PHARM HESI PRACTICE EX AM UPDATED 2024 JULY WITH ACTUL QUESTIONS AND DETAILED ANSWERS GRADED A+ NEW!!! A female client calls the clinic and talks with the nurse to inquire about a possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white discharge. The nurse should discuss which action with the client ? A. Discontinue the antibiotic because original symptoms have subsided. B. Continue taking medication until finished until the symptoms subside. C. Consult with healthcare provider about another treatment for this effect. D. Use an over -the-counter (OTC) vaginal wash to flush out the secretions. - ✔✔ANSWER✔✔-C. Consult with healthcare provider about another treatment for this effect. The nurse is making early morning rounds on a group of clients when a client begins exhibiting symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2 receptor agonist agent. Which client response should the nurse expect? A. Tachycardia. B. Increased blood pressure. C. Rapid resolution of wheezing. D. Improved pulse oximetry values. E. Reduce fever airway inflammation. - ✔✔ANSWER✔✔-C, D The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medicati on? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. - ✔✔ANSWER✔✔-D. Rise slowly when getting out of bed or chair. A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus bradycardia with a rate of 58 beats/minute, and a P -R interval of 0.24. Which action should the nurse take? A. Lower the head of the bed and assess the client for orthostatic vital sign changes. B. Give the medication as prescribed and continue to monitor the client. C. Prepare to administer atropine sulfate IV push. D. Hold the prescribed dose and contact the healthcare provider. - ✔✔ANSWER✔✔-B. Give the medication as prescribed and continue to monitor the client. The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client who receives an angiotensin -converting enzyme (ACE) inhibitor. Which action should the nurse implement? A. Verify both prescriptions with the healthcare provider. B. Report the medication interactions to the nurse manager. C. Hold the ACE inhibitor and give the new prescription. D. Transcribe and send the prescription to the pharmacy. - ✔✔ANSWER✔✔-A. Verify both prescriptions with the healthcare provider. The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5. 9 mEq/L. Which action should the nurse take first? A. Withhold the scheduled dose.
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