Wgu RN HESI Pharmocology | Nurselytic

Questions 39

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Wgu RN HESI Pharmocology Questions

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Question 1 of 5

A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?

Correct Answer: A

Rationale: Zolpidem should be taken at bedtime (
A) to avoid daytime drowsiness and fall risk (matches 55-Q4). Fluids (
B) are unrelated. Noon meal dosing (
C) reduces efficacy. Two hours (
D) is insufficient for clearance.

Question 2 of 5

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer: C

Rationale: Tamsulosin, an alpha-blocker, can cause hypotension and dizziness (
C) (matches 55-Q29/32). Bladder scans (
A) and urine output (
B) assess BPH, not adverse effects. Daily weights (
D) monitor fluid status, not tamsulosin risks.

Question 3 of 5

A client is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The intravenous (IV) administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter Calculation(ans only)al value only. If rounding is required, round to the nearest whole number.)

Correct Answer: 42

Rationale: Infusion rate: 500 mL / 2 hr = 250 mL/hr. Drops per minute: (250 mL/hr × 10 gtt/mL) / 60 min = 41.67, rounded to 42 gtt/min (matches 55-Q54). This ensures accurate azithromycin delivery.

Question 4 of 5

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain?

Correct Answer: D

Rationale: Duloxetine is metabolized by the liver, and impaired liver function increases toxicity risk (
D) (matches 55-Q40). Liver function tests are critical. Other antidepressants (
A), weight changes (
B), and family history (
C) are relevant but secondary.

Question 5 of 5

A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?

Correct Answer: B

Rationale: Elevated CK with atorvastatin indicates myopathy, causing muscle tenderness (
B) (matches 55-Q31). Edema (
A), nausea/vomiting (
C), and bruising (
D) are unrelated to CK.

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A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?
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