HESI RN
HESI RN Pharmacology 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? Which symptom should the nurse instruct the client to report?
Correct Answer: C
Rationale: Excessive levothyroxine can cause hyperthyroidism symptoms, such as restlessness, due to increased metabolic rate. Instructing the client to report this symptom ensures timely detection and adjustment of the dose to prevent complications.
Question 2 of 5
The nurse is administering subcutaneous enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse? Which laboratory result requires immediate action by the nurse?
Correct Answer: B
Rationale: A platelet count of 100,000/mm3 indicates thrombocytopenia, increasing bleeding risk with enoxaparin, an anticoagulant. Immediate action, such as notifying the provider, is needed to prevent hemorrhage.
Question 3 of 5
A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect? Which information should the nurse explain to the client about its therapeutic effect?
Correct Answer: B
Rationale: Phenazopyridine is a urinary analgesic that relieves pain and burning by soothing irritated bladder mucosa. Explaining this effect helps the client understand its role in symptom relief, not infection treatment.
Question 4 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.
Question 5 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? Which instruction is most important for the nurse to provide?
Correct Answer: C
Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension, increasing fall risk. Instructing the client to stand and sit up slowly minimizes dizziness and enhances safety, making it the most critical instruction.