pharmacology in nursing practice

B. Polyarthritis. When you have completed the practice exam, a green submit button will The BEST response to this client should be: A. Erythema marginatum is a skin condition characterized by nonpruritic rash, affecting trunk and proximal extremities, seen in persons with rheumatic fever. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? Her diabetes has been well controlled with this dosage. Bradycardia is a sign of digitalis toxicity. Warfarin is an anticoagulant that is used to treat and/or prevent blood clots. It explains basic concepts of pharmacology and describes common medication classes. The frequent blood level monitoring required is difficult for clients to follow for a long period of time. Polyarthritis is characterized by swollen, painful, hot joints that respond to salicylates. Last modified 02/03/2015. Clients going to the operating room ideally should have an 18- gauge catheter. If loading fails, click here to try again. Which of the following assessments requires the nurse’s immediate attention? C. reduce the size and vascularity of the thyroid and prevent hemorrhage. Nursing Pharmacology: Dosage and Calculations Practice Test. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect? The client starts to need increased insulin in the second trimester. Good luck! Tachycardia is not a sign of digitalis toxicity. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? 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! Here are the answers and rationale for this exam. Chorea is the restless and sudden aimless and irregular movements of the extremities suddenly seen in persons with rheumatic fever, especially girls. Also, this page requires javascript. The impact of lithium on the client’s energy level and lifestyle are great determinants to compliance. Mafenide acetate 10% (Sulfamylon) does not cause discoloration. Register Login 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. You can also copy this exam and make a print out. To use pharmaceuticals or lifestyle changes in treatment. 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. Practice Mode: This is an interactive version of the Text Mode. George, age 8, is admitted with rheumatic fever. Course Master. You can skip questions if you would like and come Gold has an immunosuppressive effect. Gold sodium thiomalate is usually used in combination with aspirin and nonsteroidal anti-inflammatory drugs to relieve pain. D. vomiting. The first insulin peak will occur two to four hours after administration of regular insulin. How to avoid marketing pressure by pharmaceutical producers and choose the most financially beneficial treatment. The parent asks why this medication is being given. Hi, I do not know if i misinterpreted the rationale for no. 12. B. 13. Multiple medications can lead to dementia. This is because when such items are asked in examinations, an examinee is expected to calculate and compute drug dosages for their patients. Dosage calculation and pharmacology are among the most challenging topics to master in nursing school. The preparation of medications for administration. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. 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. Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. Please wait while the activity loads. The client starts to need increased insulin in the second trimester. Pharmacology and the Nursing Process in LPN Practice. Study Nursing Pharmacology with ease, download the app now! Total parenteral nutrition formulas contain dextrose in concentrations of 10% or greater to supply 20% to 50% of the total calories. Who was the first appointed professor of pharmacology? Considering the absorption of medications during administration, which of the following routes would yield the quickest response? A. Chorea. Answer C. Sterile technique for dressing change at IV site. Maintain strict intake and output records, Sterile technique for dressing change at IV site. Premium members get access to this practice exam along with our entire library of lessons taught by subject matter experts. C. “I will continue to take my regular dose of insulin.” Questions related to administering medication safely are part of the NCLEX-RN. There where several appointed in the 19th century. It also covers dosages … Features illuminate connections between pharmacology and nursing practice, from patient scenarios and practice applications, to lifespan considerations, alternative therapies, and gender and cultural influences. “This medication will improve your child’s overall health status.” Nursing and Pharmacology Pharmacology is the study of the actions of drugs, incorporating knowledge from other interrelated sciences, such as pharmacokinetics and pharmaco-dynamics. 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 need for consistent blood level monitoring. Immunosuppression does not occur. Strict sterile technique is crucial in preventing infection at IV infusion site. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Pharmacology is the study of medicine and its effect on the body. This is the first day of TPN therapy. Intravenous gamma globulin is given to help prevent as well as to fight bacterial infections in young children with AIDS. The impact of lithium on the client’s energy level and lifestyle. back B. D. What the client’s friends think of his need to take medication. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? Nurse Salary 2020: How Much Do Registered Nurses Make? 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. YES! Thank You. Clients receiving TPN are very susceptible to infection. Answers are entered by clicking the button corresponding to your selection. These agents are irritants which cause pain along the vein wall, with or without inflammation. Answer B. Pharmacology for Nursing Practice 1. Credit Hours. A. 