PN Pharmacology 2023

Question 1 of 60

Vital Signs Day 1: Temperature 37.5° C (99.5° F), Heart rate 98/min, Respiratory rate 20/min, Blood pressure 180/86 mm Hg, Oxygen saturation 95% on room air, Weight 90 kg (198 lb); 2 months later: Temperature 37.5° C (99.5° F), Heart rate 48/min, Respiratory rate 20/min, Blood pressure 140/76 mm Hg, Oxygen saturation 97% on room air, Weight 91 kg (200 lb)

The nurse is evaluating the client's response to the medication. The client's ___________ and ____________ indicate the client's condition is improving.

A. HDL Level

B. Heart rate

C. Potassium level

D. Weight

Correct Answer:

Rationale:

Question 2 of 60

History and Physical 2 weeks ago: Client is in the office for evaluation of acne vulgaris. Past medical history significant for worsening acne vulgaris, unresponsive to previous treatments. Client has been taking a combined oral contraceptive as directed for the past year. Comedones and cystic lesions on face, chest, and back. Acne scarring present on cheeks bilaterally and upper back. Liver function tests (LFTs), fasting lipid panel, serum human chorionic gonadotropin (hG) ordered today. Plan to follow up In 2 weeks for review of laboratory results and medication initiation.

Select the 2 educational topics the nurse should prioritize when reinforcing education to the client about the prescribed medication.

A. Need for vitamin A supplementation

B. Importance of using two forms of birth control

C. Monitoring for skin dryness and irritation

D. Manifestations of depression

Correct Answer:

Rationale:

Question 3 of 60

Provider Prescriptions: Tetracycline 500 mg PO twice daily; Vital Signs Initial visit: Temperature 37.1° C (98.8° F), Heart rate 82/min, Blood pressure 118/76 mm Hg, Respiratory rate 16/min, SpO2 99% on room air; Current visit: Temperature 37.5° C (99.5° F), Heart rate 84/min, Blood pressure 122/72 mm Hg, Respiratory rate 18/min, SpO2 99% on room air; History and Physical Initial visit: Client is a 20-year-old female who presents with report of worsening acne over the past few months. Severe inflammatory acne noted over face, neck, and upper back. Client has no significant medical or surgical history. Discussed skin hygiene and use of over-the-counter acne treatments. Current visit: Client reports no improvement in acne since prior visit 2 months ago. Client states they have been gently washing their skin twice daily and using acne treatments as recommended. Client states they are self-conscious and avoids certain social activities. No change in acne noted on assessment. Tetracycline prescribed. Will have the client return to the clinic in 4 weeks.

The nurse should identify that the client is at risk for developing ________and _________

A. Increased cholesterol level

B. Gastridium difficite-associated diarrhea

C. Elevated blood glucose level

D. Gallstones

Correct Answer:

Rationale:

Question 4 of 60

Vital Signs Day 1: Temperature 37.2° C (99° F), Blood pressure 124/56 mm Hg, Heart rate 66/min, Respiratory rate 16/min, Oxygen saturation 95% on room air; Day 2: Temperature 37.2° C (99° F), Heart rate 112/min, Respiratory rate 28/min, Blood pressure 148/86 mm Hg, Oxygen saturation 90% on room air; Medication Administration Record: Albuterol 2 inhalations every 4 to 6 hr PRN wheezing, Bisacodyl 10 mg suppository daily PRN constipation, Prochlorperazine 10 mg PO 3 to 4 times per day PRN nausea, Morphine 4 mg IV bolus every 4 hr PRN severe pain, Acetaminophen 325 to 650 mg every 4 to 6 hr PRN pain or temperature greater than 38.4° C (101.1° F); Nurses' Notes Day 1: Bilateral breath sounds are clear and present throughout. Client reports pain as 2 on a scale of 0 to 10. Abdomen soft, nondistended, bowel sounds hypoactive. Client has a history of asthma. Day 2: Respirations rapid and shallow. Bilateral breath sounds with scattered wheezing. Client reports pain as 8 on a scale of 0 to 10. Client reports no nausea or constipation. Abdomen soft, nondistended, bowel sounds audible.

The nurse should contribute to the plan of care by administering _______ and ______ to the client.

A. Prochlorperazine

B. Albuterol

C. Morphine

D. Bisacodyl

Correct Answer:

Rationale:

Question 5 of 60

A nurse is collecting data from a client who takes furosemide daily for heart failure. Which of the following laboratory values should the nurse review before administering the medication?

A. Erythrocyte sedimentation rate

B. Thyroxine

C. Serum potassium

D. Serum aspartate aminotransferase

Correct Answer:

Rationale:

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