Care Hope College RN HESI Pharmacology

Extract:

Question 1 of 5

After administering five doses of filgrastim, the nurse observes that the patient’s white blood cell count has increased from 2,500/mm^3 to 5,000/mm^3. What action should the nurse take?

Correct Answer: A

Rationale: Filgrastim stimulates white blood cell production. An increase from 2,500/mm^3 to 5,000/mm^3 (
A) indicates effectiveness, and the patient should be informed. Culture reports (
B) are unrelated to filgrastim’s action. Neutropenic precautions (
C) are unnecessary with improved counts. Vital signs (
D) don’t directly assess filgrastim’s efficacy.

Question 2 of 5

A patient with osteoporosis is administered risedronate at 0700 and requests a glass of milk to take with the medication. What should the nurse’s response be?

A. Advise the patient to only consume water with the medication. B. Delay the medication until the patient’s breakfast tray arrives. C. Consult with a pharmacist about administering the dose one hour post-meal. D. Assign an unlicensed assistive personnel to bring the patient a glass of low-fat milk.

Correct Answer: A

Rationale: This question is identical to Question 1. Risedronate requires plain water on an empty stomach (
A) to ensure absorption. Milk (
D) reduces efficacy. Delaying for breakfast (
B) or post-meal dosing (
C) violates guidelines. Note: Duplicate question; consider removing.

Question 3 of 5

An adult patient at an outpatient clinic has been prescribed the antibiotic tetracycline HCl. What instructions should the nurse include in the patient’s teaching plan?

A. Consume with milk or antacids to prevent gastrointestinal irritation. B. Protect your skin from sunlight while on this medication. C. Enhance gastrointestinal absorption by taking with orange juice. D. Return to the clinic weekly for serum drug level checks.

Correct Answer: B

Rationale: This question is identical to Question 9. Tetracycline increases photosensitivity, requiring sun protection (
B). Milk/antacids (
A) and orange juice (
C) impair absorption. Weekly drug checks (
D) are unnecessary. Note: Duplicate question; consider removing.

Question 4 of 5

An adult patient at an outpatient clinic has been prescribed the antibiotic tetracycline HCI. What should the nurse include in the patient’s teaching plan?

A. Consume with milk or antacids to prevent gastrointestinal irritation. B. Protect your skin from sunlight while on this medication. C. Enhance gastrointestinal absorption by taking with orange juice. D. Return to the clinic weekly for serum drug level checks.

Correct Answer: B

Rationale: Tetracycline causes photosensitivity, increasing sunburn risk, so sun protection (
B) is essential. Milk/antacids (
A) reduce absorption by chelating tetracycline. Orange juice (
C) contains calcium, impairing absorption. Weekly drug level checks (
D) are not required for tetracycline.

Question 5 of 5

An elderly client with heart failure arrives at the emergency room due to nausea, vomiting, and anorexia. Based on the client’s signs and symptoms, which piece of data from the medical history is most significant when planning this client’s care?

A. The client underwent a coronary artery bypass procedure in 1995. B. The client had a colonoscopy performed for routine screening six months ago. C. The client suffered from depression following the death of their spouse in 1999. D. The client has been taking digoxin and furosemide daily since 1996.

Correct Answer: D

Rationale: Digoxin and furosemide (
D) can cause nausea, vomiting, and anorexia due to toxicity (digoxin) or electrolyte imbalances (furosemide), critical for heart failure management. Past bypass (
A), colonoscopy (
B), and depression (
C) are less relevant to current symptoms.

Care Hope College RN HESI Pharmacology | Nurselytic

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HESI RN

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