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. Naproxen is a nonsteroidal anti-inflammatory drug. 2 (for 15-week classes) Pre-requisites. Assessment of the medication taken may or may not provide information on the client’s medical background. 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. 19. B. prevent tetany while the client is under general anesthesia. Answer A. The physician has ordered Lugol’s solution for the client. Pharmacology for Nursing Pharmacology is the subject most nursing students dread. 20. A 25-gauge needle is too small. The client undergoing an adrenalectomy is at increased risk for infection and delayed wound healing and will need to learn about wound care, but not at this time while he is in the ICU. • Right Patient: confirm the patient by a minimum of two identifiers, such as their name and date of … Silver nitrate solution, another topical antibiotic used to treat burn sepsis, has the disadvantage of turning everything it touches black. Biological and Biomedical Record the number of stools per day It is more related to chronic hypoxia. The impact of lithium on the client’s energy level and lifestyle. A-E. Pre-requisites. This statement indicates a lack of understanding. Which assessment would require the nurse’s immediate action? 10. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: decrease the risk of agranulocytosis postoperatively. Types: Insulin glulisine (Apidra), insulin lispro (Admelog, Humalog), and insulin aspart (Fiasp, NovoLog) It is vital the nurse knows how the drug works, side effects, how to monitor […] Take our 20-item NCLEX practice quiz about this topic. Lugol’s solution does not potentiate any other preoperative medication. 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? “I’ll probably need my daily insulin dose raised.” While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. No time limit for this exam. You are given one minute per question. Following adrenalectomy the normal supply of hydrocortisone is interrupted and must be replaced to maintain the blood glucose at normal levels. 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. not rapid. appear. Gold has an immunosuppressive affect. Foods high in tryptophan, tyramine and caffeine, such as chocolate and cheese may precipitate hypertensive crisis. The concentrated glucose solutions are a good medium for bacterial growth. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! The concentrated glucose solutions are a good medium for bacterial growth. Types: glargine u-300 (Toujeo). The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. on your results. 4. B. Urine output of 300 cc in 4 hours C. The potential side effects of lithium. 2.00. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? Strict sterile technique is crucial in preventing infection at IV infusion site. The medications can provide clues regarding his medical background He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. Therapeutic Classification. 3. 11. Take frequent naps The amount … Answer D. What the client’s friends think of his need to take medication. Mafenide acetate 10% (Sulfamylon) is a strong carbonic anhydrase inhibitor that affects the renal tubular buffering system, resulting in metabolic acidosis. Multiple medications can lead to dementia, The medications can provide clues regarding his medical background, Ability to recall medications is a good assessment of the client’s level of orientation, Medications taken by a client are part of every nursing assessment. “As you urinate more, you will need less medication to control fluid.” The nurse should not tell the client to stop taking oral contraceptives unless the physician orders this. Her diabetes has been well controlled with this dosage. Good luck! Regular or Short-acting insulin usually reaches the bloodstream within 30 minutes after injection, peaks anywhere from 2 to 3 hours after injection, and is effective for approximately 3 to 6 hours. Nurse Celine is caring for a client with clinical depression who is receiving a MAO inhibitor. D. “Please talk to your physician about medications and treatments.”. 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. A. Undesirable side effects only tend to occur between the first dose and upon reaching a steady state. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. Contact Hours Per Week. C. Prednisone (Deltasone) Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. Medication is leaving the blood at half the rate at which it entered. Monitor serum glucose levels. Subcutaneous nodules are nontender swellings over bony prominences sometimes seen in persons with rheumatic fever. Nursing Pharmacology Practice Test Questions Nursing Pharmacology Practice Test Questions on Drug Metabolism, Drug Binding, and Drug Clearance This is a self-grading exam. Care for the client following adrenalectomy is similar to that for any abdominal operation. If this activity does not load, try refreshing your browser. Insulin doses depend on blood glucose levels. 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? The nurse needs to recognize that an early sign of digitalis toxicity is: A. bradypnea. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? Can I do them less frequently?”. Nurses need to understand the basics of drug classifications and principles underlying the use of certain medications. Using a streamlined prototype approach and an emphasis on nursing care this text makes it easy for today’s nursing students to better understand the complicated subject of pharmacology. Read each question carefully and choose the best answer. Warfarin pharmacology nursing NCLEX review for nursing students! The wound may be left open or dry dressing may be applied. Better get your calculators ready! An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. This statement indicates a lack of understanding. A drug that provides a beneficial change to the patient is said to be _____. 5. 14 questions and rationales contradict. possible severe metabolic alkalosis with continued use. Can I do them less frequently?”