PN Pharmacology 2023

PN Pharmacology 2023 Related

Review PN Pharmacology 2023 related questions and content

Nurses Notes 0830: Walk-in clinic visit for adolescent client who is accompanied by their guardian. The guardian states, 'My child has a partner, and I want to be sure that they have some birth control before becoming sexually active': The client states, 'I want to be sure I don't get pregnant or get an STI.' 0915: Witnessed consent signed by client and guardian. Assisted provider with placement of intrauterine device (IUD). Client tolerated procedure well. Provider Prescriptions 0930: Human Papillomavirus (HPV) vaccine, administer first dose today IM

Which of the following client statements indicate that the nurse's reinforced teaching about the immunization was effective? Select all that apply.

  • A. I need to have a blood test when I'm an adult to see if I'm still immune.
  • B. This shot will keep me from getting herpes.
  • C. Now I won't need to worry about having pap smears.
  • D. I need to come back in 2 months for another shot.
  • E. I will need a booster shot every 10 years.
  • F. This shot can prevent me from getting some kinds of cancer.
  • G. My partner should get this shot too.
Correct Answer: D, F, G

Rationale: The correct answers are D, F, and G. This indicates effective teaching because client D shows understanding of the need for a follow-up shot. Client F understands the preventive benefits against cancer. Client G recognizes the importance of their partner also getting the shot. Other choices are incorrect because client A confuses immunity with immunization timing, B and C show misunderstandings about the shot's purpose, and E is inaccurate about the frequency of booster shots.

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A nurse is caring for a client who has Graves' disease and is to start therapy with propylthiouracil. The nurse should expect which of the following outcomes?

  • A. Decreased heart rate
  • B. Decreased WBC count
  • C. Increased Hgb
  • D. Increased blood pressure
Correct Answer: A

Rationale: The correct answer is A: Decreased heart rate. Propylthiouracil is an antithyroid medication used to treat hyperthyroidism in conditions like Graves' disease. It works by inhibiting the production of thyroid hormones. Since hyperthyroidism can cause an increased heart rate due to the excess thyroid hormones, the expected outcome of propylthiouracil therapy is a decreased heart rate as it helps normalize thyroid hormone levels. The other choices are incorrect because propylthiouracil does not directly affect WBC count (B), Hgb levels (C), or blood pressure (D) in the context of treating hyperthyroidism.

A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?

  • A. Increased bone mass
  • B. Relief of chest pain
  • C. Improved mood
  • D. Absence of headache
Correct Answer: D

Rationale: The correct answer is D: Absence of headache. Sumatriptan is a medication used to treat migraines by constricting blood vessels in the brain. A therapeutic response to sumatriptan would be the absence of a headache, as the medication is intended to relieve migraine symptoms. Increased bone mass (A), relief of chest pain (B), and improved mood (C) are not expected therapeutic responses to sumatriptan. These symptoms are not typically associated with the mechanism of action or indications for sumatriptan use. Therefore, the absence of a headache is the most appropriate indicator of a therapeutic response to sumatriptan in this scenario.

A nurse is preparing to administer gentamicin to a child who weighs 44 lb. The provider prescribes 6 mg/kg/day IV to be administered in three equal doses. Available is gentamicin 40 mg/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 1 mL

Rationale: The correct answer is 1 mL. To calculate the dose for each administration, first convert the child's weight from pounds to kilograms (44 lb = 20 kg). The total daily dose is 6 mg/kg/day, so for a 20 kg child, the total daily dose is 120 mg (6 mg/kg/day x 20 kg). Since it is to be given in three equal doses, each dose would be 40 mg (120 mg total dose ÷ 3 doses). Since the available concentration is 40 mg/mL, the nurse would administer 1 mL for each dose (40 mg ÷ 40 mg/mL = 1 mL). Therefore, the correct answer is 1 mL.

Incorrect answers:
- Choice B: This is incorrect as it does not follow the correct calculation method.
- Choice C: This is incorrect as it does not consider the weight of the child and the total daily dose required.
- Choice D: This is incorrect as it does not

A nurse is collecting data from a client who is taking ferrous sulfate. The nurse should report which of the following findings as an adverse effect of this medication?

  • A. Tinnitus
  • B. Hot flashes
  • C. Diplopia
  • D. Epigastric pain
Correct Answer: D

Rationale: The correct answer is D: Epigastric pain. Ferrous sulfate is an iron supplement commonly known to cause gastrointestinal side effects, such as epigastric pain, nausea, and constipation. The rationale behind this is that iron can irritate the stomach lining, leading to discomfort or pain in the epigastric region. Tinnitus (A), hot flashes (B), and diplopia (C) are not typically associated with ferrous sulfate administration. Tinnitus is more commonly linked to aspirin toxicity, hot flashes are often related to hormonal changes, and diplopia is a symptom of various neurological conditions. Thus, the nurse should report epigastric pain as a potential adverse effect of ferrous sulfate.

A nurse is reinforcing teaching with a client who has a new prescription for naproxen. Which of the following is a potential adverse effect that the nurse should instruct the client to report to the provider?

  • A. Increased energy levels
  • B. Black, tarry stools
  • C. Improved appetite
  • D. Mild headache
Correct Answer: B

Rationale: The correct answer is B: Black, tarry stools. This is a potential adverse effect of naproxen, indicating gastrointestinal bleeding. It is crucial to report this to the provider immediately to prevent serious complications. Increased energy levels (A), improved appetite (C), and mild headache (D) are common side effects of naproxen and do not require immediate medical attention. The priority is to address potential serious adverse effects like gastrointestinal bleeding.

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