pharmacology in nursing practice

Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. D. vomiting. Filed under Basic Science. The physician has ordered Lugol’s solution for the client. Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. D. What the client’s friends think of his need to take medication. D. Erythema marginatum. Better get your calculators ready! While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. Pharmacology content is 4 hours. D. potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia. 5. Strict sterile technique is crucial in preventing infection at IV infusion site. appear. The nurse should not tell the client to stop taking oral contraceptives unless the physician orders this. 6. A. An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. Types: NPH (Humulin N, Novolin N, ReliOn) It offers unsurpassed features designed to illuminate connections between pharmacology and practice, from patient scenarios and practice … This medication is given for its anti-inflammatory and immunosuppressive effects. (Multiple Answer) Characteristic(s) of a drug whose action is terminate by redistribution include: A) … He is sleepy but easily aroused. What gauge of catheter would best meet the needs of this client? C. “The medication must be continued so the fluid problem is controlled.” C. Take the medication with milk 20. Sciences, Culinary Arts and Personal C. The potential side effects of lithium. You can also copy this exam and make a print out. back The nurse needs to recognize that an early sign of digitalis toxicity is: Mr. Bates is admitted to the surgical ICU following a left adrenalectomy. The physician should be notified. Assessment of the medication taken may or may not provide information on the client’s medical background. C. “This medication is used to prevent bacterial infections.” Study more effectively: skip concepts you already know and focus on what you still need to learn. Types: Insulin glulisine (Apidra), insulin lispro (Admelog, Humalog), and insulin aspart (Fiasp, NovoLog) The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. What is bioavailability? Pharmacology and the Nursing Process in LPN Practice. 4. This is the first day of TPN therapy. Take this practice test to check your existing knowledge of the course material. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Register Login If you need more clarifications, please direct them to the comments section. © copyright 2003-2020 Study.com. Doses of over 30 mg/day may increase the risk of agranulocytosis. It has the ability to diffuse rapidly through the eschar. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. Instructor Contact Hours Per Semester. Multiple medications can lead to dementia Notify the physician that Mrs. Johanson is taking oral contraceptives, Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline, Tell Mrs. Johanson, to use another form of birth control for at least two months. The client should be taught to expect the first insulin peak: An adult is hospitalized for treatment of deep electrical burns. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. Insulin doses depend on blood glucose levels. Prototype Drug. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? A. Blood glucose levels should be checked every 4 to 6 hours. All rights reserved. B. possible severe metabolic alkalosis with continued use. A doctor may give a larger starter dose followed by a maintenance dose to reach a steady state faster. Pharmacology Connections to Nursing Practice Chapter 1. The impact of lithium on the client’s energy level and lifestyle. This medication is given for its anti-inflammatory and immunosuppressive effects. 10 Pharmacology NCLEX® Questions Take the Pop Quiz and see how good you are at Pharmacology NCLEX® Questions. Pharmacolog Nursing Practice I. A. Stomatitis lesion in the mouth 11. The nurse needs to recognize that an early sign of digitalis toxicity is: A. bradypnea. B. George, age 8, is admitted with rheumatic fever. Types: degludec (Tresiba), detemir (Levemir), and glargine (Basaglar, Lantus) While the client’s social network can influence the client in terms of compliance, the influence is typically secondary to that of the other factors listed. The client should be taught to expect the first insulin peak: A. as soon as food is ingested. Last modified 02/03/2015. 20. Question 1 of 10 Among those choices which statement of the client gives understanding based on the situation. 9. C. Subcutaneous nodules. Which of the following best defines the process of pharmacokinetics? He is hospitalized for evaluation. According to the American Society for Clinical Pharmacology and Therapeutics (ASCPT), “clinical pharmacology is the study of drugs in humans.” While drugs could potentially save lives and provide relief to patients who are suffering, efforts must first be made to address challenges delaying the arrival of new drugs on the market. B. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. A. The physician should be notified. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all. 50+ Tips & Techniques on IV... IV Fluids and Solutions Guide & Cheat Sheet (2020 Update), Cranial Nerves Assessment Chart and Cheat Sheet, Diabetes Mellitus Reviewer and NCLEX Questions (100 Items), Drug Dosage Calculations NCLEX Practice Questions (100+ Items). In this client there is an even more important reason for evaluating the medications taken. The impact of lithium on the client’s energy level and lifestyle. 2.) on your results. The wound may be left open or dry dressing may be applied. In Text Mode: All questions and answers are given for reading and answering at your own pace. Care for the client following adrenalectomy is similar to that for any abdominal operation. Notify the physician that Mrs. Johanson is taking oral contraceptives. You can skip questions if you would like and come Azathioprine is used for clients with life-threatening rheumatoid arthritis for its immunosuppressive effects. What types of drugs to use with vast variety available on the market. Undesirable side effects only tend to occur between the first dose and upon reaching a steady state. Teach Mr. Bates how to care for his wound since he is at high risk for developing postoperative infection. Whether to prescribe narcotics to patients or just prescription drugs. What is the most appropriate initial nursing intervention? While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include: A. severe burning pain for a few minutes following application. Can I do them less frequently?”. A. Mafenide acetate 10% (Sulfamylon) is a strong carbonic anhydrase inhibitor that affects the renal tubular buffering system, resulting in metabolic acidosis. Mr. Bates is admitted to the surgical ICU following a left adrenalectomy. D. Blood glucose of 350 mg/dl. Clients receiving TPN are very susceptible to infection. When you have completed the practice exam, a green submit button will Finger sticks for glucose levels must be continued. Multiple medications can lead to dementia. An IV containing hydrocortisone is running. 2 (for 15-week classes) Pre-requisites. Knowledge from the various pharmaco-logic classes enables the nurse to understand how “Are you sure all this insulin won’t hurt my baby?” Which type of drug tolerance has to do with being able to control the actions caused by the drug when necessary? Pharmacology is the study of medicine and its effect on the body. The client may receive iodine solution (Lugol’s solution) for 10 to 14 days before surgery to decrease vascularity of the thyroid and thus prevent excess bleeding. Question 11 and 12 are the same ..Also check the rationale to question 14.. no. The medications can provide clues regarding his medical background the agent to which all other drugs in a class are compared. Thank You. What is that organ called? B. Azathioprine (Imuran) reduce the size and vascularity of the thyroid and prevent hemorrhage. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Join NURSING.com and try SIMCLEX® (the most realistic NCLEX® simulation software) and NPQ™, the largest Nursing Practice Question Database. Thus, a chief nursing responsibility is blood glucose testing. name ending in -lol. Lugol’s solution does not act to prevent tetany. Dosage calculation and pharmacology are among the most challenging topics to master in nursing school. What is the main challenge that medical professionals face today in pharmacological therapy? —William Osler. B. The need for consistent blood level monitoring, What the client’s friends think of his need to take medication, The impact of lithium on the client’s energy level and lifestyle. Please wait while the activity loads. 14 questions and rationales contradict. C. Prednisone (Deltasone) To make the most of this quiz, follow the guidelines below: In Exam Mode: All questions are shown in random and the results, answers and rationales (if any) will only be given after you’ve finished the quiz. Published on 02/03/2015 by admin. The parent asks why this medication is being given. Although children with congestive heart failure often have a related condition of failure to thrive, it is not directly related to digitalis administration. prevent tetany while the client is under general anesthesia. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect? C. Tell Mrs. Johanson, she should stop taking oral contraceptives since they are inactivated by tetracycline. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered bid. Undesirable side effects only tend to occur after the last dose is taken and until the medication is completely gone from the patient's body. Contact us by phone at (877) 266-4919, or by mail at 100 View Street #202, Mountain View, CA 94041. A doctor cannot give a larger starter dose followed by a maintenance dose to reach a steady state faster. D. Naproxen (Naprosyn). She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Pharmacology is a tough course. