HESI RN
Pharmacology HESI Quizlet Questions
Question 1 of 5
When administering etanercept (Enbrel) to a client with rheumatoid arthritis for 3 weeks, what is the most important assessment for the nurse to perform?
Correct Answer: B
Rationale: The priority when administering etanercept (Enbrel) to a client with rheumatoid arthritis is to monitor white blood cell counts and platelet counts. Etanercept can lead to infections and pancytopenia, making it crucial to assess for changes in these blood parameters to detect any potential complications early on.
Question 2 of 5
When assessing the effectiveness of leflunomide (Arava) in a client with rheumatoid arthritis, which question should the nurse ask during data collection?
Correct Answer: A
Rationale: In assessing the effectiveness of leflunomide (Arava) in a client with rheumatoid arthritis, the nurse should ask, "Do you have any joint pain?" This question is crucial because leflunomide is a disease-modifying antirheumatic drug (DMARD) used to treat rheumatoid arthritis by reducing joint pain, swelling, and inflammation. By inquiring about joint pain, the nurse can determine if the medication is effectively managing the client's symptoms. The other options (B) Are you having any diarrhea? (C) Do you have frequent headaches? and (D) Are you experiencing heartburn? are not directly related to the expected outcomes of leflunomide therapy. Diarrhea is a known side effect of leflunomide, but it is not the primary indicator of effectiveness. Headaches and heartburn are also not typically associated with the therapeutic effects of leflunomide in managing rheumatoid arthritis. Educationally, this question emphasizes the importance of understanding the expected therapeutic outcomes of medications in pharmacology. It highlights the significance of assessing specific symptoms related to the medication's mechanism of action to evaluate its effectiveness accurately. Nurses need to develop critical thinking skills to ask targeted questions that align with the pharmacological principles of the drugs being administered to provide optimal patient care.
Question 3 of 5
While assisting in caring for a pregnant client receiving intravenous magnesium sulfate for preeclampsia management, a nurse notes the client's absent deep tendon reflexes. What determination should the nurse make based on this data?
Correct Answer: D
Rationale: When a pregnant client receiving intravenous magnesium sulfate for preeclampsia management exhibits absent deep tendon reflexes, this indicates magnesium toxicity. Magnesium toxicity can occur as a complication of magnesium sulfate therapy, leading to suppressed reflexes. It is crucial for the nurse to recognize this sign promptly and report it to prevent further complications or harm to the client.
Question 4 of 5
A client is taking ticlopidine hydrochloride (Ticlid). The nurse tells the client to avoid which of the following while taking this medication?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Acetylsalicylic acid (aspirin). Ticlopidine hydrochloride is an antiplatelet medication used to prevent blood clots. Aspirin is also an antiplatelet drug, and when taken together with ticlopidine, there is an increased risk of bleeding due to additive effects on platelet aggregation. Therefore, it is important for the client to avoid aspirin while taking ticlopidine to prevent this potential complication. Regarding the other options: A) Vitamin C and B) Vitamin D do not have any known interactions with ticlopidine hydrochloride. These vitamins are essential for overall health but do not impact the effectiveness or safety of ticlopidine. C) Acetaminophen (Tylenol) is a pain reliever and fever reducer that works through a different mechanism than ticlopidine. There are no significant interactions between acetaminophen and ticlopidine that would necessitate avoiding its use together. Educationally, understanding drug interactions is crucial for healthcare professionals to ensure safe and effective patient care. Teaching clients about potential drug interactions empowers them to make informed decisions about their health and medication management. This knowledge helps prevent adverse effects and complications, promoting better outcomes for patients.
Question 5 of 5
Which of the following herbal therapies would be prescribed for its use as an antispasmodic? Select all that apply.
Correct Answer: D
Rationale: In pharmacology, understanding the properties of herbal therapies is crucial for safe and effective patient care. In this question, the correct answer is D) Chamomile, which is known for its antispasmodic properties. Chamomile contains compounds that help relax smooth muscle tissue, making it a suitable choice for conditions involving spasms or cramps. A) Aloe is commonly used for its wound-healing and anti-inflammatory properties, not specifically as an antispasmodic. B) Kava is primarily known for its anxiolytic and sedative effects, rather than its antispasmodic properties. C) Ginger is often utilized for its anti-nausea, anti-inflammatory, and digestive benefits, rather than as an antispasmodic. Educationally, this question highlights the importance of understanding the specific therapeutic properties of herbal remedies to match them effectively with patient symptoms. It reinforces the need for healthcare providers to have a comprehensive knowledge of herbal pharmacology to make informed decisions in patient care.