PHARMACOLOGY PRACTICE EVOLVE EXAM QUESTIONS WITH 100% ACCURATE ANSWERS | Exams Public Health

PHARMACOLOGY PRACTICE EVOLVE EXAM

QUESTIONS WITH 100% ACCURATE ANSWERS

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack,

which assessment finding indicates to the nurse that the desired effect has been achieved? - Accurate

answers Client states chest pain is relieved.

Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription

for warfarin Coumadin. In conducting discharge teaching, the nurse advises the client to have which

diagnostic test monitored regularly after discharge? - Accurate answers Prothrombin Time

(PT/INR).

. A healthcare provider prescribes cephalexin monohydrate Keflex for a client with a postoperative

infection. It is most important for the nurse to assess for what additional drug allergy before

administering this prescription? - Accurate answers Penicillin

A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial infarction.

Which medication prescription decreases both preload and afterload? - Accurate answers

Nitroglycerin

Which dosing schedule should the nurse teach the client to observe for a controlled-release oxycodone

prescription? - Accurate answers Every 12 hours

A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the optimum

time for the nurse to obtain the trough level? - Accurate answers Immediately before the next

antibiotic dose is given

After abdominal surgery, a male client is prescribed low molecular weight heparin LMWH. During

administration of the medication, the client asks the nurse why he is receiving this medication. Which is

the best response for the nurse to provide? - Accurate answers This medication is a blood thinner

given to prevent blood clot formation

A client with Parkinson's disease is taking carbidopa-levodopa Sinemet. Which observation by the nurse

should indicate that the desired outcome of the medication is being achieved? - Accurate answers

Lessening of tremors

A client is receiving metoprolol Lopressor SR. What assessment is most important for the nurse to

obtain? - Accurate answers Blood pressure

The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which prescription

should the nurse prepare to administer this client? - Accurate answers Epinephrine

A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which

condition? - Accurate answers Heart failure

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PHARMACOLOGY PRACTICE EVOLVE EXAM

QUESTIONS WITH 100% ACCURATE ANSWERS

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? - Accurate answers Client states chest pain is relieved. Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin Coumadin. In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge? - Accurate answers Prothrombin Time (PT/INR).

. A healthcare provider prescribes cephalexin monohydrate Keflex for a client with a postoperative infection. It is most important for the nurse to assess for what additional drug allergy before administering this prescription? - Accurate answers Penicillin A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial infarction. Which medication prescription decreases both preload and afterload? - Accurate answers Nitroglycerin Which dosing schedule should the nurse teach the client to observe for a controlled-release oxycodone prescription? - Accurate answers Every 12 hours A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the optimum time for the nurse to obtain the trough level? - Accurate answers Immediately before the next antibiotic dose is given After abdominal surgery, a male client is prescribed low molecular weight heparin LMWH. During administration of the medication, the client asks the nurse why he is receiving this medication. Which is the best response for the nurse to provide? - Accurate answers This medication is a blood thinner given to prevent blood clot formation A client with Parkinson's disease is taking carbidopa-levodopa Sinemet. Which observation by the nurse should indicate that the desired outcome of the medication is being achieved? - Accurate answers Lessening of tremors A client is receiving metoprolol Lopressor SR. What assessment is most important for the nurse to obtain? - Accurate answers Blood pressure The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which prescription should the nurse prepare to administer this client? - Accurate answers Epinephrine A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which condition? - Accurate answers Heart failure

Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine arabinoside Arc-C for chemotherapy? - Accurate answers Inspect the client's oral mucosa for ulcerations Which drug is used as a palliative treatment for a client with tumor-induced spinal cord compression? - Accurate answers Dexamethasone Decadron Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan Diovan has been achieved? - Accurate answers Blood pressure reduced from 160/90 to 130/

. Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? - Accurate answers Bismuth subsalicylate Pepto Bismol A client receiving Doxorubicin Adriamycin intravenously IV complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement? - Accurate answers Discontinue the IV fluids The nurse is transcribing a new prescription for spironolactone Adactone for a client who receives an angiotensin-converting enzyme ACE inhibitor. Which action should the nurse implement? - Accurate answers Verify both prescriptions with the healthcare provider The healthcare provider prescribes naloxone Narcan for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective? - Accurate answers The client's respiratory rate is 16 breaths/minute The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement? - Accurate answers Notify the healthcare provider of this finding immediately A client is taking hydromorphone Dilaudid PO q4h at home. Following surgery, Dilaudid IV q4h PRN and butorphanol tartrate Stadol IV q4h PRN are prescribed for pain. The client received a dose of the Dilaudid IV four hours ago, and is again requesting pain medication. What intervention should the nurse implement? - Accurate answers Administer only the Dilaudid q4h PRN for pain The nurse is reviewing the use of the patient-controlled analgesia PCA pump with a client in the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest priority before initiating the PCA pump? - Accurate answers The rate and depth of the client's respirations A client has a continuous IV infusion of dopamine Intropin and an IV of normal saline at 50 ml/hour. The nurse notes that the client's urinary output has been 20 ml/hour for the last two hours. Which intervention should the nurse initiate? - Accurate answers Notify the healthcare provider of the urinary output