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? Good luck! Get the right dosage of pharmacology content to succeed on the NCLEX and as a professional nurse with Pharmacology: A Patient-Centered Nursing Process Approach 9th Edition. Prepare for these nursing pharmacology questions with these quizzes: This set of NCLEX practice questions includes not only dosage calculations but also metric conversions. B. As nurses, we need to have an extensive knowledge about the different drugs and their uses. What gauge of catheter would best meet the needs of this client? 17. Pharmacologic Classification. When providing instructions about precautions with this medication, the nurse should instruct the client to: While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. 11. If you leave this page, your progress will be lost. Gold sodium thiomalate (Myochrysine) Medication history should be a part of the nursing assessment. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? Which of the following assessments requires the nurse’s immediate attention? The first insulin peak will occur two to four hours after administration of regular insulin. Nursing Pharmacology Practice Questions From The Largest Bank of Nursing NCLEX® Practice Questions In The World, To Help You Dominate Tests, The NCLEX and Rotations. She has been coming for routine prenatal visits, during which diabetic teaching has been implementeD. No time limit for this exam. The patient has taken the medication without side effects for at least 30 days. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: A. decrease the risk of agranulocytosis postoperatively. Bradypnea (slow breathing) is not associated with digitalis toxicity. An analgesic may be required before the ointment is applied. What is the nurse’s best response? D. “Please talk to your physician about medications and treatments.”. 7. Clients receiving TPN are very susceptible to infection. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. appear. Increased pulse Urinary retention Constipation Mydriasis Rash Angioedema Cough Congestion Nausea Flush appearance Vertigo Sexual dysfunction Hypertension Difficulty breathing Dry … C. Sterile technique for dressing change at IV site Definition. A. Administer the dose of tetracycline. The second peak will be eight to twelve hours after the administration of NPH insulin. Her diabetes has been well controlled with this dosage. 12. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? In this nursing pharmacology guide for student nurses, learn about the uses and nursing care plan considerations needed for patients taking antacids. Dosage and Calculations Practice Tests are some of the most commonly-searched practice exams for both student nurses and nurses wanting to take licensure and certification exams. Gold sodium thiomalate is usually used in combination with aspirin and nonsteroidal anti-inflammatory drugs to relieve pain. 14. You are given one minute per question. Maintenance doses of hydrocortisone will be administered IV until the client is able to take it by mouth and will be necessary for six months to two years or until the remaining gland recovers. B. Nursing Pharmacology Practice Test Questions Nursing Pharmacology Practice Test Questions on Drug Metabolism, Drug Binding, and Drug Clearance This is a self-grading exam. 15. Take frequent naps Answer C. reduce the size and vascularity of the thyroid and prevent hemorrhage. YES! Read each question carefully and choose the best answer. A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. It is more related to chronic hypoxia. Who was the first appointed professor of pharmacology? Hydrocortisone promotes gluconeogenesis and elevates blood glucose levels. 1. The client is encouraged to change position, cough, and deep breathe to prevent postoperative complications such as pneumonia or thrombophlebitis. Can I do them less frequently?”. Erythema marginatum is a skin condition characterized by nonpruritic rash, affecting trunk and proximal extremities, seen in persons with rheumatic fever. Course Purpose 19. 8. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. Want 6,000+ more practice questions? Features illuminate connections between pharmacology and nursing practice, from patient scenarios and practice applications, to lifespan considerations, alternative therapies, and gender and cultural influences. Which of the following best describes a steady state of medication concentration? Ultra Long-Acting reaches the blood stream in 6 hours, does not peak, and lasts about 36 hours. But worry not, we have the perfect study tool for you! An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The overall aim of the text is to equip the nurse with an understanding of issues related to pharmacotherapeutics that is aligned to current nursing roles and statutory requirements. C. in six hours. Warfarin is an anticoagulant that is used to treat and/or prevent blood clots. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. 