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1 BSN 315 HESI RN SPECIALTY PHARMACOLOGY EXAM V1, V2 &
STUDY GUIDE ALL 550+ QUESTIONS WITH CORRECT DETAILED
ANSWERS LATEST UPDATE THIS YEAR - JUST RELEASED
BSN 315 HESI RN SPECIALTY PHARMACOLOGY EXAM V1
QUESTION: A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved?Client denies recent episodes of angina.Change in peripheral edema from +3 to +1.Client denies recent nausea or vomiting.
Blood pressure has changed from 180/120 to 140/70 mmHg. - ANSWER-D:
Catapres acts as a centrally-acting analgesic and antihypertensive agent. A reduction of the blood pressure to 140/70 mmHg indicates a reduction in hypertension.
QUESTION: 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?Increase consumption of potassium-rich foods since low potassium levels can cause muscle spasms. 1 / 4
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2 Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia, a cause of cramping.Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect.Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness of
the drug. - ANSWER-C:
Myopathy, suggested by the leg pain and weakness, is a serious, and potentially life- threatening, complication of Lipitor, and should be evaluated immediately by the healthcare provider.
QUESTION: Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis?Loperamide (Imodium).Probanthine (Propantheline).Bismuth subsalicylate (Pepto Bismol).
Diphenoxylate hydrochloride with atropine (Lomotil). - ANSWER-C:
Bismuth subsalicylate (Pepto Bismol) contains a subsalicylate that increases the potential for salicylate toxicity when used concurrently with aspirin (acetylsalicylic acid, another salicylate preparation).
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3 QUESTION: A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The nurse knows that which medication would be contraindicated for this client?Liothyronine (Cytomel) to replace iodine.Furosemide (Lasix) for relief of fluid retention.Pentobarbital sodium (Nembutal Sodium) for sleep.
Nitroglycerin (Nitrostat) for angina pain. - ANSWER-C:
Persons with myxedema are dangerously hypersensitive to narcotics, barbiturates and anesthetics.
QUESTION: 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?Sedation.Constipation.Urinary retention.
Respiratory depression. - ANSWER-B:
The client should be prepared to implement measures for constipation which is the most likely persistent side effect related to opioid use. Tolerance to opiate narcotics is common, and the client may experience less sedation and respiratory depression as analgesic use continues. 3 / 4
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4 Opioids increase the tone in the urinary bladder sphincter, which causes retention but may subside. The most likely persistent side effect is constipation.
QUESTION: A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24 hours. What dosing schedule is best for the nurse to implement?q6h.QID.AC and bedtime.
PC and bedtime. - ANSWER-A:
Pronestyl is a class 1A antidysrhythmic. It should be taken around-the-clock, so that a stable blood level of the drug can be maintained, thereby decreasing the possibility of hypotension (an adverse effect) occurring because of too much of the drug circulating systemically at any particular time of day. Pronestyl may be given with food if GI distress is a problem.Which method of medication administration provides the client with the greatest first-pass effect?Oral.Sublingual.Intravenous.
Subcutaneous. - ANSWER-A:
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