Questions 41

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RN VATI Pharmacology S 2019 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has fluid volume excess and received furosemide 40 mg via intermittent IV bolus 1 hr ago. Which of the following findings indicates that the medication has been effective?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, promotes diuresis, leading to increased urinary output, which indicates effective treatment of fluid volume excess.

Question 2 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.

Question 3 of 5

A nurse is caring for a client who is receiving long-term treatment with oral doses of prednisone. For which of the following adverse effects should the nurse monitor?

Correct Answer: C

Rationale: Long-term prednisone use can decrease bone density, increasing the risk of osteoporosis due to interference with calcium absorption and increased bone resorption.

Question 4 of 5

A nurse is caring for a client who has fluid volume excess and received furosemide 40 mg via intermittent IV bolus 1 hr ago. Which of the following findings indicates that the medication has been effective?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, promotes diuresis, leading to increased urinary output, which indicates effective treatment of fluid volume excess.

Question 5 of 5

A nurse is reviewing the medical record of a client who has a new prescription for verapamil. Which of the following findings in the client's medical record should the nurse identify as a contraindication for the administration of verapamil?

Correct Answer: B

Rationale: Verapamil's negative inotropic effects can worsen heart failure, particularly in clients with systolic heart failure, making it a contraindication.

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