Wgu HESI RN Pharmacology 1

Extract:

Question 1 of 5

A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?

Correct Answer: A

Rationale: Misoprostol’s administration is not tied to menstrual cycles; it’s used to prevent NSAID-induced ulcers and requires no specific cycle timing. Contacting providers for conception risks, using contraception, and confirming negative pregnancy tests are critical due to teratogenic risks.

Question 2 of 5

The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?

A. Gastric irritation. B. Rapid weight gain. C. Sexual dysfunction. D. Photosensitivity.

Correct Answer: B

Rationale: Rapid weight gain may indicate fluid retention or other complications, requiring provider evaluation, though not a common gabapentin side effect. Gastric irritation, sexual dysfunction, and photosensitivity are less associated with gabapentin and less urgent.

Question 3 of 5

The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

A. Avoid the consumption of alcohol. B. Report any color changes to urine. C. Take additional doses as needed. D. Stop medication if a rash develops.

Correct Answer: C

Rationale: Taking additional acetaminophen doses risks overdose and liver damage. Clients should follow prescribed dosing and consult providers if pain persists. Avoiding alcohol, reporting urine color changes, and stopping for rashes are appropriate.

Question 4 of 5

To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?

A. Clients using the discus may experience decreased blood pressure. B. Explain that the client should not use the discus more than twice daily. C. When using the discus, have the client breathe out rapidly into the mouthpiece. D. Offer the discus to the client for use during an acute asthma attack.

Correct Answer: B

Rationale: Fluticasone/salmeterol is a maintenance therapy, not for acute asthma attacks, and should be used no more than twice daily to avoid side effects like oral thrush. Exhaling into the discus risks clumping the powder, and hypotension is not a common side effect.

Question 5 of 5

A client with generalized anxiety disorder (GAD) receives a new prescription for lorazepam. Which statement provided by the client requires additional instruction by the nurse?

A. Use relaxation techniques to reduce excessive anxiety. B. Stop taking the medication if intended effect is not immediate. C. Avoid alcohol and other sedatives while taking the medication. D. Move slowly from a sitting position to a standing position.

Correct Answer: B

Rationale: Lorazepam may take time for optimal effect, and stopping abruptly risks withdrawal or worsening anxiety. Clients should continue as prescribed and consult their provider if effects are lacking. Relaxation techniques, avoiding sedatives, and moving slowly are appropriate.