2024 HESI Pharmac ology Exam New Latest Version with All Questions from Actual Past Exam and 100% Correct Answers A client diagnosed with myasthenia gravis receives a prescription for the anticholinesterase medication, pyridostigmine. Which intervention should the nurse implement when preparing to administer this medication? a. Schedule the medication to be given just before bedtime. b. Administer the medication thirty minutes prior to meals. c. Break the medication into small pieces and sprinkle onto food. d. Instruct the client to avoid dairy products for at least 30 minutes. ----------- Correct Answer ----------- B. When assessing a female client who has been taking an antipsychotic medication for the past year, the nurse observes that the client demonstrates involuntary foot tapping while both feet are flat on the floor. The nurse plans to report the observation to t he healthcare provider. Which additional action should the nurse take? a. Document the finding on the abnormal involuntary movements scale. b. Assist the client in recognizing her manifestations of anxiety. c. Advise the client that she has developed tolerance to the medication. d. Prepare to initiate seizure precautions for the client's safety. ----------- Correct Answer ----------- A A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection. Which response should the nurse provide? a. Advise the client that once symptoms occur it is too late to receive an influenza vaccination. b. Refer the client to the healthcare provider at the clinic to obtain a medication prescription. c. Instruct the client that over -the-counter medications are sufficient to manage influenza symptoms. d. Explain to the client that antibiotics are not useful in treating viral infections such as influenza. ----------- Correct Answer ----------- B. from the eye, and are usually used to reverse angle closure glaucoma or prevent angle closure in eyes with narrow chamber angles ---------- Correct Answer --------- Miotics (see Cholinergic drugs) _____ are agents used to produce dilation of pupils for eye exams and ocular surgery --
-------- Correct Answer --------- Mydriatics Decongestants and bronchodialators have ______ effects such as ___, ____, and ___. ---------- Correct Answer --------- sympathomimetic (adrenergic) effects are increased heart rate nervousness insomnia Decongestants and bronchodialators should be taken during the ______ ---------- Correct Answer --------- take during the day not at night A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement? a. Collect a capillary glucose level. b. Administer a PRN dose of an antianxiety drug. c. Notify the healthcare provider. d. Obtain orthostatic blood pressure readings. ----------- Correct Answer ----------- C. A client scheduled to receive an IM dose of corticotropin tells the nurse about feeling swollen and gaining weight. The client no longer wants to take the medication. What action should the nurse take? a. Distract the client while administering the medication in the deltoid site. b. Hold the dose and document the client's refusal to take the medication. c. Inform the client that fluid retention indicates the need for an increased dose. d. Explain the need to reduce salt intake while the medication dose is tapered off. --------
--- Correct Answer ----------- D. The nurse is interviewing a client who takes a daily antihypertensive medication. Current blood pressure reading is 124/80 mmHg. Which client statement supports the nursing problem of, "knowledge deficit of medication regimen"? a. "If I skip a dose of my antihypertensive medication, my blood pressure will go up again." b. "My blood pressure is normal because the antihypertensive medication is working." c. "I will save my blood pressure medicine for tomorrow since my blood pressure is good today." d. I realize high blood pressure can damage my kidneys without my even knowing it is happening." ----------- Correct Answer ----------- C A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg by mouth. A decrease in which blood value indicates to the nurse that the medication is having the desired effect? a. pH b. Potassium c. Calcium d. Phosphate ----------- Correct Answer ----------- D. Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL. Which action should the nurse implement?
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