Hesi Pharmacology (ACTUAL) Questions, Pharm
Hesi qs
1) Assess vitals because codeine can cause resp. depression. Give narcan if respirations are
below 8.
2) Notify MD
3) Fill out incident report - ANS-Codein/acetaminophen was gievn but what not documented
after it was given. 15 minutes later a second dose was given by another nose. What should be
done?
83 mL/hr - ANS-MD ordered 1000ml D5w to infuse over 12 hours? How many ml/hr?
Administer a prescribed PRN analgesic - ANS-A client receiving filgrastin (neupogen) reports
increasing bone pain. What action should the nurse implement?
Administer a stool softener/laxative at the same time as the analgesic - ANS-Which nursing
action has the highest priority when administering a dose of codeine with acetaminophen to a
client?
Administer Lugol's (Iodine) 1 hour before PTU - ANS-MD prescribes PTU (propylthiouracil) &
Lugol's (Iodine) for hyperthyroidism- how is it administered?
Affects thoughts and alters mood. - ANS-MD added topamax to medication regime of patient
taking phenytoin for 20 years. What interventions would the nurse expect the first week after
beginning topamax?
Alleviates joint pain. - ANS-Describe the effects of glucosamine?
Alternate the use of each nostril when administering the nasal spray each day. - ANS-A client is
using the nasal spray hormone calcitonin (miacalan) to reduce bone loss from osteoporosis. To
reduce rhinitis associated with administration of the nasal spray, the nurse should provide the
client with which instruction?
Alumnum and magnesium hydroxide 30 ml - ANS-THe nurse is caring for a client who has a
nasogastric tube to low suction and interrupt the suction for the medication administration.
Which RX can the nurse admin via the NG tube?
Are you taking anabolic steroids? - ANS-Young male concerned because his testicles seem to
be shrinking. What important question should the nurse ask?
, Asses BP; Verapamil (calan) is a BP med. - ANS-Patient is taking verapamil (calan) what should
the nurse assess?
Assess pain level. - ANS-Male patient wants a large dose of narcotics- what should the nurse
do?
Avoid used of alcohol. - ANS-A client is receiving metronidazol flagyl) for clostrium difficile
pseudomembranous colitis. What info should the nurse include in the client's medication
teaching plan?
B
Rationale
Humalog is a rapid acting insulin 15 minutes, so meals should be readily available time
administration of lispro (B). Although glucose blood levels a, monitoring for hypoglycemia see,
and keeping emergency source of glucose available B should be implemented for client
receiving any form of insulin those who take these are at greatest risk for rapid hypoglycemia
shortly after it is administered - ANS-Which intervention is most important for the nurse
implement for a client is receiving lispro Humalog insulin?
-Check blood glucose levels every six hours
-provide meals at the same time that insulin is given
-assess for hypoglycemia between meals
-keeping oral liquid or glucose source available
b) 70/30 units of insulin - ANS-Which medication should be administered after breakfast?
a) Lasix
b) 70/30 units of insulin
c) Levothyroxone (treats hypothyroid)
d) Sucrafate (tx GI problems and ulcers)
B) Improve mental status. Lactulose decreases amonia levels. - ANS-After taking lactulose
(cholac) for several days. What therapeutic response for a patient with hepatic encephalopathy?
a) reduce liquid stools
b) improve mental status
c) increase urine output
d) ability to ambulate independently
b) note changes in behavior.
Antiepileptic drugs can increase depression. - ANS-Educate patient and family of a heavy
smoker taking phenytoin for seizures which intervention is most important to implement?
a)report nausea and vomiting
b) note changes in behavior
c) smoking cessation
d) constipation
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