Pharmacology Exam #4 / Exam 4 Pharm 2024
When evaluating kidney function in the older debilitated adult, it is a priority for the nurse to review the results of which test?
A. Serum blood urea nitrogen (BUN)
B. Serum creatinine
C. Creatinine clearance
D. Renal Ultrasound - ANSWER-C. Creatinine...
When evaluating kidney function in the older debilitated adult, it is a priority for
the nurse to review the results of which test?
A. Serum blood urea nitrogen (BUN)
B. Serum creatinine
C. Creatinine clearance
D. Renal Ultrasound - ✔✔✔ANSWER-C. Creatinine Clearance
(This is a more precise test used to help detect and diagnose kidney dysfunction.)
When imipenem and valproate are prescribed for a patient, what is the priority
nursing concern?
,A. Hydration
B. Nutrition
C. Safety
D. Skin integrity - ✔✔✔ANSWER-C. Safety
(Imipenem can reduce levels of valproate (an anti-seizure medication) and
breakthrough seizures have occurred.
When performing a shift assessment, the nurse notes a maculopapular rash over the
trunk of a patient who has been taking ceftriaxone for 4 days. What is the priority
nursing action?
A. Administer standing order for epinephrine PRN
B. Complete the assessment
C. Consult with the prescriber
D. Withhold the ceftriaxone - ✔✔✔ANSWER-B. Complete the assessment
(Hypersensitivity reactions are the most frequent adverse effects. Maculopapular
rash that develops several days after the onset of treatment is most common. Prior
to any other action, since a rash is not a severe reaction requiring the
administration of epinephrine, the assessment must be completed in order to have
all relevant information available for the prescriber.)
A 20-year-old patient has been prescribed spironolactone for primary polycystic
ovary syndrome. Developmentally, what would be a priority nursing diagnosis?
A. Activity intolerance related to loss of sodium
B. Altered body image related to hirsutism and deepening of voice
C. Decisional conflict related to treatment options
D. Fluid volume excess related to excessive salt intake - ✔✔✔ANSWER-B.
Altered body image related to hirsutism and deepening of voice
,A cancer patient has been taking increasing doses of oxycodone for pain relief.
Which teaching can prevent the adverse effect that is most likely to persist with
long-term use of this drug?
A. Consume adequate fluids and fiber
B. Change positions slowly
C. Do not operate dangerous machinery
D. Take deep breaths every hour - ✔✔✔ANSWER-A. Consume adequate fluids
and fiber.
(By activated u-receptors in the gut, opioids inhibit secretion of fluids into the
intestinal lumen. Principal non-drug measures include increased fiber and fluids.)
A cancer patient is prescribed clonidine for burning pain. What should be reported
to the prescriber before administering the drug? (Select all that apply)
A. Blood pressure 86/60 mm Hg
B. Creatinine 1.1 mg/dL
C. INR 2.8
D. Pulse 88 beats/min
E. Temperature 99.8 F - ✔✔✔ANSWER-A. Blood pressure 86/60 mm Hg
And
C. INR 2.8
(Of concern is severe hypotension secondary to extensive vasodilation; epidural
clonidine is contraindicated in anticoagulation.)
A fentanyl patch has been prescribed for a patient after multiple musculoskeletal
injuries. The most important reason why the nurse should teach the patient not to
apply heat in the area of the patch is because it might
A. Inactivate the drug
B. Loosen the patch from the skin
, C. Prolong the drug's effect
D. Cause respiratory depression - ✔✔✔ANSWER-D. Cause respiratory depression
A liter of water weighs approx. 1 kg. A patient with heart failure who weighs 176
Ib has been prescribed a loop diuretic with the goal of loss of 1000 mL of
additional urine output in the next 24 hours. The next morning, if the goal is met,
the nurse would expect the patient's weight to be what?
A. 170
B. 172
C. 174
D. 175 - ✔✔✔ANSWER-C. 174
A male patient is prescribed clopidogrel to prevent blood clots after experiencing a
MI. He self-prescribes omeprazole OTC for heartburn. Because omeprazole can
inhibit the efficacy of clopidogrel, it is a priority for the nurse to teach the patient
to report which effect?
A. Dizziness
B. Nausea and vomiting
C. Joint Pain
D. Sudden shortness of breath or chest pain - ✔✔✔ANSWER-D. Sudden shortness
of breath or chest pain
A neonate is born to a known heroin addict. THe infant is exhibiting symptoms of
opioid withdrawal. Which of these nursing issues is the highest priority as the
nurse cares for the neonate in the nursery?
A. Altered nutrition
B. Disturbed sleep
C. Fluid deficit
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 NURSING2EXAM. 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.
