PHARMACOLOGY HESI(2024) FINAL EXAM

A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline? a. Fruit-flavored yogurt b. Toasted wheat bread and jelly c. Cold cereal with skim milk d. Cheese and crackers - SOLUTION-B. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye drops? a. Refraction b. Eye convergence c. Pupillary constriction d. Accommodation - SOLUTION-C. A older male client is being discharged after a myocardial infacrtion (MI) and receives a new prescription for atenolol. Which instruction is most important for the nurse to include in her clients teaching plan? a. Avoid intake of alcoholic beverages. b. Avoid driving or operating machinery. c. Take a missed dose as soon as possible. d. Standing slowly when getting up from bed - SOLUTION-D. The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with methicillin-resistant staphylococcus aureus (MRSA). Review of the client's laboratory values shows that serum peak and trough levels are within the desired therapeutic range and the serum creatinine level is 4.5 mg/dL. Which action should the nurse implement? a. Withhold the next scheduled dose and contact the healthcare provider. b. Monitor the laboratory values until all prescribed doses have been given. c. Administer the next dose and flag the results for the healthcare provider. d. Insert a second IV catheter for the administration of emergency IV fluids. - SOLUTION-A. After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take? a. Instruct the client to increase her intake of saturated fats over the next week. b. Obtain a stool specimen to evaluate for occult blood and fat content. c. Ask the client to describe her dietary intake history for the last several days. d. Advise the client to stop taking the drug and contact her healthcare provider. - SOLUTION-C