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Exam (elaborations)

Pharmacology drugs (final hesi) evolve Exam

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Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the next nursing action? - ANS Stop the transfusion. The healthcare provider prescribes an intravenous medication for a client who has been admitted for a chronic obstructive pulmonary disease ...

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  • November 21, 2024
  • 14
  • 2024/2025
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Pharmacology drugs (final hesi) evolve
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Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the
next nursing action? - ANS Stop the transfusion.

The healthcare provider prescribes an intravenous medication for a client who has been
admitted for a chronic obstructive pulmonary disease exacerbation. When preparing to initiate
an intravenous line, the nurse applies the tourniquet to select the site. When should the nurse
release the tourniquet? - ANS When the needle enters the vein

A nurse is teaching an older adult client about managing chronic pain with acetaminophen.
Which client statement indicates that the teaching is effective? - ANS "I have to be careful
about which over-the-counter cold preparations I take when I have a cold."

Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the
nurse what this medication does. Which action does the nurse mention when replying? - ANS
Inhibits gastric acid secretion

A client who had a kidney transplant develops leukopenia 3 weeks after surgery. What does the
nurse conclude is the most probable cause of the leukopenia? - ANS Antirejection
medications

After surgery a client develops a deep vein thrombosis and a pulmonary embolus. Heparin via a
continuous drip is prescribed. Several hours later, vancomycin intravenously every 12 hours is
prescribed. The client has one intravenous (IV) site: a peripheral line in the left forearm. What
action should the nurse take? - ANS Start another IV line for the vancomycin and continue
the heparin as prescribed.

A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of
cerebral edema after surgery, the nurse anticipates the use of drugs from which class? - ANS
Steroids

A health care provider prescribes ranitidine for a client with heartburn. During a teaching
session, which information will the nurse share with the client about how this drug works? - ANS
Ranitidine reduces gastric acidity in the stomach

, A Total Parenteral Nutrition (TPN) solution is prescribed to infuse one liter every 12 hours for a
malnourished client. What is most important for the nurse to monitor? - ANS Serum
glucose levels

Which medication does the nurse anticipate will be prescribed to relieve anxiety and
apprehension in a client with pulmonary edema? - ANS Morphine

Hydrochlorothiazide, a thiazide diuretic, has been prescribed for a client with hypertension. The
client reports hearing that furosemide is more effective and requests a prescription change. How
should the nurse respond? - ANS "HCTZ has fewer side effects."

Which action should the nurse take first when a client's gravity flow IV rate is too slow? - ANS
Evaluate the appearance of the catheter insertion site

A client is scheduled for discharge following surgery. The medical record indicates that the client
has not had a bowel movement since before surgery, which was 4 days ago. During the hospital
stay, the client received a stool softener daily and an oral laxative the day before discharge.
Which one of the prescribed medications should the nurse administer to ensure a bowel
movement prior to discharge? - ANS Bisacodyl 10-mg suppository

A nurse is instructing a group of volunteer nurses on the technique of administering the
smallpox vaccine. What injection method should the nurse teach? - ANS Intradermal
scratch

The health care provider prescribes propylthiouracil (PTU) for a client with the diagnosis of
Graves' disease. What should the nurse teach the client when discussing the self-administration
of this medication? - ANS Observe for signs of infection

A client is diagnosed with tuberculosis associated with human immunodeficiency virus infection.
What crucial laboratory test results should the nurse review before antitubercular
pharmacotherapy is started? - ANS Liver function studies

A nurse is administering an intradermal skin test injection to a client. What is the next action the
nurse needs to do after the medication has been injected? - ANS Withdraw the needle and
place a piece of gauze over the injection site.

The person with which type of blood is known to be the universal recipient? - ANS AB

A client is considered to be in septic shock when what changes are assessed in the client's
labwork? - ANS An increased serum lactate level

A nurse is giving an educational program to paramedics who have volunteered to give the
smallpox vaccine in a community vaccination drive. Which type of needle and method of

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