HESI RN
Wgu RN HESI Pharmacology Questions
Extract:
Question 1 of 5
A client with plaque psoriasis receives a new prescription for betamethasone valerate lotion. Which instruction should the nurse include in client teaching?
Correct Answer: D
Rationale: Massaging betamethasone lotion into plaques enhances absorption and effectiveness. Facial application risks skin thinning, prolonged use is not specified, and gloves are unnecessary.
Question 2 of 5
Which assessment finding indicates to the nurse that the prescription bethanechol is effective for a client diagnosed with urinary retention?
Correct Answer: A
Rationale: Bethanechol stimulates bladder contraction, improving urinary retention. Equal urinary output to intake indicates effective bladder emptying. Dribbling, stress incontinence, and xerostomia are less direct indicators.
Question 3 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: A
Rationale: Mydriatics dilate pupils, causing photophobia. A dimly lit room reduces discomfort from light sensitivity. Warm temperatures, humid air, or quiet environments do not address this primary issue.
Question 4 of 5
A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?
Correct Answer: D
Rationale: Metronidazole with alcohol causes a disulfiram-like reaction (flushing, nausea). Avoiding alcohol during and 48 hours post-treatment is critical. Refrigeration, specific water intake, or post-meal dosing are not required.
Question 5 of 5
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: B
Rationale: Smoking impairs ulcer healing. Reducing to a pack daily is insufficient; quitting is ideal. Monitoring sexual dysfunction, reporting lethargy, and timing with antacids are appropriate.