HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?
Correct Answer: A,B
Rationale: A: Hard candy alleviates dry mouth, a common tamsulosin side effect. B: Insomnia is a potential side effect, and clients should be informed. However, the most critical instruction is typically to stand/sit slowly to prevent orthostatic hypotension, which is not listed. Dry mouth and insomnia are valid but secondary concerns.
Question 2 of 5
A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John's wort reduces oral contraceptive effectiveness, necessitating additional contraception. Hard candy for dry mouth, insomnia, and photosensitivity are correct understandings and do not require further instruction.
Question 3 of 5
When the nurse discontinues a 24-hour postoperative client's patient-controlled analgesia (PCA), which statement should the nurse make regarding smoking?
Correct Answer: C
Rationale: Smoking post-surgery increases risks like delayed healing and respiratory complications. Educating the client to avoid smoking promotes recovery. Waiting an hour, smoking in the room, or using a wheelchair to smoke are inappropriate and unsafe.
Question 4 of 5
The nurse discontinues the client's patient-controlled analgesia (PCA). Which statement about eye drops is correct?
Correct Answer: A
Rationale: The question context is unclear, as PCA discontinuation is unrelated to eye drops. Assuming it refers to a prior topic, choice A is plausible for certain eye drops (e.g., those increasing aqueous humor), but B is more specific to miotics like pilocarpine. Without context, A is marked correct per the data, though clarification is needed.
Question 5 of 5
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?
Correct Answer: B
Rationale: Pilocarpine causes miosis, reducing pupil dilation in low light, which impairs night vision. Increased fluid doesn’t cloud vision, lens opacity relates to cataracts, and pilocarpine constricts, not dilates, pupils.