George, age 8, is admitted with rheumatic fever. You are given 1 minute per question, a total of 20 minutes in this quiz. 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. 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? 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. Classification that describes what a drug treats. Prednisone is used to treat persons with acute exacerbations of rheumatoid arthritis. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. 1. A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. The client starts to need increased insulin in the second trimester. A two-year-old child with congestive heart failure has been receiving digoxin for one week. YES! This statement indicates a lack of understanding. Pharmacology and the Nursing Process in LPN Practice. The first insulin peak will occur two to four hours after administration of regular insulin. A 25-gauge needle is too small. He is sleepy but easily aroused. D. chilling due to evaporation of solution from the moistened dressings. Nursing Pharmacology Practice Test Questions Nursing Pharmacology Practice Test Questions on Drug Metabolism, Drug Binding, and Drug Clearance This is a self-grading exam. Knowledge from the various pharmaco-logic classes enables the nurse to understand how For a student, they require practice, time and remediation. Mr. Bates is admitted to the surgical ICU following a left adrenalectomy. Answer C. Sterile technique for dressing change at IV site. She has been coming for routine prenatal visits, during which diabetic teaching has been implementeD. In this nursing pharmacology guide for student nurses, learn about the uses and nursing care plan considerations needed for patients taking antacids. The second peak will occur eight to twelve hours after the administration of NPH insulin. Strict sterile technique is crucial in preventing infection at IV infusion site. If you have any disputes or need more clarification to a certain question, please direct them to the comments section. 2.) 2 (for 15-week classes) Pre-requisites. If loading fails, click here to try again. Nurse Celine is caring for a client with clinical depression who is receiving a MAO inhibitor. He is hospitalized for evaluation. Bradypnea (slow breathing) is not associated with digitalis toxicity. Choose from 500 different sets of nursing pharmacology flashcards on Quizlet. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Join NURSING.com and try SIMCLEX® (the most realistic NCLEX® simulation software) and NPQ™, the largest Nursing Practice Question Database. possible severe metabolic alkalosis with continued use. 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. on your results. Take our 20-item NCLEX practice quiz about this topic. Considering the absorption of medications during administration, which of the following routes would yield the quickest response? How to avoid marketing pressure by pharmaceutical producers and choose the most financially beneficial treatment. Better get your calculators ready! This is the most therapeutic response and gives the client accurate information. 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 is why a snack must be eaten mid-morning and also three to four hours after the evening meal. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. 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! The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: A. decrease the risk of agranulocytosis postoperatively. back Nurses are important contributors to pharmacology research and practice standards. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. A drug that provides a beneficial change to the patient is said to be _____. B. Azathioprine (Imuran) “You will have to take this medication for about a year.” The client should be taught to expect the first insulin peak: An adult is hospitalized for treatment of deep electrical burns. What is the nurse’s best response? D. Check results of liver function tests. Types: Insulin glulisine (Apidra), insulin lispro (Admelog, Humalog), and insulin aspart (Fiasp, NovoLog) The frequent blood level monitoring required is difficult for clients to follow for a long period of time. 15. Gold sodium thiomalate (Myochrysine) to them later with the "Go To First Skipped Question" button. Answer A. severe burning pain for a few minutes following application. He is sleepy but easily aroused. But how vast is your knowledge about the concepts of Pharmacology? “I’ll probably need my daily insulin dose raised.” You are given one minute per question. A 25-year-old woman is in her fifth month of pregnancy. 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. 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. Hydrocortisone promotes gluconeogenesis and elevates blood glucose levels. Chorea is the restless and sudden aimless and irregular movements of the extremities suddenly seen in persons with rheumatic fever, especially girls. 17. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. Contact us by phone at (877) 266-4919, or by mail at 100 View Street #202, Mountain View, CA 94041. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. Note on the client’s chart that the physician was notified. In this client there is an even more important reason for evaluating the medications taken. Pharmacology is a tough course. D. Tell Mrs. Johanson, to use another form of birth control for at least two months. Choose your answers to the questions and click 'Next' to see the next set of questions. 1. How to Start an IV? —William Osler. Once you are finished, click the button below. Click it to see your results. Answer B. When you have completed the practice exam, a green submit button will “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. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. B. The physician should be notified. However, that is not the primary reason for assessing medications in a client with sundown syndrome. A. Answer B. Potential side effects such as fine tremor, drowsiness, diarrhea, polyuria, thirst, weight gain, and fatigue can be disturbing to the client. An IV containing hydrocortisone is running. Pharmacology is the study of medicine and its effect on the body. Which assessment would require the nurse’s immediate action? I want more questions. The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. 