HESI Pharmacology Exam V3| 2023 / 2024 Update | Questions and Verified Answers (55 Q & A)
QUESTION
a client with heart failure, who is taking
... [Show More] furosemide, complains of muscle cramps and weakness in the lower extremities. Which action should the nurse implement?
Collect blood for serum electrolytes
Encourage the use of salt with meals
Restrict potassium rich foods
Stretch the foot into dorsiflexoin
Answer:
Collect blood for serum electrolytes
QUESTION
a client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/min and blood pressure is 138/86 mmhg. A transdermal nitriglycerin that was applied 30 min ago to the right upper chest. Which action should the nurse take?
Obtain another transdermal patch and position it on the clients left upper chest
Reassure the client that the patch will begin to take effect within a few minutes
Leave the patch in place and administer a PRN dose of sublingual nitroglycerin
Withhold further doses of nitroglycerin until contacting the healthcare provider
Answer:
Leave the patch in place and administer a PRN dose of sublingual nitroglycerin
QUESTION
the nurse is caring for an adult client who is taking digoxin . Which lab value should be reported to the healthcare provider immediately?
Potassium level of 3.2
Creatine level 0.8
Digoxin level of 1.1
Sodium level of 135
Answer:
Potassium level of 3.2
QUESTION
a client who has recently diagnosed with multiple sclerosis self administers the first dose of interferon alfa while the clinic nurse supervises. When assessing the client after the injection, which finding requires the most immediate intervention by the nurse?
Pain at the injection site
Anxiety and nervousness
Swelling of lips and tongue
Nausea and headache
Answer:
Swelling of lips and tongue
QUESTION
a postoperative male client asks the nurse to bring the largest possible dose of prescribed narcotic. Which action should the nurse implement first?
Determine when the last dose was administered
Ask the client to describe his current pain using the pain scale
Review the history for past use of recreational drugs
Encourage the client to use diversional thoughts to manage pain
Answer:
Ask the client to describe his current pain scale
QUESTION
a nurse administered a second dose of an opioid containing codeine and acetaminophen to a client fifteen min after the first dose was administered by another nurse, because the first dose was not documented in the medication record. Which intervention is most important for the nurse to implement ?
Obtain serum cover enzyme panel
Complete a medication error form
Assess the clients pain on a 10 point scale
Evaluate the clients vital signs
Answer:
Evaluate the clients vital signs
QUESTION
before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection , which assessment finding Is most important for the nurse to address?
Reported history of alcoholism
Employed as a construction worker
White blood cell count of 8,500
Toenails appear thick and yellow
Answer:
Reported history of alcoholism
QUESTION
a client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?
Obtain transportation to the emergency department
Increase intake of fluids and high protein foods
Stop taking the medication immediately
Avoid hazardous activities until symptoms subside
Answer:
Obtain transportation to the emergency department
QUESTION
after taking orlastat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stool flatus. Which action should the nurse take?
Ask the client to describe her dietary intake history for the last several days
Obtain a stool specimen to evaluate for occult blood and fat content
Advise the client to stop taking the drug and contact her healthcare provider
Instruct the client to increase her intake of saturated fats over the next week
Answer:
Advise the client to stop taking the drug and contact her healthcare provider
QUESTION
a client receiving the urinary antispasmodic oxybuytynin reports having an extremely dry mouth. How should the nurse respond? [Show Less]