Pharmacology Hesi QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+ (BRAND NEW!! 2024/ 2025[NEXT GEN]

Pharmacology Hesi QUESTIONS AND
CORRECT
DETAILED
ANSWERS
|ALREADY
GRADED A+ (BRAND NEW!!
2024/ 2025[NEXT
GEN]



A patient with acute pulmonary edema is receiving furosemide. What assessment finding indicates to the nurse that the intervention is working?

Lungs clear

Output 30 mL/hr

Improvement in mental status

Potassium level decreased from 4.5 to 3.5 mEq/L CORRECT ANSWER-Lungs clear

The nurse is caring for a patient diagnosed with heart failure and chronic obstructive pulmonary disease (COPD). The patient is ordered carvedilol. What is the nurse's primary intervention?

Maintain the patient on intake and output.

Assess the heart rate before administration.

Make sure the patient is on telemetry monitoring.

Call the health care provider to request a different medication. -CORRECT ANSWER-Call the health care provider to request a different medication.

A patient has been prescribed hydrochlorothiazide. After reviewing the patient's laboratory report, the nurse informs the primary health care provider that the patient has hypokalemia. Which drug does the nurse expect to be included in the patient's prescription?

Mannitol

Amiloride

Furosemide

Acetazolamide -CORRECT ANSWER-Amiloride

Which anticholinergic effect is seen in a patient who takes brompheniramine?

Frequent urination

Dry mouth

Blue-green vision

Excessive watering of eyes -CORRECT ANSWER-Dry mouth

Prodrug -CORRECT ANSWER-inactive drug dosage form that is converted to an active metabolite by various biochemical reactions once it is inside the body

Trough level -CORRECT ANSWER-lowest concentration of drug reached in the body after it falls from its peak level, usually measured in a blood sample for therapeutic drug monitoring

Bioavailability -CORRECT ANSWER-metabolism

A patient with pheochromocytoma is prescribed phentolamine. On a follow-up visit, the nurse finds severe hypotension. Which other medication in the patient's medication history would have resulted in this condition?

Insulin

Digoxin

Sildenafil

Epinephrine -CORRECT ANSWER-Slidenafil

Which of these outcomes would be most appropriate to establish for a patient who is taking a selective alpha 1 receptor blocker?


Patient reports no difficulty breathing or shortness of breath.
Patient's urine output is less than 240 mL in an 8-hour period.

Patient's heart rate is >80 beats per minute when ambulating.

Patient's systolic blood pressure readings are <140 mm Hg and >110 mm Hg. -CORRECT ANSWER-Patient's systolic blood pressure readings are <140 mm Hg and >110 mm Hg.


First-pass effect -CORRECT ANSWER-initial metabolism in the liver of a drug absorbed from the gastrointestinal tract before the drug reaches systemic circulation through the blood stream

Idiosyncratic reaction -CORRECT ANSWER-an abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual pt P-glycoprotein -CORRECT ANSWER-transporter protein that moves drugs out of cells and into the gut, urine, or bile