HESI RN
Pharmacology HESI Quizlet Questions
Question 1 of 5
A client is taking propranolol (Inderal LA). Which data collection finding would indicate a potential serious complication associated with propranolol?
Correct Answer: B
Rationale: The development of audible expiratory wheezes may indicate a serious adverse reaction, bronchospasm, associated with propranolol. Beta-blockers can trigger bronchospasm, especially in clients with chronic obstructive pulmonary disease or asthma. This complication can lead to significant respiratory distress and should be addressed promptly to prevent further complications.
Question 2 of 5
A client is receiving sulfisoxazole. Which of the following should be included in the list of instructions?
Correct Answer: B
Rationale: When a client is taking sulfisoxazole, it is important to maintain a high fluid intake. Each dose of sulfisoxazole should be taken with a full glass of water, as the medication is more soluble in alkaline urine. Restricting fluid intake is not recommended as it can lead to inadequate hydration. Dark brown urine may be a side effect of some forms of sulfisoxazole but does not necessarily warrant immediate notification of the healthcare provider unless accompanied by other concerning symptoms. Decreasing the dosage when symptoms improve is not advised as it may lead to treatment failure or the development of resistance.
Question 3 of 5
When monitoring a client for acute toxicity associated with bethanechol chloride (Urecholine), what sign should the nurse check for to indicate toxicity?
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. Toxicity from bethanechol chloride (Urecholine) can lead to excessive muscarinic stimulation, resulting in manifestations like salivation, sweating, involuntary urination and defecation, bradycardia, and severe hypotension. When facing toxicity, treatment involves supportive measures and administering atropine sulfate subcutaneously or intravenously.
Question 4 of 5
A client who has been taking isoniazid (INH) for tuberculosis asks the nurse about the medication. Which statement by the client indicates the need for further teaching?
Correct Answer: C
Rationale: In this scenario, option C, "I should take the medication with an empty stomach," indicates the need for further teaching. This statement is incorrect because isoniazid (INH) should actually be taken on an empty stomach, 1 hour before or 2 hours after meals, to maximize absorption. Option A, limiting alcohol intake, is correct because alcohol can increase the risk of liver toxicity when taken with INH. Option B, notifying the doctor about yellowish skin color, is also correct as it could be a sign of liver damage. Option D, reporting numbness and tingling in extremities, is correct as it may indicate peripheral neuropathy, a side effect of INH. Educationally, understanding the correct administration and potential side effects of medications is crucial for patient safety and treatment efficacy. Teaching patients about their medications helps promote adherence and empowers them to monitor and report any concerning symptoms to their healthcare providers promptly.
Question 5 of 5
When providing instructions to a client taking ciprofloxacin (Cipro), which of the following should the nurse include in the teaching plan?
Correct Answer: A
Rationale: The correct answer is to avoid taking ciprofloxacin (Cipro) with milk or antacids. These can interfere with the medication's absorption. Consuming extra dairy products or taking it with a multivitamin is not recommended for the same reason. If gastrointestinal upset occurs, the medication can be taken with food to help alleviate the symptoms.