NUR 2474 Exam 2: Pharmacology for Professional Nursing Exam 2 (Latest 2022/2023) Rasmussen
Chapter-41
Questions
1.ID: 7
A patient is brought to the emergency department with shortness of breath, a respiratory rate of 30 breaths per minute, intercostal retractions, and frothy, pink sputum. T...
nur 2474 exam 2 pharmacology for professional nursing exam 2 latest 20222023 rasmussen chapter 41 questions 1id 3772679757 a patient is brought to the emergency department with shortness of br
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NUR 2474 Exam 2: Pharmacology for Professional Nursing
Exam 2 (Latest 2022/2023) Rasmussen
Chapter-41
Questions
1.ID: 3772679757
A patient is brought to the emergency department with shortness of breath, a respiratory rate of 30 breaths per minute, intercostal retractions, and frothy, pink sputum. The nurse caring for this patient will expect to administer which drug?
Furosemide [Lasix] Correct Hydrochlorothiazide [HydroDIURIL]
Mannitol [Osmitrol]
Spironolactone [Aldactone]
2.ID: 3772679749
A patient who is taking digoxin is admitted to the hospital for treatment of congestive heart failure. The prescriber has ordered furosemide [Lasix]. The nurse notes an irregular heart rate of 86 beats per minute, a respiratory rate of 22 breaths
per minute, and a blood pressure of 130/82 mm Hg. The nurse auscultates crackles in both lungs. Which laboratory value causes the nurse the most concern?
Blood glucose level of 120 mg/dL Oxygen saturation of 90%
Potassium level of 3.5 mEq/L Correct Sodium level of 140 mEq/L
3.ID: 3772679751
A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which diuretic agent ordered by the prescriber should the nurse question?
Bumetanide [Bumex]
Furosemide [Lasix]
Spironolactone [Aldactone] Correct Hydrochlorothiazide [HydroDIURIL]
4.ID: 3772679741
A nurse preparing to administer morning medications notes that a patient with a history of hypertension has been prescribed spironolactone [Aldactone]. The nurse assesses the patient and notes dyspnea, bilateral crackles, and pitting edema in both feet. Which intervention is appropriate?
Administer the medications as ordered.
Ask the patient about the use of salt substitutes.
Contact the provider to request an order for serum electrolytes. Request an order for furosemide [Lasix]. Correct
5.ID: 3772679753 A patient with hypertension is taking furosemide [Lasix] for congestive heart failure. The prescriber orders digoxin to help increase cardiac output. What other medication will the nurse expect to be ordered for this patient?
Bumetanide [Bumex] Chlorothiazide [Diuril] Hydrochlorothiazide [HydroDIURIL]
Spironolactone [Aldactone] Correct
6.ID: 3772679739
A patient who was in a motor vehicle accident sustained a severe head injury and is
brought into the emergency department. The provider orders intravenous
mannitol [Osmitrol]. The nurse knows that this is given to:
reduce intracranial pressure. Correct reduce renal perfusion.
reduce peripheral edema.
restore extracellular fluid.
7.ID: 3772679743
A patient is taking gentamicin [Garamycin] and furosemide [Lasix]. The nurse
should counsel this patient to report which symptom?
Frequent nocturia
Headaches
Ringing in the ears Correct
Urinary retention
8.ID: 3772679745
An older adult patient with congestive heart failure develops crackles in both lungs and pitting edema of all extremities. The physician orders hydrochlorothiazide [HydroDIURIL]. Before administering this medication, the nurse reviews the patient’s chart. Which laboratory value causes the nurse the most concern?
Elevated creatinine clearance Correct Elevated serum potassium level Normal blood glucose level
Low levels of low-density lipoprotein (LDL) cholesterol
9.ID: 3772679755
A patient with chronic congestive heart failure has repeated hospitalizations in spite of ongoing treatment with hydrochlorothiazide [HydroDIURIL] and digoxin. The prescriber has ordered spironolactone [Aldactone] to be added to this patient’s drug regimen, and the nurse provides education about this medication. Which statement by the patient indicates understanding of the teaching?
“I can expect improvement within a few hours after taking this drug.”
