Disulfiram is taken by a client daily for abstinence maintenance. What is
an adverse effect of this therapy?
1) Hepatoxicity
2) Wernicke’s aphasia
3) Suicidal ideations
4) Diarrhea – ANSWER- 1) Hepatoxicity
Rationale: Hepatoxicity is an adverse effect of disulfiram
A nurse is caring for a client who has diabetes and a new prescription for
14 units of regular insulin and 28 units of NPH insulin subcutaneously at
breakfast daily. What is the total number of units of insulin that the
nurse should prepare in the insulin syringe?
1) 14 units
2) 28 units
3) 32 units
4) 42 units – ANSWER- 4) 42 units
Rationale: Each order of for units of insulin is combined in the same
syringe. The nurse should withdrawal the regular insulin into the
syringe first
Before administering blood products, which action should be taken?
1) Assess the client’s temperature
2) Document client response
3) Prime IV tubing with 0.45% sodium chloride
4) Administer epinephrine – ANSWER- 1) Assess the client’s
temperature
Rationale: Assess the client’s vital signs, obtain consent for the
procedure and ensure compatibility. Prime the IV tubing with 0.9%
sodium chloride. The nurse would not document client response or
administer epinephrine prior to starting the transfusion
A nurse is caring for a client prescribed HMG CoA reductase inhibitor,
atorvastatin. Which of the following should be monitored while this
medication is prescribed?
1) Liver function tests
2) Renal function tests
3) Visual acuity screening
3) Hearing screenings – ANSWER- 1) Liver function tests
Rationale: Statins (HMG CoA reductase inhibitors) like atorvastatin
can cause hepatotoxicity. Prior to initiating therapy the client’s
baseline liver function should be determined then liver function tests
should be checked after 12 weeks of therapy and then every 6
months. The nurse should advise the client to observe for symptoms
of liver dysfunction (anorexia, vomiting, nausea, jaundice) and to
notify the provider if these occur
CAPSTONE PHARM PRE ASSESSMENT NEWEST 2024 ACTUAL EXAM
A nurse is caring for a client receiving a dopamine infusion via a
peripheral IV. Which of the following actions should the nurse take if
the IV site appears infiltrated?
1) Slow the infusion and continue to monitor the site
2) Stop the infusion
3) Apply a warm compress to the site
4) Apply a cold compress to the site – ANSWER- 2) Stop the infusion
Rationale: If infiltration is suspected, the infusion should be
stopped. Necrosis can occur from extravasation of high doses of
dopamine. Extravasation can be treated with local injection of an
alpha-adrenergic blocking agent, such as phentolamine
A client has been prescribed lisinopril. Which of the following
medication interactions should the nurse instruct this client about?
1) Potassium supplements
2) Ciprofloxacin
3) Escitalopram
4) Magnesium supplements – ANSWER- 1) Potassium supplements
Rationale: Potassium supplements and potassium-sparing diuretics
increase the risk of hyperkalemia in clients taking ACE inhibitors
such as lisinopril. Clients should only take potassium supplements if
prescribed by the provider. Clients should also avoid salt substitutes
that contain potassium
Which of the following are contraindications to salicylate acid therapy?
Select all that apply
*Third trimester pregnancy
*Thrombocytopenia
*Coronary artery disease
*Adolescents with chickenpox
*Deep vein thrombosis – ANSWER- *Third trimester pregnancy
*Throbocytopenia
*Adolescents with chickenpox
Rationale: Salicylate Acid Therapy Contraindications:
Salicylate acid is a category D agent and should not be administered
to pregnant clients.
Salicylate acid is contraindicated in clients with bleeding disorders
and thrombocytopenia.
Salicylate acid should not be given to children or adolescents with
fever or recent chickenpox due to the risk of Reye’s syndrome.
The therapy is used for the following types of clients:
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CAPSTONE PHARM PRE ASSESSMENT NEWEST