Wgu RN HESI Pharmocology | Nurselytic

Questions 39

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Wgu RN HESI Pharmocology Questions

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Question 1 of 5

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer: C

Rationale: Tamsulosin, an alpha-blocker, can cause hypotension and dizziness (
C) (matches 55-Q29/32). Bladder scans (
A) and urine output (
B) assess BPH, not adverse effects. Daily weights (
D) monitor fluid status, not tamsulosin risks.

Question 2 of 5

When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)?

Correct Answer: B

Rationale: Vancomycin (
B) is nephrotoxic, requiring AKI monitoring (matches 55-Q14). Sucralfate (
A), lorazepam (
C), and digoxin (
D) have minimal renal toxicity risks.

Question 3 of 5

A client receives a prescription for dalteparin 2500 units subcutaneously 2 hours before a scheduled procedure. The medication is available in a 5000 units/0.2 mL prefilled syringe. How many mL should the nurse administer? (Enter Calculation(ans only) value only)

Correct Answer: 0.1

Rationale: Dosage calculation: (2500 units / 5000 units) × 0.2 mL = 0.1 mL. The nurse should administer 0.1 mL to deliver 2500 units of dalteparin.

Question 4 of 5

The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?

Correct Answer: B

Rationale: Severe respiratory depression (4 breaths/min), hypoxia (75% SpO₂), and unresponsiveness require immediate CPR (
B) to restore circulation/oxygenation (matches 55-Q19). Naloxone (
D) may be needed but is secondary. Chest tubes (
A) are irrelevant. Glasgow scoring (
C) delays intervention. Note: Provided answer D corrected to B.

Question 5 of 5

The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?

Correct Answer: C

Rationale: Sodium polystyrene sulfonate treats hyperkalemia. A potassium level of 3.8 mEq/L (
C) indicates effectiveness (matches 55-Q45). Hemoglobin (
A), glucose (
B), and ammonia (
D) are unrelated.

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