. A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The nurse knows that which medication should be contraindicated for this client? - Accurate answers Pentobarbital sodium, Nembutal Sodium for sleep A client is being treated for osteoporosis with alendronate Fosamax, and the nurse has completed discharge teaching regarding medication administration. Which morning schedule would indicate to the nurse that the client teaching has been effective? - Accurate answers Take medication, go for a 30 minute morning walk, then eat breakfast The nitrate isosorbide dinitrate Isordil is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan? - Accurate answers Do not get up quickly, Always rise slowly The nurse is teaching a client with cancer about opioid management for intractable pain and tolerance related side effects. The nurse should prepare the client for which side effect that is most likely to persist during long-term use of opioids? - Accurate answers Constipation A category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client? - Accurate answers Use a reliable form of birth control While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to another type of antiinfective agent should the nurse ask the client about when taking the nursing history? - Accurate answers Cephalosporin's Which instructions should the nurse give to a female client who just received a prescription for oral metronidazole Flagyl for treatment of trichomonas vaginalis? Select all that apply A) Increase fluid intake, especially cranberry juice. B) Do not abruptly discontinue the medication; taper use. C) Check blood pressure daily to detect hypertension. D) Avoid drinking alcohol while taking this medication. E) Use condoms until treatment is completed. F) Ensure that all sexual partners are treated at the same time. - Accurate answers Correct selections are A, D, E, and F Which action is most important for the nurse to implement prior to the administration of the antiarrhythmic drug adenosine Adenocard? - Accurate answers Apply continuous cardiac monitoring Which symptoms are serious adverse effects of beta-adrenergic blockers such as propranolol Inderal? - Accurate answers Wheezing, hypotension, and AV block An antacid Maalox is prescribed for a client with peptic ulcer disease. The nurse knows that the purpose of this medication is to - Accurate answers maintain a gastric pH of 3.5 or above Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin- 2 receptor antagonist irbesartan Avapro? - Accurate answers Risk for injury

A client with osteoarthritis receives a new prescription for celecoxib Celebrex orally for symptom management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse to implement prior to administering the first dose? - Accurate answers Notify the healthcare provider A client who was prescribed atorvastatin Lipitor one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client? - Accurate answers Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect A client who has been taking levodopa PO TID to control the symptoms of Parkinson's disease has a new prescription for sustained release levodopa/carbidopa Sinemet 25/100 PO BID. The client took his levodopa at 0800. Which instruction should the nurse include in the teaching plan for this client? - Accurate answers You can begin taking the Sinemet this evening, but do not take any more levodopa

. A client is receiving methylprednisolone Solu-Medrol 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication? - Accurate answers Serum glucose . A client with hyperlipidemia receives a prescription for niacin Niaspan. Which client teaching is most important for the nurse to provide? - Accurate answers Expected duration of flushing When assessing an adolescent who recently overdosed on acetaminophen Tylenol, it is most important for the nurse to assess for pain in which area of the body? - Accurate answers Abdomen The nurse is preparing the 0900 dose of losartan Cozaar, an angiotensin II receptor blocker ARB, for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first? - Accurate answers Withhold the scheduled dose The healthcare provider prescribes digitalis Digoxin for a client diagnosed with congestive heart failure. Which intervention should the nurse implement prior to administering the digoxin? - Accurate answers Assess the serum potassium level A client with coronary artery disease who is taking digoxin Lanoxin receives a new prescription for atorvastatin Lipitor. Two weeks after initiation of the Lipitor prescription, the nurse assesses the client. Which finding requires the most immediate intervention? - Accurate answers Vomiting . A client is receiving digoxin for the onset of supraventricular tachycardia SVT. Which laboratory findings should the nurse identify that places this client at risk? - Accurate answers Hyperkalemia A client with giardiasis is taking metronidazole Flagyl 2 grams PO. Which information should the nurse include in the client's instruction? - Accurate answers Take the medication with food A client's dose of isosorbide dinitrate Imdur is increased from 40 mg to 60 mg PO daily. When the client reports the onset of a headache prior to the next scheduled dose, which action should the nurse implement? - Accurate answers Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen Tylenol

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PHARMACOLOGY PRACTICE EVOLVE EXAM

QUESTIONS WITH 100% ACCURATE ANSWERS