100 mL. As a result of placental maturation and placental production of lactogen, insulin requirements begin increasing in the second trimester and may double or quadruple by the end of pregnancy. Spend your time wisely! Which abbreviation means nothing by mouth? Ability to recall medications may indicate short-term memory and recall. Pharmacology in Nursing Chapter Exam Take this practice test to check your existing knowledge of the course material. 3. Faster gastrointestinal absorption time. The concentrated glucose solutions are a good medium for bacterial growth. The preparation of medications for administration. Mafenide acetate 10% (Sulfamylon) does cause burning on application. The physician has ordered Lugol’s solution for the client. Click it to see your results. The parent asks why this medication is being given. to them later with the "Go To First Skipped Question" button. Naproxen is a nonsteroidal anti-inflammatory drug. D. in ten to twelve hours. “You will have to take this medication for about a year.” Administer hydrocortisone until vital signs stabilize, then discontinue the IV. The frequent blood level monitoring required is difficult for clients to follow for a long period of time. Using a streamlined prototype approach and an emphasis on nursing care this text makes it easy for today’s nursing students to better understand the complicated subject of pharmacology. A 20-gauge catheter is a second choice. Insulin doses depend on blood glucose levels. Pharmacology for Nursing Pharmacology is the subject most nursing students dread. B. failure to thrive. 32.00 (for 15-week classes) Student Contact Hours Per Semester. An IV containing hydrocortisone is running. This guide offers resources that will help further your understanding of pharmacology from a basic level to advanced practice. A. Tetracycline decreases the effectiveness of oral contraceptives. When providing instructions about precautions with this medication, the nurse should instruct the client to: A. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Statement of Learning Need Pharmacology is a rapidly growing area of health research and medicine. This is the first day of TPN therapy. C. Complaints of pain at site of infusion Also, this page requires javascript. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge? the process through which medications correct conditions or cure infections in the body, the way to interrupt some action from happening, the first steps towards actions occurring in the body. Rapid-acting insulin, begins to work about 15 minutes after injection, peaks in about 1 hour, and continues to work for 2 to 4 hours. The book’s detailed chapter … NSG-115: Pharmacology for Nursing Practice 1. Credit Hours. Learn nursing pharmacology with free interactive flashcards. I want more questions. Warfarin pharmacology nursing NCLEX review for nursing students! A two-year-old child with congestive heart failure has been receiving digoxin for one week. An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include: severe burning pain for a few minutes following application. B. The nurse planning care for Mr. Bates knows it is essential to include which of the following nursing interventions at this time? A. B. 12. Therapeutic Communication Techniques Quiz. The client undergoing an adrenalectomy is at increased risk for infection and delayed wound healing and will need to learn about wound care, but not at this time while he is in the ICU. It is vital the nurse knows how the drug works, side effects, how to monitor […] What is the primary reason for this action? Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! Note on the client’s chart that the physician was notified. The earliest sign of digitalis toxicity is vomiting, although one episode does not warrant discontinuing medication. Prednisone is used to treat persons with acute exacerbations of rheumatoid arthritis. Premium members get access to this practice exam along with our entire library of lessons taught by subject matter experts. B. Maintain strict intake and output records, Sterile technique for dressing change at IV site. Long-acting insulin reaches the bloodstream several hours after injection and tends to lower glucose levels up to 24-hours or longer. An adult is hospitalized for treatment of deep electrical burns. A sliding scale dose of insulin may be ordered to maintain the blood glucose level below 200mg/dl. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home? C. Monitor serum glucose levels If loading fails, click here to try again. The term ''pharmaceutical drugs'' is just a fancy word for _____. This statement indicates a lack of understanding. Medication is entering and leaving the blood at the same rate. Gold has an immunosuppressive effect. Nurses are important contributors to pharmacology research and practice standards. Tachycardia is not a sign of digitalis toxicity. Answer A. severe burning pain for a few minutes following application. Be sure to read them. