Pharm HESI

The nurse is caring for a patient taking lsspro (Humalog) insulin. In which time Fram will the insulin take effect?

15 minutes

An older adult male is admitted to the emergency department (ED) with chest pain and has an order for nitroglycerin (NTG) sublingual. Which is the priority action for the nurse to take?

Ask the patient if he has taken medication for erectile dysfunction over the past 6 hours

The nurse is checking lab values on a patient with type 2 diabetes who is receiving intravenous corticosteroid. Which adverse effect of the corticosteroids would the nurse monitor for?

Increased blood glucose levels

The nurse is caring for a child taking somatropin (Humatrope). The nurse knows to monitor the patient for which therapeutic response?

Increased growth pattern

The nurse is caring for a patient who is taking a biguanide, metformin (Glucophage), for metabolic syndrome. Which is the purpose of this patient taking metformin?

Increasing pancreatic uptake of insulin

The nurse is planning discharge teaching for a patient who will self-administer insulin at home. Which information would be to include in the teaching plan?

Insulins should be drawn up into the same syringe with the clear first and cloudy second

The nurse is caring for a patient with a new order for an oral laxative. Which is a contraindication in administering an oral laxative?

Abdominal pain of unknown origin

The nurse is caring for a patient taking cimetidine (Tagamet) orally. Which should the nurse consider about administering this drug?

Administer the drug 30 minutes before meals

While caring for a patient who recently had an acute myocardial infarction, the nurse notes severe ventricular dysrhythmias on the patient's cardiac monitor. Which drug would the nurse anticipate the healthcare provider to order to treat this dysrhythmia?

Amiodarone (Cordarone)

The nurse is developing a discharge plan for a patient taking an antithyroid drug. which information about nutrition would be important to include?

Avoid foods that contain iodine

The nurse is caring for a patient who has been taking bismuth subsalicylate (Pepto Bismol) at home for several weeks. During the morning assessment, the nurse notices the patient has blue gums while doing the oral assessment. Which action would the nurse take?

Call the healthcare provider and report the blue gums

The nurse is caring for a patient taking simvastatin (Zocor). Which is the primary purpose of this drug?

Decrease the level of LDL in the blood

The nurse is caring for a patient taking valsartan (Diovan). The nurse will explain to the patient that this medication has which therapeutic effect?

Decreases preload and afterload

The nurse is caring for a patient with heart failure. Which medication will have a positive isotropic effect?

Digoxin (Lanoxin)

The patient is being seen in the emergency department (ED) for confirmed digitalis toxicity. Which drug would the nurse anticipate to administer for treatment of the patient's conditions?

Digoxin immune fab

The nurse is reviewing a medication administration record (MAR) for a patient taking oral hypoglycemic drugs. Which drug from the patient's MAR could cause an interaction with oral hypoglycemic drugs?

beta blockers

The nurse is planning discharge teaching for a patient taking an antihistamine antiemetic. Which information would be important to include?

Driving should be avoided due to the possibility for drowsiness

The nurse should assess the client for which common adverse effect of procainamide?

Drowsiness

The nurse is caring for a patient taking Lisinopril (Prinivil). The nurse knows to monitor the patient for which adverse effect?

Elevated serum potassium

The nurse is caring for a diabetic patient taking oral anti diabetic drug. Which lab result will inform the nurse that the patient is having the correct therapeutic response?

Fasting blood glucose between 70 and 100 mg/dL

The nurse is caring for a patient with heart failure who is hypokalemic. Which drug from patient's medicine administration record (MAR) would explain this lab value?

Furosemide (Lasix)

The nurse is administering somatropin (Humatrope), which is used in the treatment of which condition?

Growth failure

The nurse is caring for a patient taking niacin to lower her lipid levels in the blood. For which adverse effects would the nurse monitor the patient?

Hepatotoxicity

Which is the mechanism of action of lisinopril (Privinil) when given for HTN?

causes peripheral vasodilation

The nurse is creating a class for older adults in the community. Which information about laxative use in older adults would be important to include?

