PN HESI Pharm Exam - Questions and Answers A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse
... [Show More] effects associated with thyroid hormone toxicity should the practical nurse (PN) reiterate to the client to report promptly to the health care provider? Tachycardia and chest pain A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The practical nurse (PN) should reinforce that the client notify the health care provider immediately if which symptom occurs? Rash Before administering an antiinfective agent to a client with a urinary tract infection, which nursing intervention is most important? Obtain a clean-catch urine specimen. A client who is receiving chemotherapy asks the practical nurse (PN), "Why is so much of my hair falling out each day?" Which response by the PN best explains the reason for alopecia? Chemotherapy affects the cells of the body that grow rapidly, both normal and malignant." A male client who is being discharged to his home accompanied by his wife asks the practical nurse (PN) to give him a dose of hydrocodone (Vicodin) before he leaves the hospital. How should the PN respond to this client's request? Ask him to describe the location and severity of the pain and to rate it on a scale from 1 to 10. A client is receiving clonidine (Catapres) 0.1 mg/24 hour via transdermal patch. Which assessment finding indicates that the desired effect of the medication is achieved? Blood pressure change from 180/120 to 140/70 mm Hg A client who has a dry, nonproductive cough and congested nasal passages reports that he usually drinks two or three beers nightly. The health care provider recommends the over-the-counter (OTC) expectorant guaifenesin (Robitussin). Which information should the practical nurse provide to this client? Notify the health care provider if the cough lasts more than 7 days. When caring for a client on digoxin (Lanoxin) therapy, the practical nurse (PN) should be alert for digoxin (Lanoxin) toxicity. Which finding is likely to predispose this client to developing digoxin toxicity? Hypokalemia—low serum potassium level
The practical nurse (PN) is implementing the plan of care for a client receiving the glucocorticoid methylprednisolone (Solu-Medrol). Which nursing diagnosis is related to this medication? Risk for infection Which assessment finding requires nursing intervention before the administration of a prescribed dose of digoxin (Lanoxin) to an adult? Apical pulse rate of 50 beats/min The health care provider prescribes the anticonvulsant carbamazepine (Tegretol) for an adolescent client with a seizure disorder. The nurse should instruct the client to notify the health care provider if which condition occurs? Develops a sore throat When reinforcing teaching about childhood safety precautions to parents, the practical nurse (PN) should know that inducing vomiting is recommended for which child who may have ingested a possible poison? 16-month-old who drank 2 ounces of acetaminophen (Tylenol) elixir The health care provider has prescribed the low-molecular-weight heparin enoxaparin (Lovenox), 30 mg IVP bid for a client following hip replacement. Before administering the first dose, which intervention is most important for the practical nurse (PN) to implement? Clarify the prescription with the RN and health care provider. Which outcome(s) should the practical nurse (PN) expect a client to have who is receiving pregabalin (Lyrica)? (Select all that apply.) - A decrease in joint pain resulting from osteoarthritis - Improved range of motion during physical therapy exercises The nitrate isosorbide dinitrate (Isordil) has been prescribed for a client with angina. Which instruction should the practical nurse (PN) reinforce in this client's teaching? "Do not get up quickly. Always rise slowly." Benztropine mesylate (Cogentin) and carbidopa-levodopa (Sinemet) are prescribed for a client with Parkinson's disease. After a few days of therapy, the client complains of a "dry mouth" and "dizziness." What response by the nurse would be most appropriate? "Chew gum to relieve the dry mouth and move slowly when assuming a standing position to reduce the dizziness." A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The practical nurse (PN) anticipates an increase in which laboratory value as the result of this medication? Serum glucose [Show Less]