The impact of lithium on the client’s energy level and lifestyle are great determinants to compliance. Which assessment would require the nurse’s immediate action? The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. D. Tell Mrs. Johanson, to use another form of birth control for at least two months. 20. D. “It will increase the effectiveness of the other medications your child receives.”. B. This open access Nursing Pharmacology textbook is designed for entry-level undergraduate nursing students. Any items you have not completed will be marked incorrect. Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. Which of the following assessments requires the nurse’s immediate attention? 10. Doses of over 30 mg/day may increase the risk of agranulocytosis. Pharmacology in nursing practice will cover the basic concepts related to pharmacology and list various routes of drug administration, its actions, and its effects on the body systems. The frequent blood level monitoring required is difficult for clients to follow for a long period of time. All other trademarks and copyrights are the property of their respective owners. Bradycardia is associated with digitalis toxicity. Drugs commonly used by elderly people, especially in combination, can lead to dementia. Who was the first appointed professor of pharmacology? Maintain strict intake and output records The second peak will be eight to twelve hours after the administration of NPH insulin. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include: severe burning pain for a few minutes following application. Immunosuppression does not occur. If a healthy patient with no significant medical history and who isn't taking any other medication develops a fatal seizure 30 minutes after taking Omegrazolin, the result was most likely due to which of the following? The preparation of medications for administration. (Multiple Answer) Characteristic(s) of a drug whose action is terminate by redistribution include: A) … Also, this page requires javascript. Be sure to read them. Tetracycline decreases the effectiveness of oral contraceptives. Oral drugs may be absorbed less quickly in older people because: Of increased number of receptors in the heart, During heart failure, doctors may give _____. Administer hydrocortisone until vital signs stabilize, then discontinue the IV. C. tachycardia. Mafenide acetate 10% (Sulfamylon) does cause burning on application. A. He is hospitalized for evaluation. not rapid. Mafenide acetate 10% (Sulfamylon) is a strong carbonic anhydrase inhibitor that affects the renal tubular buffering system, resulting in metabolic acidosis. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include: A. severe burning pain for a few minutes following application. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? 2.) This review will break down what you need to know for your pharmacology exams about the medication Warfarin (Coumadin). Which of the following is TRUE regarding reaching a steady state of medication concentration? C. reduce the size and vascularity of the thyroid and prevent hemorrhage. Here are the answers and rationale for this exam. D. Erythema marginatum. NERVOUS SYSTEM PHARMACOLOGY NRSNG.com – “Tools and Confidence to Succeed in Nursing School.” ©2017 TazKai LLC | NRSNG.com – Reproduction Strictly Prohibited Disclaimer information at NRSNG.com Nervous System CNS PNS Brain Spinal Cord Motor Neurons Sensory Neurons Autonomic Nervous System Somatic Nervous System Sympathetic Nervous System Parasympathetic Nervous … Types: Insulin glulisine (Apidra), insulin lispro (Admelog, Humalog), and insulin aspart (Fiasp, NovoLog) As nurses, we need to have an extensive knowledge about the different drugs and their uses. D. What the client’s friends think of his need to take medication. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. Her diabetes has been well controlled with this dosage. The amount … What is the most appropriate initial nursing intervention? The client starts to need increased insulin in the second trimester. C. Ability to recall medications is a good assessment of the client’s level of orientation. 1. Use aseptic technique during dressing changes Practice Mode: This is an interactive version of the Text Mode. 11. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Good luck! Assessment of the medication taken may or may not provide information on the client’s medical background. A ___is a legal directive from a licensed medical professional for the compounding, dispensing, or administration of drugs for a patient: A sublingual tablet is an example of which one of the following? ... How big a part you play in assessing the patient is defined by your state nurse practice act, which lists what LPNs/LVNs may and may not do. Insulin doses depend on blood glucose levels. The first insulin peak will occur two to four hours after administration of regular insulin. D. Monitor for cardiac arrhythmias. This medication is given for its anti-inflammatory and immunosuppressive effects. What is the definition of an adverse drug reaction? on your results. Want 6,000+ more practice questions? Insulin doses depend on blood glucose levels. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, 3,500+ NCLEX-RN Practice Questions for Free, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Pharmacology for Nursing Pharmacology is the subject most nursing students dread. Classification that describes what a drug treats. Warfarin pharmacology nursing NCLEX review for nursing students! The nurse needs to recognize that an early sign of digitalis toxicity is: A. bradypnea. Features illuminate connections between pharmacology and nursing practice, from patient scenarios and practice applications, to lifespan considerations, alternative therapies, and … C. “This medication is used to prevent bacterial infections.” The impact of lithium on the client’s energy level and lifestyle. Gold sodium thiomalate is usually used in combination with aspirin and nonsteroidal anti-inflammatory drugs to relieve pain. Therapeutic Communication Techniques Quiz. A. “Are you sure all this insulin won’t hurt my baby?” Choose your answers to the questions and click 'Next' to see the next set of questions. However, this is not the primary reason for assessing medications in a client who is exhibiting sundown syndrome. A two-year-old child with congestive heart failure has been receiving digoxin for one week. A. Chorea. While the client’s social network can influence the client in terms of compliance, the influence is typically secondary to that of the other factors listed. Naproxen is a nonsteroidal anti-inflammatory drug. Whether to prescribe narcotics to patients or just prescription drugs. 32.00 (for 15-week classes) Student Contact Hours Per Semester. Please visit using a browser with javascript enabled. Histamine-2 Antagonists Learn about histamine-2 antagonists, its uses, and the nursing considerations for patients using them. Published on 02/03/2015 by admin. The parent asks why this medication is being given. Answer A. severe burning pain for a few minutes following application. Contact us by phone at (877) 266-4919, or by mail at 100 View Street #202, Mountain View, CA 94041. Immunosuppression does not occur. reduce the size and vascularity of the thyroid and prevent hemorrhage. Pharmacology and the Nursing Process in LPN Practice. D. Teach Mr. Bates how to care for his wound since he is at high risk for developing postoperative infection. Medication is leaving the blood at half the rate at which it entered. Read each question carefully and choose the best answer. D. “Please talk to your physician about medications and treatments.”. Answer B. A ___is an individual who specializes in pharmacology, the science and study of the origin, nature, and uses of drugs. A patient¿-centered approach to pharmacology in nursing practice Pharmacology: Connections to Nursing Practice links pharmacology to nursing practice and patient care. Types: NPH (Humulin N, Novolin N, ReliOn) 16. Which of the following assessments requires the nurse’s immediate attention? Filed under Basic Science. Therapeutic Classification. Lugol’s solution does not act to prevent tetany. Get the right dosage of pharmacology content to succeed on the NCLEX and as a professional nurse with Pharmacology: A Patient-Centered Nursing Process Approach 9th Edition. Gold sodium thiomalate (Myochrysine) Total parenteral nutrition formulas contain dextrose in concentrations of 10% or greater to supply 20% to 50% of the total calories. Nursing and Pharmacology Pharmacology is the study of the actions of drugs, incorporating knowledge from other interrelated sciences, such as pharmacokinetics and pharmaco-dynamics. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? 2.00. But how vast is your knowledge about the concepts of Pharmacology? Monitor serum glucose levels. C. Monitor serum glucose levels Erythema marginatum is a skin condition characterized by nonpruritic rash, affecting trunk and proximal extremities, seen in persons with rheumatic fever. Subcutaneous nodules are nontender swellings over bony prominences sometimes seen in persons with rheumatic fever. Nurse Salary 2020: How Much Do Registered Nurses Make? The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. Increased pulse Urinary retention Constipation Mydriasis Rash Angioedema Cough Congestion Nausea Flush appearance Vertigo Sexual dysfunction Hypertension Difficulty breathing Dry … The term ''pharmaceutical drugs'' is just a fancy word for _____. B. failure to thrive. Study Nursing Pharmacology with ease, download the app now! Types: degludec (Tresiba), detemir (Levemir), and glargine (Basaglar, Lantus) The parent asks why this medication is being given. This is large enough to handle blood products safely and to allow rapid administration of large amounts of fluid if indicated during the perioperative period. Nurses are important contributors to pharmacology research and practice standards. When you have completed the practice exam, a green submit button will 32.00 (for 15-week classes) Grading Method. Undesirable side effects only tend to occur after the last dose is taken and until the medication is completely gone from the patient's body. C. “The medication must be continued so the fluid problem is controlled.” The need for consistent blood level monitoring. Maintenance doses of hydrocortisone will be administered IV until the client is able to take it by mouth and will be necessary for six months to two years or until the remaining gland recovers. “I’ll probably need my daily insulin dose raised.” Take this practice test to check your existing knowledge of the course material. A. 10 Pharmacology NCLEX® Questions Take the Pop Quiz and see how good you are at Pharmacology NCLEX® Questions. D. “These finger sticks make my hand sore. