HESI RN D441 Pharmacology 0A1

Extract:

Question 1 of 5

A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?

Correct Answer: D

Rationale: Stopping lorazepam abruptly if effects are not immediate is incorrect. Lorazepam may take time to achieve full effect, and sudden cessation can cause withdrawal symptoms. The client needs instruction to follow the prescribed regimen and consult the provider if concerns arise.

Question 2 of 5

The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?

A. Topical echinacea is usually used to soothe burns and can cause damage to the skin. B. Echinacea seems to be useful in the treatment of some infections, such as canker sores. C. This product is essentially harmless but also is not very beneficial in treating skin infections. D. Many of the herbal preparations are helpful primarily because of their placebo effect.

Correct Answer: B

Rationale: Echinacea has immune-boosting properties and may help reduce the severity of canker sores. This response acknowledges its potential benefits while remaining evidence-based, addressing the husband’s concerns appropriately.

Question 3 of 5

Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid analgesic?

A. Apply a pulse oximeter to the client per protocol. B. Administer a stool softener per PRN protocol. C. Insert an indwelling urinary catheter per protocol. D. Administer an antiemetic per PRN prescription.

Correct Answer: A

Rationale: Opioid analgesics via epidural infusion can cause respiratory depression, a life-threatening risk. Applying a pulse oximeter to monitor oxygen saturation is the priority to detect early signs of respiratory compromise, ensuring client safety over other interventions.

Question 4 of 5

A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?

A. Check for correct placement of the patch behind the client's ear. B. Offer to apply a new transdermal patch to relieve the pain. C. Explain that the medication is not given to prevent pain. D. Advise the client that the effects of the medication have worn off.

Correct Answer: C

Rationale: Scopolamine is used to prevent nausea, not pain. The nurse should clarify this to manage the client’s expectations and address pain with appropriate analgesics.

Question 5 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?

A. Use an additional form of contraception. B. Take the medications at least 12 hours apart. C. Avoid prolonged exposure to direct sunlight. D. Stop the oral contraceptive immediately.

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.

HESI RN D441 Pharmacology 0A1 | Nurselytic

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HESI RN

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