HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
Furosemide is prescribed for a client with a history of heart failure (HF). Which foods should the nurse encourage this client to eat?
Correct Answer: C
Rationale: Furosemide causes potassium loss, so potassium-rich foods like bananas, oranges, and peaches are recommended. Calcium, carbohydrates, and meats do not address potassium depletion.
Question 2 of 5
The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?
Correct Answer: D
Rationale: Rising AST suggests hepatotoxicity from fluconazole, requiring the dose to be held and the provider notified for evaluation. Continuing the infusion, notifying the pharmacy, or submitting a report are secondary to addressing potential liver damage.
Question 3 of 5
The healthcare provider prescribes the antibiotic tetracycline HCI for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client?
Correct Answer: B
Rationale: Tetracycline increases photosensitivity, requiring sun protection. Orange juice, milk, and antacids reduce absorption, and weekly serum levels are not typically needed.
Question 4 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Correct Answer: B
Rationale: Methylphenidate, a stimulant, can increase blood pressure, making hypertension a critical condition to review. Bronchitis, diabetes, and hypercholesterolemia are less directly impacted by methylphenidate.
Question 5 of 5
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?
Correct Answer: A
Rationale: Metformin increases the risk of lactic acidosis with contrast agents, requiring follow-up to hold the drug. Metal prostheses, prior CT scans, and sobriety are less critical for contrast safety.