HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
A client has a prescription for heparin 1,000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: C
Rationale: Unfractionated heparin and low molecular weight heparin are not interchangeable. The nurse should notify the pharmacy to obtain the correct unfractionated heparin for IV administration to ensure the prescription is followed accurately.
Question 2 of 5
A client who is taking furosemide reports experiencing leg cramps, a cough, feeling tired, and palpitations. Which action should the nurse take first?
Correct Answer: A
Rationale: Furosemide can cause hypokalemia, leading to palpitations and leg cramps, which may indicate cardiac arrhythmias. Placing the client on cardiac monitoring is the priority to assess for serious cardiac issues and ensure prompt intervention if needed.
Question 3 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: D
Rationale: Fluticasone propionate and salmeterol discus is a maintenance medication used twice daily to control asthma. Caregivers should ensure adherence to this schedule and not use it for acute attacks, which require a rescue inhaler.
Question 4 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate must be taken with plain water and no food or other beverages for at least 30 minutes to ensure proper absorption. Milk can interfere with absorption, so the nurse should instruct the client accordingly.
Question 5 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: C
Rationale: Amlodipine, a calcium channel blocker, is used to manage hypertension. Measuring blood pressure directly assesses its effectiveness in lowering blood pressure, the primary therapeutic goal.