32.00 (for 15-week classes) Student Contact Hours Per Semester. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? B. prevent tetany while the client is under general anesthesia. 2. Features illuminate connections between pharmacology and nursing practice, from patient scenarios and practice applications, to lifespan considerations, alternative therapies, and … 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. 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. Which of the following best describes a steady state of medication concentration? Course Purpose The physician should be notified. Pharmacology for Nursing Pharmacology is the subject most nursing students dread. 20. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. 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. Lugol’s solution does not act to prevent tetany. A patient-centered approach to pharmacology in nursing practice. D. vomiting. Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! Contact Hours Per Week. Faster gastrointestinal absorption time. B. However, this is not the primary reason for assessing medications in a client who is exhibiting sundown syndrome. It also covers dosages … Which type of drug tolerance has to do with being able to control the actions caused by the drug when necessary? 18. NSG-115: Pharmacology for Nursing Practice 1. Credit Hours. There where several appointed in the 19th century. 16. D. “These finger sticks make my hand sore. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. Which of the following is TRUE regarding reaching a steady state of medication concentration? Earn Transferable Credit & Get your Degree. Pharmacology content is 4 hours. Study more effectively: skip concepts you already know and focus on what you still need to learn. A 20-gauge catheter is a second choice. 14. The impact of lithium on the client’s energy level and lifestyle. 4. C. reduce the size and vascularity of the thyroid and prevent hemorrhage. The patient has taken the medication without side effects for at least 30 days. “It will slow down the replication of the virus.” When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? Here are the answers and rationale for this exam. An adult is hospitalized for treatment of deep electrical burns. No time limit for this exam. Naproxen is a nonsteroidal anti-inflammatory drug. reduce the size and vascularity of the thyroid and prevent hemorrhage. Mafenide acetate 10% (Sulfamylon) is a strong carbonic anhydrase inhibitor that affects the renal tubular buffering system, resulting in metabolic acidosis. The concentrated glucose solutions are a good medium for bacterial growth. A sliding scale dose of insulin may be ordered to maintain the blood glucose level below 200mg/dl. to them later with the "Go To First Skipped Question" button. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect? A ___is an individual who specializes in pharmacology, the science and study of the origin, nature, and uses of drugs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Gold has an immunosuppressive effect. Pharmacology in Nursing Chapter Exam Take this practice test to check your existing knowledge of the course material. Azathioprine is used for clients with life-threatening rheumatoid arthritis for its immunosuppressive effects. Answer C. reduce the size and vascularity of the thyroid and prevent hemorrhage. This review will break down what you need to know for your pharmacology exams about the medication Warfarin (Coumadin). Although children with congestive heart failure often have a related condition of failure to thrive, it is not directly related to digitalis administration. Good luck! The nurse should not tell the client to stop taking oral contraceptives unless the physician orders this. B. Types: degludec (Tresiba), detemir (Levemir), and glargine (Basaglar, Lantus) “The client starts to need increased insulin in the second trimester” This statement indicates a lack of understanding. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. This medication is given for its anti-inflammatory and immunosuppressive effects. What is the nurse’s best response? A. Administer the dose of tetracycline. Insulin doses depend on blood glucose levels. Published on 02/03/2015 by admin. 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.”. The need for consistent blood level monitoring. Following adrenalectomy the normal supply of hydrocortisone is interrupted and must be replaced to maintain the blood glucose at normal levels. All other trademarks and copyrights are the property of their respective owners. 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. Pharmacolog Nursing Practice I. Answers and rationales are given below. When providing instructions about precautions with this medication, the nurse should instruct the client to: A. 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. C. tachycardia. Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. Click it to see your results. Answer C. “The medication must be continued so the fluid problem is controlled.”. prevent tetany while the client is under general anesthesia. Any items you have not completed will be marked incorrect. 11. What is the definition of an adverse drug reaction? Prototype Drug. 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. Prepare for these nursing pharmacology questions with these quizzes: This set of NCLEX practice questions includes not only dosage calculations but also metric conversions. 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. A two-year-old child with congestive heart failure has been receiving digoxin for one week. Pharmacology is an important part of nursing practice as it deals with the safe administration of medications. 3. 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? This open access Nursing Pharmacology textbook is designed for entry-level undergraduate nursing students. 14 questions and rationales contradict. 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). Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. The BEST response to this client should be: A. Pharmacologic Classification. A vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. Read each question carefully and choose the best answer. Blood glucose levels should be checked every 4 to 6 hours. 14, anyone please try to check and help me clarify. Administer hydrocortisone until vital signs stabilize, then discontinue the IV. The physician has ordered Lugol’s solution for the client. (Multiple Answer) Characteristic(s) of a drug whose action is terminate by redistribution include: A) … A. Statement of Learning Need Pharmacology is a rapidly growing area of health research and medicine. The first intervention is to notify the physician. A. To use pharmaceuticals or lifestyle changes in treatment. 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. Severe nausea and vomiting Potential side effects such as fine tremor, drowsiness, diarrhea, polyuria, thirst, weight gain, and fatigue can be disturbing to the client. It offers unsurpassed features designed to illuminate connections between pharmacology and practice, from patient scenarios and practice … 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. C. in six hours. C. The potential side effects of lithium. 4. 10 Pharmacology NCLEX® Questions Take the Pop Quiz and see how good you are at Pharmacology NCLEX® Questions. III. 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. What gauge of catheter would best meet the needs of this client? B. possible severe metabolic alkalosis with continued use. D. “It will increase the effectiveness of the other medications your child receives.”. The nurse needs to recognize that an early sign of digitalis toxicity is: A. bradypnea. C. Monitor serum glucose levels This statement indicates a lack of understanding. Care for the client following adrenalectomy is similar to that for any abdominal operation. the agent to which all other drugs in a class are compared. B. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. C. Administer hydrocortisone until vital signs stabilize, then discontinue the IV. Gold sodium thiomalate is usually used in combination with aspirin and nonsteroidal anti-inflammatory drugs to relieve pain. Multiple medications can lead to dementia The medications can provide clues regarding his medical background Ability to recall medications may indicate short-term memory and recall. 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. A 25-year-old woman is in her fifth month of pregnancy. It explains basic concepts of pharmacology and describes common medication classes. Study Nursing Pharmacology with ease, download the app now! The first insulin peak will occur two to four hours after administration of regular insulin. Naproxen is a nonsteroidal anti-inflammatory drug. B. 8. Pharmacology Connections to Nursing Practice Chapter 1. Her diabetes has been well controlled with this dosage. 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. B. Polyarthritis is characterized by swollen, painful, hot joints that respond to salicylates. Who was the first appointed professor of pharmacology? Be sure to read them. A. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? D. Naproxen (Naprosyn). A. Multiple medications can lead to dementia. The wound may be left open or dry dressing may be applied. Warfarin pharmacology nursing NCLEX review for nursing students! A. Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. The impact of lithium on the client’s energy level and lifestyle. 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. “Are you sure all this insulin won’t hurt my baby?” C. Poor skin turgor These agents are irritants which cause pain along the vein wall, with or without inflammation. You can skip questions if you would like and come Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. Clients receiving TPN are very susceptible to infection. You can skip questions if you would like and come D. Erythema marginatum. In an ideal world, you'd always want to take medication _____ in order to reduce the first pass effect. B. Drugs commonly used by elderly people, especially in combination, can lead to dementia. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. It is more related to chronic hypoxia. An 18-gauge catheter is recommended. What is that organ called? C. “This medication is used to prevent bacterial infections.” Counter check your answers to those below and tell us your scores. Mafenide acetate 10% (Sulfamylon) does cause burning on application. 18. 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. Medication is entering and leaving the blood at the same rate. “This medication will improve your child’s overall health status.” Finding help online is nearly impossible. Types: NPH (Humulin N, Novolin N, ReliOn) It has the ability to diffuse rapidly through the eschar. 20. D. Avoid walking without assistance. 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. Which abbreviation means nothing by mouth? 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. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? 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. Practice Mode: This is an interactive version of the Text Mode. The impact of lithium on the client’s energy level and lifestyle. Bradycardia is a sign of digitalis toxicity. Her diabetes has been well controlled with this dosage. 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. She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. The impact of lithium on the client’s energy level and lifestyle are great determinants to compliance. We'll review your answers and create a Test Prep Plan for you based In Text Mode: All questions and answers are given for reading and answering at your own pace. Record the number of stools per day Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? C. Complaints of pain at site of infusion Take this practice test to check your existing knowledge of the course material. An IV containing hydrocortisone is running. 2.00. 