HESI Pharmacology Exam Practice
Questions and Answers Already Passed
1) A nurse is caring for a client with hyperparathyroidism and notes that the client’s serum
calcium level is 13 mg\/dL. Which medication should the nurse prepare to administer as
prescribed to the client?<\/p>\n\n\n\n
4.) The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens are most effective when
applied:<\/p>\n\n\n\n
HESI Pharmacology Practice Exam
Already Graded A
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal
attack, which assessment finding indicates to the nurse that the desired effect has been achieved?
A. Client states chest pain is relieved
B. Client’s pulse decreases from 120 to 90
C. Client’s systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% \u2714\u2714A. nitroglycerin reduces mycocardial
oxygen consumption which decreases ischemia and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client teaching is
most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis \u2714\u2714A. flushing of the face and neck, lasting up to an hour, is a
frequent reason for discontinuing niacin. inclusion of this effect in clietn teaching may promote
compliance in taking the med.<\/p>\n\n\n\n
When assessing an adolescent who recently overdosed on acetaminophen (tylonel), it is most
important for the nurse to assess for pain in which area of the body
a. flank
b. abdomen
c. chest
d. head \u2714\u2714B. acetaminophen toxicisty an result in liver damage; therefore, it is especially
important for the nurse to assess for pain in the right upper quadrant of the abdomen (which
might indicated liver damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial
infarction. which medication prescription decreases both preload and afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril \u2714\u2714A. nitroglycerin is a nitrate that causes peripheral vasodilation and decreases
contractility, thereby decreasing both preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that
the action of this drug is to<\/p>\n\n\n\n
A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood
C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland \u2714\u2714D. PTU is an adjunct therapy used to
control hyperthyroidism by inhibiting production of thyroid hormones. It is often prescribed in
prep for thyroidectomy or radioactive iodine therapy
Which change in data indicates to the nurse the desired effect of the angiotensin II receptor
antagonist has been achieved
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg\/dl
C. PUlse rate reduced from 150 to 90 beats\/min
D. Blood pressure reducedf rom 160\/90 to 130.80 \u2714\u2714D. angiotensin II receptor antagonist
(blocker), prescribed from treatment of HTN. The desired effect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a prescription for
oral metronidazole (flagyl) for treatment of trichomonas vaginalis (select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use<\/p>\n\n\n\n
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time \u2714\u2714ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a client who
receives an angiotensin-converting enzyme inhibitor. Which action should the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
D. Transcribe and send the prescription to the pharmacy \u2714\u2714A. the concomitant use of an ACE
inhibitor and a potassium-sparing diuretic sucha s spironolactone, should be given with caution
b\/c the two drugs may interact to cause an elevation in serum potassium levels.
A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults.
The nurse knows that which medication should be contraindicated for this client?
A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid retention
C. Pentobarbital sodium for sleep<\/p>\n\n\n\n
Hesi Pharmacology (ACTUAL)
Questions and Answers with Complete
Solutions
Before administering a laxative to a bedfast client, it is most important for the nurse to perform
what assessment?
a-Observe the skin integrity of the client’s rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client’s ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements \u2714\u2714D
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer choice D) before
administering a laxative, which will increase the frequency of bowel movements. answer choices
A,B,C R4 and assessments for the provision of care when the client experience is a valve, but are
of less priority then answer choice D which provides data about the possible need to hold
medication
A female client with multiple sclerosis reports having less fatigue and improved memory since
she began using the herbal supplement, ginkgo biloba. Which information is most important for
the nurse to include in the teaching plans for this client?<\/p>\n\n\n\n
HESI Pharmacology 2021 Questions and
Answers Already Passed
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should
the nurse include in the client’s instruction? \u2714\u2714Take the medication with food.
A client is receiving metoprolol (Lopressor SR). What assessment is most important for the
nurse to obtain? \u2714\u2714Blood pressure.
A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the
next 24 hours. What dosing schedule is best for the nurse to implement? \u2714\u2714q6h.
Which instruction(s) should the nurse give to a female client who just received a prescription for
oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.)
