HESI LPN
Pharmacology HESI 2023 Questions
Question 1 of 5
A 59-year-old client is prescribed furosemide 40 mg twice a day for the management of heart failure. The practical nurse should monitor the client for the development of which complication?
Correct Answer: A
Rationale: Furosemide is a loop diuretic that inhibits the reabsorption of sodium and chloride in the kidneys, leading to increased potassium excretion and potentially causing hypokalemia. Hypokalemia can lead to cardiac irregularities, making it crucial for the practical nurse to monitor the client for this electrolyte imbalance.
Question 2 of 5
A client with a history of atrial fibrillation is prescribed sotalol. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: Sotalol, a medication used for atrial fibrillation, is known to cause bradycardia, which is a slower than normal heart rate. Monitoring the client's heart rate is essential to detect and manage this potential side effect promptly.
Question 3 of 5
The healthcare provider is evaluating the effectiveness of metaproterenol for... how do you know it's been effective?
Correct Answer: C
Rationale: The effectiveness of metaproterenol, a bronchodilator, is assessed by a decrease in wheezing upon auscultation. Wheezing indicates airway constriction, and a reduction in wheezing signifies improved airflow and bronchodilation due to the medication's action.
Question 4 of 5
A client with chronic obstructive pulmonary disease (COPD) is prescribed tiotropium. The nurse should instruct the client to report which potential side effect?
Correct Answer: A
Rationale: The correct answer is A: Dry mouth. Tiotropium, a commonly prescribed medication for COPD, can cause dry mouth as a side effect. While it may not be severe, clients should report it if it becomes bothersome. Blurred vision, nausea, and tachycardia are not typically associated with tiotropium use in the context of COPD.
Question 5 of 5
A client with hypertension is prescribed amlodipine. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: Amlodipine can cause peripheral edema, so monitoring for signs of swelling is important.
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