NURS 242 PHARMACOLOGY ACTUAL EXAM 2024 WITH 200
QUESTIONS AND CORRECT VERIFIED ANSWERS GRADED
A / NURS 242 PHARMACOLOGY EXAM FOR MIDTERM /
FINAL EXAM PREPARATION (GUARANTEE OF A)
A pt who is diagnosed with HF is prescribed digoxin and amiodarone. Which clinical manifestation would the nurse assess for if these medications are co administered?Bradycardia The cardiac monitor alarm alerts the nurse that a pt is experiencing paroxysmal supra ventricular tachycardia (PSVT) with a heart rate of 180 bpm. Which fast acting medication would the nurse expect to administer?Adenosine When administering adenosine, which action by the nurse is correct?Ensure patency and placement of a large-bore IV catheter In order to produce asystole that quickly converts into a sinus rhythm, the nurse administers which drug?Adenosine which medication is used to treat acutely decompensated heart failure?Nesiritide name a drug that will reduce the therapeutic effects of digoxin if it is taken concurrently?cholestyramine
Reason: it interacts with dig by decreasing the absorption which reduce the
therapeutic effects A pt with a history of gastroesophageal reflux asks the nurse if it is okay to take over the counter meds for heartburn with the newly prescribed antidysrhythmic drug. Which response by the nurse is correct? 1 / 3
Take an antacid, if need 2 hours before 2 hours after the antidysrhythmic The nurse would monitor for which adverse effect after amiodarone is administered?Dyspnea photosensitivity hyperthyroidism elevated liver enzymes A pt has received three times the prescribed dose of propafenone in error. The charge nurse is called into the room and observes that the pt is unresponsive with no pulse. which is the nurses priority action?Begin CPR efforts When preparing a teaching plan for a pt with a new prescription for amiodarone, which food and drink would the nurse advise the pt to avoid?Grapefruit juice Which common adverse effect is found with the use of beta blockers?Altered blood glucose levels Which antipsychotic drug prolongs the QT interval?Haldoperidol A nurse understands that warfarin works by affecting which substance?Vitamin K The pt is being treated with a continuous intravenous infusion of heparin. Which action is the nurses highest priority?Have protamine sulfate readily available at all times A pt who is on enoxaparin therapy has hematuria, melena, petechiae, and bleeding from the gums. which treatment strategy will be beneficial for the pt?Administering protamine sulfate A pt with A fib is admitted to the ER for symptoms of warfarin toxicity. the primary health care provider instructs the nurse to administer 6mg of vitamin K to 2 / 3
the pt. which medication would be included in the pts prescription to provide safe and effective treatment?Enoxaparin A pt started on warfarin therapy while also receiving intravenous heparin. The pt is concerned about the risk of bleeding. which information will the nurse give the pt?It usually takes about 3 days to achieve a therapeutic effect for warfarin, so the heparin is continued until the warfarin is therapeutic.A pt is admitted to the emergency department because of symptoms of a thrombolytic stroke. which med would the nurse expect to be prescribed for the pt?Alteplase A pt who was admitted with DVT is complaining of difficulty breathing and chest pain. Which is the most likely cause of these symptoms?Embolus to the lungs A pt who is receiving heparin therapy has bruises covering the abdomen as well as red-colored urine. Which assessment does the nurse need to address?Platelet level The nurse monitoring a pt receiving alteplase for treatment of an arterial embolism in the left leg. Which finding indicates that the therapy is effective?Left leg is warm to touch After talking with a pt who is receiving warfarin sodium therapy, the nurse believes that the pt is at an increased risk for bleeding. Which statement made by the pt supports the nurses conclusion?I take ginkgo supplements for memory enhancement A pt is diagnosed with hemphilia. Which medication therapy is essential?Recombinant factors A pt who has been taking warfarin is admitted with coffee ground emesis. Which medication would the nurse anticipate being prescribed for this pt?Vitamin K Which subclass of anticoagulants may cause the adverse effect of purple toes?
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