\u2714\u2714Increase fluid intake, especially cranberry juice.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed. Ensure that all sexual partners are treated at the same
time.<\/p>\n\n\n\n
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent
motion sickness while on a cruise. Which information should the nurse provide to the client?
\u2714\u2714Apply the patch at least 4 hours prior to departure.
Which client should the nurse identify as being at highest risk for complications during the use of
an opioid analgesic? \u2714\u2714A young adult with inflammatory bowel disease.
A client who has been prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at
the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the
correct drug-specific teaching the nurse should provide to this client? \u2714\u2714Make an appointment
to see the healthcare provider because muscle pain may be an indication of a serious side effect
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that
the action of this drug is to \u2714\u2714inhibit synthesis of T3 and T4 by the thyroid gland.
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor
antagonist valsartan (Diovan) has been achieved? \u2714\u2714Blood pressure reduced from 160\/90 to
130\/80.<\/p>\n\n\n\n
HESI Pharmacology Practice Test
Questions and Answers Graded A
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor
(MAOI), for a client with depression on the psychiatric unit. Which information is most
important for the nurse to assess?
A. Consumption of any alcohol or tyramine rich foods
B. Reports of nausea or vomiting
C. Therapeutic serum drug levels
D. Blood pressure and pulse prior to taking each dose \u2714\u2714A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side
effects should the nurse assess thr client during the initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia \u2714\u2714B<\/p>\n\n\n\n
While reviewing the client’s electronic medical record (EMR), the nurse assesses a client who is
at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client
health history should the nurse report to the health care provider concerning the OTC
medication? (Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn’s disease \u2714\u2714B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia after
using the inhaler. Which action should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the healthcare provider
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance medication is scheduled \u2714\u2714A<\/p>\n\n\n\n
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and
shooting pains in both legs. Which medication is considered the best course of treatment for the
nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically \u2714\u2714A
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy.
Which assessment finding would indicate the medication is being therapeutic?
A. A decrease in blood ammonia levels
B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification \u2714\u2714A<\/p>\n\n\n\n
The nurse is teaching a client who is newly diagnosed with type 1 diabetes about neutral
protamine Hagedor (NPH) insulin. Which statement by the client indicates an understanding of
how the medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
D. It delays the carbohydrate digestion and absorption \u2714\u2714A
The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
D. Labetolol (Normodyne) \u2714\u2714A
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD) asks the
nurse how the medication will help. Which is the best explanation to provide the client?<\/p>\n\n\n\n
Pharmacology HESI Questions and
Answers 100% Pass
A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack
should the nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt
b. Toasted wheat bread and jelly
c. Cold cereal with skim milk
d. Cheese and crackers \u2714\u2714B.
The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which
physiological function of the eye will not respond during the therapeutic period after
administration of eye drops?
a. Refraction
b. Eye convergence
c. Pupillary constriction
d. Accommodation \u2714\u2714C.<\/p>\n\n\n\n
A older male client is being discharged after a myocardial infacrtion (MI) and receives a new
prescription for atenolol. Which instruction is most important for the nurse to include in her
clients teaching plan?
a. Avoid intake of alcoholic beverages.
b. Avoid driving or operating machinery.
c. Take a missed dose as soon as possible.
d. Standing slowly when getting up from bed \u2714\u2714D.
The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with
methicillin-resistant staphylococcus aureus (MRSA). Review of the client’s laboratory values
shows that serum peak and trough levels are within the desired therapeutic range and the serum
creatinine level is 4.5 mg\/dL. Which action should the nurse implement?
a. Withhold the next scheduled dose and contact the healthcare provider. b. Monitor the
laboratory values until all prescribed doses have been given. c. Administer the next dose and flag
the results for the healthcare provider. d. Insert a second IV catheter for the administration of
emergency IV fluids. \u2714\u2714A.
After taking orlistat for one week, a female client tells the home health nurse that she is
experiencing increasingly frequent oily stools and flatus. Which action should the nurse take? a.
