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Pharmacology Hesi Practice 2 Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- A client who is receiving chemotherapy is prescribed ondansetron (Zofran). What side
- Headache.
- Dry mouth.
- Impaired taste.
- Blurred vision.
effect should the nurse include in the teaching plan?
Correct Answer: Headache.
- A client is diagnosed with peptic ulcer disease and receives a prescription for
- Drink fluids between meals to relieve gastric distress.
- Monitor for an increase in blood pressure during therapy.
- Dissolve capsule contents in fruit juice for easier ingestion.
- Take at same time each day one hour before eating a meal.
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction?
Correct Answer: Take at same time each day one hour before eating a meal.
- A client receives a prescription for sulfamethoxazole-trimethoprim (Septra) for a
- Ingest food prior to taking the antibiotic.
- Drink at least 8 glasses of water a day.
- Take the medication with grapefruit juice.
urinary tract infection (UTI). What instruction should the nurse provide the client?
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- Avoid prolonged exposure to sunlight.
Correct Answer: Drink at least 8 glasses of water a day.
- A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone.
- Snacks on dairy products such as yogurt or ice cream.
- Previously had a mild allergic reaction to a cephalosporin.
- Consumes alcoholic drinks occasionally on the weekends.
- Works twenty hours a week as a lifeguard at the local pool.
When teaching about this drug, which information in the client's history requires special emphasis by the nurse?
Correct Answer: Works twenty hours a week as a lifeguard at the local pool.
- A client receives a prescription for esomeprazole (Nexium) for heartburn. Which
- Eats spicy food three times a week.
- History of deep vein thrombosis.
- Drinks 2 alcoholic beverages on weekends.
- Family history of diabetes mellitus.
finding in the client's history should the nurse report to the healthcare provider before administering the prescription?
Correct Answer: History of deep vein thrombosis.
- A client is taking cyclosporine for renal allograft rejection prevention. After 9 months
- Hypotension.
- White blood cell count 10,000.
- Creatinine 28 mg/dl.
- Anaphylactic reaction.
of drug therapy, the nurse reviews laboratory data and notes that the blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse identify?
Correct Answer: Creatinine 28 mg/dl.
- A client with chronic gouty arthritis takes allopurinol (Zyloprim) and experiences an
acute attack of gouty arthritis. The healthcare provider prescribes concurrent low-
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dose colchicine. What information should the nurse provide the client that best explains the action of the colchicine?
- Acts like aspirin to relieve pain.
- Facilitates the excretion of uric acid.
- Reduces inflammation at the affected site.
- Prevents formation of uric acid crystals.
Correct Answer: Reduces inflammation at the affected site.
- A client at 30-weeks gestation is in preterm labor. The healthcare provider
- Suppresses uterine contractions.
- Stimulates fetal surfactant production.
- Reduces maternal and fetal tachycardia associated with terbutaline (Brethine)
- Maintains adequate maternal respiratory effort and ventilation with magnesium
prescribes two 12-mg doses of betamethasone (Celestone) intramuscularly every 12 hours. The client asks the nurse why she is receiving the Celestone. What information should the nurse use to explain the action of the medication?
administration.
administration.
Correct Answer: Stimulates fetal surfactant production.
- A client is taking danazol (Danocrine) for endometriosis and calls the clinic nurse to
- Wear support stockings.
- Elevate both legs and apply heat.
- Proceed to the closest emergency room.
- Walk for 20 to 30 minutes to reduce muscle cramps.
complain of a dark, swollen, and painful leg. What instructions should the nurse provide the client?
Correct Answer: Proceed to the closest emergency room.
- A client asks the nurse to explain the meaning of a narrow therapeutic index of a
- The onset of action for the medication occurs very quickly.
medication. What information should the nurse use to answer the question?
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- A small margin exists between safe and toxic plasma levels.
- Bioavailability is significantly reduced by the first-pass effect.
- Minimum dosage is needed for the medication to be effective.
Correct Answer: A small margin exists between safe and toxic plasma levels.
- A male client who is in the terminal stage of cancer is cared for at home by his family
- Titrate the morphine dose upward until the client has adequate pain relief.
- Suggest to the family that they can also give the client ibuprofen, a non-narcotic
- Hold additional morphine until the client's respirations are at least 16 per minute.
- Inform the client that an increased dose of morphine increases side effects without
- A client with Paget's disease is started on calcitonin (Calcimar) 500 mcg
- Assess the injection site for inflammation.
- Evaluate the client's level of pain.
- Monitor the client's alkaline phosphatase levels.
- Observe the client for signs of hypersensitivity.
and receives a prescription for morphine at a rate to control intractable pain. When the hospice nurse visits, the client awakens, moans in severe pain, and asks for an increase in the morphine dosage. After determining the client's respirations are 10 per minute, what is the best action for the nurse to implement?
analgesic.
additional pain control.Correct Answer: Titrate the morphine dose upward until the client has adequate pain relief.
subcutaneously daily. During the initial treatment, what is the priority nursing action?
Correct Answer: Observe the client for signs of hypersensitivity.
- The nurse receives a unit of blood from the blood bank for a postoperative client
- Return the blood to the blood bank for refrigeration within 30 minutes.
- Hang the blood transfusion as soon as the client returns to the unit.
who is currently in the X-ray department. What action should the nurse implement?
