Wgu RN HESI Pharmocology

Question 1 of 5

The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?

A. Protect the skin from sunlight while taking the drug.B. Take with orange juice to enhance GI absorption.C. Return to the clinic weekly to obtain serum drug levels.D. Take with milk or antacids to prevent gastrointestinal (GI) irritation.

Correct Answer: A

Rationale: Tetracycline causes photosensitivity, increasing sunburn risk, so sun protection (
A) is essential (matches 55-Q9/22). Orange juice (
B) contains calcium, impairing absorption. Weekly drug level checks (
C) are not required. Milk/antacids (
D) reduce absorption by chelating tetracycline.

Question 2 of 5

The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

A. Instruct the client that it is necessary to take nothing but water with the medication.B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.C. Withhold the medication until the client's breakfast tray is available on the unit.D. Consult with a pharmacist about scheduling the dose one hour after the client eats.

Correct Answer: A

Rationale: Risedronate, a bisphosphonate, must be taken with plain water on an empty stomach, 30 minutes before food or beverages (
A) to ensure absorption (matches 55-Q1/16). Milk (
B) contains calcium, reducing efficacy. Delaying until breakfast (
C) or post-meal dosing (
D) violates guidelines.

Question 3 of 5

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?

A. Recent use of other antidepressants.B. Weight change in the last month.C. Family history of mental illness.D. Liver function laboratory results.

Correct Answer: D

Rationale: Duloxetine is metabolized by the liver, and impaired liver function increases toxicity risk (
D) (matches 55-Q40). Liver function tests are critical. Other antidepressants (
A), weight changes (
B), and family history (
C) are relevant but secondary.

Question 4 of 5

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

A. Check the client's capillary glucose level.B. Advise the client to reduce the medication dose.C. Report the finding to the healthcare provider.D. Use a pulse oximeter to assess oxygen saturation.

Correct Answer: C

Rationale: Yellow skin (jaundice) suggests liver damage, a serious acetaminophen side effect (
C) (matches 55-Q47). Reporting to the provider is critical. Glucose (
A) and oxygen saturation (
D) are unrelated. Reducing dosage (
B) without consultation is unsafe.

Question 5 of 5

Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement?

A. Hold the calcitriol but administer the calcium carbonate as scheduled.B. Hold the calcium carbonate, but administer the calcitriol as scheduled.C. Hold both medications until contacting the healthcare provider.D. Administer both prescribed medications as scheduled.

Correct Answer: C

Rationale: A calcium level of 14 mg/dL indicates hypercalcemia (normal: 9-10.5 mg/dL). Holding both calcitriol and calcium carbonate (
C) and contacting the provider prevents worsening hypercalcemia. Administering either (A, B,
D) risks complications like arrhythmias or kidney stones.

Wgu RN HESI Pharmocology | Nurselytic

Nurselytic

HESI RN

HESI RN