Instruct the client to increase her intake of saturated fats over the next week. b. Obtain a stool
specimen to evaluate for occult blood and fat content.<\/p>\n\n\n\n
c. Ask the client to describe her dietary intake history for the last several days. d. Advise the
client to stop taking the drug and contact her healthcare provider. \u2714\u2714C.<\/p>\n\n\n\n
HESI PHARMACOLOGY PRACTICE
QUESTIONS FOR FINAL
A client is receiving clonidine (Catapres) 0.1 mg\/24hr via transdermal patch. Which assessment
finding indicates that the desired effect of the medication has been achieved?
A. Client denies recent episodes of angina.
B. Change in peripheral edema from +3 to +1.
C. Client denies recent nausea or vomiting.
D. Blood pressure has changed from 180\/120 to 140\/70. Correct \u2714\u2714Catapres acts as a centrallyacting analgesic and antihypertensive agent. (D) indicates a reduction in hypertension. Catapres
does not affect (A, B, or C), so these findings do not indicate desired outcomes of Catapres
After abdominal surgery, a male client is prescribed low molecular weight heparin (LMWH).
During administration of the medication, the client asks the nurse why he is receiving this
medication. Which is the best response for the nurse to provide?
A. This medication is a blood thinner given to prevent blood clot formation. Correct
B. This medication enhances antibiotics to prevent infection.
C. This medication dissolves any clots that develop in the legs. Incorrect
D. This abdominal injection assists in the healing of the abdominal wound. \u2714\u2714Unfractionated
heparin or low molecular weight heparin (LMWH) is an anticoagulant that inhibits thrombin-<\/p>\n\n\n\n
mediated conversion of fibrinogen to fibrin and is given prophylactically to prevent
postoperative venous thrombosis (A) or to treat pulmonary embolism or deep vein thrombosis
following knee and abdominal surgeries. Heparin does not dissolve clots but prevents clot
extension or further clot formation (C). The anticoagulant heparin does not prevent infection (B)
or influence operative wound healing (D).
A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, the
nurse assesses the client. Which finding requires the most immediate intervention?
A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting. Correct \u2714\u2714Vomiting, anorexia and abdominal pain are early indications of
digitalis toxicity. Since Lipitor increases the risk for digitalis toxicity, this finding requires the
most immediate intervention by the nurse (D). (A, B and C) are expected side effects of Lipitor
A client with heart failure is prescribed spironolactone (Aldactone). Which information is most
important for the nurse to provide to the client about diet modifications?
Do not add salt to foods during preparation.
Refrain for eating foods high in potassium. Correct<\/p>\n\n\n\n
Restrict fluid intake to 1000 ml per day.
Increase intake of milk and milk products. \u2714\u2714Spironolactone (Aldactone), an aldosterone
antagonist, is a potassium-sparing diuretic, so a diet high in potassium should be avoided (B),
including potassium salt substitutes, which can lead to hyperkalemia. Although (A) is a common
diet modification in heart failure, the risk of hyperkalemia is more important with Aldactone.
Restriction of fluids (C) or increasing milk and milk products (D) are not indicated with this
prescription.
A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the
next 24 hours. What dosing schedule is best for the nurse to implement?
q6h. Correct
QID.
AC and bedtime.
PC and bedtime. \u2714\u2714Pronestyl is a class 1A antidysrhythmic. It should be taken around-theclock (A) so that a stable blood level of the drug can be maintained, thereby decreasing the
possibility of hypotension (an adverse effect) occurring because of too much of the drug
circulating systemically at any particular time of day. (B, C, and D) do not provide an aroundthe-clock dosing schedule. Pronestyl may be given with food if GI distress is a problem, but an
around-the-clock schedule should still be maintained.<\/p>\n\n\n\n
A client who was prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the
clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct
drug-specific teaching the nurse should provide to this client?
A. Increase consumption of potassium-rich foods since low potassium levels can cause muscle
spasms.
B. Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia, a
cause of cramping.
C. Make an appointment to see the healthcare provider, because muscle pain may be an
indication of a serious side effect. Correct
D. Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness
of the drug. \u2714\u2714Myopathy, suggested by the leg pain and weakness, is a serious, and potentially
life-threatening, complication of Lipitor, and should be evaluated immediately by the healthcare<\/p>\n\n\n\n
Pharm HESI Practice Exam Questions
and Answers Graded A
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to manage the client’s blood pressure. Which
instruction should the nurse provide the client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair. \u2714\u2714D. Rise slowly when getting out of bed or
chair.
