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PN PHARMACOLOGY ONLINE PRACTICE 2023 A Questions with Correct Answers.
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PN PHARMACOLOGY ONLINE PRACTICE 2023 A Questions with Correct Answers.
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PN PHARMACOLOGY ONLINE PRACTICE 2023A Questions with Correct Answers
A nurse is reinforcing teaching with a client who has a new prescription
for omeprazole oral capsules. Which of the following instructions should
the nurse include? Correct Answer-Swallow the medication whole.
The nurse should instruct the client to swallow the capsules or tablets
whole and not chew or crush them. Omeprazole, a proton pump
inhibitor, blocks the secretion of gastric acid. It is available in delayed-
release capsules and over the counter in delayed-release tablets, as well
as suspensions and powders.
A nurse is reinforcing teaching about comfort measures with the
guardian of a 10-year-old child who has a viral infection. The nurse
should plan to tell the parent that aspirin is contraindicated because of
the risk for which of the following conditions? Correct Answer-Reye
syndrome
Aspirin is contraindicated for children and adolescents who have a viral
illness because it increases the risk for the development of Reye
syndrome.
A nurse is caring for a client who has a prescription for an IM injection
of penicillin G benzathine. The client asks why the injection must be
given IM instead of through the IV line. Which of the following
responses should the nurse make? Correct Answer-"Your medication
can't be given IV because it is not water-soluble."
The nurse should inform the client this type of penicillin has poor water
solubility and is never administered intravenously.
,A nurse is planning to reinforce teaching about newborn immunizations
with a client who is 24 hr postpartum. Which of the following
information should the nurse plan to include? Correct Answer-"Your
baby will receive the first hepatitis B vaccine before discharge."
The newborn should receive the first hepatitis B vaccine at birth, with
the next dose at age 1 to 2 months.
A client comes to an urgent care clinic and announces with great
enthusiasm, "I am an expert at all things medical as they apply to me,
and I require zolpidem." The client's pupils are dilated, along with an
elevated heart rate and blood pressure level. The nurse should suspect
intoxication with which of the following substances? Correct Answer-
Cocaine
The client who has cocaine toxicity typically has tachycardia, elevated
blood pressure, dilated pupils, and displays delusions. This client's
behavior and physiological data indicate cocaine intoxication.
A nurse is caring for a client who is receiving 0.9% sodium chloride
1,000 mL to infuse over 8 hr. The drop factor on the manual IV tubing is
15 gtt/mL. The nurse should ensure that the manual IV infusion is set to
deliver how many gtt/min? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer-31 gtt/min
A nurse is reinforcing teaching with a client who has a prescription for
alendronate. Which of the following client responses indicates to the
nurse an understanding of the teaching? Correct Answer-"I will take the
medication with 8 ounces of water."
, The client should take alendronate on an empty stomach with 240 mL (8
oz) of water to ensure it does not lodge in the esophagus, which can
result in esophageal ulcerations.
A nurse is monitoring a client who has been receiving long-term
hydrochlorothiazide therapy for recurring episodes of heart failure.
Which of the following findings should the nurse identify as an adverse
effect of this medication? Correct Answer-Hypokalemia
Hydrochlorothiazide is a thiazide diuretic that can cause hypokalemia
due to excessive potassium excretion in the urine.
A nurse is performing the third check before administering
hydromorphone to a client. After opening the unit-dose packet, the client
tells the nurse they do not want to take the medication now. Which of
the following actions should the nurse take? Correct Answer-Dispose of
the medication with a second nurse as a witness.
The nurse is legally required to have a witness when disposing of a
controlled substance.
A nurse is reinforcing teaching with a newly licensed nurse about using
metoprolol to treat hypertension. Which of the following conditions
should the nurse include as a contraindication for this medication?
Correct Answer-Bradycardia
Metoprolol is a beta blocker that slows the conduction through the AV
node. Therefore, it is contraindicated for clients who have bradycardia,
or a heart rate that is consistently less than 60/min.
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