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Pharmacology FINAL Exam - Concorde RN Questions With Complete Solutions
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Pharmacology FINAL Exam - Concorde RN Questions With Complete Solutions
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Pharmacology FINAL Exam - Concorde RN Questions WithComplete Solutions
A client had a 1000-mL bag of 5% dextrose in 0.9% NaCl hung
at 3 pm. At 3:45 pm the client is complaining of a pounding
headache and is dyspneic, is experiencing chills, and is
apprehensive, with an increase pulse rate. The I.V. bag has
400mL remaining. The nurse should take which action FIRST?
Correct Answer Slow the I.V. infusion
A client has a new prescription for brimonidine (Alphagan)
ophthalmic, one drop three times a day. He tells the nurse he
also wears soft contact lenses and wants to know whether he can
put the drops in his eyes with the lenses in place. Which of the
following should the nurse tell this client? Correct Answer
"Take the contact lens out of your eye, then instill the eye drop,
and wait at least 15 minutes before putting the contact lens back
in place"
A client has just undergone insertion of a central venous catheter
at the bedside. The nurse would be sure to check which results
before initiating the flow rate of the client's IV solution at 100
mL/hr? Correct Answer Portable chest x-ray film
A client involved in a crash comes to the ED with severe
internal bleeding, is severely hypotensive and unresponsive.
Which IV solution will most likely be prescribed increase
intravascular volume, replace immediate blood loss volume, and
increase blood pressure? Correct Answer 5% dextrose in
lactated Ringer's
,A client is admitted to undergo a surgical procedure. The nurse
should be aware that which of the following preexisting
conditions may be a contraindication for the use of ketamine
(Ketalar) as an intravenous anesthetic for this client? Correct
Answer Schizophrenia.
Because ketamine effect could include hallucinations
A client is prescribed long-term use of oral prednisone for
treatment of chronic asthma. The nurse should instruct the client
to watch for which of the following? Correct Answer Weight
gain and fluid retention
A client rings the call bell and complains of pain at the site of an
I.V. infusion. The nurse assesses the site and determines that
phlebitis has developed. The nurse should take which action(s)
in the care of this client? (Select all) Correct Answer Notify
HCP.
Remove I.V. catheter at that site.
Apply warm moist packs to the site.
Document the occurrence , actions taken, and the client's
response.
A client who has a new prescription to start buspirone (BuSpar)
in place of diazepam (Valium). The client has panic disorder and
cirrhosis of the liver. The client asks why is provider is making
the medication change. Which of the following statements is an
appropriate response by the nurse? Correct Answer "Buspirone
has less risk for dependency than other treatment options"
, A client who has increased intracranial pressure is receiving
mannitol (Osmtrol). Which of the following findings should the
nurse report to the provider? Correct Answer Dyspnea
A client with MI and impaired renal function has had I.V. fluids
infusing at 100 mL/hour for 24 hours. The nurse notes that the
client is breathing rapidly and is coughing. The nurse determines
that the client is most likely experiencing which complication of
I.V. therapy? Correct Answer Circulatory overload
A client's medication history shows that he is taking digoxin
(Lanoxin), an antihypertensive medication, and NSAIDs. The
client has a new prescription for torsemide (Demadex). The
nurse should plan to monitor for which of the following
medication interactions? (Select all) Correct Answer
Hypokalemia.
Hypotension.
Low urine output.
Ventricular dysrhythmias.
Hint: only 1 not selected - digoxin
A health care provider has written a prescription to discontinue
I.V. line. The nurse should obtain which item from the unit
supply area for applying pressure to the site after removing the
I.V. catheter? Correct Answer Sterile 2x2 gauze
A nurse in a provider's office is instructing a parent how to
administer ear drops. Which of the following instructions should
the nurse include? (Select all) Correct Answer "Place the child
on his unaffected side ....."
"Warm the medication by gently rolling it ...."
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