HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide? Which instruction should the nurse provide?
Correct Answer: D
Rationale: Baclofen can cause dizziness and fatigue, increasing the risk of falls or accidents. Advising the client to avoid hazardous activities like driving until symptoms subside enhances safety while the side effects are assessed.
Question 2 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Rising AST levels suggest potential hepatotoxicity from fluconazole. Holding the dose and notifying the provider ensures timely evaluation and prevents further liver damage, prioritizing client safety.
Question 3 of 5
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication? Which instruction should the nurse provide this client about taking the liquid medication?
Correct Answer: B
Rationale: Using a straw to ingest ferrous sulfate elixir minimizes contact with teeth, preventing staining, a common side effect. This instruction ensures effective administration while protecting dental health.
Question 4 of 5
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? Which assessment is most important for the nurse to perform?
Correct Answer: B
Rationale: Assessing the frequency and consistency of bowel movements provides critical information about the client's bowel function, establishing a baseline to determine the need for a laxative and evaluate its effectiveness. This helps avoid overmedication or complications like diarrhea or fecal impaction, making it the most important assessment before administering a laxative.
Question 5 of 5
A client with a history of smoking cigarettes for many years arrives to the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching? Which information should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Bupropion, used for smoking cessation, commonly causes insomnia and weight loss. Informing the client about these side effects ensures they can monitor and report them, facilitating safe use and adherence to the treatment plan.