PHARM EVOLVE PRACTICE EXAM QUESTIONS WITH VERIFIED ANSWERS AND RATIONALES GUARANTEED PASS

PHARM EVOLVE PRACTICE EXAM QUESTIONS WITH
VERIFIED ANSWERS AND RATIONALES GUARANTEED PASS
A healthcare provider prescribes cephalexin monohydrate (Keflex) for
a client with a postoperative infection. It is most important for the
nurse to assess for what additional drug allergy before administering
this prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides. - -answer-A) Penicillins.
Cross-allergies exist between penicillins (A) and cephalosporins, such
as cephalexin monohydrate (Keflex), so checking for penicillin allergy
is a wise precaution before administering this drug.
Which nursing intervention is most important when caring for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for
chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity. - -answer-C)
Inspect the client's oral mucosa for ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the
body, therefore stomatitis and mucosal ulcerations are key signs of
antimetabolite toxicity (C). (A, B, and D) are not typical interventions
associated with the administration of antimetabolites.
A client with heart failure is prescribed spironolactone (Aldactone).
Which information is most important for the nurse to provide to the
client about diet modifications?
A) Do not add salt to foods during preparation.
B) Refrain for eating foods high in potassium.
C) Restrict fluid intake to 1000 ml per day.
D) Increase intake of milk and milk products. - -answer-B) Refrain for
eating foods high in potassium.
Spironolactone (Aldactone), an aldosterone antagonist, is a potassiumsparing diuretic, so a diet high in potassium should be avoided (B),
including potassium salt substitutes, which can lead to hyperkalemia.
Although (A) is a common diet modification in heart failure, the risk of
hyperkalemia is more important with Aldactone. Restriction of fluids
(C) or increasing milk and milk products (D) are not indicated with this
prescription.
In evaluating the effects of lactulose (Cephulac), which outcome
should indicate that the drug is performing as intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin. - -answer-B) Two or three soft stools per
day.
Lactulose is administered to reduce blood ammonia by excretion of
ammonia through the stool. Two to three stools a day indicate that
lactulose is performing as intended (B). (A) would be expected if the
patient received a diuretic. (C) would indicate an overdose of lactulose
and is not expected. Lactulose does not affect (D).
The healthcare provider prescribes naproxen (Naproxen) twice daily
for a client with osteoarthritis of the hands. The client tells the nurse
that the drug does not seem to be effective after three weeks. Which
is the best response for the nurse to provide?
A) The frequency of the dosing is necessary to increase the
effectiveness.
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be
indicated.
D) Systemic corticosteroids are the next drugs of choice for pain
relief. - -answer-C) Another type of nonsteroidal antiinflammatory drug
may be indicated.