HESI Pharmacology | Nurselytic

Questions 46

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HESI Pharmacology Questions

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Question 1 of 5

A client who is taking albendazole reports experiencing fatigue, nausea, and dark urine. The nurse observes a yellowing of the client’s skin and sclera. Which lab results should the nurse review?

Correct Answer: D

Rationale: Albendazole is hepatically metabolized and can cause liver damage, indicated by fatigue, nausea, dark urine, and jaundice (yellowing skin/sclera). Liver function tests (
D) assess damage severity (e.g., elevated AST/ALT). Renal (
A), thyroid (
B), and metabolic (
C) panels are unrelated to these symptoms.

Question 2 of 5

Which assessment data indicated to the nurse that a client is having an anaphylactic reaction to a medication?

Correct Answer: D

Rationale: Anaphylaxis is a severe allergic reaction involving multiple systems. Wheezing and dyspnea (
D) indicate respiratory involvement, a hallmark of anaphylaxis, requiring urgent intervention. Urticaria/pruritis (
A) are common but less specific. Insomnia/irritability (
B) and tinnitus/diplopia (
C) are unrelated.

Question 3 of 5

The health care provider prescribes the antilipemic lovastatin for a client who has exhibited a consistently elevated serum cholesterol level. In evaluating the client’s treatment regimen, which remark by the client indicates to the nurse that the client understands the drug’s treatment protocol?

Correct Answer: B

Rationale: Lovastatin risks hepatotoxicity; avoiding alcohol (
B) reduces liver strain, indicating understanding. Stopping when cholesterol lowers (
A) is incorrect; it’s long-term. Diet restrictions persist (
C). WBC monitoring (
D) is unnecessary.

Question 4 of 5

Which nursing action had the highest priority when administering a dose of codeine with acetaminophen to a client?

Correct Answer: C

Rationale: Codeine causes sedation and dizziness, increasing fall risk. Instructing assistance for ambulation (
C) prioritizes safety. Onset time (
A), constipation prevention (
B), and pain relief reporting (
D) are secondary.

Question 5 of 5

A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several days. Which observations by the nurse indicate that the client may be experiencing an adverse effect of gentamicin?

Correct Answer: A

Rationale: Gentamicin risks ototoxicity, causing hearing loss (
A). Decreased BUN (
B) suggests improved kidney function, not an adverse effect. Normal WBC (
C) and photophobia (
D) are unrelated.

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