 48 to 72 hr
acetaminophen 36 following ingestion of the toxic dose.
hr ago. For which
of the following d. Abdominal discomfort is correct. The nurse should
findings should monitor the client for early manifestations of aceta-
the nurse moni- minophen toxicity, which include abdominal discomfort,
tor? Select all that nausea, vomiting, and diarrhea.
apply
a. elevated tro- e. Increased alanine aminotransferase (ALT) level is cor-
ponin level rect. The nurse should monitor ALT levels because these
b. diaphoresis enzymes may elevate with liver inflammation from aceta-
c. hyperglycemia minophen overdose.
d. abdominal dis-
comfort
e. increased ala-
nine aminotrans-
ferase (ALT) level
2. A nurse is assess- b. Tachycardia
ing a client who
has a prescription Albuterol is a beta2-agonist, which can cause excessive
for oral albuterol stimulation of cardiac and skeletal muscle beta cells.
for the long-term Therefore, the nurse should monitor the client for tachy-
management of cardia and dysrhythmias.
asthma. For which
of the follow-
ing adverse effects
should the nurse
monitor?
a. Nystagmus
b. Tachycardia
c. Drowsiness
d. Oral fungal in-
fections
3.
, VATI RN PHARMACOLOGY EXAM 2024
A nurse is plan- d. Glucose
ning care for
a client who Methylprednisolone therapy increases the synthesis of
has asthma and glucose and decreases the uptake of glucose by the
a prescription muscles and adipose tissues, resulting in increased cir-
for methylpred- culating glucose. Therefore, it is important for the nurse
nisolone. Which of to regularly monitor blood glucose levels while clients are
the following lab receiving corticosteroid therapy.
values should the
nurse monitor?
a. Aspar-
tate aminotrans-
ferase (AST)
b. Fibrin split prod-
ucts
c. BUN
d. Glucose
4. A nurse planning d. Electrolyte imbalance
care for a client
who has a pre- Acetazolamide promotes renal excretion of sodium and
scription for aceta- potassium and reduces the formation of bicarbonate,
zolamide. Which of increasing the client's risk of electrolyte and acid-base
the following find- imbalances. Therefore, the nurse should monitor the
ings should the client for findings of electrolyte imbalance.
nurse plan to mon-
itor for as an ad-
verse effect of this
medication?
a. Bronchospasm
b. Constipation
c. Diplopia
d. Electrolyte im-
balance
5. A nurse is car- b. Angina pectoris
ing for a client
who reports an Sumatriptan is a vasoconstrictor and can cause angina
increase in mi- from coronary vasospasm. The nurse should identify
, VATI RN PHARMACOLOGY EXAM 2024
graine headaches uncontrolled hypertension, coronary artery disease, is-
over the past 2 chemic heart disease, and angina pectoris as contraindi-
weeks and asks if cations for receiving sumatriptan.
sumatriptan might
be helpful. Which
of the following
conditions from
the client's med-
ical history should
the nurse recog-
nize as a con-
traindication for
this medication?
a. Gastrointestinal
reflux
b. Angina pectoris
c. Routine acetyl-
salicylic acid use
d. Eczema
6. A nurse on a b. Second-degree heart block
telemetry unit is
caring for a A second-degree heart block results when there is a
client who has a problem in the atrioventricular conduction system. Each
new prescription atrial impulse takes progressively longer to go from the
for digoxin. The AV node to the ventricles until a QRS complex drops.
nurse should iden- Digoxin slows atrioventricular conduction and can cause
tify that which of progression to a complete heart block; therefore, the
the following car- nurse should identify second-degree heart block as a
diac rhythms is contraindication for digoxin therapy.
a contraindication
for administration
of the medication?
a. Atrial flutter
b. Second-degree
heart block
c. Atrial fibrillation
d. Narrow QRS
complexes
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