HESI LPN
Pharmacology HESI 2023 Quizlet Questions
Question 1 of 5
A client with a diagnosis of bipolar disorder is prescribed quetiapine. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: When a client with bipolar disorder is prescribed quetiapine, the nurse should monitor for weight gain as a potential adverse effect. Quetiapine is known to commonly cause weight gain, which can have implications for the client's overall health. Regular monitoring of weight can help in early detection and management of this side effect.
Question 2 of 5
A client with a history of heart failure is prescribed spironolactone. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: The correct answer is A: Hyperkalemia. Spironolactone is a potassium-sparing diuretic, which can lead to an excess of potassium in the body, causing hyperkalemia. This medication inhibits the action of aldosterone, leading to decreased potassium excretion and potential retention. Monitoring potassium levels is essential to prevent complications such as cardiac arrhythmias, especially in clients with heart failure.
Question 3 of 5
A client with diabetes mellitus type 2 is prescribed linagliptin. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: When a client with diabetes mellitus type 2 is prescribed linagliptin, the nurse should monitor for pancreatitis as a potential adverse effect. Linagliptin has been associated with rare cases of pancreatitis; therefore, monitoring for signs and symptoms of pancreatitis such as severe abdominal pain, nausea, and vomiting is crucial to ensure timely intervention and management.
Question 4 of 5
A client with a diagnosis of schizophrenia is prescribed quetiapine. The nurse should monitor the client for which potential side effect?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Weight gain. Quetiapine is an atypical antipsychotic commonly used to treat schizophrenia. Weight gain is a potential side effect of this medication due to its impact on metabolic functions and appetite regulation. Patients taking quetiapine may experience an increase in appetite and metabolic changes, leading to weight gain over time. Option B) Dry mouth is a common side effect of many antipsychotic medications, but it is not specifically associated with quetiapine. Option C) Nausea is also a common side effect of antipsychotics, but it is not the most prominent side effect of quetiapine. Option D) Headache is a less common side effect of quetiapine compared to weight gain. Educationally, understanding the side effects of medications used in mental health conditions like schizophrenia is crucial for nurses to provide comprehensive care. Monitoring and managing side effects can enhance patient compliance and overall treatment outcomes. By recognizing the potential side effects of quetiapine, nurses can proactively address and educate patients on managing weight gain to promote their overall well-being.
Question 5 of 5
A client with a history of deep vein thrombosis is prescribed dabigatran. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Bleeding. Dabigatran is an anticoagulant medication that works by inhibiting clot formation in patients with conditions like deep vein thrombosis. Therefore, the nurse should monitor for signs of bleeding, as anticoagulants can increase the risk of bleeding events. Option B) Weight gain is incorrect because dabigatran is not known to cause weight gain as a side effect. Option C) Headache is also incorrect as it is not a common adverse effect of dabigatran. Option D) Nausea is not typically associated with dabigatran use either. Educationally, understanding the potential adverse effects of medications is crucial for nurses to provide safe and effective care to their patients. Monitoring for and recognizing adverse effects early can help prevent complications and improve patient outcomes. In the case of anticoagulants like dabigatran, vigilance for signs of bleeding is especially important due to the nature of the medication's mechanism of action.