HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing 'heartburn.' How should the nurse respond? How should the nurse respond?
Correct Answer: A
Rationale: Risedronate can cause esophageal irritation, leading to heartburn if not taken correctly (e.g., without water or not remaining upright). Asking the client to describe her administration technique identifies potential errors, guiding corrective instructions.
Question 2 of 5
A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Tremors are a potential side effect of pregabalin. Notifying the healthcare provider ensures evaluation of the symptom’s severity, possible dose adjustment, or alternative treatment to manage the adverse effect.
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? Which information in the client’s history requires follow up by the nurse?
Correct Answer: B
Rationale: Metformin can increase the risk of lactic acidosis when combined with iodinated contrast media, especially if renal function is compromised. Follow-up is needed to consider temporarily discontinuing metformin before and after the CT scan to prevent this serious complication.
Question 4 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? Which instruction is most important for the nurse to provide?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension, increasing fall risk. Instructing the client to stand and sit up slowly minimizes dizziness and enhances safety, making it the most critical instruction.
Question 5 of 5
Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative? Which instruction should the nurse include when teaching a client about self-administration of a bulk-forming laxative?
Correct Answer: C
Rationale: Bulk-forming laxatives absorb water to soften stool and promote bowel movements. Following administration with an additional glass of water ensures adequate hydration, preventing intestinal obstruction and enhancing efficacy.