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BSN 315 Pharm II Practice Questions for HESI With 100% SURE ANSWERS
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JACKLINEBSN 315 Pharm II Practice Questions for HESI With 100% SURE ANSWERS
Terms in this set (116)
A client with a history of chronic obstructive Primes the inhaler with 7 pumps.
pulmonary disease (COPD) receives a new
prescription for an ipratropium inhaler. Which
action indicates to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
A client with heart failure (HF) develops Limit intake of high-potassium foods.
hyperaldosteronism and spironolactone is
prescribed. Which instruction should the nurse
include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
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A client with peptic ulcer disease receives a new Decrease cigarette use to a pack per day
prescription for cimetidine. Which statement
provided by the client requires additional
instruction by the nurse?
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
A client with chemotherapy induced nausea Involuntary movements.
receives a prescription for metoclopramide. Which
adverse effect is most important for the nurse to
report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
The nurse admits a client with a diagnosis of stage Remove the morphine patches.
4 cancer. The client has a prescription to wear a
subcutaneous morphine sulfate patch for pain. The
client is short of breath and difficult to arouse.
While performing a head to toe assessment. the
nurse discovers four patches on the client's body.
Which action should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
The nurse is providing instructions about a client's Promotes excretion of uric acid in the urine.
new medications. How should the nurse explain
the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
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A client taking atorvastatin develops an increased Muscle tenderness.
serum creatine phosphokinase (CK) level. The
nurse should assess the client for the onset of
which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
A client receives a new prescription for Take medication on an empty stomach.
levothyroxine. Which statement made by client
indicates to the nurse the education was
effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
A client with Parkinson's disease who is taking Explain the color change is normal.
carbidopa/levodopa reports the urine appears to
be darker in color. Which action should the nurse
take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
A client receives a prescription for ciprofloxacin 200mL/hr
400 mg intravenously (IV) every 12 hours to be
infused over an hour. The IV bag contains
ciprofloxacin 400 mg in dextrose 5% in water
(D;W) 200 mL. The nurse should program the
infusion pump to deliver how many mL/hr? (Enter
numerical value only.)
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A female client who is a vegetarian has a new Advise the client that the healthcare provider needs to be made aware of her current diet.
prescription for warfarin. The client states she eats
leafy green vegetables every day. How should the
nurse respond?
a. Suggest that the client replace the leafy
vegetables with a protein source such as nuts or
beans.
b. Confirm that her diet choices will help the
medication be more effective in preventing blood
clots.
c. Commend the client for her healthy lifestyle and
encourage her to continue her current diet habits.
d. Advise the client that the healthcare provider
needs to be made aware of her current diet.
A female client with multiple sclerosis reports Aspirin and non-steroidal anti-inflammatory drugs interact with ginkgo.
having less fatigue and improved memory since
she began using the herbal supplement, ginkgo
biloba. Which information is most important for
the nurse to include in the teaching plan for this
client?
a. Anxiety and headaches increase with the use of
ginkgo biloba.
a. Nausea and diarrhea can occur when using this
supplement.
b. Ginkgo biloba use should be limited and not
taken during pregnancy.
c. Aspirin and non-steroidal anti-inflammatory
drugs interact with ginkgo.
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