HESI RN
Wgu HESI RN Pharmacology 1 Questions
Extract:
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: D
Rationale: Tamsulosin, an alpha-1 blocker, can cause orthostatic hypotension, risking dizziness or fainting. Monitoring blood pressure detects this adverse reaction. Bladder scans, weights, or urine output assess BPH symptoms, not tamsulosin’s side effects.
Question 2 of 5
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
Correct Answer: B
Rationale: Lugol’s solution reduces thyroid hormone production rapidly, preparing the gland for PTU, which inhibits hormone synthesis. Administering iodine one hour before PTU optimizes treatment efficacy. Meal timing, bedtime scheduling, or parenteral dosing are incorrect.
Question 3 of 5
A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?
Correct Answer: C
Rationale: Occlusive dressings increase betamethasone absorption, risking side effects like skin thinning, and are not routinely recommended unless prescribed. Using on intact skin, limiting to 2 weeks, and avoiding sunlight are appropriate.
Question 4 of 5
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: A
Rationale: Doubling a missed allopurinol dose risks toxicity and is incorrect; clients should take it as soon as remembered or skip it if near the next dose. Reducing caffeine/acidic intake, taking with food, and hydration are appropriate to manage uric acid and GI effects.
Question 5 of 5
A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?
Correct Answer: A
Rationale: Misoprostol’s administration is not tied to menstrual cycles; it’s used to prevent NSAID-induced ulcers and requires no specific cycle timing. Contacting providers for conception risks, using contraception, and confirming negative pregnancy tests are critical due to teratogenic risks.