HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium?
Correct Answer: D
Rationale: The options seem misaligned with the question, as they describe instructions, not symptoms. However, taking levothyroxine early in the day prevents insomnia, a symptom of excessive dosing (hyperthyroidism). Clients should report symptoms like insomnia, palpitations, or restlessness, indicating overdose. Fluid intake, standing slowly, or twice-weekly dosing are unrelated to overdose symptoms.
Question 2 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline reduces birth control pill effectiveness, requiring additional contraception. Timing separation, stopping birth control, or notifying about contraindications are incorrect actions.
Question 3 of 5
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?
Correct Answer: B
Rationale: Sublingual nitroglycerin provides rapid relief for acute chest pain, complementing the sustained effect of the transdermal patch. Adding another patch risks overdose, withholding delays relief, and the patch’s slow onset doesn’t address acute pain.
Question 4 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 5 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?
Correct Answer: A
Rationale: A calcium level of 5.5 mg/dL indicates severe hypocalcemia, requiring immediate provider notification for evaluation. Tapering, dietary teaching, or milk administration are secondary to addressing this critical imbalance.