Questions 41

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RN VATI Pharmacology S 2019 Questions

Extract:


Question 1 of 5

A nurse is assessing a client who reports feeling dizzy while getting out of bed. The nurse suspects orthostatic hypotension related to a medication the client is taking Which of the following medications should the nurse identify as likely causing this adverse effect?

Correct Answer: D

Rationale: Furosemide, a loop diuretic, can cause orthostatic hypotension by reducing fluid volume, leading to dizziness upon standing.

Question 2 of 5

A nurse is caring for a client who has a new prescription for metformin. Which of the following laboratory results should the nurse evaluate prior to administering the first dose?

Correct Answer: B

Rationale: Before administering the first dose of metformin, the nurse should evaluate the client's creatinine level. Metformin is primarily excreted by the kidneys, and its clearance depends on renal function. Elevated creatinine levels indicate impaired kidney function, which can lead to metformin accumulation and increase the risk of lactic acidosis.

Question 3 of 5

A nurse who is caring for a preschooler should question a prescription for which of the following antibiotics?

Correct Answer: B

Rationale: Tetracycline is contraindicated in children under 8 years due to the risk of permanent tooth discoloration and damage to developing bones.

Question 4 of 5

A nurse is caring for a client who is receiving diazepam as conscious sedation for an endoscopy, Which of the following antidotes should the nurse have on hand during the procedure?

Correct Answer: C

Rationale: Flumazenil is the antidote for diazepam, reversing its sedative effects during procedures or in cases of overdose.

Question 5 of 5

A nurse discovers that a client has been administered a higher dose of oxybutynin than the prescription indicates. The nurse should assess the client for which of the following adverse effects?

Correct Answer: D

Rationale: Oxybutynin, an anticholinergic, can cause bradycardia due to inhibition of acetylcholine, which regulates heart rate. Assessing for bradycardia is critical after an overdose.

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