. Description. Which of the following best defines the process of pharmacokinetics? Answer A. severe burning pain for a few minutes following application. Learn nursing pharmacology with free interactive flashcards. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. Azathioprine is used for clients with life-threatening rheumatoid arthritis for its immunosuppressive effects. Azathioprine is used for clients with life-threatening rheumatoid arthritis for its immunosuppressive effects. regular insulin is short acting?.. D. in ten to twelve hours. C. black discoloration of everything that comes in contact with this drug. B. failure to thrive. In this nursing pharmacology guide for student nurses, learn about the uses and nursing care plan considerations needed for patients taking antacids. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Keywords Pharmacology Pharmacokinetics Pharmacodynamics Medication safety Safe Prescribing Nursing 8. 16. B. 100 mL. Regular insulin is classified as rapid acting and will peak two to four hours after administration. Which of the following is TRUE regarding reaching a steady state of medication concentration? The client should be taught to expect the first insulin peak: An adult is hospitalized for treatment of deep electrical burns. Types: degludec (Tresiba), detemir (Levemir), and glargine (Basaglar, Lantus) 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. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. However, this is not the primary reason for assessing medications in a client who is exhibiting sundown syndrome. Severe nausea and vomiting Services. 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. An IV containing hydrocortisone is running. Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. But how vast is your knowledge about the concepts of Pharmacology? It offers unsurpassed features designed to illuminate connections between pharmacology and practice, from patient scenarios and practice … While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. Mafenide acetate 10% (Sulfamylon) does cause burning on application. black discoloration of everything that comes in contact with this drug. A ___is an individual who specializes in pharmacology, the science and study of the origin, nature, and uses of drugs. This is the first day of TPN therapy. Bradycardia is associated with digitalis toxicity. The patient has taken the medication without side effects for at least 30 days. 6. Maintain central line catheter integrity Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. Among those choices which statement of the client gives understanding based on the situation. Long-acting insulin reaches the bloodstream several hours after injection and tends to lower glucose levels up to 24-hours or longer. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. Lugol’s solution does not act to prevent tetany. Pharmacolog Nursing Practice I. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. Pharmacology in Nursing Chapter Exam Take this practice test to check your existing knowledge of the course material. An IV containing hydrocortisone is running. 2.00. A 21-gauge needle is too small and a butterfly too unstable for a client going to surgery. An analgesic may be required before the ointment is applied. But worry not, we have the perfect study tool for you! What is the most appropriate initial nursing intervention? Rare side effects associated with Omegrazolin, a drug used to treat bacterial infections, include diarrhea and nausea. What is the nurse’s best response? 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. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? A. Contact us by phone at (877) 266-4919, or by mail at 100 View Street #202, Mountain View, CA 94041. According to the American Society for Clinical Pharmacology and Therapeutics (ASCPT), “clinical pharmacology is the study of drugs in humans.” While drugs could potentially save lives and provide relief to patients who are suffering, efforts must first be made to address challenges delaying the arrival of new drugs on the market. “You will have to take this medication for about a year.” Statement of Learning Need Pharmacology is a rapidly growing area of health research and medicine. An adult is hospitalized for treatment of deep electrical burns. Mr. Bates is admitted to the surgical ICU following a left adrenalectomy. ... 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. 2. chilling due to evaporation of solution from the moistened dressings. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. Insulin doses depend on blood glucose levels. Click it to see your results. name ending in -lol. He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all. 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.”. 9. A. 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. B. Hyperglycemia may occur during the first day or 2 as the child adapts to the high-glucose load of the TPN solution. 1. While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. 15. He is hospitalized for evaluation. Finding help online is nearly impossible. You have not finished your quiz. B. 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. Answer C. “The medication must be continued so the fluid problem is controlled.”. Therapeutic Communication Techniques Quiz. Naproxen is a nonsteroidal anti-inflammatory drug. Pharmacology Connections to Nursing Practice Chapter 1. Filed under Basic Science. Pharmacology is a tough course. A. The second peak will occur eight to twelve hours after the administration of NPH insulin. This is why a snack must be eaten mid-morning and also three to four hours after the evening meal. The client is encouraged to change position, cough, and deep breathe to prevent postoperative complications such as pneumonia or thrombophlebitis. