Wgu RN HESI Pharmocology | Nurselytic

Questions 39

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Wgu RN HESI Pharmocology Questions

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Question 1 of 5

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?

Correct Answer: C

Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia (matches 55-Q7/17). Limiting high-potassium foods (
C) prevents this. Sun protection (
A) and bruising (
B) are unrelated. Salt substitutes (
D) contain potassium, worsening hyperkalemia.

Question 2 of 5

Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 8.4 mg/L (35.6 mcmol/L). Which action should the nurse take?

Correct Answer: B

Rationale: Carbamazepine’s therapeutic range is 4-12 mg/L; 8.4 mg/L (
B) is therapeutic, so administer as prescribed (matches 55-Q23, but 55-Q23 had 84 mg/L, likely a typo). Notifying (
A) or withholding (
D) is unnecessary. Assessing side effects (
C) is routine but not specific.

Question 3 of 5

The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?

Correct Answer: A

Rationale: Tetracycline causes photosensitivity, increasing sunburn risk, so sun protection (
A) is essential (matches 55-Q9/22). Orange juice (
B) contains calcium, impairing absorption. Weekly drug level checks (
C) are not required. Milk/antacids (
D) reduce absorption by chelating tetracycline.

Question 4 of 5

When administering medications to a group of clients, which client should the nurse closely monitor for development of acute kidney injury (AKI)?

Correct Answer: B

Rationale: Vancomycin (
B) is nephrotoxic, requiring AKI monitoring (matches 55-Q14). Sucralfate (
A), lorazepam (
C), and digoxin (
D) have minimal renal toxicity risks.

Question 5 of 5

The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?

Correct Answer: C

Rationale: Mydriatic medications dilate pupils, increasing light sensitivity. A dimly lit room (
C) reduces discomfort. Cool air (
A), quiet environment (
B), and warm temperature (
D) are less relevant.

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