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. A ___is a legal directive from a licensed medical professional for the compounding, dispensing, or administration of drugs for a patient: A sublingual tablet is an example of which one of the following? A. The need for consistent blood level monitoring. The first intervention is to notify the physician. Pharmacology learning tools, online or self-study, tailored to nursing knowledge needs are expected to lead to improved sharing of expertise and collaborative practice throughout all levels of acute and outpatient health care settings. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, 3,500+ NCLEX-RN Practice Questions for Free, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Contact Hours Per Week. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Pharmacology: Connections to Nursing Practice tightly links pharmacology to nursing practice and patient care, recognizing that for nurses, pharmacology is not an abstract academic discipline but rather a critical tool to prevent disease and promote healing and wellness. Use aseptic technique during dressing changes NERVOUS SYSTEM PHARMACOLOGY NRSNG.com – “Tools and Confidence to Succeed in Nursing School.” ©2017 TazKai LLC | NRSNG.com – Reproduction Strictly Prohibited Disclaimer information at NRSNG.com Nervous System CNS PNS Brain Spinal Cord Motor Neurons Sensory Neurons Autonomic Nervous System Somatic Nervous System Sympathetic Nervous System Parasympathetic Nervous … Silver nitrate solution is applied by soaking the wound dressings and keeping them constantly wet, which may cause chilling and hypotension. —–> I have read this from the rationale and pasted it here, please try to check and help me out. This is large enough to handle blood products safely and to allow rapid administration of large amounts of fluid if indicated during the perioperative period. Following adrenalectomy the normal supply of hydrocortisone is interrupted and must be replaced to maintain the blood glucose at normal levels. D. Check results of liver function tests. Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. With respect to an oral drug, what would cause an increased delivery time to a tissue? However, this is not the primary reason for assessing medications in a client who is exhibiting sundown syndrome. D. Monitor for cardiac arrhythmias. Nursing and Pharmacology Pharmacology is the study of the actions of drugs, incorporating knowledge from other interrelated sciences, such as pharmacokinetics and pharmaco-dynamics. Which assessment would require the nurse’s immediate action? “Are you sure all this insulin won’t hurt my baby?”, “I’ll probably need my daily insulin dose raised.”, “I will continue to take my regular dose of insulin.”, “These finger sticks make my hand sore. You are given 1 minute per question, a total of 20 minutes in this quiz. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. regular insulin is short acting?.. Monitor serum glucose levels. “It will slow down the replication of the virus.” Choose your answers to the questions and click 'Next' to see the next set of questions. 2. Naproxen is a nonsteroidal anti-inflammatory drug. A. Answer C. “The medication must be continued so the fluid problem is controlled.”. potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia. The amount of available drug to be used for biological testing. 2.00. 18. There are more than 290,000 nurse practitioners (NPs) licensed in the US and all of them have “prescriptive authority” as part of their professional practice. Hi, I do not know if i misinterpreted the rationale for no. Maintain strict intake and output records Rare side effects associated with Omegrazolin, a drug used to treat bacterial infections, include diarrhea and nausea. The nurse planning care for Mr. Bates knows it is essential to include which of the following nursing interventions at this time? Course Master. “The client starts to need increased insulin in the second trimester” This statement indicates a lack of understanding. Which of the following assessments requires the nurse’s immediate attention? A 25-gauge needle is too small. While the client’s social network can influence the client in terms of compliance, the influence is typically secondary to that of the other factors listed. Polyarthritis is characterized by swollen, painful, hot joints that respond to salicylates. Nurse Celine is caring for a client with clinical depression who is receiving a MAO inhibitor. The ability to prescribe medications, devices, and services independent of physicians is one reason why pharmacology is a required component of the certification renewal process. Notify the physician that Mrs. Johanson is taking oral contraceptives. 18. A. A client with an acute exacerbation of rheumatoid arthritis is admitted to the hospital for treatment. 16. A-E. Pre-requisites. B. Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. Clients going to the operating room ideally should have an 18- gauge catheter. 32.00 (for 15-week classes) Grading Method. Earn Transferable Credit & Get your Degree. 