HESI PHARMACOLOGY (HESI)

1. A client taking atorvastatin develops and increase serum creatinine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem? A. Peripheral edema B. Muscle tenderness C. Nausea and vomiting D. Excessive bruising - B 2. A client with diabetic peripheral neuropathy, who has been taking pregablin for two weeks reports diminished foot pain. The nurse notes that there is no improvement in the healing of several to ulcerations. Which action should the nurse take...

1. A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the client include in the nurse’s teaching plan? A. Once pain subsides, NSAID therapy can be continued B. Resume a diet that consists of milk, cream, and bland foods C. Notify the healthcare provider of the passage of bl...

Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - Always take apical pulse for one full minute Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - Lasix can cause hypokalemia, which can lead to dig toxicity What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug)? - Digoxin can increase in...

The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess? A. Consumption of any alcohol or tyramine rich foods B. Reports of nausea or vomiting C. Therapeutic serum drug levels D. Blood pressure and pulse prior to taking each dose - A The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects shou...

A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline? a. Fruit-flavored yogurt b. Toasted wheat bread and jelly c. Cold cereal with skim milk d. Cheese and crackers - B. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye drops? a. Refract...

Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - Always take apical pulse for one full minute Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - Lasix can cause hypokalemia, which can lead to dig toxicity What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug)? - Digoxin can increase in...

A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? - Take the medication with food. A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to obtain? - Blood pressure. A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24 hours. What dosing schedule is best for the nurse to implement? - q6h. Which instructio...

A client with mild parkinsonism is started on oral amantadine (Symmetrel). Which statement accurately describes the action of this medication? - Dopamine in the central nervous system is increased. The nurse is reviewing a client's laboratory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider? - Hypokalemia A male client asks the nurse why condoms should not be lubricated with the spermi...

A male client who has been taking a high dose of a non-steroidal anti- inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the client include in the nurse’s teaching plan? Answer: C. Notify the healthcare provider of the passage of black stool When administering zolpidem to an older client, which computer documentation indicates that the desire...

HESI PHARMACOLOGY ACTUAL EXAM A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the client include in the nurse's teaching plan? A. Once pain subsides, NSAID therapy can be continued B. Resume a diet that consists of milk, cream, and bland foods C. Notify the healthcare...