HESI RN
HESI RN Pharmacology 106a Questions
Question 1 of 5
The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Sucralfate forms a protective barrier on ulcers and is most effective on an empty stomach. Electrolyte monitoring, Candida assessment, and once-daily dosing are not specific to sucralfate’s administration.
Question 2 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning from irritated bladder mucosa. It does not kill bacteria, calm spasms, or require specific timing related to intercourse.
Question 3 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary item should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like pepperoni pizza (aged cheese, processed meats) to prevent hypertensive crisis. Catfish, beef tips, and shrimp are generally safe.
Question 4 of 5
What are the signs and symptoms of hypothyroidism?
Correct Answer: A,C,D
Rationale: A: Decreased appetite results from reduced metabolism in hypothyroidism. C: Intolerance to cold occurs due to decreased heat production. D: Constipation is caused by slowed gastrointestinal motility. B: Restlessness is associated with hyperthyroidism, not hypothyroidism.
Question 5 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?
Correct Answer: A,B
Rationale: A: Hard candy alleviates dry mouth, a common tamsulosin side effect. B: Insomnia is a potential side effect, and clients should be informed. However, the most critical instruction is typically to stand/sit slowly to prevent orthostatic hypotension, which is not listed. Dry mouth and insomnia are valid but secondary concerns.