HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Transdermal nitroglycerin provides sustained release but may not act quickly enough for acute angina. Administering sublingual nitroglycerin, which acts rapidly, while keeping the patch in place, effectively relieves chest pain.
Question 2 of 5
A client with a history of smoking cigarettes for many years arrives to the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching? Which information should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Bupropion, used for smoking cessation, commonly causes insomnia and weight loss. Informing the client about these side effects ensures they can monitor and report them, facilitating safe use and adherence to the treatment plan.
Question 3 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.
Question 4 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 5 of 5
The nurse is reviewing the client’s laboratory results. Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? Which action should the nurse expect to implement?
Correct Answer: D
Rationale: Digoxin toxicity is often exacerbated by electrolyte imbalances, such as hypokalemia or hypercalcemia. Checking acid-base and electrolyte values identifies contributing factors, guiding appropriate interventions like withholding digoxin or correcting imbalances.