HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Which observation indicates an adverse effect of gentamicin?
Correct Answer: B
Rationale: Gentamicin is associated with ototoxicity, which can manifest as decreased hearing due to damage to the inner ear. This adverse effect requires immediate attention to prevent permanent hearing loss.
Question 2 of 5
A male client who has been taking a high-dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic reporting gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client's teaching plan? Which information should the nurse include in this client's teaching plan?
Correct Answer: A
Rationale: Black stools indicate potential gastrointestinal bleeding, a serious complication of NSAID use. Instructing the client to notify the provider ensures prompt evaluation and management, critical given the client’s symptoms.
Question 3 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 4 of 5
The nurse is caring for a client with hypertension, gastroesophageal reflux, and osteoarthritis. While performing a bedside assessment the nurse observes the client is alert and oriented, but is exhibiting signs of jaundice. The nurse should notify the healthcare provider about which scheduled medication? Which scheduled medication should the nurse notify the healthcare provider about?
Correct Answer: A
Rationale: Jaundice indicates potential liver dysfunction, and acetaminophen is metabolized by the liver, posing a risk of hepatotoxicity. Notifying the provider ensures evaluation and possible adjustment of acetaminophen to prevent further liver damage.
Question 5 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? Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline can reduce the effectiveness of oral contraceptives by altering gut flora and estrogen metabolism. Advising the client to use an additional contraceptive method, such as condoms, during and after the antibiotic course prevents unintended pregnancy.