Exam (elaborations)
HESI PN Pharmacology Exam 2023/2024
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HESI PN Pharmacology Exam 2023/2024
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PN HESI PHARMWhile taking a client's history, the practical nurse (PN) discovers that the client, who takes Coumadin daily, has added a ginger supplement on the advice of a friend. What comment is critical for the PN to provide to this client? - ANSWER "Your health care provider is interested in all medications and
herbs you take."
A client with diabetes mellitus takes insulin daily and is prescribed propranolol (Inderal). Which information should the nurse provide to this client? - ANSWER A sign of hypoglycemia is that propranolol slows a rapid heart rate.
A client has a positive skin test for tuberculosis. What prophylactic drug should the practical nurse (PN) expect to be prescribed for this client? - ANSWER Isoniazid (INH) Amitriptyline hydrochloride (Elavil) is prescribed for an adult female client who is clinically depressed. Five days after beginning the drug, the client is admitted to the hospital because of suicide ideation. She tells the practical nurse (PN) that the
drug is not working because she is not feeling any better. Which explanation should the PN provide? - ANSWER "It takes 2 to 4 weeks for antidepressant medications to become effective."
In planning care for a client diagnosed with bacterial pneumonia, which intervention should the practical nurse implement? - ANSWER Obtain the sputum specimen before administering prescribed antibiotics.
Phenytoin (Dilantin) is prescribed for a client who has a seizure disorder. Which statement by the client indicates to the practical nurse that the instruction about this drug has been effective? - ANSWER "I know that I should never stop taking this medication abruptly."
The practical nurse (PN) is obtaining the medical history of a female client starting
a new prescription for conjugated estrogens (Premarin) 0.625 mg PO daily. Before
taking the first dose of the medication, which information is most important for the PN to obtain from the client? - ANSWER Cigarette smoking history A mother brings her 3-month-old infant to the well-baby clinic because the baby has developed oral thrush. Which pharmacological agent should the practical nurse (PN) expect to be prescribed for the thrush? - ANSWER Nystatin (Mycostatin)
The H2 receptor blocker famotidine (Pepcid) is prescribed for a client who has been taking antacids for chronic gastritis. Which client statement indicates to the practical nurse (PN) that teaching was effective regarding concurrent use of these medications? - ANSWER "I will take the antacid after meals and the Pepcid at bedtime."
A mother brings her 18-month-old child to the clinic because the child has had "bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy and gave my daughter a half-ounce." The practical nurse (PN) sees that the bottle contains loperamide (Imodium AD). What intervention is most important for the PN to implement initially? - ANSWER Ask the mother when the child last voided.
A client who received a prescription for cyclosporine ophthalmic emulsion (Restasis) for dry eyes asks the practical nurse (PN) if it is safe to continue using artificial tears. What information should the PN provide? - ANSWER Allow a 15-minute interval between the administration of Restasis and artificial tears.
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