HESI RN
HESI RN Pharmacology Questions
Question 1 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? Which assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Assessing the frequency and consistency of bowel movements provides critical information about the client's bowel function, establishing a baseline to determine the need for a laxative and evaluate its effectiveness. This helps avoid overmedication or complications like diarrhea or fecal impaction, making it the most important assessment before administering a laxative.
Question 2 of 5
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client? Which information is most important for the nurse to include in a teaching plan for this client?
Correct Answer: A
Rationale: Feverfew can interact with aspirin and NSAIDs, increasing bleeding risk due to its anticoagulant properties. This interaction is critical to include in the teaching plan to prevent adverse effects, especially since the client is using feverfew for migraines, where NSAIDs are commonly used.
Question 3 of 5
A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication? Which information should the nurse obtain prior to administering the medication?
Correct Answer: A
Rationale: Pyridostigmine, a cholinesterase inhibitor, is taken orally and can cause gastrointestinal side effects. Ensuring recent oral intake minimizes these effects and optimizes absorption, making it the most critical information to obtain before administration.
Question 4 of 5
The nurse is planning discharge teaching for a client with type 2 diabetes mellitus (DM) who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching? Which action should the nurse plan to include in the discharge teaching?
Correct Answer: B
Rationale: Insulin glargine is a long-acting insulin requiring daily subcutaneous administration. Teaching self-injection skills, including proper technique, site rotation, and storage, is essential for effective diabetes management and client independence.
Question 5 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take? Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline can reduce the effectiveness of oral contraceptives by altering gut flora and estrogen metabolism. Advising the client to use an additional contraceptive method, such as condoms, during and after the antibiotic course prevents unintended pregnancy.