HESI RN Pharmacology | Nurselytic

Questions 44

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HESI RN Pharmacology Questions

Question 1 of 5

When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Which computer documentation indicates that the desired outcome has been achieved?

Correct Answer: A

Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.

Question 2 of 5

The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. What instruction(s) should be included in the teaching plan? Select all that apply. What instruction(s) should be included in the teaching plan?

Correct Answer: A,B,D

Rationale: Ciprofloxacin can cause tendonitis or tendon rupture, photosensitivity, and crystalluria. Reporting tendon pain, limiting sun exposure, and increasing fluid intake are critical to prevent these adverse effects. Crushing tablets or using NSAIDs is not recommended due to altered absorption and increased tendon risk, respectively.

Question 3 of 5

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take? Which action should the nurse take?

Correct Answer: C

Rationale: Transdermal nitroglycerin provides sustained release but may not act quickly enough for acute angina. Administering sublingual nitroglycerin, which acts rapidly, while keeping the patch in place, effectively relieves chest pain.

Question 4 of 5

A client with a history of smoking cigarettes for many years arrives to the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching? Which information should the nurse include in the discharge teaching?

Correct Answer: A

Rationale: Bupropion, used for smoking cessation, commonly causes insomnia and weight loss. Informing the client about these side effects ensures they can monitor and report them, facilitating safe use and adherence to the treatment plan.

Question 5 of 5

The nurse prepares to administer a scheduled dose of labetalol PO to a client with hypertension. The client's vital signs are a temperature of 99° F (37.2° C), a heart rate of 48 beats/minute, respirations of 16 breaths/minute, and a blood pressure of 150/90 mm Hg. Which action should the nurse take? Which action should the nurse take?

Correct Answer: C

Rationale: Labetalol, a beta-blocker, can worsen bradycardia (heart rate 48 beats/minute). Withholding the dose and notifying the provider ensures safety, preventing potential cardiac complications.

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