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Pharmacology HESI Comprehensive Review – Questions & Answers (100% Correct)
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Pharmacology HESI Comprehensive Review – Questions & Answers (100% Correct)
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Pharmacology HESI Comprehensive Review –Questions & Answers (100% Correct)
A client with mild parkinsonism is started on oral amantadine (Symmetrel).
Which statement accurately describes the action of this medication? Right
Ans - Dopamine in the central nervous system is increased.
The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is a standing order. Which finding
should the nurse report to the health care provider? Right Ans -
Hypokalemia
A male client asks the nurse why condoms should not be lubricated with the
spermicide nonoxynol-9. Which response is best for the nurse to provide?
Right Ans - Nonoxynol-9 provides no protection from STDs and has been
linked to the transmission of HIV.
The nurse is assessing a stuporous client in the emergency department who is
suspected of overdosing with opioids. Which agent should the nurse prepare
to administer if the client becomes comatose? Right Ans - Naloxone
hydrochloride (Narcan)
A 2-month-old infant is scheduled to receive the first DPT immunization. What
is the preferred injection site to administer this immunization? Right Ans -
Vastus lateralis
A psychiatric client is discharged from the hospital with a prescription for
haloperidol (Haldol). Which instruction should the nurse include in the
discharge teaching plan for this client? Right Ans - Use sunglasses and
sunscreen when outdoors.
A primigravida at 34 weeks of gestation is admitted to labor and delivery in
preterm labor. She is started on a terbutaline sulfate (Brethine) continuous IV
infusion via pump. This therapy is ineffective, and the baby is delivered
vaginally. For which complication should the nurse monitor in this infant
during the first few hours after delivery? Right Ans - Hypoglycemia
,A client with metastatic cancer reports severe continuous pain. Which route of
administration should the nurse use to provide the most effective continuous
analgesia? Right Ans - Transdermal
A client who is hypertensive receives a prescription for hydrochlorothiazide
(HCTZ). When teaching about the side effects of this drug, which symptoms
are most important for the nurse to instruct the client to report? Right Ans
- Fatigue and muscle weakness
Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-
year-old child with attention deficit-hyperactivity disorder (ADHD). In
preparing a teaching plan for the parents of this child newly diagnosed with
ADHD, which instruction is most important for the nurse to provide to the
parents? Right Ans - Administer the medication in the morning before the
child goes to school.
Prior to administering a scheduled dose of digoxin (Lanoxin), the nurse
reviews the client's current serum digoxin level, which is 1.3 ng/dL. Which
action should the nurse implement? Right Ans - Give the dose of digoxin if
the client's heart rate is within a safe range.
The health care provider has prescribed a low-molecular-weight heparin,
enoxaparin (Lovenox) prefilled syringe, 30 mg/0.3 mL IV every 12 hours, for a
client following hip replacement. Prior to administering the first dose, which
intervention is most important for the nurse to implement? Right Ans -
Contact the health care provider to clarify the prescription.
In administering the antiinfective agent chloramphenicol (Chloromycetin) IV
to a client with bacterial meningitis, the nurse observes the client closely for
signs of bone marrow depression. Which laboratory data would be most
important for the nurse to monitor? Right Ans - Platelet count
A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and
acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse calls the
health care provider to report that the client has developed diarrhea. Which
change in prescriptions should the nurse anticipate? Right Ans - Decrease
the dose of vitamin C.
, A client who is receiving chlorpromazine HCl (Thorazine) to control his
psychotic behavior also has a prescription for benztropine (Cogentin). When
teaching the client and/or significant others about these medications, what
should the nurse explain about the use of benztropine (Cogentin) in the
treatment plan for this client? Right Ans - The benztropine (Cogentin) is
used to control extrapyramidal symptoms.
A female client with myasthenia gravis is taking a cholinesterase inhibitor and
asks the nurse what can be done to remedy her fatigue and difficulty
swallowing. What action should the nurse implement? Right Ans - Develop
a teaching plan for the client to self-adjust the dose of medication in response
to symptoms.
The health care provider prescribes oral contraceptives for a client who wants
to prevent pregnancy. Which information is the most important for the nurse
to provide to this client? Right Ans - Take one pill at the same time every
day until all the pills are gone.
The nurse is preparing a plan of care for a client receiving the glucocorticoid
methylprednisolone (Solu-Medrol). Which nursing diagnosis reflects a
problem related to this medication that should be included in the care plan?
Right Ans - Risk for infection
Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, and experiencing hypotension. These findings are
consistent with which client response that requires immediate action?
Right Ans - Severe acute anaphylactic response
The health care provider prescribes carbamazepine (Tegretol) for a child
whose tonic-clonic seizures have been poorly controlled. The nurse informs
the mother that the child must have blood tests every week. The mother asks
why so many blood tests are necessary. Which complication is assessed
through frequent laboratory testing that the nurse should explain to this
mother? Right Ans - Myelosuppression
When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to be
alert for digoxin (Lanoxin) toxicity. Which finding would predispose this client
to developing digoxin toxicity? Right Ans - Low serum potassium level
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