VATI RN PHARMACOLOGY 2023 TEST BANK / PHARMACOLOGY VATI RN LATEST EXAM 2023 TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

VATI RN PHARMACOLOGY 2023 TEST BANK /

PHARMACOLOGY VATI RN LATEST EXAM 2023 TEST

BANK 300 QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

A nurse is providing teaching to a client who has gout and a new

prescription for allopurinol. Which of the following statements by the

client indicates an understanding of the teaching?

A. "If I get a rash from this medication, I will take my usual

antihistamine."

B. "I need to increase my fluid intake while taking this medication."

C. "I should take this medicine on an empty stomach."

D. "If I get a fever while taking this medication, I will take some

aspirin." - ANSWER- B. "I need to increase my fluid intake while taking

this medication."

Rationale: Clients who have gout should increase their fluid intake

to 2 to 3L per day to prevent toxicity of allopurinol and decrease

uric acid levels.

A nurse is providing instructions to a client who has a new prescription

for sublingual nitroglycerin to treat angina pectoris. Which of the

following instructions should the nurse include?

A. "Place the tablet under your tongue, and then take a small sip of

water."

B. "The medication can take up to 15 minutes to take effect."

C. "Avoid taking the medication prior to exercising."

D. "Stop taking the medication and notify your provider if you develop a

headache." - ANSWER- A. "Place the tablet under your tongue, and

then take a small sip of water."

Rationale: A client who takes a sublingual medication should place

it under his tongue. A sip of water can help the medication dissolve.

The nurse should tell the client that the medication takes effect

rapidly in 1-3 min. The nurse should tell the client that the

medication can be used to terminate an ongoing anginal attack as

well as to prevent anginal pain prior to exertion. Therefore the

client might need the medication prior to exercising. Headache is a

common adverse effect of this medication that often dissipates with

prolonged use. The client should continue to take the medication

and take aspirin or acetaminophen for headache.

A nurse is teaching a client who has a new prescription for phenytoin.

The nurse should instruct the client to monitor for and report which of

the following adverse effects of this medication?

A. Metallic taste

B. Diarrhea

C. Skin rash

D. Anxiety - ANSWER- C. Skin rash

Rationale: Phenytoin is an antiepileptic medication used to treat

partial seizures and generalized tonic-clonic seizures. Phenytoin can

cause a rash that can progress to Stevens-Johnson syndrome (SJS)

or toxic epidermal necrolysis (TEN). If a rash develops, the client

should notify the provider immediately and stop the use of

phenytoin.

Adverse effects of clarithromycin include an altered taste. Phenytoin

can cause gingival hyperplasia. Adverse effects of phenytoin include

constipation. Adverse effects of phenytoin include suicidal

tendencies and aggression.

A nurse is caring for a client who has atrial fibrillation and receives

digoxin daily. Before administering this medication, which of the

following actions should the nurse take?

A. Offer the client a light snack

B. Measure the client's blood pressure

C. Measure the client's apical pulse

D. Weigh the client - ANSWER- C. Measure the client's apical pulse

Rationale: Digoxin decreases the heart rate, so the nurse should

count the apical pulse for at least 1 min before administering. The

nurse should hold the medication and notify the provider if the

client's heart rate is below 60/min or if a change in heart rhythm is

detected.

A nurse is providing discharge teaching to a client who has a new

prescription for lithium. Which of the following information should the

nurse include in the teaching?

A. Follow a low-sodium diet.

B. Limit daily fluid intake.

C. Obtain a daily weight.

D. Avoid foods that have a high tyramine content. - ANSWER- C.

Obtain a daily weight

Rationale: Clients who are taking lithium should monitor their daily

weight due to the risk of fluid imbalance.

Clients who are taking lithium should avoid a low-sodium diet due

to the risk of hyponatremia. Clients who are taking lithium should

drink plenty of fluids. Clients who are taking a monoamine oxidase

inhibitor (MAOI), rather than lithium, should avoid foods that have

a high tyramine content.

A nurse is preparing to administer an intramuscular (IM) injection of

meperidine to a client. Which of the following is the priority assessment

the nurse should complete?

A. Apical pulse rate

B. Blood pressure