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. When you have completed the practice exam, a green submit button will Rare side effects associated with Omegrazolin, a drug used to treat bacterial infections, include diarrhea and nausea. chilling due to evaporation of solution from the moistened dressings. Thank You. A doctor cannot give a larger starter dose followed by a maintenance dose to reach a steady state faster. The client should be taught to expect the first insulin peak: A. as soon as food is ingested. C. “I will continue to take my regular dose of insulin.” There are more than 290,000 nurse practitioners (NPs) licensed in the US and all of them have “prescriptive authority” as part of their professional practice. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. As a result of placental maturation and placental production of lactogen, insulin requirements begin increasing in the second trimester and may double or quadruple by the end of pregnancy. However, that is not the primary reason for assessing medications in a client with sundown syndrome. “It will slow down the replication of the virus.”, “This medication will improve your child’s overall health status.”, “This medication is used to prevent bacterial infections.”, “It will increase the effectiveness of the other medications your child receives.”. To use pharmaceuticals or lifestyle changes in treatment. © copyright 2003-2020 Study.com. A. Prepare for these nursing pharmacology questions with these quizzes: This set of NCLEX practice questions includes not only dosage calculations but also metric conversions. 17. Click it to see your results. What is the main challenge that medical professionals face today in pharmacological therapy? Mafenide acetate 10% (Sulfamylon) does not cause discoloration. B. prevent tetany while the client is under general anesthesia. 18. A sliding scale dose of insulin may be ordered to maintain the blood glucose level below 200mg/dl. He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. D. potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia. Foods high in tryptophan, tyramine and caffeine, such as chocolate and cheese may precipitate hypertensive crisis. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. The earliest sign of digitalis toxicity is vomiting, although one episode does not warrant discontinuing medication. Questions related to administering medication safely are part of the NCLEX-RN. An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. This is the first day of TPN therapy. Answer C. Monitor serum glucose levels. Blood glucose levels should be checked every 4 to 6 hours. III. Which of the following best describes a steady state of medication concentration? C. Sterile technique for dressing change at IV site The first insulin peak will occur two to four hours after administration of regular insulin. Choose your answers to the questions and click 'Next' to see the next set of questions. Better get your calculators ready! What is the nurse’s best response? B. Polyarthritis. C. Subcutaneous nodules. Prednisone is used to treat persons with acute exacerbations of rheumatoid arthritis. What is the primary reason for this action? Long-acting insulin reaches the bloodstream several hours after injection and tends to lower glucose levels up to 24-hours or longer. Review: Intravenous infusion calculations Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process—Implementation Content Area: Fundamentals of Care—Medications/IV Calculations Priority Concepts: Clinical Judgment; Safety Reference: Perry, Potter & Stockert (2019). An IV containing hydrocortisone is running. Instructor Contact Hours Per Semester. This is the first day of TPN therapy. D. in ten to twelve hours. Avoid chocolate and cheese 1. —–> I have read this from the rationale and pasted it here, please try to check and help me out. 6. George, age 8, is admitted with rheumatic fever. What gauge of catheter would best meet the needs of this client? The nurse planning care for Mr. Bates knows it is essential to include which of the following nursing interventions at this time? 3. It offers unsurpassed features designed to illuminate connections between pharmacology and practice, from patient scenarios and practice … A two-year-old child with congestive heart failure has been receiving digoxin for one week. 2.00. Types: glargine u-300 (Toujeo). Multiple medications can lead to dementia. What is the most appropriate initial nursing intervention? The first insulin peak will occur two to four hours after administration of regular insulin. Learn nursing pharmacology with free interactive flashcards. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: A. decrease the risk of agranulocytosis postoperatively. Ultra Long-Acting reaches the blood stream in 6 hours, does not peak, and lasts about 36 hours. A 20-gauge catheter is a second choice. B. Nurses need to understand the basics of drug classifications and principles underlying the use of certain medications. If this activity does not load, try refreshing your browser. Calcium is used to treat tetany. Answer D. What the client’s friends think of his need to take medication. Which of the following best defines the process of pharmacokinetics? to them later with the "Go To First Skipped Question" button. Types: Human Regular (Humulin R, Novolin R, Velosulin R) There where several appointed in the 19th century. George, age 8, is admitted with rheumatic fever. Register Login A doctor may give a larger starter dose followed by a maintenance dose to reach a steady state faster. Bradypnea (slow breathing) is not associated with digitalis toxicity. Description. