Pharmacology 314 - Exam 4 Questions with

Pharmacology 314 - Exam 4 Questions with 100% Verified Correct Answers The nurse is caring for the patient taking desmopressin (DDAVP) for mild hemophilia A. Which laboratory result should the nurse be particularly attentive?

• Sodium 120 mEq/L
• Potassium 3.7 mEq/L
• BUN 12 mg/dL
• ALT 30 IU/L - Correct Answer A

The nurse is caring for the patient with moderate hemophilia A receiving recombinant factor VIII replacement. Which action by the nurse recognizes the most common adverse effect of this drug?

• Administers acetaminophen before treatment.
• Assures epinephrine SQ is available.
• Encourages a high fiber diet and fluids.
• Prepares seizure precautions. - Correct Answer B

A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy. Which of the following values should the nurse report to the provider?

• Platelets 156,000/mm3
• PT 12 seconds
• PTT 34 seconds
• Fibrinogen 85 mg/dL - Correct Answer D

The nurse is caring for the patient with cardiogenic shock. Which drug does the nurse anticipate administering?

• Blood products
• Norepinephrine
• Epinephrine
• Dobutamine - Correct Answer D

The nurse is caring for the patient with anaphylactic shock. Which drug does the nurse anticipate administering?

• Blood products 1 / 4

• Norepinephrine
• Epinephrine
• Dobutamine - Correct Answer B

The nurse is caring for the patient with hemorrhagic shock. Which drug does the nurse anticipate administering?

• Blood products
• Norepinephrine
• Epinephrine
• Dobutamine - Correct Answer A

IV fluids are ordered for the patient in hypovolemic shock. What fluid does the nurse anticipate administering?

• 0.9% normal saline
• 0.45% normal saline

C. D5W

• D5 ½ normal saline - Correct Answer A

IV fluids are ordered for the patient in hypovolemic shock. Select all fluids that are considered isotonic.

• 0.9% normal saline
• Lactated ringers

C. D5W

• Plasmalyte - Correct Answer A, B, D

The pediatric patient presents with dehydration and hypernatremia. What fluid does the nurse anticipate administering?

• 0.9% normal saline
• 0.45% normal saline
• Lactated ringers
• Plasmalyte - Correct Answer B 2 / 4

The nurse is administering an IV solution that contains sugar. Which of the following could be included? SATA

• 0.9% normal saline
• 0.45% normal saline

C. D5W

• D5 ½ normal saline - Correct Answer C, D

Shock is a problem with:

• perfusion
• infection
• inflammation
• ventilation - Correct Answer A

what is the cause of hypovolemic shock? - Correct Answer bleeding what is the cause of distributive shock? - Correct Answer anaphylaxis what is the cause of cariogenic shock? - Correct Answer MI what is the cause of neurogenic shock? - Correct Answer spinal cord trauma Which of the following clinical manifestations would NOT be expected in the patient with an acquired bleeding disorder?

• Fever
• Tachycardia
• Melena
• Epistaxis - Correct Answer A

Cirrhosis of the liver can cause a reduction of PT, aPTT, and platelets and is a very ominous disease.What is the role of the liver with bleeding disorders?

• The liver produces most coagulation factors
• The liver metabolizes toxins that can destroy coagulation factors 3 / 4

• The liver does not have a direct role in coagulation
• The liver produces bile, which is necessary for the production of platelets - Correct Answer A

The provider orders an isotonic fluid. Which should the nurse plan to administer?

A. D5 1/2 NS

B. 3% NS

C. 0.9% NS

• D5 1/4 NS - Correct Answer C

Which fluid is the closest in content to blood?

• Normal saline
• Lactated ringers
• Dextrose in water
• Plasmalyte - Correct Answer D

The patient's potassium is 3.9. Which of the following foods would the nurse recommend removing from the diet?

• Milk
• Spinach
• Coffee
• Apples - Correct Answer B

The nurse is administering normal saline over a long period of time. Which acid-base imbalance is most likely to occur?

• Metabolic acidosis
• Metabolic alkalosis
• Respiratory acidosis
• Respiratory alkalosis - Correct Answer A

Your patient has severe diarrhea and vomiting. Laboratory results indicate a sodium level of 162 mEq/L. What fluid would be appropriate to administer (select all that apply)?

• D5W
• / 4