Wgu RN HESI Pharmacology | Nurselytic

Questions 35

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Wgu RN HESI Pharmacology Questions

Question 1 of 5

A client is receiving morphine sulfate via a patient-controlled analgesic (PCA) pump postoperatively. Which assessment finding should prompt the nurse to administer a prescribed PRN dose of naloxone?

Correct Answer: B

Rationale: A respiratory rate of 7 breaths/min indicates opioid-induced respiratory depression, warranting naloxone to reverse effects. Subjective distress, wheezing, or low oxygen saturation are less specific.

Question 2 of 5

The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?

Correct Answer: B

Rationale: Persistent respiratory depression (4 breaths/min, 75% saturation) indicates ongoing opioid toxicity. Naloxone’s short half-life may require a second dose to reverse opioid effects. Chest tubes, GCS, or CPR do not address the opioid-related cause.

Question 3 of 5

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer: A

Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension. Monitoring blood pressure detects this adverse reaction. Urine output, weights, or bladder scans assess BPH symptoms, not tamsulosin’s side effects.

Question 4 of 5

A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?

Correct Answer: D

Rationale: Metronidazole with alcohol causes a disulfiram-like reaction (flushing, nausea). Avoiding alcohol during and 48 hours post-treatment is critical. Refrigeration, specific water intake, or post-meal dosing are not required.

Question 5 of 5

The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?

Correct Answer: A

Rationale: Mydriatics dilate pupils, causing photophobia. A dimly lit room reduces discomfort from light sensitivity. Warm temperatures, humid air, or quiet environments do not address this primary issue.

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