Laxatives can cause potassium retention

The nurse is caring for a patient taking a beta blocker for angina. Which adverse effect would the nurse monitor in the patient?

Low heart rate

The nurse is caring for patient with severe constipation. Which laxative will produce the most rapid response?

Magnesium hydroxide

The nurse working in the ED is caring for a patient who is admitted for an acute myocardial infarction. The healthcare provider has ordered a continuous nitroglycerin drip. Which statement about intravenous nitroglycerin administration?

Nonpolyvinylchloride (nonPVC) plastic intravenous bags and tubing must be used

The nurse is caring for a patient who recently had a myocardial infarction. Which medications would the nurse anticipate the health care provider will recommend to this patient as prevention of another MI?

Omega 3 supplement and a baby aspirin daily

A patient on the oncology unit is experiencing nausea and vomiting from chemotherapy. Which drug will decrease nausea for this patient?

Ondanestron (Zofran)

The nurse is caring for the patient with short term persistent diarrhea. Which class of medication would the nurse anticipate giving?

Probiotics

The nurse is caring for a patient with essential hypertension who is taking a calcium channel blocker. The nurse would hold the patient's medication based on which assessment finding?

Patient complains of dizziness when standing

The nurse is caring for patient taking digoxin (Lanoxin). Which other medication seen on the medication administration record (MAR) would case the nurse concern about administering digoxin (Lanoxin)?

Patient taking spironolactone (aldactone)

The nurse is studying antacids that contain magnesium and calcium for the pharmacology exam. The student nurse remembers the these antacids should be used with caution in patients with which condition?

Peptic ulcer dz

The nurse is caring for a patient receiving atenolol (Tenormin). Which information does the nurse need to know about the patient prior to administering this drug?

Pulse and blood pressure

The nurse is reviewing a medication administration record (MAR) for a patient and reads the order, "Give levothyroxine (Synthroid), 20 mcg, PO once every evening." Which action should the nurse take?

Question the order, because the time of day is incorrect

The nurse is administering an aluminum-based antacids to a patient. Which side effect of this drug should the student consider?

Rebound hyperacidity

The nurse is caring for a newly diagnosed type 2 diabetes who is taking Januvia. Which adverse effects can occur with this drug? (Select all that apply).

Runny or stuffy nose nausea headache

The nurse is caring for a diabetic patient with heart failure. Which medication should be used with caution in this patient?

Spironolactone (aldactone)

The nurse is discharging an older adult who lives alone and will need to take a diuretic drug for hypertension. Which would be important for the nurse to emphasize during the discharge teaching?

Stand slowly and carefully to prevent orthostatic hypotension

Which are the common drug interactions of a calcium channel blocker? Select all that apply

Statins Verapamil (Calan)

A patient asks the nurse how to best prevent constipation. Which class of laxative would the nurse recommend to this patient?

Stimulant laxatives

A patient is prescribed sucralfate (Carafate) and asks the nurse what the purpose of taking this medication is. Which is the nurse's best response?

The medication is used to protect the gastrointestinal mucosa

The nurse is creating community education about over-the-counter (OTC) antacids. Which information about calcium antacids would be important to include?

They cause decreased gastric acid production

The nurse is discharging a patient with a new prescription for ranitidine (Zantac). Which information would be important to include in the discharge teaching?

Thrombolytic thrombocytopenia purpura (TTP) may occur

the nurse is caring for a school-aged child is taking somatropin (humatrope). which is the anticipated outcome of this pharmacotherapy?

increasing growth

The nurse is caring for an older adult who has been taking sodium bicarbonate several times a day for the past month. The nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate?

metabolic alkalosis

The nurse is caring for a patient with type 2 diabetes who has proteinuria and is taking angiotensin-converting enzyme (ACE) inhibitor. Which is the rationale for the healthcare provider prescribing an ACE inhibitor?

renal protective effects