A female client calls the clinic and talks with the nurse to inquire about a possible reaction after
taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white
discharge. The nurse should discuss which action with the client?
A. Discontinue the antibiotic because original symptoms have subsided.
B. Continue taking medication until finished until the symptoms subside.
C. Consult with healthcare provider about another treatment for this effect.<\/p>\n\n\n\n
D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions. \u2714\u2714C. Consult with
healthcare provider about another treatment for this effect.
The nurse is making early morning rounds on a group of clients when a client begins exhibiting
symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2
receptor agonist agent. Which client response should the nurse expect?
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
D. Improved pulse oximetry values.
E. Reduce fever airway inflammation. \u2714\u2714C, D
A client prescribed atenolol has a blood pressure of 120\/68 mmHg, displaying a sinus
bradycardia with a rate of 58 beats\/minute, and a P-R interval of 0.24. Which action should the
nurse take?
A. Lower the head of the bed and assess the client for orthostatic vital sign changes.
B. Give the medication as prescribed and continue to monitor the client.<\/p>\n\n\n\n
C. Prepare to administer atropine sulfate IV push.
D. Hold the prescribed dose and contact the healthcare provider. \u2714\u2714B. Give the medication as
prescribed and continue to monitor the client.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker
(ARB), for a client with hypertension and heart failure. The nurse reviews the client’s laboratory
results and notes that the client’s serum potassium level is 5.9 mEq\/L. Which action should the
nurse take first?
A. Withhold the scheduled dose.
B. Check the client’s apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level. \u2714\u2714A. Withhold the scheduled dose.
Upon admission to the emergency center, an adult client with acute status asthmaticus is
prescribed this series of medications. In which order should the nurse administer the prescribed
medications? (Arrange from first to last.) \u2714\u27141. Albuterol (Proventil) puffs.<\/p>\n\n\n\n
Pharmacology Hesi Questions and
Answers 100% Pass
A wife is caring for her husband who has Parkinson’s disease. The wife calls the clinic and report
the husband has involuntary movement\u2026 \u2714\u2714Determine what other medications the patient has
taken
What are some common side effects of antidepressants? \u2714\u2714Blurred vision, dry ,mouth,
constipation
A client is discharged with a prescription for warfarin. What discharge instructions should the
nurse emphasize? \u2714\u2714Avoid going barefoot especially outside
A client who is taking an oral dose of tetracycline complains of GI upset. What snack should the
nurse instruct the client to take with this medication? \u2714\u2714Toasted wheat bread and jelly
A patient was given a dose of Trimethobenzamide is sedated but easily aroused. What should the
nurse do? \u2714\u2714Allow the patient to rest
A client is having an acute asthma attack. What medication to administer? \u2714\u2714Pirbuterol<\/p>\n\n\n\n
The nurse is assessing the client’s INR which is 20. What is the nurse’s priority? \u2714\u2714Give
Vitamin K, STOP THE INFUSSSION
A client is being educated on Benadryl. What is the most important teaching? \u2714\u2714Avoid driving,
restlessness, drowsiness
A client complaints about upset stomach when taking Resedronate. \u2714\u2714R. What will the nurse
ask the client?
How does the nurse know that Kayexalate is effective? \u2714\u2714K+ 3.8, 3.5, 5.0
Prevent asthma attack when inhaled \u2714\u2714mucomyst (acetylcysteine)
The nurse is administering IV fluconazole (Diflucan) to a client who has systemic candidiasis.
After reviewing the diagnostic studies, the nurse identifies a rising trend in the liver enzyme for
aspartate aminotransferase (AST). What action should the nurse implement? \u2714\u2714Hold the dose
and notify the healthcare provider of the changes in laboratory studies
<\/p>\n\n\n\n
Pharm II HESI Questions and Answers
Graded A
Which of the following is a rapid acting insulin and should be administered immediately before a
meal?
