Care Hope College RN HESI Pharmacology

Question 1 of 5

A patient with heart failure develops hyperaldosteronism and is prescribed spironolactone. What instructions should the nurse include in the patient’s care plan?

A. Substitute salt with a salt substitute.B. Protect your skin before going outside.C. Limit intake of high-potassium foods.D. Monitor skin for excessive bruising.

Correct Answer: C

Rationale: This question is identical to Question 7. Spironolactone increases potassium retention, so limiting high-potassium foods (
C) prevents hyperkalemia. Salt substitutes (
A) contain potassium. Sun protection (
B) and bruising (
D) are unrelated. Note: Duplicate question; consider removing.

Question 2 of 5

A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication. What should the nurse’s response be?

A. Advise the patient to only consume water with the medication.B. Delay the medication until the patient’s breakfast tray arrives.C. Consult with a pharmacist about administering the dose one hour post-meal.D. Assign an unlicensed assistive personnel to bring the patient a glass of low-fat milk.

Correct Answer: A

Rationale: This question is identical to Question 1. Risedronate requires plain water on an empty stomach (
A) to ensure absorption. Milk (
D) reduces efficacy. Delaying for breakfast (
B) or post-meal dosing (
C) violates guidelines. Note: Duplicate question; consider removing.

Question 3 of 5

An elderly client with heart failure arrives at the emergency room due to nausea, vomiting, and anorexia. Based on the client’s signs and symptoms, which piece of data from the medical history is most significant when planning this client’s care?

A. The client underwent a coronary artery bypass procedure in 1995.B. The client had a colonoscopy performed for routine screening six months ago.C. The client suffered from depression following the death of their spouse in 1999.D. The client has been taking digoxin and furosemide daily since 1996.

Correct Answer: D

Rationale: Digoxin and furosemide (
D) can cause nausea, vomiting, and anorexia due to toxicity (digoxin) or electrolyte imbalances (furosemide), critical for heart failure management. Past bypass (
A), colonoscopy (
B), and depression (
C) are less relevant to current symptoms.

Question 4 of 5

An adult patient at an outpatient clinic has been prescribed the antibiotic tetracycline HCl. What instructions should the nurse include in the patient’s teaching plan?

A. Consume with milk or antacids to prevent gastrointestinal irritation.B. Protect your skin from sunlight while on this medication.C. Enhance gastrointestinal absorption by taking with orange juice.D. Return to the clinic weekly for serum drug level checks.

Correct Answer: B

Rationale: This question is identical to Question 9. Tetracycline increases photosensitivity, requiring sun protection (
B). Milk/antacids (
A) and orange juice (
C) impair absorption. Weekly drug checks (
D) are unnecessary. Note: Duplicate question; consider removing.

Question 5 of 5

A female patient with multiple sclerosis reports less fatigue and improved memory since she started using the herbal supplement, ginkgo biloba. What is the most important information for the nurse to include in the teaching plan for this patient?

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.D. Anxiety and headaches increase with the use of ginkgo biloba.

Correct Answer: C

Rationale: This question is identical to Question 39. Ginkgo biloba’s interaction with aspirin/NSAIDs (
C) increases bleeding risk, a critical teaching point. Other side effects (A,
D) and pregnancy limits (
B) are less urgent. Note: Duplicate question; consider removing.

Care Hope College RN HESI Pharmacology | Nurselytic

Nurselytic

HESI RN

HESI RN