hesi pharmacology v1
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Baruch College, CUNY *
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MISC
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Health Science
Date
Apr 27, 2024
Type
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21
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2023 HESI Pharmacology Version 1v1 pharm
Fundamentals of Pharmacology (Arizona State University)
Studocu is not sponsored or endorsed by any college or university
2023 HESI Pharmacology Version 1v1 pharm
Fundamentals of Pharmacology (Arizona State University)
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2023 HESI Pharmacology Version 1 Questions 1 through 20
1)
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?
1.
Calcium chloride
2.
Calcium gluconate
3.
Calcitonin (Miacalcin)
4.
Large doses of vitamin D 3. Calcitonin (Miacalcin) Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia, large doses of vitaminD need to be avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting bone resorption and lowering the serum calcium concentration.
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2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the ironwith which best food item?
1.
Milk
2.
Water
3.
Apple juice
4.
Orange juice 4. Orange juice Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication with citrus fruit or a juice that is high in vitamin C. Milk may affect the absorption of thon. Water will not assist in absorption. Orange juice contains a greater amount of vitamin C than apple juice.
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing which of the following would indicate the presence of systemic toxicity from this medication?
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1.
Tinnitus
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2.
Diarrhea
3.
Constipation
4.
Decreased respirations 1. Tinnitus Rationale:
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Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea,and psychological disturbances. Constipation and diarrhea are not associated with salicylism.
4.) The camp nurse asks the children preparing to swim in the lake ifthey have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied:
1.
Immediately before swimming
2.
15 minutes before exposure to the sun
3.
Immediately before exposure to the sun
4.
At least 30 minutes before exposure to the sun 4. At least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before exposure to the sun so that they can penetrate the skin. All sunscreens should be reapplied after swimming or sweating.
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