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Bradypnea (slow breathing) is not associated with digitalis toxicity. Pharmacology: Connections to Nursing Practice links pharmacology to nursing practice and patient care. C. Sterile technique for dressing change at IV site 18. What types of drugs to use with vast variety available on the market. to them later with the "Go To First Skipped Question" button. Spend your time wisely! A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. Pharmacologic Classification. Answer C. Monitor serum glucose levels. 11. In this client there is an even more important reason for evaluating the medications taken. He is sleepy but easily aroused. The physician should be notified. “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. Definition. Take this practice test to check your existing knowledge of the course material. There may be an equally effective antibiotic available that can be prescribed. 7. Which of the following assessments requires the nurse’s immediate attention? A. Stomatitis lesion in the mouth “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.”. Much of medical measurement is based on the: Which of the following types of tolerance are physiological? The ability to prescribe medications, devices, and services independent of physicians is one reason why pharmacology is a required component of the certification renewal process. B. possible severe metabolic alkalosis with continued use. Answer C. Complaints of pain at site of infusion. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. The need for consistent blood level monitoring. Please visit using a browser with javascript enabled. Which of the following best describes a steady state of medication concentration? B. Course Purpose Pharmacology: Connections to Nursing Practice tightly links pharmacology to nursing practice and patient care, recognizing that for nurses, pharmacology is not an abstract academic discipline but rather a critical tool to prevent disease and promote healing and wellness. D. Tell Mrs. Johanson, to use another form of birth control for at least two months. D. “These finger sticks make my hand sore. Faster gastrointestinal absorption time. The physician should be notified. Note on the client’s chart that the physician was notified. D. Medications taken by a client are part of every nursing assessment. When you have completed the practice exam, a green submit button will D. Erythema marginatum. What is the most appropriate initial nursing intervention? Based on your results, we'll create a customized Test Prep Plan just for you! The first insulin peak will occur two to four hours after administration of regular insulin. Which assessment would require the nurse’s immediate action? C. Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. What is the primary reason for this action? to them later with the "Go To First Skipped Question" button. 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. Immunosuppression does not occur. D. Avoid walking without assistance. Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. 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. 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. What is the definition of an adverse drug reaction? Any items you have not completed will be marked incorrect. B. A. Maintain strict intake and output records 5. C. “This medication is used to prevent bacterial infections.” The frequent blood level monitoring required is difficult for clients to follow for a long period of time. Medication is entering and leaving the blood at the same rate. C. in six hours. George, age 8, is admitted with rheumatic fever. D. Teach Mr. Bates how to care for his wound since he is at high risk for developing postoperative infection. We'll review your answers and create a Test Prep Plan for you based —William Osler. D. chilling due to evaporation of solution from the moistened dressings. The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. Instructor Contact Hours Per Semester. Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. The impact of lithium on the client’s energy level and lifestyle. NSG-115: Pharmacology for Nursing Practice 1. Credit Hours. Which of the following drugs uses a mechanism of action of increasing activity of beta receptors. However, that is not the primary reason for assessing medications in a client with sundown syndrome. Click it to see your results. When providing instructions about precautions with this medication, the nurse should instruct the client to: A. 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. The first intervention is to notify the physician. C. Complaints of pain at site of infusion 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. Temperature of 37.5 degrees Celsius Teach Mr. Bates how to care for his wound since he is at high risk for developing postoperative infection. 32.00 (for 15-week classes) Student Contact Hours Per Semester. The first insulin peak will occur two to four hours after administration of regular insulin. Once a drug is absorbed by the intestines, it has to pass through an important organ before going into general circulation. Prepare for these nursing pharmacology questions with these quizzes: This set of NCLEX practice questions includes not only dosage calculations but also metric conversions. Ultra Long-Acting reaches the blood stream in 6 hours, does not peak, and lasts about 36 hours. Question 1 of 10 If you leave this page, your progress will be lost. Types: Human Regular (Humulin R, Novolin R, Velosulin R) Sciences, Culinary Arts and Personal The client should be taught to expect the first insulin peak: A. as soon as food is ingested. This open access Nursing Pharmacology textbook is designed for entry-level undergraduate nursing students. back D. potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia. In Text Mode: All questions and answers are given for reading and answering at your own pace. “I’ll probably need my daily insulin dose raised.”. C. tachycardia. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. 