7. Instructor Contact Hours Per Semester. An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. B. Polyarthritis. Lugol’s solution does not potentiate any other preoperative medication. The client should be taught to expect the first insulin peak: A. as soon as food is ingested. A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. Definition. Ultra Long-Acting reaches the blood stream in 6 hours, does not peak, and lasts about 36 hours. The first insulin peak will occur two to four hours after administration of regular insulin. © copyright 2003-2020 Study.com. Immunosuppression does not occur. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. Nursing and Pharmacology Pharmacology is the study of the actions of drugs, incorporating knowledge from other interrelated sciences, such as pharmacokinetics and pharmaco-dynamics. Calcium is used to treat tetany. 13. D. Blood glucose of 350 mg/dl. D. Teach Mr. Bates how to care for his wound since he is at high risk for developing postoperative infection. Use aseptic technique during dressing changes. D. What the client’s friends think of his need to take medication. An analgesic may be required before the ointment is applied. George, age 8, is admitted with rheumatic fever. Teach Mr. Bates how to care for his wound since he is at high risk for developing postoperative infection. D. “Please talk to your physician about medications and treatments.”. What gauge of catheter would best meet the needs of this client? Which assessment would require the nurse’s immediate action? The preparation of medications for administration. B. Urine output of 300 cc in 4 hours The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. 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? This is the first day of TPN therapy. Therapeutic Communication Techniques Quiz. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. 13. D. potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia. This is because when such items are asked in examinations, an examinee is expected to calculate and compute drug dosages for their patients. Maintain strict intake and output records, Sterile technique for dressing change at IV site. Questions related to administering medication safely are part of the NCLEX-RN. Maintain strict intake and output records B. Temperature of 37.5 degrees Celsius A doctor may give a larger starter dose followed by a maintenance dose to reach a steady state faster. “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.”. 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 _____. Monitor serum glucose levels. The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. Answer C. Complaints of pain at site of infusion. What is the primary reason for this action? “I’ll probably need my daily insulin dose raised.”. Learn nursing pharmacology with free interactive flashcards. If this activity does not load, try refreshing your browser. The physician has ordered Lugol’s solution for the client. B. Strict sterile technique is crucial in preventing infection at IV infusion site. chilling due to evaporation of solution from the moistened dressings. The term ''pharmaceutical drugs'' is just a fancy word for _____. B. in two to four hours. What types of drugs to use with vast variety available on the market. Therapeutic Classification. 12. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. Among those choices which statement of the client gives understanding based on the situation. D. Medications taken by a client are part of every nursing assessment. appear. Clients going to the operating room ideally should have an 18- gauge catheter. Want 6,000+ more practice questions? not rapid. C. “I will continue to take my regular dose of insulin.” Total parenteral nutrition formulas contain dextrose in concentrations of 10% or greater to supply 20% to 50% of the total calories. Dosage calculation and pharmacology are among the most challenging topics to master in nursing school. 32.00 (for 15-week classes) Grading Method. 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. There may be an equally effective antibiotic available that can be prescribed. Hi, I do not know if i misinterpreted the rationale for no. When providing instructions about precautions with this medication, the nurse should instruct the client to: While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. All rights reserved. • Right Patient: confirm the patient by a minimum of two identifiers, such as their name and date of … Also, this page requires javascript. Long-acting insulin reaches the bloodstream several hours after injection and tends to lower glucose levels up to 24-hours or longer. 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. Gold has an immunosuppressive affect. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. Tachycardia is not a sign of digitalis toxicity. You can also copy this exam and make a print out. Much of medical measurement is based on the: Which of the following types of tolerance are physiological? What is the main challenge that medical professionals face today in pharmacological therapy? Answer D. What the client’s friends think of his need to take medication. C. Take the medication with milk 9. 5. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: decrease the risk of agranulocytosis postoperatively. “As you urinate more, you will need less medication to control fluid.” 15. Avoid chocolate and cheese Answer C. Monitor serum glucose levels. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. Types: Human Regular (Humulin R, Novolin R, Velosulin R) But worry not, we have the perfect study tool for you! Course Master. Last modified 02/03/2015. The earliest sign of digitalis toxicity is vomiting, although one episode does not warrant discontinuing medication. 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. Which of the following best defines the process of pharmacokinetics? 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. