HESI ANSWERS PHARMACOLOGY SCREENSHOTS 2018 RN

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HESI ANSWERS PHARMACOLOGY SCREENSHOTS 2018 RN Answer(s) for PHARMACOLOGY 2018 HESI RN TEST BANK 17. A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent, for the managemen... t of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? 19. Thirty minutes after administering trimethobenzamide (tigan) to a client with nausea, the nurse observes that the client is sedated, but arouses, easily and denies further nausea. Which action should the nurse implement? 20. A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing “hearburn.” How should the nurse respond?  21. The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued? 22. An adolescent receives a new prescription for isotretinoin (claravis) for cystic acne. Which information is most important for the nurse to provide?  . 23. The nurse is teaching a male client with type 1 diabetes mellitus about the onset, peak, and duration of a new prescription for glargine (lantus) insulin. The the insulin is self-administered at 0800, when is the client most likely to experience hypoglycemia? 24. Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?  . 25. A male client reveives a scopolamine transdermal patch 2 hours prior to surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. What action should the nurse take? 26. The nurse is administering the muscle relaxant baclofen (lioresal) PO to a client diagnosed with multiple sclerosis. Which intervention should then nurse implement?  27. During a home visit, the nurse assesses a client with Alzheimer’s Disease who recently started a new prescription for rivastigmine (exelon). 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? 28. The nurse is administering IV fluconazole (Diflucan) to a client who has systemic candidiasis. After reviewing the client’s diagnostic studies, then nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST, also called SGOT). What action should the nurse implement? 29. A client with a history of asthma is experiencing an acute episode of wheezing and shortness of breath four hours after returning from surgery. Which prescription should the nurse administer at this time? 30. A client with hear failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client’s plan of care? 31. A client receiving the urinary antispasmodic oxybutynin CL (Ditropan XL) reports having an extremely dry mouth. How should the nurse respond? 32. A female client is being treated for tuberculosis with rifampin (rifadin). Which statement indicates that further teaching is needed?  ” 33. The nurse suspects that a client has experienced an adverse reaction to a prescribed medication. Which action should the nurse take first?  . 34. Calculation: convert 2 Liters to 2,000ml. Then take 2,000mL and divide by 24 hours. We should have 83.33 or rounded to the nearest whole number is 83. We set the pump running at 83 ml/ hour. 35. A client asks the nurse about using zinc as a complementary therapy for treatment of cold symptoms. What should the nurse explain to the client regarding the use of zinc? 36. Prior to administering oral doses of calcitriol (Rocaltrol) and calcium carbonate (Os-Cal) to a client with hypoparathyroidism, the nurse notes that the client’s total calcium level is 14 mg/dL or 3.5 mmol/L (SI). Which action should the nurse implement? 37. A male client who has been taking a high-dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomepraxole (Nexium). Which information should the nurse in this client’s teaching plan? 38. A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two weeks. The nurse notes that the client remains weak with observable muscle atrophy. What action should the nurse take? 39. A female client who has trichomonas vaginalis receives a prescription for metronidazole (Flagyl). Which instruction should the nurse provide this client? 40. A client with a history of angina is taking diltiazem, a calcium channel blocker. The client reports increasing fatigue with periods of feeling “faint.” Which client assessment should the nurse complete first? 41. A peak and trough level was obtained from a client receiving an aminoglycoside IV piggyback every 8 hours. Which finding presents the highest risk for the client and should be reported immediately to the healthcare provider? 42. Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative? 43. Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication? 44. To assess for effectiveness of amlodipine (Norvasc), a calcium channel blocker, what action should the nurse implement?  . 45. A client has been taking ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), by mouth, twice a day for chronic lower back pain for several months. Which assessment is most important for the nurse to complete. 46. The wife of a client diagnosed with Parkinson’s disease calls the clinic and tells the nurse her husband is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first? 47. Hormone replacement therapy with levothyroxine sodium (Synthroid) 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, Synthroid? 48. A client with tuberculosis, whose antitubercular drugs include rifampin (Rifadin), reports to the nurse that his urine is reddish-orange. What response should the nurse provide this client? 49. A client who is receiving pregabalin (Lyrica) for fibromyalgia complains of tremors in the hands. What action should the nurse implement? 50. A client with chronic kidney disease (CKD) is receiving calcium acetate (PhosLo) 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effects? 51. A client is discharged with a prescription for warfarin (Coumadin). Which discharge instruction should the nurse emphasize to the client? 52. The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride (Cipro) tablets, which were prescribed because of a suspected anthrax exposure. Which instructions should be included in the teaching plan? (Select all that apply). 53. A client receives a prescription for penicillin G 1,000,000 units IM daily. The medication is available in 1,200,000 units/2 ml syringe. How many ml should the nurse administer? 54. A nitroglycerin infusion is prescribed for a client whose blood pressure is 210/112. Ten minutes after initiating the infusion at 10 mcg/minute, the client complains of a severe headache and numbness of the left arm. Which intervention should the nurse implement? 55. A client who is obtunded arrives in the Emergency Center with a suspected drug overdose. The client becomes responsive after the administration of intravenous naloxone, but within a short period, the client’s level of consciousness decreases again and the respiratory rate decreases to 6 breaths per minute. Which action should the nurse take first? [Show More]

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