PHARMACOLOGY RN HESI EXI T EXAM 2024/H ESI RN PHARMACOLOGY EXIT EXAM VERSION 2 COMPLETE ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS ) |ALREADY GRADED A+ A client recently diagnosed with Parkinson's Disease receives a new prescription for carbidopa levodopa, a dopaminergic drug. To reduce the client's risk for injury, which instruction should the nurse provide? a. Use caution when changing from sitting to standing position. b. Place small rugs on smooth surfaces such as tile or wood floors. c. Ambulate using a four -point cane or a walker with wheels. d. Obtain a hospital bed with side rails and an over -bed trapeze. - ANSWER - C. 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. - ANSWER - B. 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. - 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. - 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." - 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 - 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? a. Hold the calcitriol but administer the calcium carbonate as scheduled. b. Hold the calcium carbonate but administer the calcitriol as scheduled. c. Hold both medications until contacting the healthcare provider. d. Administer both prescribed medications as scheduled. - ANSWER - C. The nurse is caring for a client receiving regular insulin prescribed per sliding scale. If a regular insulin is administered at 0730, which additional nursing action is indicated for this client? a. Ensure that the client eats breakfast.
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