HESI RN
Pharmacology HESI Quizlet Questions
Question 1 of 5
A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select one that doesn't apply.
Correct Answer: D
Rationale: H2-receptor antagonists like Nizatidine, Ranitidine, and Famotidine are used to suppress gastric acid secretion, relieve heartburn symptoms, and prevent complications of peptic ulcer disease. Ibuprofen, on the other hand, is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief and inflammation, but it is not an H2-receptor antagonist. It is essential to differentiate between these medication classes to ensure appropriate treatment for gastrointestinal conditions.
Question 2 of 5
When caring for a client with cancer receiving cisplatin, what adverse effects should the nurse monitor for? Select all that apply.
Correct Answer: A
Rationale: In caring for a client receiving cisplatin, monitoring for adverse effects is crucial. Tinnitus is a known side effect of cisplatin due to its ototoxicity. Cisplatin can cause damage to the inner ear structures, leading to tinnitus. The correct option, A, is pertinent to this adverse effect. Insomnia (option B) is not a common adverse effect of cisplatin. Hyperkalemia (option C) and hypercalcemia (option D) are not typically associated with cisplatin use. Educationally, understanding the side effects of chemotherapy drugs like cisplatin is essential for nurses caring for oncology patients. Monitoring and recognizing these adverse effects promptly can help in managing and improving patient outcomes.
Question 3 of 5
A client with diabetes mellitus is prescribed Humulin NPH insulin. The client asks the nurse how to store unopened vials of insulin. The nurse instructs the client to:
Correct Answer: B
Rationale: Unopened vials of insulin should be stored in the refrigerator until needed. Freezing insulin can damage it, affecting its efficacy. Storing insulin in a dark, dry place or at room temperature is not recommended as it can lead to degradation of the insulin. Refrigeration helps maintain the stability and effectiveness of insulin.
Question 4 of 5
A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the client and tells the client that the most likely time for a hypoglycemic reaction to occur is:
Correct Answer: B
Rationale: In this scenario, the correct answer is B) 4 to 12 hours after administration. Humulin NPH insulin is an intermediate-acting insulin that typically peaks in action around 4-12 hours after administration. This peak action correlates with the highest risk for hypoglycemia, as the insulin is working most strongly during this time period. Option A) 2 to 4 hours after administration is incorrect because this is typically too early for the peak action of Humulin NPH insulin. Option C) 16 to 18 hours after administration and option D) 18 to 24 hours after administration are also incorrect as these time frames are too late for the peak action of this type of insulin. Educationally, understanding the timing of insulin peaks is crucial for healthcare providers and clients to prevent hypoglycemic episodes. It is important for healthcare professionals to educate clients on the expected timing of insulin action to help them recognize and manage potential hypoglycemic reactions effectively. This knowledge empowers clients to take appropriate actions such as consuming carbohydrates or adjusting insulin dosages under the guidance of healthcare providers.
Question 5 of 5
Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of the medication? Select one that doesn't apply.
Correct Answer: D
Rationale: Rifabutin is known to cause side effects such as hepatitis, flu-like syndrome, low neutrophil count, and ocular pain or blurred vision. Vitamin B6 deficiency is not associated with rifabutin but is a side effect of isoniazid (INH). Therefore, the nurse should not monitor for Vitamin B6 deficiency when administering rifabutin.