Questions 46

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HESI Pharmacology Practice Exam Questions

Question 1 of 5

A client taking ethambutol (Myambutol) understands the instructions provided by the nurse if the client states that he or she will immediately report:

Correct Answer: B

Rationale: The correct answer is B: Problems with visual acuity. Ethambutol is known to cause optic neuritis, leading to a decrease in visual acuity and color discrimination.
Therefore, any visual changes should be reported promptly to prevent further complications.

Question 2 of 5

A nurse preparing a client for surgery reviews the client's medication record. The client is to be nothing per mouth (NPO) after midnight. Which of the following medications, if noted on the client's record, should the nurse question?

Correct Answer: D

Rationale: Prednisone is a corticosteroid that can cause adrenal atrophy, reducing the body's ability to withstand stress. The dosage may need to be increased before and during surgery.

Question 3 of 5

The client with non-Hodgkin's lymphoma is receiving daunorubicin (DaunoXome). Which of the following would indicate to the nurse that the client is experiencing a toxic effect related to the medication?

Correct Answer: D

Rationale: Crackles on auscultation of the lungs would indicate a toxic effect related to daunorubicin, known to cause cardiotoxicity. Cardiotoxicity can manifest as heart failure, abnormal ECG findings, or cardiomyopathy. It is crucial for the nurse to monitor for signs of cardiotoxicity to ensure timely intervention and prevent further complications.

Question 4 of 5

A client is receiving bethanechol chloride (Urecholine). The nurse monitors the client for adverse effects of the medication and should observe for which of the following?

Correct Answer: A

Rationale: Bethanechol chloride (Urecholine) stimulates muscarinic receptors, which can lead to bradycardia as an adverse effect. Monitoring for bradycardia is crucial when administering this medication. Constipation, hypertension, and dry mouth are not typically associated with the effects of bethanechol chloride.

Question 5 of 5

A client is taking lansoprazole (Prevacid). On data collection, which question should the nurse ask to determine medication effectiveness?

Correct Answer: B

Rationale: Lansoprazole is a gastric acid pump inhibitor commonly used to treat gastroesophageal reflux disease (GER
D) by reducing stomach acid. Heartburn is a key symptom of GERD, so asking about heartburn can help assess the effectiveness of lansoprazole in managing acid reflux symptoms.

Similar Questions

A client is receiving an intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. The nurse notes redness and swelling at the site, along with a slowed infusion rate. What is the appropriate action for the nurse to take?
A client receives a prescription for methocarbamol (Robaxin), and the nurse reinforces instructions to the client regarding the medication. Which client statement would indicate a need for further instructions?
A client is prescribed allopurinol (Zyloprim) for chronic gout. Which instruction should the nurse include in the teaching plan?
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen?
A client is receiving meperidine (Demerol) for pain management. Which assessment finding requires immediate action?

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