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Pharmacology HESI Exam 2024/2025 Questions With Completed & Verified Solutions.
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Pharmacology HESI Exam 2024/2025 Questions With Completed & Verified Solutions.
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Pharmacology HESIDose calculation: Presentation of the medication 80 mEq/1L to administer 10 mEq. How many
ml should be administered?
125
Dose calculation. No me acuerdo.
1.6 ml
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Dose calculation.
0.4
Pt is very anxious and suicidal; Lithium level is 15 mEq; Which action should the nurse
implement?
Instruct pt to drink 3 liters in 24 hours.
Note: Normal lithium is 0.8-1.2 mEq
A nurse has taught a client who is taking lithium carbonate (Lithobid) about the medication. The
nurse determines that the client needs additional teaching if the client states that:
a. The medication should be taken with meals
b. The lithium blood levels must be monitored very closely
c. It is important to decrease fluid intake while taking the medication to avoid nausea
d. The physician must be called if excessive diarrhea, vomiting, or diaphoresis occurs
c. It is important to decrease fluid intake while taking the medication to avoid nausea
,Rationale: Because the therapeutic and toxic dosage ranges are so close, the blood level of
lithium in a client taking the medication must be monitored closely; assessments are performed
frequently at first and every several months after that. The client should be instructed to stop
taking the medication if excessive diarrhea, vomiting, or diaphoresis occurs and to inform the
physician if any of these problems develops. Lithium is irritating to the gastric mucosa; therefore
lithium should be taken with meals. A normal diet and normal salt and fluid intake (1500 to 3000
mL/day of fluid) should be maintained, because lithium decreases sodium reabsorption in the
renal tubules, which may result in sodium depletion. Low sodium intake causes an increase in
lithium retention and could lead to toxicity.
Patient taking Orlistat y comienza con diarreas. Que debe hacer la enfermera?
Ask about the patient's diet.
Notes: 9. orlistat [Xenical] [weight MGMT] [patient teaching]
- limit dietary fat to <30% of daily calories to reduce GI side effects associated w/increased fat
content in stool e.g., flatulence, oily spotting, and fecal urgency
- take w/all meals containing fat;
- take a daily multivitamin supplement 2 hours before or after taking orlistat
Pte que toma NSAID y que comeinza con cansancio, falta de aire, dolor en epigastrio y palido.
Que debe chequear la enfermera?
Hemoglobin
A male client is admitted for observation he is complain of progressively increasing fatigue over
the past month and a brief episode of dizziness. Just history includes heart burn and indigestion
that he self treats with ibuprofen (advil) and antacids. The nurse should report which of these
findings to the HCP?
Positive guacic of stool (blood in stool)
The nurse assess a client with intermittent claudication who is receiving pentoxifylline (trental).
Which assessment should the nurse perform to determine the effectiveness of the medication?:
Monitor numeric pain scales
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal
attack, which assessment finding indicates to the nurse that the desired effect has been
achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
, D. Clients SaO2 level increases from 92% to 96%:
A. Client states chest pain is relieved
Nitroglycerin reduces myocardial oxygen consumption which decreases ischemia and reduces
chest pain
Metodo para usar el inhaler.
Inhale slowly.
A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by
nebulizer. The nurse should have which item available for possible use after giving this
medication?
1. Ambu bag
2. Intubation tray
3. Nasogastric tube
4. Suction equipment
4. Suction equipment
Rationale:
Acetylcysteine can be given orally or by nasogastric tube to treat acetaminophen overdose, or it
may be given by inhalation for use as a mucolytic. The nurse administering this medication as a
mucolytic should have suction equipment available in case the client cannot manage to clear
the increased volume of liquefied secretions.
Patient is taking a dose of coticotrophin IM. Patient feels swollen and has gained weight. The
patient wants to stop taking the medication. What action should the nurse take?
a) hold dose and document patient refused to take
b) inform patient the need to increase the dose.
c) explain the need to reduce salt intake while medication dose is tapered off.
d) distract while administerring:
c) explain the need to reduce salt intake while medication dose is tapered off.
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent, for the
management of urinary retention due to BPH. The patient was siting after taking the lunch and
started feeling with weakness. What is the First action the nurse should take?
Place client in a Recumbent position.
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent, for the
management of urinary retention due to BPH. Which instruction is most important for the nurse
to provide.
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