Care Hope College RN HESI Pharmacology

Extract:

Question 1 of 5

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote the best absorption of the medication, what information should the nurse include in the discharge instructions?

Correct Answer: C

Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (
C). Bedtime dosing (
A) isn’t specific to absorption. Crushing enteric-coated tablets (
B) disrupts their protective coating. Multivitamins (
D) may contain minerals that reduce iron absorption.

Question 2 of 5

The nurse is preparing a discharge teaching plan for a patient who is taking ciprofloxacin hydrochloride tablets due to suspected anthrax exposure. What instructions should be included in the teaching plan?

A. Crush and mix the tablets with pudding if you have trouble swallowing the tablets. B. Increase fluid intake while taking the medication. C. Use nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve mild joint aches and pains caused by the medication. D. Report any tendon pain or swelling to the healthcare provider immediately. E. Limit exposure to sunlight and avoid tanning beds.

Correct Answer: B,D,E

Rationale: Ciprofloxacin requires high fluid intake (
B) to prevent crystalluria, immediate reporting of tendon pain/swelling (
D) due to rupture risk, and sun protection (E) due to photosensitivity. Crushing tablets (
A) alters release, risking side effects. NSAIDs (
C) increase seizure risk with ciprofloxacin.

Question 3 of 5

When administering medications to a group of patients, which patient should the nurse closely monitor for the development of acute kidney injury (AKI)?

A. Patient on Vancomycin. B. Patient on Sucralfate. C. Patient on Lorazepam. D. Patient on Digoxin.

Correct Answer: A

Rationale: Vancomycin (
A) is nephrotoxic and requires monitoring for AKI, especially with high doses or prolonged use. Sucralfate (
B) protects the stomach, not kidneys. Lorazepam (
C) and digoxin (
D) have minimal renal toxicity risks.

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

A patient is currently on an oral contraceptive and has been prescribed erythromycin. What advice should the nurse provide to the patient?

A. Utilize an additional form of contraception. B. Immediately discontinue the oral contraceptive. C. Ensure a 12-hour gap between taking the medications. D. Avoid prolonged exposure to direct sunlight.

Correct Answer: A

Rationale: Erythromycin may reduce oral contraceptive efficacy by inducing hepatic metabolism. Using an additional contraceptive method (
A) prevents unintended pregnancy. Discontinuing the contraceptive (
B) is unnecessary. Timing gaps (
C) don’t mitigate the interaction. Sunlight avoidance (
D) relates to other antibiotics like tetracycline.

Care Hope College RN HESI Pharmacology | Nurselytic

Nurselytic

HESI RN

HESI RN