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. Based on your results, we'll create a customized Test Prep Plan just for you! For a student, they require practice, time and remediation. Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. Pharmacology content is 4 hours. prevent tetany while the client is under general anesthesia. Nursing Pharmacology Practice Questions From The Largest Bank of Nursing NCLEX® Practice Questions In The World, To Help You Dominate Tests, The NCLEX and Rotations. If you leave this page, your progress will be lost. Hi, I do not know if i misinterpreted the rationale for no. The client is encouraged to change position, cough, and deep breathe to prevent postoperative complications such as pneumonia or thrombophlebitis. The concentrated glucose solutions are a good medium for bacterial growth. BIO-233, ENG-131, HCS-131 or CIS-100, PSY-131, One of the following Math courses: MATH-115, MATH-131, MATH-141, MATH-175, or MATH-180. 3. Ability to recall medications may indicate short-term memory and recall. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Among those choices which statement of the client gives understanding based on the situation. It is more related to chronic hypoxia. The medications can provide clues regarding his medical background Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. Answers are entered by clicking the button corresponding to your selection. A 25-gauge needle is too small. Sciences, Culinary Arts and Personal Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. appear. Notify the physician that Mrs. Johanson is taking oral contraceptives. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. 19. A 25-year-old woman is in her fifth month of pregnancy. Medication is entering and leaving the blood at the same rate. A-E. Pre-requisites. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: decrease the risk of agranulocytosis postoperatively. Pharmacology is the study of medicine and its effect on the body. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? 50+ Tips & Techniques on IV... IV Fluids and Solutions Guide & Cheat Sheet (2020 Update), Cranial Nerves Assessment Chart and Cheat Sheet, Diabetes Mellitus Reviewer and NCLEX Questions (100 Items), Drug Dosage Calculations NCLEX Practice Questions (100+ Items). B. There may be an equally effective antibiotic available that can be prescribed. Which of the following drugs uses a mechanism of action of increasing activity of beta receptors. Keywords Pharmacology Pharmacokinetics Pharmacodynamics Medication safety Safe Prescribing Nursing Nurse Celine is caring for a client with clinical depression who is receiving a MAO inhibitor. The client may receive iodine solution (Lugol’s solution) for 10 to 14 days before surgery to decrease vascularity of the thyroid and thus prevent excess bleeding. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. Once a drug is absorbed by the intestines, it has to pass through an important organ before going into general circulation. Medication history should be a part of the nursing assessment. Pharmacology is an important part of nursing practice as it deals with the safe administration of medications. Earn Transferable Credit & Get your Degree. An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. To make the most of this quiz, follow the guidelines below: In Exam Mode: All questions are shown in random and the results, answers and rationales (if any) will only be given after you’ve finished the quiz. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. “I’ll probably need my daily insulin dose raised.”. 13. Join NURSING.com and try SIMCLEX® (the most realistic NCLEX® simulation software) and NPQ™, the largest Nursing Practice Question Database. regular insulin is short acting?.. A patient-centered approach to pharmacology in nursing practice. Gold sodium thiomalate is usually used in combination with aspirin and nonsteroidal anti-inflammatory drugs to relieve pain. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. The nurse should not tell the client to stop taking oral contraceptives unless the physician orders this. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. The BEST response to this client should be: A. Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. Which type of drug tolerance has to do with being able to control the actions caused by the drug when necessary? Services. C. Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline. 14. If you have any disputes or need more clarification to a certain question, please direct them to the comments section. Spend your time wisely! A. Mr. Bates is admitted to the surgical ICU following a left adrenalectomy. Rapid-acting insulin, begins to work about 15 minutes after injection, peaks in about 1 hour, and continues to work for 2 to 4 hours. What is that organ called? An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. 14. Click it to see your results. B. Counter check your answers to those below and tell us your scores. All rights reserved. Pathophysiology and Pharmacology in Nursing has been carefully designed to provide an integrated introduction to both the biology of disease and the therapeutic agents that are used to manage them. back 17. We'll review your answers and create a Test Prep Plan for you based Azathioprine is used for clients with life-threatening rheumatoid arthritis for its immunosuppressive effects. Silver nitrate solution, another topical antibiotic used to treat burn sepsis, has the disadvantage of turning everything it touches black. Record the number of stools per day D. What the client’s friends think of his need to take medication. 