Pharmacology with detailed Answers 3 Versions for 2019,2020 & 2021 Compilation - Latest graded A+

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A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of acute hemolytic reaction? A. Client report of low back pain ... Rationale: Manifestations of an acute hemolytic reaction include apprehension, tachypnea, hypotension, chest pain, and lower back pain. B. Client report of tinnitus Rationale: Tinnitus is a manifestation of ototoxicity and is an adverse effect of aminoglycoside antibiotics. C. A productive cough Rationale: A cough is a manifestation of circulatory overload. D. Distended neck veins Rationale: Distended neck veins are a manifestation of circulatory overload. A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository? A. Sim's position Rationale: The nurse should assist the client to the Sim's position by lying on the left side, left hip and lower extremity straight, and right hip and knee bent. This position exposes the anus and helps the client relax the external sphincter, allowing for easier insertion of the suppository. B. Prone position Rationale: This is the incorrect position for the client to be in to receive a suppository. C. Lying on the right side Rationale: This is the incorrect position for the client to be in to receive a suppository. D. Supine Rationale: This is the incorrect position for the client to be in to receive a suppository. A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include? A. Take aspirin if headaches develop. Rationale: Furosemide can increase the effects of aspirin and anticoagulants. B. Eat foods that contain plenty of potassium. Rationale: Furosemide, a high-ceiling (loop) diuretic, can cause potassium loss. The client should add potassium-rich foods to his diet, such as nuts, dried fruits, bananas, and citrus fruits. C. Expect some swelling in the hands and feet. Rationale: Furosemide should reduce swelling in the hands and feet. D. Take the medication at bedtime. Rationale: The client should take furosemide early in the day so that the diuretic action will not disturb his sleep. A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include? A. Take 1 capsule at the onset of anginal pain. Rationale: Sustained-release capsules are not used for acute attacks of angina. B. Stop taking the medication if side effects are troublesome. Rationale: Abruptly discontinuing the use of long-acting nitroglycerin capsules can cause vasospasm. C. Take the medication with meals. Rationale: The client should take the medication on an empty stomach 1 hr before or 2 hr after a meal with 8 oz of water. D. Swallow the capsules whole. Rationale: The client should swallow the capsules whole and not chew or crush them or place them under the tongue. A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose? A. Iron Rationale: Iron treats anemia, not a heparin overdose. B. Glucagon Rationale: Glucagon treats severe hypoglycemia from an insulin overdose. C. Protamine Rationale: Protamine reverses the effects of heparin and is used in the event of an overdose. D. Vitamin K Rationale: Vitamin K reverses the effects of warfarin, not heparin. [Show More]

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