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 is receiving heparin by continuous IV infusion for treatment of venous thrombosis. Which of the following laboratory values should the nurse monitor for in order to titrate the heparin dose?

Correct Answer: B

Rationale: aPTT is used to monitor heparin's anticoagulant effect, ensuring the therapeutic range is maintained to prevent thrombosis or bleeding.

Question 2 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 3 of 5

A nurse is providing teaching for a client who has a new prescription for promethazine tablets. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: D

Rationale: Promethazine commonly causes drowsiness, a sedative effect used to manage allergies, motion sickness, and nausea.

Question 4 of 5

A nurse is reviewing the medical record of a client who is taking epoetin alfa. Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?

Correct Answer: B,E

Rationale: Hemoglobin and iron levels indicate epoetin alfa's effectiveness in stimulating red blood cell production and supporting anemia treatment.

Question 5 of 5

A nurse is caring for a client who is starting to take aspirin 81 mg daily. Which of the following findings should the nurse identify as a risk factor for the client's development of an aspirin-induced ulcer?

Correct Answer: C

Rationale: Smoking increases the risk of aspirin-induced ulcers by compromising gastric mucosa integrity and impairing healing.

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