HESI RN
HESI Pharmacology Quizlet Questions
Question 1 of 5
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which of the following food items?
Correct Answer: D
Rationale: In the case of administering oral iron supplements to a 6-year-old child with iron deficiency anemia, the correct option is
D) Orange juice. This is because orange juice contains vitamin C, which enhances the absorption of iron in the body. Vitamin C helps convert iron into a form that is more easily absorbed by the intestines, thereby increasing the effectiveness of the iron supplement.
Option
A) Milk is not recommended to be taken with iron supplements as it can interfere with the absorption of iron due to the presence of calcium and casein which can bind with iron and inhibit its absorption.
Option
B) Water is a neutral option and does not enhance or inhibit iron absorption.
Option
C) Apple juice does not contain as much vitamin C as orange juice, so it is not as effective in improving iron absorption.
Educationally, understanding the importance of pairing iron supplements with vitamin C-rich foods like orange juice can help healthcare providers and parents optimize the effectiveness of iron therapy in children with iron deficiency anemia. This knowledge can lead to better outcomes and improved management of anemia in pediatric patients.
Question 2 of 5
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client, knowing that which of the following indicates that a systemic effect has occurred?
Correct Answer: A
Rationale: In the context of a burn client receiving topical mafenide acetate (Sulfamylon), monitoring for systemic effects is crucial. The correct answer is
A) Hyperventilation. Systemic absorption of mafenide acetate can lead to metabolic acidosis, which can cause hyperventilation as the body tries to compensate by blowing off CO2.
Option
B) Elevated blood pressure is incorrect because mafenide acetate is not known to cause hypertension as a systemic effect.
Option
C) Local pain at the burn site is incorrect because this would be an expected local effect of the medication at the site of application.
Option
D) Local rash at the burn site is incorrect as it would also be an expected local reaction to the medication.
In an educational context, understanding the potential systemic effects of medications used in burn care is essential for nurses caring for these patients. Recognizing signs of systemic absorption can help prevent complications and ensure timely intervention. Hyperventilation in this scenario indicates a systemic effect requiring prompt assessment and intervention to prevent further complications.
Question 3 of 5
The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the client is being treated for:
Correct Answer: A
Rationale: Azelaic acid (Azelex) is a topical medication used to treat mild to moderate acne. It works by suppressing the growth of Propionibacterium acnes and decreasing the proliferation of keratinocytes in the skin.
Therefore, if a client is prescribed azelaic acid, the nurse would suspect that the client is being treated for acne.
Question 4 of 5
The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory value should the nurse specifically monitor during treatment with this medication?
Correct Answer: B
Rationale: In the treatment of acute myelocytic leukemia with busulfan (Myleran), monitoring the uric acid level is crucial due to the medication's potential to cause hyperuricemia. Busulfan can lead to the breakdown of cancer cells, releasing large amounts of uric acid into the bloodstream, which can result in hyperuricemia and potentially lead to complications like renal damage or gout.
Therefore, monitoring uric acid levels is essential to detect and manage this side effect promptly.
Regarding the other options:
A) Clotting time: While clotting time monitoring may be necessary for some medications, it is not specifically indicated for busulfan therapy.
C) Potassium level: Although electrolyte imbalances can occur in leukemia and its treatment, monitoring potassium levels is not specifically associated with busulfan administration.
D) Blood glucose level: Busulfan is not known to directly impact blood glucose levels, so monitoring blood glucose is not the priority in this scenario.
Understanding the rationale behind monitoring specific laboratory values in relation to different medications is crucial for nurses to provide safe and effective care to patients undergoing treatment for various conditions. This knowledge helps healthcare professionals anticipate and manage potential complications, ensuring optimal patient outcomes.
Question 5 of 5
The healthcare provider is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The healthcare provider consults with the registered nurse regarding the administration of the medication if which of the following is documented in the client's history?
Correct Answer: A
Rationale: Asparaginase is contraindicated in clients with a history of pancreatitis due to the risk of impairing pancreatic function and causing complications.
Therefore, the healthcare provider should consult with the registered nurse to assess the client's history of pancreatitis before administering asparaginase.