A. Glargine
B. Aspart (Lispro)
C. NPH
D. Regular \u2714\u2714B. Aspart
rationale: onset is 5 minutes
Glargine=Lantus (long lasting)
A PT has an anaphylactic allergy to sulfa drugs. She receives sulfamethoxazole. She becomes
flushed and SOB. Her HR is normal but her BP is dropping. You first administer
A. Epinephrine
B. Diphenhydramine
C. Albuterol
D. Atropine \u2714\u2714A. Epi
rationale: raises BP<\/p>\n\n\n\n
Which of the following would be an adverse effect of methimazole (Tapazole)
A. Tachycardia
B. Bradycardia
C. SOB
D. Arrhythmias \u2714\u2714This is an anti-thyroid medication
B. Bradycardia
One of your PTs is started on verapamil (Calan). Before administering the dose you check
A. HR
B. urine output
C. weight
D. temp \u2714\u2714this is a calcium channel blocker–worried about HR
A. HR
One of your PTs is to be started on iron sulfate therapy. You instruct him to:
A. take with meals
B. take on empty stomach<\/p>\n\n\n\n
C. remain upright for at least 60 min following administration
D. take with vitamin A to increase absorption \u2714\u2714B. take on empty stomach
rationale: taking with food lessens absorption, but it can cause upset stomach so most like to take
with food
take iron with vitamin C to increase absorption
liquid iron-drink through straw bc it can stain teeth black
which of the following should be considered when administering IV potassium?
A. Max rate infused through central line is 20 meq\/h
B. Max rate infused through peripheral line is 10 meq\/h
C. Max concentration through a central line is 20 meq\/50ml
D. Max concentration through peripheral line is 10 meq\/100ml
E. all of the above \u2714\u2714E. all of the above
will usually be infused peripherally
which is the following agents is used to treat MG
A. Atropine (anticholinergic)
B. Pyridostigmine (Mestinon-acetylcholinesterase inhibitor)<\/p>\n\n\n\n
Pharm HESI Practice Questions and
Answers Rated A<\/p>\n\n\n\n
B. Holds pen in place after injection
C. Cleanse pen for reuse
D. Insert pen through clothing \u2714\u2714ANS: C<\/p>\n\n\n\n
200 mg x 1g x 2.5 mL = 0.5 mL
1000 mg g \u2714\u2714ANS: 0.5 mL<\/p>\n\n\n\n
<\/p>\n\n\n\n
HESI PHARMACOLOGY REVIEW HYDROMORPHONE (DILAUDID) IS A POTENT OPIOID USED TO TREAT POSTOP ENDROPHONIUM (TENSILON) AN ANTICHOLINESTERASE \u2714\u2714IT ENHANCES THE ORAL CONTRACEPTIVE PILLS (OCPs) HAVE DECREASES EFFICACY WHILE ON ABT HESI Pharmacology Exam PracticeQuestions and Answers Already Passed1) A nurse is caring for a client with hyperparathyroidism and notes that the client’s serumcalcium level is 13 mg\/dL. Which medication should the nurse prepare to administer asprescribed to the client? 4.) The camp nurse asks the children preparing to swim in the lake if they have […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116899","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116899","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116899"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116899\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116899"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116899"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116899"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
LATEST 2023 ALREADY PASSED
ELDERLY HAVE DECREASED RENAL FUNCTION \u2714\u2714EXCRETE DUGS AT A SLOWER
RATE THAN YOUNGER ADULTS.
