HESI RN
HESI RN Pharmacology 106a Questions
Question 1 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement?
Correct Answer: D
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. A neurological exam, glucagon administration, or vital signs assessment are secondary until glucose levels are verified.
Question 2 of 5
The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?
Correct Answer: A
Rationale: A platelet count of 100,000/mm³ indicates thrombocytopenia, increasing bleeding risk with enoxaparin, requiring immediate action. BUN, creatinine, and hematocrit are within normal ranges and do not warrant urgent intervention.
Question 3 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 4 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: D
Rationale: The options seem misaligned with the question, as they describe instructions, not symptoms. However, taking levothyroxine early in the day prevents insomnia, a symptom of excessive dosing (hyperthyroidism). Clients should report symptoms like insomnia, palpitations, or restlessness, indicating overdose. Fluid intake, standing slowly, or twice-weekly dosing are unrelated to overdose symptoms.
Question 5 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Correct Answer: B
Rationale: Methylphenidate, a stimulant, can increase blood pressure, making hypertension a critical condition to review. Bronchitis, diabetes, and hypercholesterolemia are less directly impacted by methylphenidate.