HESI RN 311 Pharmacology | Nurselytic

Questions 41

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HESI RN 311 Pharmacology Questions

Extract:


Question 1 of 5

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Correct Answer: D

Rationale: Phenazopyridine provides analgesia for irritated bladder mucosa (
D), relieving pain/burning in cystitis. It is not an antibiotic (
A), not specifically post-intercourse (
B), and lacks antispasmodic effects (
C). It’s taken after meals to reduce GI upset.

Question 2 of 5

A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Correct Answer: C

Rationale: This question is identical to Question 13. Calcium acetate lowers serum phosphate (
C) by binding it in the GI tract. It does not affect potassium (
A) or pH (
D) and may raise calcium (
B). Note: Duplicate question; consider removing.

Question 3 of 5

A client is receiving miotics for the treatment of open-angle glaucoma. The nurse determines that a priority nursing problem is the risk for injury. This nursing problem is based on which etiology?

Correct Answer: A

Rationale: Miotics (e.g., pilocarpine) cause pupil constriction, reducing night vision (
A), increasing injury risk in low-light conditions. Photophobia (
B), tearing (
C), and color perception (
D) are less directly linked to injury.

Question 4 of 5

A client with chronic kidney disease (CKD) is receiving calcium acetate 667 mg PO. A decrease in which blood value indicates to the nurse that the medication is having the desired effect?

Correct Answer: C

Rationale: Calcium acetate binds dietary phosphate in CKD, reducing serum phosphate levels (
C), the desired effect. It does not lower potassium (
A) or pH (
D). It may increase calcium (
B), but this is not the goal.

Question 5 of 5

A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement?

Correct Answer: C

Rationale: Tremors are a potential side effect of pregabalin (
C). Notifying the provider allows evaluation for dose adjustment or alternative therapy. Antianxiety drugs (
A) may mask symptoms without addressing the cause. Orthostatic hypotension (
B) is unrelated to tremors. Glucose levels (
D) are irrelevant without diabetes history.

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