BSN 315 Pharm II Practice 116Questions
for HESI Questions and Verified Answers
| 100% Correct | Grade A -
A client with a history of chronic obstructive 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. - CORRECT ANSWERS Primes
the inhaler with 7 pumps.
A client with heart failure (HF) develops 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. - CORRECT ANSWERS Limit intake of
high-potassium foods.
A client with peptic ulcer disease receives a new 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 - CORRECT ANSWERS
Decrease cigarette use to a pack per day
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report?
,BSN 315 Pharm II Practice 116Questions
for HESI Questions and Verified Answers
| 100% Correct | Grade A -
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea. - CORRECT ANSWERS Involuntary movements.
The nurse admits a client with a diagnosis of stage 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. - CORRECT ANSWERS Remove the morphine
patches.
The nurse is providing instructions about a client's 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. - CORRECT ANSWERS
Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
,BSN 315 Pharm II Practice 116Questions
for HESI Questions and Verified Answers
| 100% Correct | Grade A -
c. Peripheral edema.
d. Nausea and vomiting. - CORRECT ANSWERS Muscle tenderness.
A client receives a new prescription for 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. - CORRECT ANSWERS Take
medication on an empty stomach.
A client with Parkinson's disease who is taking 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. - CORRECT ANSWERS Explain the
color change is normal.
A client receives a prescription for ciprofloxacin 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.) - CORRECT ANSWERS
200mL/hr
A female client who is a vegetarian has a new 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.
, BSN 315 Pharm II Practice 116Questions
for HESI Questions and Verified Answers
| 100% Correct | Grade A -
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. - CORRECT ANSWERS Advise the client that the healthcare
provider needs to be made aware of her current diet.
A female client with multiple sclerosis reports 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. -
CORRECT ANSWERS Aspirin and non-steroidal anti-inflammatory drugs
interact with ginkgo.
While assessing a client who takes acetaminophen for chronic pain, the nurse
observes that the client's skin looks yellow in color. Which action should the nurse
take in response to this finding?
a. Check the client's capillary glucose level.
b. Use a pulse oximeter to assess oxygen saturation.
c. Report the finding to the healthcare provider.
d. Advise the client to reduce the medication dose. - CORRECT ANSWERS
Report the finding to the healthcare provider.
The nurse is preparing a discharge teaching plan for a client who is taking
ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected
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