HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to symptoms like confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding immediate treatment to restore normal glucose levels.
Question 2 of 5
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing 'heartburn.' How should the nurse respond? How should the nurse respond?
Correct Answer: A
Rationale: Risedronate can cause esophageal irritation, leading to heartburn if not taken correctly (e.g., without water or not remaining upright). Asking the client to describe her administration technique identifies potential errors, guiding corrective instructions.
Question 3 of 5
A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Tremors are a potential side effect of pregabalin. Notifying the healthcare provider ensures evaluation of the symptom’s severity, possible dose adjustment, or alternative treatment to manage the adverse effect.
Question 4 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid? Which dietary choices should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, can cause hypertensive crisis if combined with tyramine-rich foods like pepperoni. Instructing the client to avoid pepperoni pizza prevents this dangerous interaction, especially given the client’s uncontrolled hypertension.
Question 5 of 5
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client? Which information is most important for the nurse to provide this client?
Correct Answer: D
Rationale: Isotretinoin is highly teratogenic, posing severe risks of fetal abnormalities. Discontinuing the medication at least one month before conception ensures it is cleared from the body, preventing harm to the fetus.