14, anyone please try to check and help me clarify. He is sleepy but easily aroused. Choose from 500 different sets of nursing pharmacology flashcards on Quizlet. D. A rash on the client’s extremities. Intravenous gamma globulin is given to help prevent as well as to fight bacterial infections in young children with AIDS. The frequent blood level monitoring required is difficult for clients to follow for a long period of time. 4. 13. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? Subcutaneous nodules are nontender swellings over bony prominences sometimes seen in persons with rheumatic fever. D. “These finger sticks make my hand sore. “It will slow down the replication of the virus.”, “This medication will improve your child’s overall health status.”, “This medication is used to prevent bacterial infections.”, “It will increase the effectiveness of the other medications your child receives.”. The nurse should be aware that tetracyclines decrease the effectiveness of oral contraceptives. Strict sterile technique is crucial in preventing infection at IV infusion site. Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. Answer C. Monitor serum glucose levels. Answers and rationales are given below. The impact of lithium on the client’s energy level and lifestyle. If you have any disputes or need more clarification to a certain question, please direct them to the comments section. For a student, they require practice, time and remediation. C. reduce the size and vascularity of the thyroid and prevent hemorrhage. George, age 8, is admitted with rheumatic fever. But how vast is your knowledge about the concepts of Pharmacology? If a healthy patient with no significant medical history and who isn't taking any other medication develops a fatal seizure 30 minutes after taking Omegrazolin, the result was most likely due to which of the following? D. What the client’s friends think of his need to take medication. What is the nurse’s best response? Take our 20-item NCLEX practice quiz about this topic. A ___is an individual who specializes in pharmacology, the science and study of the origin, nature, and uses of drugs. The impact of lithium on the client’s energy level and lifestyle are great determinants to compliance. Review: Intravenous infusion calculations Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process—Implementation Content Area: Fundamentals of Care—Medications/IV Calculations Priority Concepts: Clinical Judgment; Safety Reference: Perry, Potter & Stockert (2019). D. Teach Mr. Bates how to care for his wound since he is at high risk for developing postoperative infection. Monitor blood glucose levels every shift to detect development of hypo- or hyperglycemia. If this activity does not load, try refreshing your browser. Which of the following is TRUE regarding reaching a steady state of medication concentration? Gold sodium thiomalate is usually used in combination with aspirin and nonsteroidal anti-inflammatory drugs to relieve pain. 2.00. B. Keywords Pharmacology Pharmacokinetics Pharmacodynamics Medication safety Safe Prescribing Nursing Regular insulin is classified as rapid acting and will peak two to four hours after administration. Use aseptic technique during dressing changes. Potential side effects such as fine tremor, drowsiness, diarrhea, polyuria, thirst, weight gain, and fatigue can be disturbing to the client. While assessing Mrs. Johanson’s nursing history for allergies, the nurse notes that Mrs. Johanson’s is also taking oral contraceptives. All other trademarks and copyrights are the property of their respective owners. We'll review your answers and create a Test Prep Plan for you based Oral drugs may be absorbed less quickly in older people because: Of increased number of receptors in the heart, During heart failure, doctors may give _____. D. chilling due to evaporation of solution from the moistened dressings. B. prevent tetany while the client is under general anesthesia. Once a drug is absorbed by the intestines, it has to pass through an important organ before going into general circulation. The impact of lithium on the client’s energy level and lifestyle are great determinants to compliance. Silver nitrate solution, another topical antibiotic used to treat burn sepsis, has the disadvantage of turning everything it touches black. C. tachycardia. The client starts to need increased insulin in the second trimester. Medication is leaving the blood at half the rate at which it entered. C. black discoloration of everything that comes in contact with this drug. Pharmacology is an important part of nursing practice as it deals with the safe administration of medications. An 18-gauge catheter is recommended. An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. 17. What is the primary reason for this action? B. in two to four hours. Mafenide acetate 10% (Sulfamylon) does not cause discoloration. “This medication will improve your child’s overall health status.” Lugol’s solution does not potentiate any other preoperative medication. 