RISK OF TOXICITY FOR MEDS SCHEDULED CLOSE TOGETHER EXAMPLE Q 4HRS FOR NARCOTICS<\/em><\/strong>
SUCCINYLCHOLINE (ANECTINE) DEPOLARIZING NEUROMUSCULAR BLOCKER
USED DURING SURGERY \u2714\u2714MAY CAUSE VENTRICULAR TACHYCARDIA\/DYSRHYTHMIAS.<\/em><\/strong>
***ADDED NEUROMUSCULAR BLOCKER(NMB) ACTION WHEN VANCOMYCIN IS
GIVEN WITH NMBs
FORMULA IV DRIP RATES \u2714\u2714VOLUME (mL) X DRIP RATE (20GTT\/mL)\/TIME
250mL x 20GTTS\/MIN DIVIDED BY 60MIN
NEUPOGEN ADMINISTERED TO INCREASE THE WBC COUNT IN NEUTROPENIC
PATIENTS \u2714\u2714WBC INCREASE FROM 2,500\/MM3 TO 5,500\/MM3 – MEANS DESIRED
EFFECT IS REACHED.<\/p>\n\n\n\n
PAIN \u2714\u2714SLOWS PERISTALSIS
CAUSES CONSTIPATION
ALWAYS AUSCULTATE FORBOWEL SOUNDS
LEVALBUTEROL IS A SHORT-ACTING BETA 2 AGONIST (SABA) \u2714\u2714SHOULD BE
USED DURING ACUTE ASTHMATIC EPISODES NOT LONG TERM USE.
FLUTICASONE IS GLUCOCORTICOID FOR PREVENTION OF ACUTE ASTHMA
\u2714\u2714NOT FOR ACUTE EPISODES
GIVEN BID
KETOROLAC (TORADOL) AN NSAID, CAUSES GASTRIC IRRITATION AND SHOULD
BE GIVEN WITH MEALS \u2714\u2714HAS PAIN RELIEF COMPARABLE TO MORPHINE BUT IS
NOT AN OPIOID
NOT TO BE USED FOR CHRONIC PAIN
DO NOT GIVE FOR MORE THAN 5 DAYS<\/p>\n\n\n\n
EFFECTS OF ACETYLCHOLINE AT THE SKELETAL MUSCLE RECEPTORS.
USED IN PATIENTS WITH MYASTHENIA GRAVIS<\/em><\/strong>
EFFECTIVE IF IMPROVEMENT IN PATIENTS MUSCLE STRENGTH.
MIOTICS CONSTRICT THE PUPIL \u2714\u2714REDUCING NIGHT VISION
RISK FOR INJURY
MYDRIASIS DILATE THE PUPIL \u2714\u2714BY BLOCKING MUSCARINIC RECEPTORS THAT
CONTRACT THE EYE.
MALE PARTNER SHOULD BE TREATED ALSO \u2714\u2714IF THEIR PARTNER HAS
TRICHOMONAS (ANY STD), EVEN IF ASYMPTOMATIC
ARICEPT \u2714\u2714MAY SLOW THE PROGRESSION FOR ALZHEIMER’S DISEASE OVER
THE NEXT YEAR (12 MONTHS)
PATIENT RECEIVING LINEZOLID (ZYVOX) FOR NOSOCOMIAL PNEUMONIA
\u2714\u2714REPORT WATERY DIARRHEA STOOLS ASAP AS IT COULD BE C-DIFF.<\/p>\n\n\n\n
\u2714\u2714USE 2ND METHOD OF BIRTH CONTROL
FEOSOL (FERROUS SULFATE, FeSO4) IN LIQUID FORM \u2714\u2714DRINK WITH A STRAW
TO PREVENT STAINING TEETH AND MUCOUS MEMBRANES.
Z TRACT IF GIVEN IM
HYDROCHLOROTHIAZIDE (HCTZ) \u2714\u2714CAN BE SAFELY ADMINISTERED WITH A
HIGHER THAN AVERAGE POTASSIUM LEVEL OF 6.2 BECAUSE IT WILL PROMOTE
POTASSIUM LOSS.
ANTIHISTAMINES (DIPHENHYDRAMINE-BENADRYL) \u2714\u2714DECREASE
NASOPHARYNGEAL SECRETIONS BY BLOCKING HISTAMINE RECEPTORS
WHEN MEDICATIONS WITH SIMILAR ACTION ARE ADMINISTERED TOGETHER
\u2714\u2714ADDITIVE EFFECTS OCCUR THAT IS THE SUM OF THE EFFECTS.
ANITHYPERTENSIVES TOGETHER WILL CAUSE LOW BLOOD PRESSURE.<\/p>\n","protected":false},"excerpt":{"rendered":"