HESI RN
HESI RN Pharmacology 106a 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?
Correct Answer: D
Rationale: Black stools may indicate gastrointestinal bleeding, requiring immediate provider notification. Diarrhea/headache are less urgent, resuming NSAIDs risks further damage, and bland diets are outdated.
Question 2 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem is a sedative for insomnia, and sleeping soundly indicates effectiveness. Emotional outbursts, concentration, and incontinence are not primary targets.
Question 3 of 5
A client who is receiving pregabalin for fibromyalgia reports experiencing tremors in the hands. Which action should the nurse implement?
Correct Answer: B
Rationale: Tremors are a potential side effect of pregabalin, warranting provider notification for possible dose adjustment. Anti-anxiety drugs, glucose levels, and blood pressure readings are not directly related to addressing tremors.
Question 4 of 5
A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary item should the nurse instruct the client to avoid?
Correct Answer: C
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like pepperoni pizza (aged cheese, processed meats) to prevent hypertensive crisis. Catfish, beef tips, and shrimp are generally safe.
Question 5 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?
Correct Answer: A,B
Rationale: A: Hard candy alleviates dry mouth, a common tamsulosin side effect. B: Insomnia is a potential side effect, and clients should be informed. However, the most critical instruction is typically to stand/sit slowly to prevent orthostatic hypotension, which is not listed. Dry mouth and insomnia are valid but secondary concerns.