HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?
Correct Answer: D
Rationale: Photosensitivity and dry mouth are common dicyclomine side effects. Providing management instructions (e.g., sunglasses, hard candy) promotes comfort and compliance. Checking administration, stopping the drug, or scheduling an appointment are secondary without severe symptoms.
Question 2 of 5
The healthcare provider prescribes the antibiotic tetracycline HCI 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: B
Rationale: Tetracycline increases photosensitivity, requiring sun protection. Orange juice, milk, and antacids reduce absorption, and weekly serum levels are not typically needed.
Question 3 of 5
A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?
Correct Answer: B
Rationale: Tremors are a potential side effect of pregabalin, warranting provider notification for possible dose adjustment. Anti-anxiety drugs, glucose levels, and blood pressure readings are not directly related to addressing tremors.
Question 4 of 5
A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?
Correct Answer: D
Rationale: Photosensitivity and dry mouth are common dicyclomine side effects. Providing management instructions (e.g., sunglasses, hard candy) promotes comfort and compliance. Checking administration, stopping the drug, or scheduling an appointment are secondary without severe symptoms.
Question 5 of 5
During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?
Correct Answer: A
Rationale: Insomnia is a common, often temporary side effect of rivastigmine. Explaining this reassures the caregiver. Rivastigmine is for cognition, not sleep, and withholding or increasing the dose is inappropriate without provider guidance.