HESI Pharmacology Latest 2021 with Complete Solutions

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HESI Pharmacology Latest 2021 with Complete Solutions A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? Correct Answer- Take the medication with food. A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to obtain? Correct Answer- Blood pressure. A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24 hours. What dosing schedule is best for the nurse to implement? Correct Answer- q6h. Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) Correct AnswerIncrease fluid intake, especially cranberry juice. Avoid drinking alcohol while taking this medication. Use condoms until treatment is completed. Ensure that all sexual partners are treated at the same time. An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client? Correct AnswerApply the patch at least 4 hours prior to departure. Which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic? Correct Answer- A young adult with inflammatory bowel disease. A client who has been prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client? Correct Answer- Make an appointment to see the healthcare provider because muscle pain may be an indication of a serious side effect A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action of this drug is to Correct Answer- inhibit synthesis of T3 and T4 by the thyroid gland.Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan (Diovan) has been achieved? Correct Answer- Blood pressure reduced from 160/90 to 130/80. A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 ml/hour. The nurse notes that the client's urinary output has been 20 ml/hour for the last two hours. Which intervention should the nurse initiate? Correct Answer- Notify the healthcare provider of the urinary output. A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider? Correct Answer- Tachycardia and chest pain. Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge? Correct Answer- Prothrombin Time (PT/INR). An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows that the purpose of this medication is to Correct Answer- maintain a gastric pH of 3.5 or above.

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