HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 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: B
Rationale: Covering the site with an occlusive dressing can increase betamethasone absorption and side effects, and should only be done under specific medical guidance. This statement requires further teaching to ensure safe use.
Question 2 of 5
A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?
Correct Answer: B
Rationale: Diphenhydramine causes significant drowsiness, posing a safety risk when driving. This instruction is critical to ensure the client’s safety and prevent accidents.
Question 3 of 5
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Correct Answer: A
Rationale: Erythromycin may reduce the effectiveness of oral contraceptives. Using an additional form of contraception ensures protection against unintended pregnancy during antibiotic treatment.
Question 4 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Correct Answer: D
Rationale: Risedronate must be taken with plain water and no food or other beverages for at least 30 minutes to ensure proper absorption. Milk can interfere with absorption, so the nurse should instruct the client accordingly.
Question 5 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: D
Rationale: Fluticasone propionate and salmeterol discus is a maintenance medication used twice daily to control asthma. Caregivers should ensure adherence to this schedule and not use it for acute attacks, which require a rescue inhaler.