7. BIO-233, ENG-131, HCS-131 or CIS-100, PSY-131, One of the following Math courses: MATH-115, MATH-131, MATH-141, MATH-175, or MATH-180. Multiple medications can lead to dementia, The medications can provide clues regarding his medical background, Ability to recall medications is a good assessment of the client’s level of orientation, Medications taken by a client are part of every nursing assessment. ... How big a part you play in assessing the patient is defined by your state nurse practice act, which lists what LPNs/LVNs may and may not do. A 25-year-old woman is in her fifth month of pregnancy. Azathioprine is used for clients with life-threatening rheumatoid arthritis for its immunosuppressive effects. 3. Any items you have not completed will be marked incorrect. C. The potential side effects of lithium. There where several appointed in the 19th century. Answer B. chilling due to evaporation of solution from the moistened dressings. Finding help online is nearly impossible. This review will break down what you need to know for your pharmacology exams about the medication Warfarin (Coumadin). Therapeutic Classification. Hyperglycemia may occur during the first day or 2 as the child adapts to the high-glucose load of the TPN solution. A patient-centered approach to pharmacology in nursing practice. The first insulin peak will occur two to four hours after administration of regular insulin. There may be an equally effective antibiotic available that can be prescribed. Answer A. Answer A. B. Nurse Celine is caring for a client with clinical depression who is receiving a MAO inhibitor. “I’ll probably need my daily insulin dose raised.” Answers are entered by clicking the button corresponding to your selection. Temperature of 37.5 degrees Celsius B. Polyarthritis. Biological and Biomedical Pharmacology: Connections to Nursing Practice links pharmacology to nursing practice and patient care. C. Ability to recall medications is a good assessment of the client’s level of orientation. Her diabetes has been well controlled with this dosage. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? Which assessment would require the nurse’s immediate action? Answer C. “This medication is used to prevent bacterial infections.”. A two-year-old child with congestive heart failure has been receiving digoxin for one week. To use pharmaceuticals or lifestyle changes in treatment. Counter check your answers to those below and tell us your scores. Please visit using a browser with javascript enabled. B. Once you are finished, click the button below. The BEST response to this client should be: “As you urinate more, you will need less medication to control fluid.”, “You will have to take this medication for about a year.”, “The medication must be continued so the fluid problem is controlled.”, “Please talk to your physician about medications and treatments.”. Which of the following drugs uses a mechanism of action of increasing activity of beta receptors. black discoloration of everything that comes in contact with this drug. These agents are irritants which cause pain along the vein wall, with or without inflammation. It explains basic concepts of pharmacology and describes common medication classes. The need for consistent blood level monitoring. Keep flat on back with minimal movement to reduce risk of hemorrhage following surgery. Answer C. “This medication is used to prevent bacterial infections.” Intravenous gamma globulin is … Here are the answers and rationale for this exam. How to avoid marketing pressure by pharmaceutical producers and choose the most financially beneficial treatment. Nurse Salary 2020: How Much Do Registered Nurses Make? Regular or Short-acting insulin usually reaches the bloodstream within 30 minutes after injection, peaks anywhere from 2 to 3 hours after injection, and is effective for approximately 3 to 6 hours. A. Answer C. Sterile technique for dressing change at IV site. Considering the absorption of medications during administration, which of the following routes would yield the quickest response? You can skip questions if you would like and come His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. When you have completed the practice exam, a green submit button will How to Start an IV? You have not finished your quiz. Study Nursing Pharmacology with ease, download the app now! Chorea is the restless and sudden aimless and irregular movements of the extremities suddenly seen in persons with rheumatic fever, especially girls. 14. D. Tell Mrs. Johanson, to use another form of birth control for at least two months. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. “I’ll probably need my daily insulin dose raised.”. