HESI PHARMACOLOGY PRACTICE
QUESTIONS FOR FINAL
A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment
finding indicates that the desired effect of the medication has been achiev
...
HESI PHARMACOLOGY PRACTICE
QUESTIONS FOR FINAL
A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment
finding indicates that the desired effect of the medication has been achieved?
A. Client denies recent episodes of angina.
B. Change in peripheral edema from +3 to +1.
C. Client denies recent nausea or vomiting.
D. Blood pressure has changed from 180/120 to 140/70. Correct ✔✔Catapres acts as a centrallyacting analgesic and antihypertensive agent. (D) indicates a reduction in hypertension. Catapres
does not affect (A, B, or C), so these findings do not indicate desired outcomes of Catapres
After abdominal surgery, a male client is prescribed low molecular weight heparin (LMWH).
During administration of the medication, the client asks the nurse why he is receiving this
medication. Which is the best response for the nurse to provide?
A. This medication is a blood thinner given to prevent blood clot formation. Correct
B. This medication enhances antibiotics to prevent infection.
C. This medication dissolves any clots that develop in the legs. Incorrect
D. This abdominal injection assists in the healing of the abdominal wound. ✔✔Unfractionated
heparin or low molecular weight heparin (LMWH) is an anticoagulant that inhibits thrombin-
mediated conversion of fibrinogen to fibrin and is given prophylactically to prevent
postoperative venous thrombosis (A) or to treat pulmonary embolism or deep vein thrombosis
following knee and abdominal surgeries. Heparin does not dissolve clots but prevents clot
extension or further clot formation (C). The anticoagulant heparin does not prevent infection (B)
or influence operative wound healing (D).
A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, the
nurse assesses the client. Which finding requires the most immediate intervention?
A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting. Correct ✔✔Vomiting, anorexia and abdominal pain are early indications of
digitalis toxicity. Since Lipitor increases the risk for digitalis toxicity, this finding requires the
most immediate intervention by the nurse (D). (A, B and C) are expected side effects of Lipitor
A client with heart failure is prescribed spironolactone (Aldactone). Which information is most
important for the nurse to provide to the client
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