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PHARMACOLOGY HESI FINAL EXAM 2024/Questions with 100% Correct Verified Answers/ Rated A+
The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye drops? a.Refraction
- Eye convergence
- Pupillary constriction
- Accommodation - answer- C.
Prior to administering a scheduled dose of verapamil HCl to a client with a history of angina, which finding should the nurse review?
- Respiratory rate.
- Oxygen saturation.
- Serum potassium.
- Blood pressure. - answer- D.
The nurse is administering the sixth intravenous dose of gentamycin to a client with extensive full thickness burns. Which assessment finding warrants further investigation?
- Complaints of a sore mouth and three episodes of diarrhea that began this morning.
- Urinary output of 400 ml of clear, amber colored urine in the past eight hours.
- Serum creatinine level of 1.6 mg/L, a blood urea nitrogen (BUN) of 20 mg/dL.
- White blood count of 9,000/mm3 and an oral temperature of 98.2 f two hours ago. - answer- C.
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2 A client with pneumonia who has an emergent episode of respiratory distress is intubated and transferred to the intensive care unit. The client's chest x-ray shows consolidation in the left lobe, and physical assessment reveals diminished lung sounds. The nurse administers acetylcysteine as prescribed per nebulization via endotracheal tube. Which therapeutic response of this medication should the nurse expect?
- Unpleasant smell when using this medication.
- Hypotension.
- Increased sputum, requiring suctioning.
- Bronchodilation and wheezing. - answer- C.
A client who has a kidney transplant last week is receiving cyclosporine, an immunosuppressant. This morning the client is complaining of a headache and blured vision. Based on which assessment finding should the nurse withhold the medication until the healthcare provider is notified? a. Temperature of
100.8 F.
- Blood pressure 180/98 mm HG
- Elevated blood urea nitrogen (BUN)
- Renal output of 120ml/hr. - answer- B.
A older male client is being discharged after a myocardial infacrtion (MI) and receives a new prescription for atenolol. Which instruction is most important for the nurse to include in her clients teaching plan? a.Avoid intake of alcoholic beverages.
- Avoid driving or operating machinery.
- Take a missed dose as soon as possible.
- Standing slowly when getting up from bed - answer- D.
The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with methicillinresistant staphylococcus aureus (MRSA). Review of the client's laboratory values shows that serum peak and trough levels are within the desired therapeutic range and the serum creatinine level is 4.5 mg/dL. Which action should the nurse implement?
- Withhold the next scheduled dose and contact the healthcare provider.
- Monitor the laboratory values until all prescribed doses have been given.
- Administer the next dose and flag the results for the healthcare provider.
- Insert a second IV catheter for the administration of emergency IV fluids. - answer- A.
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