HESI RN 311 Pharmacology | Nurselytic

Questions 41

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HESI RN 311 Pharmacology Questions

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Question 1 of 5

A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?

Correct Answer: B

Rationale: Doxycycline reduces hormonal contraceptive efficacy (
B), requiring additional contraception (e.g., condoms). No contraindication exists (
A). Timing separation (
C) is irrelevant. Stopping birth control (
D) risks pregnancy.

Question 2 of 5

The nurse is providing discharge instructions for a client with metastatic cancer who is prescribed morphine for bone pain. Which information from the client indicates to the nurse an understanding of the medication?

Correct Answer: A

Rationale: Morphine causes constipation; monitoring bowel patterns and using stool softeners (
A) shows understanding of managing this side effect. Grapefruit juice (
B) does not significantly interact with morphine (metabolized by UGT2B7, not CYP3A4). Combining with benzodiazepines (
C) risks CNS depression. Agitation/insomnia (
D) are not primary concerns; sedation is more common.

Question 3 of 5

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow-up by the nurse?

Correct Answer: B

Rationale: Metformin (
B) risks lactic acidosis with contrast dye due to potential renal impairment. Follow-up ensures temporary discontinuation (e.g., 48 hours post-procedure). Prior CT (
A) is irrelevant unless complications occurred. Sobriety (
C) and metal prosthesis (
D) do not affect contrast safety, though metal may impact image quality.

Question 4 of 5

A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?

Correct Answer: B

Rationale: Doxycycline reduces hormonal contraceptive efficacy (
B), requiring additional contraception (e.g., condoms). No contraindication exists (
A). Timing separation (
C) is irrelevant. Stopping birth control (
D) risks pregnancy.

Question 5 of 5

Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?

Correct Answer: D

Rationale: Furosemide, a loop diuretic, causes potassium loss. Encouraging potassium-rich foods like bananas, oranges, peaches (
D) prevents hypokalemia. Pasta/cereal (
A), dairy (
B), and meats (
C) are less potassium-rich.

Similar Questions

A female client with mild depression reports to the nurse that she recently started taking St. John’s wort. Which information provided by the client requires further instruction?
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?
A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
Prior to administering an oral dose of methylprednisolone, the nurse determines the client’s serum total calcium level is 5.5 mg/dL (1.375 mmol/L). What action is most important for the nurse to take?

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