HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 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 2 of 5
A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication? Which information should the nurse obtain prior to administering the medication?
Correct Answer: A
Rationale: Pyridostigmine, a cholinesterase inhibitor, is taken orally and can cause gastrointestinal side effects. Ensuring recent oral intake minimizes these effects and optimizes absorption, making it the most critical information to obtain before administration.
Question 3 of 5
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem? Which problem in the client's history is most important to determine?
Correct Answer: B
Rationale: Sumatriptan, a triptan, causes vasoconstriction, which can precipitate myocardial ischemia in clients with coronary artery disease. Checking for this condition prevents serious cardiovascular events.
Question 4 of 5
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client? Which information is most important for the nurse to include in a teaching plan for this client?
Correct Answer: A
Rationale: Feverfew can interact with aspirin and NSAIDs, increasing bleeding risk due to its anticoagulant properties. This interaction is critical to include in the teaching plan to prevent adverse effects, especially since the client is using feverfew for migraines, where NSAIDs are commonly used.
Question 5 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.