PHARM MIDTERM - N3300 Questions with Correct Answers
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RN- Nursing
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RN- Nursing
What is the most serious side effect of lovastatin? correct answer Rhabdomyolysis
The nurse is preparing a client for discharge who will receive a prescription for a hydroxymethylglutaryl-coenzyme A (HMG-CoA) inhibitor. What statement by the client demonstrates a clear understanding of the teach...
PHARM MIDTERM - N3300 Questions with Correct
Answers
What is the most serious side effect of lovastatin? correct answer✔✔
Rhabdomyolysis
The nurse is preparing a client for discharge who will receive a
prescription for a hydroxymethylglutaryl-coenzyme A (HMG-CoA)
inhibitor. What statement by the client demonstrates a clear
understanding of the teaching provided by the nurse? correct answer✔✔
"I should plan to take this drug before bedtime, because my body makes
lipids mostly at night."
The nurse is caring for a 76-year-old client who is receiving IV heparin
5000 units q4h. At the initiation of therapy, the client's control activated
thromboplastin time (aPTT) was found to be 35 seconds. One hour prior
to the next scheduled dose, aPTT is determined to be 92 seconds. Based
on this result, the nurse will: correct answer✔✔ hold the dose and
contact the provider.
A female client is started on warfarin therapy. The client asks the nurse
why she is no longer on heparin therapy. What differentiates heparin
from warfarin? correct answer✔✔ Heparin is administered parenterally,
while warfarin is administered orally.
A client is receiving low-molecular-weight heparin (LMWH) to prevent
thromboembolic complications. The nursing student asks the instructor
the reason why this treatment is given instead of heparin. What is the
instructor's best explanation of the rationale for LMWH over heparin?
,correct answer✔✔ "LMWH is associated with less thrombocytopenia
than standard heparin."
A client asks how ezetimibe will help to treat high lipid levels. The
nurse explains that: correct answer✔✔ It decreases the absorption of
cholesterol in the small intestine.
A client is being administered heparin IV and has been started on
warfarin. The client asks the nurse why both medications have been
prescribed. What is the nurse's most accurate response? correct
answer✔✔ "Warfarin takes 3-5 days to develop anticoagulant effects,
and you still need heparin."
A 70-year-old resident of a long-term care facility has experienced
increasing pain, swelling, and redness to her lower leg over the past 12
hours, prompting the care providers at the facility to have the woman
brought to the local emergency department. Diagnostic testing has
confirmed deep vein thrombosis (DVT) and an IV infusion of alteplase
(Activase) has been initiated. Unlike anticoagulants, a thrombolytic such
as alteplase can correct answer✔✔ break down existing clots.
A nurse has an order to administer heparin. Before initiating this
therapy, a priority nursing assessment will be the client's: correct
answer✔✔ aPTT
A client is taking atorvastatin calcium to reduce serum cholesterol.
Which aspect of client teaching is most important? correct answer✔✔
Call the health care provider if muscle pain develops.
, The effects of warfarin (Coumadin) are monitored by what laboratory
test(s)? correct answer✔✔ PT and INR
A client's serum cholesterol is 286 mg/dL. Lovastatin (Mevacor) is
prescribed. The nurse plans care based on the fact that the action of
lovastatin: correct answer✔✔ inhibits the production of cholesterol.
A client is to receive enoxaparin. The nurse would administer this drug
by which route? correct answer✔✔ subcutaneous injection
A 60-year-old client experienced a sudden onset of chest pain and
shortness of breath and was subsequently diagnosed with a pulmonary
embolism in the emergency department. The client has been started on
an intravenous heparin infusion. How does this drug achieve therapeutic
effect? correct answer✔✔ By inactivating clotting factors and thus
stopping the coagulation cascade
A nurse is caring for a 64-year-old female client who is receiving IV
heparin and reports bleeding from her gums. The nurse checks the
client's laboratory test results and finds that she has a very high aPTT.
The nurse anticipates that which drug may be ordered? correct
answer✔✔ protamine sulfate
An 18-year-old woman who takes birth control pills and is a heavy
smoker is scheduled for abdominal surgery. Which of the following
post-surgical nursing interventions would be most important to prevent
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