Exam (elaborations)
Pharmacology Hesi Practice 2 Questions and Correct Answers
- Course
- Institution
Pharmacology Hesi Practice 2 Questions and Correct Answers
[Show more]
Seller
Follow
WiseWoman
Content preview
Pharmacology Hesi Practice 2 Questionsand Correct Answers
A client receives a prescription for esomeprazole (Nexium) for heartburn. Which finding in the client's
history should the nurse report to the healthcare provider before administering the prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on weekends.
Family history of diabetes mellitus. - correct answers:History of deep vein thrombosis.
A male client who is in the terminal stage of cancer is cared for at home by his family and receives a
prescription for morphine at a rate to control intractable pain. When the hospice nurse visits, the client
awakens, moans in severe pain, and asks for an increase in the morphine dosage. After determining the
client's respirations are 10 per minute, what is the best action for the nurse to implement?
Titrate the morphine dose upward until the client has adequate pain relief.
Suggest to the family that they can also give the client ibuprofen, a non-narcotic analgesic.
Hold additional morphine until the client's respirations are at least 16 per minute.
Inform the client that an increased dose of morphine increases side effects without additional pain
control. - correct answers:Titrate the morphine dose upward until the client has adequate pain relief.
A client with Paget's disease is started on calcitonin (Calcimar) 500 mcg subcutaneously daily. During the
initial treatment, what is the priority nursing action?
Assess the injection site for inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline phosphatase levels.
Observe the client for signs of hypersensitivity. - correct answers:Observe the client for signs of
hypersensitivity.
,A client is taking cyclosporine for renal allograft rejection prevention. After 9 months of drug therapy, the
nurse reviews laboratory data and notes that the blood urea nitrogen level is 36 mg/dl. What additional
finding should the nurse identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction. - correct answers:Creatinine 28 mg/dl.
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the
X-ray department. What action should the nurse implement?
Return the blood to the blood bank for refrigeration within 30 minutes.
Hang the blood transfusion as soon as the client returns to the unit.
Store the blood bag in the nursing unit's refrigerator until the client returns.
Take the unit of blood to the X-ray department to initiate the transfusion. - correct answers:Return the
blood to the blood bank for refrigeration within 30 minutes.
Which side effects should the nurse monitor for a client who is receiving dexamethasone (Decadron)
following neurosurgery? (Select all that apply.)
Select all that apply
Mood swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl. - correct answers:Mood swings.
Increased weight gain.
Delayed incisional wound healing.
, Serum hemoglobin level of 9 mg/dl.
A client is taking danazol (Danocrine) for endometriosis and calls the clinic nurse to complain of a dark,
swollen, and painful leg. What instructions should the nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps. - correct answers:Proceed to the closest emergency
room.
A client asks the nurse to explain the meaning of a narrow therapeutic index of a medication. What
information should the nurse use to answer the question?
The onset of action for the medication occurs very quickly.
A small margin exists between safe and toxic plasma levels.
Bioavailability is significantly reduced by the first-pass effect.
Minimum dosage is needed for the medication to be effective. - correct answers:A small margin exists
between safe and toxic plasma levels.
A c lient is receiving fentanyl via an epidural infusion. Which side effect should the nurse anticipate in the
first 24 hours of epidural analgesia ?
Headache.
Agitation.
Urinary retention.
Abdominal cramping and diarrhea. - correct answers:Urinary retention.
The healthcare provider prescribes a medication for an older adult client who is complaining of
insomnia, and instructs the client to return in two weeks. The nurse should question which prescription?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller WiseWoman. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.95. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now