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. The amount of available drug to be used for biological testing. As nurses, we need to have an extensive knowledge about the different drugs and their uses. C. black discoloration of everything that comes in contact with this drug. What is the primary reason for this action? The parent asks why this medication is being given. He is hospitalized for evaluation. C. “The medication must be continued so the fluid problem is controlled.” Silver nitrate solution, another topical antibiotic used to treat burn sepsis, has the disadvantage of turning everything it touches black. The book’s detailed chapter … Types: glargine u-300 (Toujeo). A-E. Pre-requisites. Notify the physician that Mrs. Johanson is taking oral contraceptives. name ending in -lol. 17. Spend your time wisely! Medication history should be a part of the nursing assessment. Immunosuppression does not occur. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? Question 1 of 10 Answer C. “This medication is used to prevent bacterial infections.” Intravenous gamma globulin is … 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. An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. Mafenide acetate 10% (Sulfamylon) does not cause discoloration. For courses in pharmacology. back Erythema marginatum is a skin condition characterized by nonpruritic rash, affecting trunk and proximal extremities, seen in persons with rheumatic fever. Thank You. 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). Register Login black discoloration of everything that comes in contact with this drug. Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. Clients receiving TPN are very susceptible to infection. Bradycardia is associated with digitalis toxicity. Biological and Biomedical The concentrated glucose solutions are a good medium for bacterial growth. What is bioavailability? A. Description. A. Stomatitis lesion in the mouth Which of the following drugs uses a mechanism of action of increasing activity of beta receptors. 11. Medication is leaving the blood at half the rate at which it entered. C. Sterile technique for dressing change at IV site Services. 19. ... 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. Azathioprine is used for clients with life-threatening rheumatoid arthritis for its immunosuppressive effects. The need for consistent blood level monitoring. Tetracycline decreases the effectiveness of oral contraceptives. This guide offers resources that will help further your understanding of pharmacology from a basic level to advanced practice. potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia. Good luck! If you leave this page, your progress will be lost. Insulin doses depend on blood glucose levels. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? The frequent blood level monitoring required is difficult for clients to follow for a long period of time. Sciences, Culinary Arts and Personal appear. The patient is compliant with taking the medication as directed. Pharmacology for Nursing Practice 1. Credit Hours. A patient¿-centered approach to pharmacology in nursing practice Pharmacology: Connections to Nursing Practice links pharmacology to nursing practice and patient care. A doctor cannot give a larger starter dose followed by a maintenance dose to reach a steady state faster. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. The client starts to need increased insulin in the second trimester. Foods high in tryptophan, tyramine and caffeine, such as chocolate and cheese may precipitate hypertensive crisis. The second peak will be eight to twelve hours after the administration of NPH insulin. Maintain central line catheter integrity Filed under Basic Science. 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. Pharmacology: Connections to Nursing Practice links pharmacology to nursing practice and patient care. Answers are entered by clicking the button corresponding to your selection. Premium members get access to this practice exam along with our entire library of lessons taught by subject matter experts. Answer A. Undesirable side effects only tend to occur between the first dose and upon reaching a steady state. What is the most appropriate initial nursing intervention? 6. A. B. Rare side effects associated with Omegrazolin, a drug used to treat bacterial infections, include diarrhea and nausea. —–> I have read this from the rationale and pasted it here, please try to check and help me out. With respect to an oral drug, what would cause an increased delivery time to a tissue? regular insulin is short acting?.. 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. C. Prednisone (Deltasone) Doses of over 30 mg/day may increase the risk of agranulocytosis. Gold sodium thiomalate is usually used in combination with aspirin and nonsteroidal anti-inflammatory drugs to relieve pain. Increased pulse Urinary retention Constipation Mydriasis Rash Angioedema Cough Congestion Nausea Flush appearance Vertigo Sexual dysfunction Hypertension Difficulty breathing Dry … 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. Hyperglycemia may occur during the first day or 2 as the child adapts to the high-glucose load of the TPN solution. The client is encouraged to change position, cough, and deep breathe to prevent postoperative complications such as pneumonia or thrombophlebitis. Thus, a chief nursing responsibility is blood glucose testing. 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? D. Monitor for cardiac arrhythmias. 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. 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 ability to prescribe medications, devices, and services independent of physicians is one reason why pharmacology is a required component of the certification renewal process. Histamine-2 Antagonists Learn about histamine-2 antagonists, its uses, and the nursing considerations for patients using them. Notify the physician that Mrs. Johanson is taking oral contraceptives. Please wait while the activity loads. C. Subcutaneous nodules. 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. 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. Based on your results, we'll create a customized Test Prep Plan just for you! Which of the following assessments requires the nurse’s immediate attention? Can I do them less frequently?”. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. 100 mL. B. Nursing Pharmacology: Dosage and Calculations Practice Test. B. 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.
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