HESI LPN
Pharmacology HESI 55 Questions 2023 Questions
Question 1 of 5
A client is prescribed an antibiotic for a urinary tract infection (UTI). What instruction should the practical nurse (PN) provide to the client to ensure the effectiveness of the medication?
Correct Answer: C
Rationale: The practical nurse (PN) should instruct the client to complete the full course of the antibiotic to ensure the infection is fully treated and to prevent the development of antibiotic resistance. Completing the full course of antibiotics helps to eradicate the infection completely and reduces the risk of bacteria developing resistance to the medication.
Question 2 of 5
A client with diabetes mellitus type 2 is prescribed dapagliflozin. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: Dapagliflozin, a medication used in diabetes mellitus type 2, is associated with an increased risk of genital infections. This risk is due to its mechanism of action that involves promoting the excretion of glucose through the urine, creating a favorable environment for microbial growth in the genital area. Therefore, monitoring for genital infections is essential when a client is prescribed dapagliflozin.
Question 3 of 5
A client receiving enalapril reports a persistent dry cough. The nurse should explain that this side effect is related to which medication action?
Correct Answer: C
Rationale: The correct answer is C. Enalapril, an ACE inhibitor, inhibits the conversion of angiotensin I to angiotensin II, leading to increased levels of bradykinin. The accumulation of bradykinin is responsible for the persistent dry cough associated with ACE inhibitors like enalapril.
Question 4 of 5
A client with a history of atrial fibrillation is prescribed amiodarone. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: Amiodarone is known to cause pulmonary toxicity, which can manifest as respiratory symptoms. Monitoring for signs such as cough, dyspnea, or chest pain is essential to detect this serious side effect early and prevent further complications.
Question 5 of 5
A client has been diagnosed with open-angle glaucoma. The health care provider prescribes pilocarpine 1% eye drops. The nurse explains that which action of this drug makes it a useful treatment for the client's condition?
Correct Answer: A
Rationale: Pilocarpine, a cholinergic agent, stimulates the ciliary muscle to contract, which opens the trabecular meshwork and facilitates the outflow of aqueous humor, reducing intraocular pressure. This mechanism helps in managing open-angle glaucoma by improving drainage and lowering pressure within the eye.
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