Pharmacology Exam 3 (NCLEX Questions)Study online at https://quizlet.com/_7xnpfh1.A patient with a rapid, irregular heart rhythm is being treated in the emergency department with adenosine. During administration of this drug, the nurse will be prepared to monitor the patient for which effect?A.) Nausea and vomitingB.) Transitory asystoleC.) Muscle TetanyD.) HypertensionB2.When assessing a patient who has been taking amio-darone for 6 months, the nurse monitors for which potential adverse effect?A.) HyperglycemiaB.) DysphagiaC.) PhotophobiaD.) UrticariaC3.The nurse is assessing a patient who has been taking quinidine and asks about adverse effects. An adverse effect associated with the use of this drug includes:A.) Muscle painB.) TinnitusC.) Chest PainD.) Excessive ThirstB4.A patient calls the family practice office to report that he has seen his pills in his stools when has a bowl movement. How will the nurse respond?A.) "The pills are not being digested properly. You need to take them on an empty stomach"B.) "The pills are not being digested properly. You need to take them with food."C.) "What you are seeing is the wax matrix that con-tained the medication, but the drug has been ab-sorbed."D.) "This indicates that you are not tolerating this medication and will need to switch to a different form."C1 / 15
Pharmacology Exam 3 (NCLEX Questions)Study online at https://quizlet.com/_7xnpfh5.The nurse is administering lidocaine and considers which condition, if present in the patient, caution for the use of this drug?A.) TachycardiaB.) HypertensionC.)Ventricular dysrhythmiasD.) Renal dysfunctionD6.A patient is in the clinic for a follow-up visit. He has been taking amiodarone for almost a year and today he tells the nurse, "I am noticing some blue color around my face, neck and upper arms. Is that nor-mal?" Which is the nurse's correct response?A.) "This is an expected side effect and should go away soon"B.) "This is a harmless effect. As long as the medica-tion is working, we'll just monitor your skin."C.) "This can happen with amiodarone. I will let your doctor know about it right away."D.) "How much sun exposure have you had recently?"C7.The nurse is monitoring a patient who is receiving anti-thrombolytic therapy in the emergency depart-ment because of a possible MI. Which adverse effect would be of the greatest concern at this time?A.)DizzinessB.) Blood pressure of 130/98 mmHgC.)Slight bloody oozing from the IV insertion siteD.) Irregular heart rhythmD8.A patient is receiving instructions regarding warfarin therapy and asks the nurse about what medications she can take for headaches. The nurse will tell her to avoid which type of medications?A.) OpioidsB.) Acetaminophen C.) NSAIDsD.) There are no restrictions while taking warfarinC9.B2 / 15
Pharmacology Exam 3 (NCLEX Questions)Study online at https://quizlet.com/_7xnpfhThe nurse is teaching a patient about self-administra-tion of enoxaparin. Which statement will be included in this teaching session?A.) "We will need to teach a family member how to give this drug in your arm."B.) "This drug is given in the folds of your abdomen, but at least 2 inches away from your navel."C.) "This drug needs to be taken at the same time every day with a full glass of water."D.) "Be sure to massage the injection site thoroughly after giving the drug."10.A patient is receiving dabigatran, 150 mg twice daily, as part of treatment for atrial fibrillation. Which condi-tion, if present, would be a concern if the patient were to relieve this dose?A.) AsthmaB.) Elevated liver enzymesC.) Renal impairmentD.) History of myocardial infarctionC11.A patient has received a double dose of heparin dur-ing surgery and is bleeding through the incision site. While the surgeons are working to stop the bleeding at the incision site, the nurse will prepare to take what action at this time?A.) Give IV vitamin K as an antidoteB.) Give IV protamine sulfate as an antidoteC.) Call the blood bank for an immediate platelet trans-fusionD.) Obtain an order for packed red blood cells.B12.The nurse administering niacin would implement which action to help reduce adverse effects?A.) Give the medication with grapefruit juice.B.) Administer a small dose of aspirin or an NSAID 30 minutes before niacin dose.B3 / 15
Pharmacology Exam 3 (NCLEX Questions)Study online at https://quizlet.com/_7xnpfhC.) Administer the medication on an empty stomachD.) Have the patient increase dietary fiber intake13.When administering niacin, the nurse needs to moni-tor for which adverse effect?A.) Cutaneous flushingB.) Muscle PainC.) HeadacheD.) ConstipationA14.Which point will the nurse emphasize to a patient who is taking an antilipemic medication in the "statin" class?A.) The drug needs to be taken on an empty stomach before mealsB.) A low-fat diet is not necessary while taking these medications.C.) It is important to report muscle pain immediately.D.) Improved cholesterol levels will be evident within 2 weeks.C15.A patient is being assessed before a newly ordered an-tilipemic medication is given. Which condition would be a potential contraindication?A.) Diabetes InsipidusB.) Pulmonary fibrosisC.) Liver CirrhosisD.) Myocardial InfarctionC16.A patient is currently taking a statin. The nurse con-siders that the patient may have a higher risk for developing rhabdomyolysis when also taking which product?A.) NSAIDsB.) A fibric acid derivativeC.) Orange juiceD.) Fat-soluble vitaminsB17.The nurse is reviewing the medications that have been ordered for a patient for whom a loops diuretic has D4 / 15