HESI LPN
Pharmacology HESI 2023 Questions
Question 1 of 5
A client with a diagnosis of generalized anxiety disorder is prescribed diazepam. The nurse should instruct the client that this medication may have which potential side effect?
Correct Answer: A
Rationale: Correct. Diazepam, a medication commonly used to treat anxiety disorders, can lead to drowsiness as a potential side effect. It is important for clients taking diazepam to be cautious about activities that require alertness, such as driving, due to the risk of drowsiness associated with this medication.
Question 2 of 5
A client with a history of deep vein thrombosis is prescribed rivaroxaban. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: When a client with a history of deep vein thrombosis is prescribed rivaroxaban, the nurse should monitor for signs of bleeding as rivaroxaban increases the risk of bleeding. Common adverse effects of rivaroxaban include bleeding events, such as easy bruising, prolonged bleeding from cuts, or blood in the urine or stool. It is crucial for the nurse to assess for these signs to prevent complications and ensure the client's safety.
Question 3 of 5
A client with a history of atrial fibrillation is prescribed digoxin. The nurse should monitor for which sign of digoxin toxicity?
Correct Answer: A
Rationale: Bradycardia is a common sign of digoxin toxicity. Digoxin, a medication used to treat atrial fibrillation, can lead to toxicity manifesting as various cardiac dysrhythmias, with bradycardia being a notable indicator. Monitoring for bradycardia is crucial as it can indicate the need for dosage adjustment or discontinuation of digoxin to prevent adverse effects.
Question 4 of 5
A client with a history of deep vein thrombosis is prescribed warfarin. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: The correct answer is A: Increased risk of bleeding. Warfarin is an anticoagulant medication that works by prolonging the time it takes for blood to clot. Therefore, a potential adverse effect of warfarin is an increased risk of bleeding. It is crucial for the nurse to monitor the client for signs of bleeding, such as easy bruising, prolonged bleeding from cuts, nosebleeds, or blood in the urine or stool. Monitoring for these signs is essential to prevent serious complications associated with excessive bleeding.
Question 5 of 5
A client with a history of deep vein thrombosis is prescribed fondaparinux. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: Corrected Question: When a client with a history of deep vein thrombosis is prescribed fondaparinux, the nurse should monitor for the potential adverse effect of an increased risk of bleeding. Fondaparinux is an anticoagulant that works by preventing blood clots, which can lead to an increased risk of bleeding. Therefore, the nurse should closely monitor the client for signs of bleeding, such as unexplained bruising, bleeding gums, or blood in the urine or stool.
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