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Severe nausea and vomiting This is because when such items are asked in examinations, an examinee is expected to calculate and compute drug dosages for their patients. • Right Patient: confirm the patient by a minimum of two identifiers, such as their name and date of … III. 13. Good luck! Mafenide acetate 10% (Sulfamylon) is an ointment that is applied directly to the wound. “As you urinate more, you will need less medication to control fluid.” Nursing Pharmacology: Dosage and Calculations Practice Test. 1. Click it to see your results. Bradycardia is a sign of digitalis toxicity. Potential side effects such as fine tremor, drowsiness, diarrhea, polyuria, thirst, weight gain, and fatigue can be disturbing to the client. A 25-year-old woman is in her fifth month of pregnancy. The amount … Avoid chocolate and cheese C. “I will continue to take my regular dose of insulin.” He is hospitalized for evaluation. Intermediate-acting insulin generally reaches the bloodstream about 2 to 4 hours after injection, peaks 4 to 12 hours later, and is effective for about 12 to 18 hours. The concentrated glucose solutions are a good medium for bacterial growth. Histamine-2 Antagonists Learn about histamine-2 antagonists, its uses, and the nursing considerations for patients using them. The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. What is the most appropriate initial nursing intervention? Classification that describes what a drug treats. C. Poor skin turgor Description. A vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. Answer C. Complaints of pain at site of infusion. This statement indicates a lack of understanding. Calcium is used to treat tetany. A 21-gauge needle is too small and a butterfly too unstable for a client going to surgery. Answer B. A patient¿-centered approach to pharmacology in nursing practice Pharmacology: Connections to Nursing Practice links pharmacology to nursing practice and patient care. A. Chorea. If the physician chooses to keep the client on tetracycline, the client should be encouraged to use another form of birth control. to them later with the "Go To First Skipped Question" button. Maintain central line catheter integrity 10. Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. Which of the following statements indicates that the woman understands the teaching regarding her insulin needs during her pregnancy? possible severe metabolic alkalosis with continued use. Types: glargine u-300 (Toujeo). Practice Mode: This is an interactive version of the Text Mode. Immunosuppression does not occur. Nurses need to understand the basics of drug classifications and principles underlying the use of certain medications. 15. What is the definition of an adverse drug reaction? For courses in pharmacology. This is why a snack must be eaten mid-morning and also three to four hours after the evening meal. Mrs. Johanson’s physician has prescribed tetracycline 500 mg po q6h. This is the most therapeutic response and gives the client accurate information. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: decrease the risk of agranulocytosis postoperatively. D. “It will increase the effectiveness of the other medications your child receives.”. The BEST response to this client should be: A. The client starts to need increased insulin in the second trimester. Which drug, used to treat clients with rheumatoid arthritis, has both an anti-inflammatory and immunosuppressive effect? Based on your results, we'll create a customized Test Prep Plan just for you! Record the number of stools per day Bradycardia is associated with digitalis toxicity. Types: Human Regular (Humulin R, Novolin R, Velosulin R) C. Administer hydrocortisone until vital signs stabilize, then discontinue the IV. The patient is compliant with taking the medication as directed. Patient Positioning: Complete Guide for Nurses, Registered Nurse Career Guide: How to Become a Registered Nurse (RN), NCLEX Questions Nursing Test Bank and Review, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide: All You Need to Know to Master Diagnosing. D. Avoid walking without assistance. A drug that provides a beneficial change to the patient is said to be _____. Answer D. What the client’s friends think of his need to take medication. B. Urine output of 300 cc in 4 hours Features illuminate connections between pharmacology and nursing practice, from patient scenarios and practice applications, to lifespan considerations, alternative therapies, and … The second peak will occur eight to twelve hours after the administration of NPH insulin. In an ideal world, you'd always want to take medication _____ in order to reduce the first pass effect. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Gold has an immunosuppressive affect. back Choose your answers to the questions and click 'Next' to see the next set of questions. Pathophysiology and Pharmacology in Nursing has been carefully designed to provide an integrated introduction to both the biology of disease and the therapeutic agents that are used to manage them. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. The first insulin peak will occur two to four hours after administration of regular insulin. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is currently taking. Pharmacology in nursing practice will cover the basic concepts related to pharmacology and list various routes of drug administration, its actions, and its effects on the body systems.

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