HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement?
Correct Answer: B,D,E
Rationale: B: A soft bristle toothbrush prevents further gum trauma. D: Reporting bleeding symptoms to the provider is critical for potential anticoagulant adjustment. E: Reviewing coagulation lab values assesses bleeding risk. A is incorrect as NSAIDs increase bleeding risk, and C is unnecessary without a medication error.
Question 2 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: B
Rationale: Orlistat inhibits fat absorption to promote weight loss. Monitoring BMI is the most direct way to assess its effectiveness, as it tracks changes in weight status over time, reflecting the medication’s impact on the client’s weight management program.
Question 3 of 5
A client has a prescription for heparin 1,000 units IV STAT. Several pre-filled syringes of low molecular weight heparin are available in the client's medication drawer. Which action should the nurse implement?
Correct Answer: C
Rationale: Unfractionated heparin and low molecular weight heparin are not interchangeable. The nurse should notify the pharmacy to obtain the correct unfractionated heparin for IV administration to ensure the prescription is followed accurately.
Question 4 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: D
Rationale: Rapid weight gain may indicate fluid retention or other serious complications with gabapentin use, requiring urgent evaluation. This symptom is more critical to report than photosensitivity, gastric irritation, or sexual dysfunction, which are less severe or less commonly associated.
Question 5 of 5
Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid analgesic?
Correct Answer: A
Rationale: Opioid analgesics via epidural infusion can cause respiratory depression, a life-threatening risk. Applying a pulse oximeter to monitor oxygen saturation is the priority to detect early signs of respiratory compromise, ensuring client safety over other interventions.