Care Hope College RN HESI Pharmacology | Nurselytic

Questions 55

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Care Hope College RN HESI Pharmacology Questions

Extract:


Question 1 of 5

A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?

Correct Answer: D

Rationale: Involuntary movements (
D), such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide, requiring immediate reporting. Diarrhea (
A) and irritability (
B) are less severe. Nausea (
C) is the treated condition, not an adverse effect.

Question 2 of 5

A nurse is caring for a client diagnosed with stage 4 cancer who has a prescription for a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. During a head-to-toe assessment, the nurse finds four patches on the client’s body. What should be the nurse’s first action?

Correct Answer: C

Rationale: Four morphine patches suggest overdose, causing respiratory depression and sedation. Removing the patches (
C) stops further absorption. Naloxone (
A) or oxygen (
B) may follow, but removal is first. Blood pressure monitoring (
D) is secondary.

Question 3 of 5

A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?

Correct Answer: D

Rationale: Involuntary movements (
D), such as tardive dyskinesia, are a serious, potentially irreversible side effect of metoclopramide, requiring immediate reporting. Diarrhea (
A) and irritability (
B) are less severe. Nausea (
C) is the treated condition, not an adverse effect.

Question 4 of 5

A client is receiving intravenous vancomycin, and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times would provide the best determination of these levels?

Correct Answer: A

Rationale: This question is identical to Question 30. Peak vancomycin levels are drawn 1 hour post-infusion, troughs 1 hour pre-dose (
A). Other timings (B, C,
D) miss accurate concentrations. Note: Duplicate question; consider removing.

Question 5 of 5

Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro?

Correct Answer: C

Rationale: Insulin lispro, a rapid-acting insulin, peaks quickly and should be given with meals (
C) to match food intake and prevent hypoglycemia. Assessing for hypoglycemia (
A) and keeping glucose sources (
D) are important but secondary. Six-hour glucose checks (
B) are too infrequent.

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