14, anyone please try to check and help me clarify. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. You are given 1 minute per question, a total of 20 minutes in this quiz. What gauge of catheter would best meet the needs of this client? Gold sodium thiomalate (Myochrysine) 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. 13. C. Monitor serum glucose levels —–> I have read this from the rationale and pasted it here, please try to check and help me out. 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). Silver nitrate solution is applied by soaking the wound dressings and keeping them constantly wet, which may cause chilling and hypotension. A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Which type of drug tolerance has to do with being able to control the actions caused by the drug when necessary? Answer C. “This medication is used to prevent bacterial infections.” Intravenous gamma globulin is … potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia. Answer A. A. A 20-gauge catheter is a second choice. Question 11 and 12 are the same ..Also check the rationale to question 14.. no. 18. This medication is given for its anti-inflammatory and immunosuppressive effects. 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 … 12. Choose your answers to the questions and click 'Next' to see the next set of questions. “It will slow down the replication of the virus.” Doses of over 30 mg/day may increase the risk of agranulocytosis. Earn Transferable Credit & Get your Degree. 1. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. A. Prednisone is used to treat persons with acute exacerbations of rheumatoid arthritis. Finger sticks for glucose levels must be continued. A 25-year-old woman is in her fifth month of pregnancy. C. “The medication must be continued so the fluid problem is controlled.” In an ideal world, you'd always want to take medication _____ in order to reduce the first pass effect. The amount of available drug to be used for biological testing. Prednisone is used to treat persons with acute exacerbations of rheumatoid arthritis. The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. D. Check results of liver function tests. 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. The patient is compliant with taking the medication as directed. How to Start an IV? Whether to prescribe narcotics to patients or just prescription drugs. D. Monitor for cardiac arrhythmias. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? For courses in pharmacology. Knowledge from the various pharmaco-logic classes enables the nurse to understand how A two-year-old child with congestive heart failure has been receiving digoxin for one week. Nurse Celine is caring for a client with clinical depression who is receiving a MAO inhibitor. 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). 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. appear. What is that organ called? 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? C. Poor skin turgor The second peak will be eight to twelve hours after the administration of NPH insulin. The earliest sign of digitalis toxicity is vomiting, although one episode does not warrant discontinuing medication. Medication history should be a part of the nursing assessment. An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. Once you are finished, click the button below. B. 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. Answer D. What the client’s friends think of his need to take medication. B. Azathioprine (Imuran) Potential side effects such as fine tremor, drowsiness, diarrhea, polyuria, thirst, weight gain, and fatigue can be disturbing to the client. 7. D. “It will increase the effectiveness of the other medications your child receives.”. 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. “The client starts to need increased insulin in the second trimester” This statement indicates a lack of understanding. This review will break down what you need to know for your pharmacology exams about the medication Warfarin (Coumadin). She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. A two-year-old child with congestive heart failure has been receiving digoxin for one week. 32.00 (for 15-week classes) Grading Method. The book’s detailed chapter … Notify the physician that Mrs. Johanson is taking oral contraceptives. This medication is given for its anti-inflammatory and immunosuppressive effects. A doctor cannot give a larger starter dose followed by a maintenance dose to reach a steady state faster. What is the nurse’s best response? B. Join NURSING.com and try SIMCLEX® (the most realistic NCLEX® simulation software) and NPQ™, the largest Nursing Practice Question Database. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? 17. Hydrocortisone promotes gluconeogenesis and elevates blood glucose levels. Although children with congestive heart failure often have a related condition of failure to thrive, it is not directly related to digitalis administration. 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? 20. 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. A. What gauge of catheter would best meet the needs of this 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. I want more questions. Answer B. Which abbreviation means nothing by mouth? B. He is sleepy but easily aroused. III. D. A rash on the client’s extremities. A. A vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. prevent tetany while the client is under general anesthesia. Study more effectively: skip concepts you already know and focus on what you still need to learn. Potential side effects such as fine tremor, drowsiness, diarrhea, polyuria, thirst, weight gain, and fatigue can be disturbing to the client. Prototype Drug. Blood glucose levels should be checked every 4 to 6 hours. If you have any disputes or need more clarification to a certain question, please direct them to the comments section.

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