NUR 2407 PHARMACOLOGY EXAM NEWEST 2024-2025 WITH UPDATED AND VERIFIED QUESTIONS AND DETAILED ANSWERS (VERIFIED ANSWERS) [GRADED A+]

NUR 2407 PHARMACOLOGY EXAM NEWEST
2024-2025 WITH UPDATED AND VERIFIED
QUESTIONS AND DETAILED ANSWERS (VERIFIED
ANSWERS) [GRADED A+]
A client is taking bethanachol (Urecholine) to manage urinary
retention. The nurse should anticipate which of these cholinergic
side effects? - ANSWER-Abdominal cramps
A client with dementia who was taking olanzapine (Zyprexa) was
started on chlorpromazine (Thorazine) for hiccups. Now he is
experiencing high fever, unstable blood pressure, increase
confusion and rigidity. What should these findings probably signify?
- ANSWER-Neuroleptic syndrome due to taking two types of
neuroleptics
A client reportedly overdosed on phenobarbital and is now
becoming slow to respond. What medication would the nurse want
to have readily available as an antidote? - ANSWER-Activated
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charcoal
The nurse understands that the use of benzodiazepine in memory
loss units is controversial for which reason? - ANSWER-Risk of
falls and hazards of immobility will increase
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Which of these statements would indicate the need for further
teaching in a client is being started on benztropine (Cogentin), an
anticholinergic for Parkinsonism? - ANSWER-This medication
causes sedation so I should only take it at night.
A client with Parkinson's disease has difficulty swallowing their
medications. Which of these medications could the nurse safely
crush? - ANSWER-A half tablet of atenolol (Tenormin)
A chewable antacid
Acetaminophen (Tylenol Extra Strength)
Which of these calming medications could a nurse safely give to a
client with pneumonia and impaired respiratory functioning? -
ANSWER-Busperone (Buspar), a serotonin agonist
If the physician ordered a 300mg dose of phenytoin to be delivered
at a IV rate of 30 mg/minute, how many minutes would be required
for the phenytoin infusion to occur? - ANSWER-15 (300/20= 15)
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If the safe loading dose of phenytoin is 15-20 mg/kg and a child
weighs 44 pounds, is a 300mg loading dose order within the safe
range? (yes or no) - ANSWER-Yes (44/2.2= 20kg
15mg x 20kg= 300 mg 20mg x20kg= 400 mg
The safe range is 300-400mg)
The charge nurse hears in report that these events have occurred.
Due to client right violations, incident reports should be filled on
which of these events? - ANSWER-A nurse instills a liquid
antibiotic via an oral syringe into the mouth an older adult who
refused it
A client says, "The nurse gave me pills I didn't recognize and
wouldn't tell e what they were for."
The nurse refused to give an opiate to a post-operative orthopedic
client prior to aggressive physical therapy due to the fact that they
were pain free at rest before the PT session.
An epileptic client is going home with a prescription for clonazepam
(a benzodiazepine) 3 times a day. What discharge teaching should
the client receive? - ANSWER-Keep in mind that sudden
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withdrawal from benzodiazepine might trigger seizures or
nightmares
Tolerance can develop over time and lead to the need for
higher doses for seizure control
Don't try to taper yourself of this medication without physician
awareness and approval
How would the nurse explain the need for prolonged suicide watch
in patient switching antidepressants? - ANSWER-A 10-14 day
wash out period is required to reduce the risk of serotonin
syndrome
It can take two or three weeks to see the effects of newly
prescribed medications Antidepressant can heighten the risk
of suicide when they are initiated