The nurse cares for a client receiving vancomycin for methicillin-resistant Staphylococcus aureus. After reviewing the list of medications that the client is taking concurrently, which drug interactions concern the nurse? Select all that apply.
1. Polyethylene glycol
2. NSAIDs
3. Aminoglycosid...
Pharmacology HESI (FALL 2024) Exam
Questions And Answers
The nurse cares for a client receiving vancomycin for methicillin-resistant Staphylococcus
aureus. After reviewing the list of medications that the client is taking concurrently, which drug
interactions concern the nurse? Select all that apply.
The nurse cares for a client who has a history of congestive heart failure. The client has
prescriptions of furosemide and gentamicin for a diagnosis with a Klebsiella pneumoniae
respiratory infection. The healthcare provider adds a new order of digoxin administration. Which
nursing action is essential?
1. Administer intravenous gentamicin at the same time as furosemide
2. Discontinue furosemide and digoxin during the administration of gentamicin
3. Contact the healthcare provider about an al - ANS 4
The nurse provides health education about furosemide to a client diagnosed with heart failure,
arthritis, and hypertension. Which statement by the client shows an understanding of the
teaching?
1. "I can continue taking furosemide, even if I become pregnant."
2. "I should check my blood pressure every day."
3. "When I get up from sitting on the couch, I should get up quickly."
4. "Furosemide can also manage my arthritis." - ANS 2
The nurse is caring for a client receiving digoxin, furosemide, and cefazolin for congestive heart
failure and pyelonephritis. During the assessment, the nurse notes a temperature of 38.6℃
,(101.4℉) and oliguria with dark-colored urine. The client reports nausea and vomiting. Which
possible complications does the nurse suspect? Select all that apply.
The nurse cares for a client diagnosed with congestive heart failure and bipolar disorder. The
client's medications include lithium and furosemide. During the assessment, the nurse notes a
serum sodium level of 131 mmol/L and a serum potassium level of 3.5 mmol/L. Which action by
the nurse is a priority?
1.Assess for serum creatinine level
2.Assess for serum lithium level
3.Assess for serum digoxin level
4.Assess for serum furosemide level - ANS 2
The nurse is caring for a client diagnosed with traumatic brain injury. During the assessment, the
nurse notes an elevated intracranial pressure and decreasing level of consciousness. Which
action does the nurse implement?
1.Prepare for the administration of furosemide
2.Infuse hydrochlorothiazide immediately
3.Administer mannitol intravenously
4.Administer IV spironolactone - ANS 3
The nurse provides health teaching about hydrochlorothiazide to a client diagnosed with
hypertension and diabetes. Which statement demonstrates an understanding of the teaching?
1."I will take the medication daily at bedtime to prevent dizziness during the day."
2."This drug will start working 12 hours after I take it."
3."I should take this drug if my blood pressure is too low."
4."I need to watch my blood sugar because the drug can raise it." - ANS 4
The nurse monitors a client diagnosed with renal failure secondary to diabetes mellitus. Which
finding does the nurse directly associate with kidney dysfunction? Select all that apply.
1.Ecchymosis on the lower extremities
, 2.Increased blood pressure
3.Acid-base imbalances
4.Increased blood glucose level
5.Increased serum drug levels - ANS 2, 3, 5
The nurse administers loop diuretics to a client diagnosed with severe edema. The client asks
how the drug works. Which statement by the nurse is correct?
1."The loop diuretic's site of action is at the distal collecting tubule."
2.The loop diuretic's location of action is at the proximal collecting tubule.
3.Loop diuretics are more potent than potassium-sparing diuretics.
4.The combination of loop and potassium-sparing diuretics can cause severe hypokalemia. -
ANS 3
The nurse is caring for a client diagnosed with congestive heart failure and renal injury. Which
medication does the nurse know to implement for this client?
1.Administer metoprolol
2.Administer thiazide diuretics
3.Administer potassium-sparing diuretics
4.Administer loop diuretics - ANS 4
The head nurse orients a newly hired nurse about potassium-sparing diuretic medications.
Which statement by the nurse shows an understanding of the teaching?
1.The site of action of potassium-sparing diuretics is in the glomerulus.
2.Potassium-sparing diuretics are used primarily as monotherapy for hypertension.
3.Potassium-sparing diuretics cause a mild increase in urine output.
4.Sprinolocatone is not an aldosterone antagonist drug. - ANS 3
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