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Ivy Tech Pharmacology FINAL EXAM Questions With Complete Solutions

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.A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq/L -...

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  • October 7, 2024
  • 67
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Ivy Tech Pharmacologym FINAL EXAM
Questions With Complete Solutions
.A nurse in a provider's office is monitoring serum

electrolytes for four older adult clients who take digoxin.

Which of the following electrolyte values increases a client's

risk for digoxin toxicity?

A. Calcium 9.2 mg/dL

B. Calcium 10.3 mg/dL

C. Potassium 3.4 mEq/L

D. Potassium 4.8 mEq/L - ANSWER-C. Potassium 3.4 mEq/L



.A nurse is caring for a client who has a new prescription for

captopril for hypertension. The nurse should monitor the

client for which of the following adverse effects of this

medication?

A. Hypokalemia

B. Hypernatremia

C. Neutropenia

D. Bradycardia - ANSWER-C. Neutropenia



.A nurse is caring for a client who has breast cancer and asks why

she is receiving a combination therapy of cyclophosphamide,

methotrexate, and fluorouracil. The response by the nurse should

include that combination chemotherapy is used to do which of the

following? (Select all that apply.)

A. Decrease medication resistance

B. Attack cancer cells at different stages of cell growth

C. Block chemotherapy agent from entering healthy cells

,D. Stimulate immune system

E. Decrease injury to normal body cells - ANSWER-A. Decrease medication resistance

B. Attack cancer cells at different stages of cell growth

E. Decrease injury to normal body cells



.A nurse is caring for a client who is

starting a course of gentamicin IV for a

serious respiratory infection. For which of

the following manifestations should the

nurse monitor as an adverse effect of

this medication? (Select all that apply.)

A. Pruritus

B. Hematuria

C. Muscle weakness

D. Difficulty swallowing

E. Vertigo - ANSWER-A. Pruritus

B. Hematuria

C. Muscle weakness

E. Vertigo



.A nurse is caring for a client who is prescribed isosorbide

mononitrate for chronic stable angina and develops reflex

tachycardia. Which of the following medications should the

nurse expect to administer?

A. Furosemide

B. Captopril

C. Ranolazine

D. Metoprolol - ANSWER-D. Metoprolol

,.A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10
days for sinusitis. The nurse should assess the client for which of the following adverse effects of this
medication?

A. Sedation

B. Nasal congestion

C. Productive cough

D. Constipation - ANSWER-B. Nasal congestion



.A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The
client begins vomiting blood. After the heparin has been stopped, which of the following medications
should the nurse prepare to administer?

A. Vitamin K

B. Atropine

C. Protamine

D. Calcium gluconate - ANSWER-C. Protamine



.A nurse is collecting data from a client who is taking gemfibrozil. Which of the following assessment
findings should the nurse identify as an adverse reaction to the medication?

A. Mental status changes

B. Tremor

C. Jaundice

D. Pneumonia - ANSWER-C. Jaundice



.A nurse is completing a nursing history for a client who takes simvastatin. The nurse should identify
which of the following disorders as a contraindication to adding ezetimibe to the client's medications?

A. History of severe constipation

B. History of hypertension

C. Active hepatitis C

D. Type 2 diabetes mellitus - ANSWER-C. Active hepatitis C

, .A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of the
following manifestations as adverse effects of daily aspirin therapy? (Select all that apply.)

A. Hypertension

B. Coffee-ground emesis

C. Tinnitus

D. Paresthesias of the extremities

E. Nausea - ANSWER-B. Coffee-ground emesis

C. Tinnitus

E. Nausea



.A nurse is planning to administer ciprofloxacin

IV to a client who has cystitis. Which of the

following actions should the nurse take?

A. Administer a concentrated solution.

B. Infuse the medication over 60 min.

C. Infuse the solution through the primary IV

fluid's tubing.

D. Choose a small peripheral vein for

administration. - ANSWER-B. Infuse the medication over 60 min.



.A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of
enoxaparin 40 mg/0.4 mL to an adult client following small bowel resection. Which of the following
actions should the nurse plan to take?

A. Expel the air bubble from the prefilled syringe before injecting.

B. Insert the needle completely into the client's tissue.

C. Administer the injection in the client's thigh.

D. Aspirate carefully after inserting the needle into the client's skin. - ANSWER-C. Administer the
injection in the client's thigh.



.A nurse is preparing to administer

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