8. A. 4. She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. The need for consistent blood level monitoring, What the client’s friends think of his need to take medication, The impact of lithium on the client’s energy level and lifestyle. 13. Hydrocortisone promotes gluconeogenesis and elevates blood glucose levels. Silver nitrate solution is applied by soaking the wound dressings and keeping them constantly wet, which may cause chilling and hypotension. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. B. An IV containing hydrocortisone is running. The wound may be left open or dry dressing may be applied. Following adrenalectomy the normal supply of hydrocortisone is interrupted and must be replaced to maintain the blood glucose at normal levels. Answer C. “The medication must be continued so the fluid problem is controlled.”. A. Stomatitis lesion in the mouth C. black discoloration of everything that comes in contact with this drug. You can also copy this exam and make a print out. B. Azathioprine (Imuran) 7. Nursing Pharmacology Practice Test Questions Nursing Pharmacology Practice Test Questions on Drug Metabolism, Drug Binding, and Drug Clearance This is a self-grading exam. C. Poor skin turgor While the client’s social network can influence the client in terms of compliance, the influence is typically secondary to that of the other factors listed. The patient is compliant with taking the medication as directed. “The client starts to need increased insulin in the second trimester” This statement indicates a lack of understanding. What is the primary reason for this action? An adult is hospitalized for treatment of deep electrical burns. 15. The physician should be notified. You are given one minute per question. It also covers dosages … Faster gastrointestinal absorption time. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? Statement of Learning Need Pharmacology is a rapidly growing area of health research and medicine. What is bioavailability? Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? Much of medical measurement is based on the: Which of the following types of tolerance are physiological? B. appear. The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. An 18-gauge catheter is recommended. Answer C. “This medication is used to prevent bacterial infections.”. 15. The client starts to need increased insulin in the second trimester. D. A rash on the client’s extremities. Premium members get access to this practice exam along with our entire library of lessons taught by subject matter experts. You can skip questions if you would like and come Pharmacology Connections to Nursing Practice Chapter 1. D. Medications taken by a client are part of every nursing assessment. It is vital the nurse knows how the drug works, side effects, how to monitor […] B. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. Answer C. Sterile technique for dressing change at IV site. Pharmacology: Connections to Nursing Practice links pharmacology to nursing practice and patient care. In this client there is an even more important reason for evaluating the medications taken. Features illuminate connections between pharmacology and nursing practice, from patient scenarios and practice applications, to lifespan considerations, alternative therapies, and gender and cultural influences. Good luck! Patient Positioning: Complete Guide for Nurses, Registered Nurse Career Guide: How to Become a Registered Nurse (RN), NCLEX Questions Nursing Test Bank and Review, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide: All You Need to Know to Master Diagnosing. possible severe metabolic alkalosis with continued use. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Chorea is the restless and sudden aimless and irregular movements of the extremities suddenly seen in persons with rheumatic fever, especially girls. B. in two to four hours. The patient has taken the medication without side effects for at least 30 days. In Text Mode: All questions and answers are given for reading and answering at your own pace. Take frequent naps Take our 20-item NCLEX practice quiz about this topic. Answer A. While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. Maintain central line catheter integrity The impact of lithium on the client’s energy level and lifestyle. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. This is why a snack must be eaten mid-morning and also three to four hours after the evening meal. to them later with the "Go To First Skipped Question" button. Pharmacology in Nursing Chapter Exam Take this practice test to check your existing knowledge of the course material. In this nursing pharmacology guide for student nurses, learn about the uses and nursing care plan considerations needed for patients taking antacids. Undesirable side effects only tend to occur between the first dose and upon reaching a steady state. The frequent blood level monitoring required is difficult for clients to follow for a long period of time. A vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. Clients receiving TPN are very susceptible to infection. A 25-year-old woman is in her fifth month of pregnancy. Considering the absorption of medications during administration, which of the following routes would yield the quickest response? Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. YES! Potential side effects such as fine tremor, drowsiness, diarrhea, polyuria, thirst, weight gain, and fatigue can be disturbing to the client. The need for consistent blood level monitoring. 100 mL. Which assessment would require the nurse’s immediate action? The BEST response to this client should be: “As you urinate more, you will need less medication to control fluid.”, “You will have to take this medication for about a year.”, “The medication must be continued so the fluid problem is controlled.”, “Please talk to your physician about medications and treatments.”. Polyarthritis is characterized by swollen, painful, hot joints that respond to salicylates. 20. B. possible severe metabolic alkalosis with continued use. Maintain strict intake and output records, Sterile technique for dressing change at IV site. Dosage calculation and pharmacology are among the most challenging topics to master in nursing school. 7. The book’s detailed chapter … black discoloration of everything that comes in contact with this drug. 5. It explains basic concepts of pharmacology and describes common medication classes. 2. Course Purpose 5. A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Can I do them less frequently?”. the agent to which all other drugs in a class are compared. Temperature of 37.5 degrees Celsius The nurse needs to recognize that an early sign of digitalis toxicity is: Mr. Bates is admitted to the surgical ICU following a left adrenalectomy. B. Urine output of 300 cc in 4 hours He is hospitalized for evaluation. 9. If the physician chooses to keep the client on tetracycline, the client should be encouraged to use another form of birth control. 2 (for 15-week classes) Pre-requisites. 14 questions and rationales contradict. In an ideal world, you'd always want to take medication _____ in order to reduce the first pass effect. A. Last modified 02/03/2015. This is because when such items are asked in examinations, an examinee is expected to calculate and compute drug dosages for their patients. An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. Prednisone is used to treat persons with acute exacerbations of rheumatoid arthritis. Nursing Pharmacology: Dosage and Calculations Practice Test. B. Thus, a chief nursing responsibility is blood glucose testing. Pharmacology learning tools, online or self-study, tailored to nursing knowledge needs are expected to lead to improved sharing of expertise and collaborative practice throughout all levels of acute and outpatient health care settings. Intermediate-acting insulin generally reaches the bloodstream about 2 to 4 hours after injection, peaks 4 to 12 hours later, and is effective for about 12 to 18 hours. A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. A. This medication is given for its anti-inflammatory and immunosuppressive effects. 12. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? Finding help online is nearly impossible. B. Question 1 of 10 For courses in pharmacology. Prototype Drug. But worry not, we have the perfect study tool for you! 12. “Are you sure all this insulin won’t hurt my baby?”, “I’ll probably need my daily insulin dose raised.”, “I will continue to take my regular dose of insulin.”, “These finger sticks make my hand sore. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? This guide offers resources that will help further your understanding of pharmacology from a basic level to advanced practice. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? Pharmacolog Nursing Practice I. back This is the most therapeutic response and gives the client accurate information. C. Administer hydrocortisone until vital signs stabilize, then discontinue the IV. Her diabetes has been well controlled with this dosage. Gold has an immunosuppressive effect. D. Check results of liver function tests. the process through which medications correct conditions or cure infections in the body, the way to interrupt some action from happening, the first steps towards actions occurring in the body. Answer C. Complaints of pain at site of infusion. Notify the physician that Mrs. Johanson is taking oral contraceptives, Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline, Tell Mrs. Johanson, to use another form of birth control for at least two months. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Care for the client following adrenalectomy is similar to that for any abdominal operation. A. Definition. B. Dosage and Calculations Practice Tests are some of the most commonly-searched practice exams for both student nurses and nurses wanting to take licensure and certification exams. Note on the client’s chart that the physician was notified. This statement indicates a lack of understanding. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. Lugol’s solution does not potentiate any other preoperative medication. C. The potential side effects of lithium. A. • Right Patient: confirm the patient by a minimum of two identifiers, such as their name and date of … The overall aim of the text is to equip the nurse with an understanding of issues related to pharmacotherapeutics that is aligned to current nursing roles and statutory requirements. Knowledge from the various pharmaco-logic classes enables the nurse to understand how Warfarin is an anticoagulant that is used to treat and/or prevent blood clots. The nurse planning care for Mr. Bates knows it is essential to include which of the following nursing interventions at this time?
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