HESI LPN
Pharmacology HESI 55 Questions 2023 Questions
Question 1 of 5
A client with chronic kidney disease is prescribed lanthanum carbonate. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: Lanthanum carbonate is prescribed in chronic kidney disease to bind dietary phosphorus in the gastrointestinal tract. This action can lead to decreased phosphorus absorption and potential hypercalcemia due to the increased serum calcium levels. Therefore, the nurse should monitor the client for signs and symptoms of hypercalcemia, such as confusion, fatigue, and muscle weakness.
Question 2 of 5
A client with a history of stroke is prescribed dabigatran. The nurse should monitor for which potential side effect?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client with a history of deep vein thrombosis is prescribed apixaban. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: The correct answer is A: Increased risk of bleeding. Apixaban is an anticoagulant medication that works by preventing blood clots. While this is beneficial for individuals with a history of deep vein thrombosis, it also increases the risk of bleeding. Therefore, the nurse should monitor the client for signs of bleeding, such as easy bruising, prolonged bleeding from cuts, or blood in the urine or stool. Monitoring for bleeding is crucial to ensure the client's safety and to take appropriate actions if necessary.
Question 4 of 5
A client with a diagnosis of generalized anxiety disorder is prescribed paroxetine. The nurse should instruct the client that this medication may have which potential side effect?
Correct Answer: A
Rationale: The correct answer is A: Drowsiness. Paroxetine, used for generalized anxiety disorder, can cause drowsiness. Clients should be advised not to drive or operate heavy machinery until they know how the medication affects them. Dry mouth, nausea, and headache are potential side effects of other medications but are not commonly associated with paroxetine.
Question 5 of 5
A client with a history of heart failure is prescribed digoxin. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.