HESI RN PHARMACOLOGY EXAM-BEST EXAM PACK FOR 2022 EXAM REVIEW

Examination For HESI RN PHARMACOLOGY EXAM-BEST EXAM PACK FOR 2022 EXAM REVIEW

HESI RN PHARMACOLOGY EXAM PACK-BEST MEREGED ACTUAL EXAMS-BEST FOR 2022 EXAM REVIEW HESI RN PHARMACOLOGY EXAM PACK-BEST MEREGED ACTUAL EXAMS-BEST FOR 2022 EXAM REVIEW 1) A nurse is caring for a consumer with hyperparathyroidism and notesthat the consumer’s serum calcium degree is 13 mg/dL. Which medicine ought to the nurse put together to manage as prescribed to the consumer? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Massive doses of vitamin D 3. Calcitonin (Miacalcin) Rationale: The conventional serum calcium degree is 8.6 to 10.0 mg/dL. This consumer is experiencing hypercalcemia. Calcium gluconate and calcium chloride are drugs used for the remedy of tetany, which happens because of acute hypocalcemia. In hypercalcemia, giant doses of vitamin D should be prevented. Calcitonin, a thyroid hormone, decreases the plasma calcium degree by inhibiting bone resorption and reducing the serum calcium focus. 2.) Oral iron dietary supplements are prescribed for a 6-year-old little one with iron deficiency anemia. The nurse instructs the mom to manage the iron with which finest meals merchandise? 1. Milk 2. Water 3. Apple juice 4. Orange juice 4. Orange juice Rationale: Vitamin C will increase the absorption of iron by the physique. The mom must be instructed to manage the medicine with a citrus fruit or a juice that’s excessive in vitamin C. Milk could have an effect on absorption of the iron. Water is not going to help in absorption. Orange juice incorporates a higher quantity of vitamin C than apple juice. 3.) Salicylic acid is prescribed for a consumer with a analysis of psoriasis. The nurse screens the consumer, understanding that which of the next would point out the presence of systemic toxicity from this medicine? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Decreased respirations 1. Tinnitus Rationale: Salicylic acid is absorbed readily by way of the pores and skin, and systemic toxicity (salicylism) may result. Signs embody tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation and diarrhea should not related to salicylism. 4.) The camp nurse asks the youngsters getting ready to swim within the lake if they’ve utilized sunscreen. The nurse reminds the youngsters that chemicalsunscreens are handiest when utilized: 1. Instantly earlier than swimming 2. quarter-hour earlier than publicity to the solar 3. Instantly earlier than publicity to the solar 4. Not less than half-hour earlier than publicity to the solar 4. Not less than half-hour earlier than publicity to the solar Rationale: Sunscreens are handiest when utilized a minimum of half-hour earlier than publicity to the solar in order that they’ll penetrate the pores and skin. All sunscreens must be reapplied after swimming or sweating. 5.) Mafenide acetate (Sulfamylon) is prescribed for the consumer with a burn harm. When making use of the medicine, the consumer complains of native discomfort and burning. Which of the next is probably the most acceptable nursing motion? 1. Notifying the registered nurse 2. Discontinuing the medicine 3. Informing the consumer that that is regular 4. Making use of a thinner movie than prescribed to the burn web site 3. Informing the consumer that that is regular Rationale: Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms and is used to deal with burnsto cut back micro organism current in avascular tissues. The consumer must be knowledgeable that the medicine will trigger native discomfort and burning and that this can be a regular response; due to this fact choices 1, 2, and 4 are incorrect 6.) The burn consumer is receiving therapies of topical mafenide acetate (Sulfamylon) to the positioning of harm. The nurse screens the consumer, understanding that which of the next signifies {that a} systemic impact has occurred? 1.Hyperventilation 2.Elevated blood strain 3.Native ache on the burn web site 4.Native rash on the burn web site 1.Hyperventilation Rationale: Mafenide acetate is a carbonic anhydrase inhibitor and may suppress renal excretion of acid, thereby inflicting acidosis. Shoppers receiving this remedy must be monitored for indicators of an acid-base imbalance (hyperventilation). If this happens, the medicine must be discontinued for 1 to 2 days. Choices 3 and 4 describe native relatively than systemic results. An elevated blood strain could also be anticipated from the ache that happens with a burn harm. 7.) Isotretinoin is prescribed for a consumer with extreme pimples. Earlier than the administration of this medicine, the nurse anticipates that which laboratory check shall be prescribed? 1. Platelet depend 2. Triglyceride degree 3. Full blood depend 4. White blood cell depend 2. Triglyceride degree Rationale: Isotretinoin can elevate triglyceride ranges. Blood triglyceride ranges must be measured earlier than remedy and periodically thereafter till the impact on the triglycerides has been evaluated. Choices 1, 3, and 4 don’t should be monitored particularly throughout this remedy. 8.) A consumer with extreme pimples is seen within the clinic and the well being care supplier (HCP) prescribes isotretinoin. The nurse critiques the consumer’s medicine file and would contact the (HCP) if the consumer is taking which medicine? 1. Vitamin A 2. Digoxin (Lanoxin) 3. Furosemide (Lasix) 4. Phenytoin (Dilantin) 1. Vitamin A Rationale: Isotretinoin is a metabolite of vitamin A and may produce generalized intensification of isotretinoin toxicity. Due to the potential for elevated toxicity, vitamin A supplementsshould be discontinued earlier than isotretinoin remedy. Choices 2, 3, and 4 should not contraindicated with using isotretinoin. 9.) The nurse is making use of a topical corticosteroid to a consumer with eczema. The nurse would monitor for the potential for elevated systemic absorption of the medicine if the medicine have been being utilized to which of the next physique areas? 1. Again 2. Axilla 3. Soles of the ft 4. Palms of the palms 2. Axilla Rationale: Topical corticosteroids might be absorbed into the systemic circulation. Absorption is greater from areas the place the pores and skin is particularly permeable (scalp, axilla, face, eyelids, neck, perineum, genitalia), and decrease from areas through which permeability is poor (again, palms, soles). 10.) The clinic nurse is performing an admission evaluation on a consumer. The nurse notes that the consumer is taking azelaic acid (Azelex). Due to the medicine prescription, the nurse would suspect that the consumer is being handled for: 1. Zits 2. Eczema 3. Hair loss 4. Herpessimplex 1. Zits Rationale: Azelaic acid is a topical medicine used to deal with gentle to reasonable pimples. The acid seems to work by suppressing the expansion of Propionibacterium acnes and lowering the proliferation of keratinocytes. Choices 2, 3, and 4 are incorrect. 11.) The well being care supplier has prescribed silver sulfadiazine (Silvadene) for the consumer with a partialthickness burn, which has cultured constructive for gram-negative micro organism. The nurse is reinforcing data to the consumer concerning the medicine. Which assertion made by the consumer signifies a lack of know-how concerning the therapies? 1.