HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 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 2 of 5
A client with a history of smoking cigarettes for many years arrives to the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching? Which information should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Bupropion, used for smoking cessation, commonly causes insomnia and weight loss. Informing the client about these side effects ensures they can monitor and report them, facilitating safe use and adherence to the treatment plan.
Question 3 of 5
Prior to administering an oral dose of methylprednisolone, the nurse determines the client's serum total calcium level is 5.5 mg/dL (1.4 mmol/L). Which action is most important for the nurse to take? Which action is most important for the nurse to take?
Correct Answer: A
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia, risking tetany or arrhythmias. Notifying the provider immediately ensures prompt correction of the deficiency before administering methylprednisolone, which could exacerbate bone loss.
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
The nurse is preparing to apply the client’s scheduled fentanyl transdermal patch. The nurse notes the previously applied patch is intact on the client’s upper back and the client reports no pain. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Fentanyl patches are replaced every 72 hours, with new patches applied to a different site to prevent skin irritation. Removing the old patch and applying the new one in a different location maintains effective pain control.