Questions 36

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HESI RN Test Bank

HESI RN Pharmacology 106a Questions

Question 1 of 5

A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?

Correct Answer: D

Rationale: St. John's wort reduces oral contraceptive effectiveness, necessitating additional contraception. Hard candy for dry mouth, insomnia, and photosensitivity are correct understandings and do not require further instruction.

Question 2 of 5

A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Correct Answer: C

Rationale: Calcium acetate binds phosphate in CKD, reducing serum phosphate levels, which indicates effectiveness. Calcium, potassium, and pH are not primary targets.

Question 3 of 5

The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?

Correct Answer: D

Rationale: Rising AST suggests hepatotoxicity from fluconazole, requiring the dose to be held and the provider notified for evaluation. Continuing the infusion, notifying the pharmacy, or submitting a report are secondary to addressing potential liver damage.

Question 4 of 5

The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?

Correct Answer: B

Rationale: Involuntary movements and confusion suggest a serious issue, possibly medication toxicity or disease progression, requiring immediate emergency evaluation. Clinic visits, medication lists, or disease duration are secondary to urgent care.

Question 5 of 5

A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?

Correct Answer: A

Rationale: Using a straw prevents tooth staining from ferrous sulfate. Undiluted swallowing risks staining, milk reduces absorption due to calcium, and antacids interfere with iron absorption.

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