HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised, Exams of Nursing

Download HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised and more Exams Nursing in PDF only on Docsity! HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for PE. Which information in the client's history requires follow up by the nurse? - Correct Answer Takes metformin hydrochloride for type 2 DM. A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling increasingly depressed. Which action should the nurse implement? - Correct Answer Notify the healthcare provider of the findings immediately. Before administering the initial dose of sumatriptan succinate to a client with a migraine headache. It is most important to determine if the client's history includes which problem? - Correct Answer CAD A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200mL. How many mL/hr should the nurse program the infusion pump to deliver? - Correct Answer 200 Before administering a laxative to a bedfast client it is most important for the nurse to perform which assessment? - Correct Answer Determine the frequency and consistency of bowel movements. HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised Hormone replacement therapy with levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much of the hormonal agent levothyroxine sodium? - Correct Answer Restlessness A male client reports to the nurse that he is experiencing gastrointestinal distress from a high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement which nursing action is most important for the nurse to implement? - Correct Answer Advise the client that medication should be gradually stopped rather than abruptly. A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide? - Correct Answer The eye drops slow pupil response to accommodate for darkness A client is receiving rifampin an antitubercular medication. Which statement by this client should prompt the nurse to notify the healthcare provider of a potential problem? - Correct Answer Reports that the sclera are yellow. Which action should the nurse implement to assess the effectiveness of the Calcium channel blocker amlodipine? - Correct Answer Measure the client's BP. HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasally which serum lab test is most important for the nurse to monitor? - Correct Answer Osmolality A client is receiving tamsulosin an alpha adrenergic - blocking agent for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? - Correct Answer Stand and sit up slowly. A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report? - Correct Answer Involuntary movements A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication? - Correct Answer Body mass index A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client's history the nurse determines that the client has been self-administering St. John's wort an herbal preparation on the advice of a friend. Which information is most significant HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised about this finding? - Correct Answer St John's Wort can decrease plasma concentrations of cyclosporine When preparing to apply a scheduled fentanyl transdermal patch the nurse notes that the previously applied patch is intact on the client's upper back and the client denies pain. - Correct Answer Apply the new patch in a different location after removing the original patch. During a home visit the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take? - Correct Answer Explain to the caregiver that insomnia is a common and temporary side effect when the medication is first started. Based on a client's serum digoxin level the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? - Correct Answer Begin cardioversion to stabilize heart rhythm. The nurse administering IV fluconazole to client who has systemic candidiasis. After reviewing the client's diagnostic studies the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST also called SGOT). HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised Which action should the nurse implement? - Correct Answer Hold the dose and notify the HCP of the changes in the laboratory studies. A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse? - Correct Answer Discontinue when spasms cease. A postoperative client has a prescription for ketorolac 30 mg IV every 6 hours. Which intervention should the nurse implement to determine if the expected outcome of the medication has been achieved? - Correct Answer Perform a pain assessment using a numeric scale. A client uses transdermal contraceptive calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client? - Correct Answer Apply the new patch today and use a backup method for 7 days. A female client with a history of PUD receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching? - Correct Answer Ensure a negative pregnancy test results 2 weeks before therapy. HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised An adolescent with MDD has been taking duloxetine for the past 12 days. Which assessment finding requires immediate follow up? - Correct Answer Describes life as without purpose A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement? - Correct Answer Explain the need to refrain from alcohol use while taking the drug. Which assessment data indicates to the nurse that a client is having an anaphylactic reaction to a medication? - Correct Answer Wheezing and dyspnea A client with schizophrenia receives a prescription for fluphenazine. Which instruction is most important for the nurse to include when teaching the client about this drug? - Correct Answer Notify your HCP immediately if involuntary movements develop Two months after taking nitrofurantoin for a bacterial infection a client reports the onset of severe watery diarrhea to the home health nurse. How should the nurse respond? - Correct Answer Determine if the full course of the initial prescription of medication was taken HESI Pharmacology Nightingale College Fall 2022 All Chapters well Defined and Revised The nurse assesses a client with intermittent claudication who is receiving pentoxifylline. - Correct Answer Monitor numeric pain scale A client is taking clonazepam benztropine haloperidol and divalproex. The nurse suspects that the client is experiencing akathisia because the client is rocking back and forth in the chair and having difficulty still. Which medication is most likely to the cause of this condition? - Correct Answer HALOperidol The adult client recently has been diagnosed with asthma. Which medication is recommended to treat this problem? - Correct Answer Omeprazole daily. Nurse Victoria is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention: u - Correct Answer Alcohol abuse and smoking