NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is reviewing the chart illustrated of the client diagnosed with stage III HF. Which conclusion should the nurse make?
Correct Answer: B
Rationale: A: The digoxin should be withheld and not given until a serum digoxin level is determined. B: Signs of digoxin (Lanoxin) toxicity include seeing yellow halos around objects and dysrhythmias. The furosemide (Lasix) diuretic increases urinary excretion of potassium and can cause hypokalemia. Hypokalemia can contribute to both cardiac dysrhythmias and digoxin toxicity. C: A serum potassium level of 2.9 mEq/L indicates hypokalemia, not hyperkalemia. D: The yellow vision is a characteristic sign of digoxin toxicity and is not a sign of cerebral damage from an infarct due to atrial fibrillation or bleeding from the anticoagulants.
Question 2 of 5
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
Correct Answer: B
Rationale: Chemotherapy causes rapid cell destruction, releasing uric acid as a metabolite, which can elevate levels and risk conditions like gout or kidney stones.
Question 3 of 5
The client is started on citalopram for treatment of depression. Which information is most important for the nurse to include when teaching the client?
Correct Answer: B
Rationale: Sexual dysfunction is a common side effect associated with the use of SSRIs; the client taking citalopram (Celexa), an SSRI, should consult the HCP if having unbearable sexual side effects.
Question 4 of 5
The client is receiving fludrocortisone for treatment of adrenocortical insufficiency. The nurse is evaluating the client's serum laboratory values for adverse effects of the medication. Place an X in the column indicated for the laboratory values that the nurse should specifically review to evaluate the adverse effects of fludrocortisone. Select all that apply.
Correct Answer: A,C,D,F
Rationale: Adverse effects of fludrocortisone (Florinef) include hyperglycemia, hypokalemia, hypocalcemia, and thrombocytopenia. The nurse should review serum glucose, potassium, calcium, and platelet counts. Thyroid hormones of TSH and free T4, although abnormal, are unaffected by fludrocortisone administration.
Question 5 of 5
The nurse is reviewing the chart illustrated of the client diagnosed with stage III HF. Which conclusion should the nurse make?
Correct Answer: B
Rationale: A: The digoxin should be withheld and not given until a serum digoxin level is determined. B: Signs of digoxin (Lanoxin) toxicity include seeing yellow halos around objects and dysrhythmias. The furosemide (Lasix) diuretic increases urinary excretion of potassium and can cause hypokalemia. Hypokalemia can contribute to both cardiac dysrhythmias and digoxin toxicity. C: A serum potassium level of 2.9 mEq/L indicates hypokalemia, not hyperkalemia. D: The yellow vision is a characteristic sign of digoxin toxicity and is not a sign of cerebral damage from an infarct due to atrial fibrillation or bleeding from the anticoagulants.