“I need to stop taking potassium supplements.” Correct
“I should use salt substitutes to prevent toxic side effects.” “I should watch closely for dehydration.” 10.ID: 3772679747
Besides having diuretic effects for patients with congestive heart failure, thiazides are also used to treat what? (Select all that apply.)
Diabetes insipidus Correct Hepatic failure Correct Increased intracranial pressure Intraocular pressure
Postmenopausal osteoporosis Correct
Chapter-42
1. A patient who is a chronic alcoholic is admitted to the hospital. Admission laboratory work reveals a magnesium level of 1.2 mEq/L. The prescriber orders intravenous magnesium sulfate in a 10% solution at a rate of 10 mL/min. What will the nurse do?
Administer the IV dose as ordered and have calcium gluconate on hand. Administer the IV dose and make preparations for mechanical ventilation.
Hold the IV dose until the infusion rate has been clarified with the provider. Correct Request an order for renal function tests before administering the IV dose.
2.ID: 3772725808
A patient who was injured at home is brought to the emergency department. The nurse caring for this patient notes a respiratory rate of 32 breaths per minute and a heart rate of 90 beats per minute. The injuries are minor, but the patient is inconsolable and hysterical. The nurse expects that initial management will include: administering a gas mixture of 5% carbon dioxide (CO2). Correct
providing 100% oxygen via nasal cannula. giving sodium bicarbonate IV.
providing sedatives to calm the patient. 3.ID: 3772723694
A child who ingested a handful of aspirin tablets from a medicine cabinet at home is brought to the emergency department. The nurse caring for the child notes a respiratory rate of 48 breaths per minute. The nurse understands that this child’s respiratory rate is the result of the body’s attempt to compensate for:
metabolic acidosis. Correct
metabolic alkalosis. respiratory acidosis. respiratory alkalosis.
4.ID: 3772725804
A patient with congestive heart failure is admitted to the hospital. During the admission assessment, the nurse learns that the patient is taking a thiazide diuretic. The nurse notes that the admission electrolyte levels include a sodium level of 142 mEq/L, a chloride level of 95 mEq/L, and a potassium level of 3 mEq/L. The prescriber has ordered digoxin to be given immediately. What will the nurse do initially?
Give the digoxin and maintain close cardiac monitoring.
Hold the digoxin and report the laboratory values to the provider. Correct Hold the thiazide diuretic and give the digoxin.
Request an order for an electrocardiogram (ECG). 5.ID: 3772725816
A patient collapses after running a marathon on a hot day and is brought to the emergency department to be treated for dehydration. The nurse will expect to provide which therapy?
Intravenous hypertonic fluids given slowly over several hours Intravenous hypotonic fluids administered in stages Correct Intravenous isotonic fluids given as a rapid bolus
Oral electrolyte replacement fluids with potassium 6.ID: 3772725802
A nurse is caring for a child whose respirations are shallow and marked by a prolonged expiratory phase. The nurse auscultates wheezes and poor air movement bilaterally. The child’s respiratory rate is 26 breaths per minute, and the oxygen saturation is 89%. What does the nurse suspect?
Metabolic acidosis Metabolic alkalosis Respiratory acidosis Correct Respiratory alkalosis
7.ID: 3772723696
A nurse is caring for a postoperative patient who has a nasogastric tube with continuous suction. The nurse notes that the patient has shallow respirations and suspects that this patient has developed:
metabolic acidosis. metabolic alkalosis. Correct
respiratory acidosis. respiratory alkalosis.
8.ID: 3772725810
While performing an admission assessment on a patient, the nurse learns that the patient is taking furosemide [Lasix], digoxin, and spironolactone [Aldactone]. A diet history reveals the use of salt substitutes. The patient is confused and dyspneic
and complains of hand and foot tingling. Which is an appropriate nursing action for
this patient?
Contact the provider to request orders for an electrocardiogram and serum electrolyte levels. Correct
Evaluate the patient’s urine output and request an order for intravenous potassium. Hold the next dose of furosemide and request an order for intravenous magnesium sulfate.
Request an order for intravenous insulin to help this patient regulate extracellular potassium.
9.ID: 3772723698
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