HESI RN
Nightdale College HESI Pharmacology RN Questions
Extract:
Question 1 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: Risedronate, a bisphosphonate, requires administration with water on an empty stomach to ensure absorption, as calcium in milk binds to the drug, reducing efficacy. Instructing the client to take it with water only is critical. Delaying or taking with food/milk is incorrect and reduces effectiveness.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed? Which action indicates that additional teaching is needed?
Correct Answer: A
Rationale: Priming the ipratropium inhaler with 7 pumps is excessive, wasting medication. It requires only one spray to prime when first used or after 3 days. This action indicates a need for further teaching. Rinsing the mouth, proper storage, and using a spacer are correct practices.
Question 3 of 5
The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion? Which manifestation should the nurse identify as a reason to stop the infusion?
Correct Answer: A
Rationale: A scratchy throat may signal an allergic reaction to piperacillin-tazobactam, a penicillin derivative, potentially progressing to anaphylaxis. Stopping the infusion immediately prevents severe complications. Other manifestations like bradycardia or hypertension are not typical allergic responses and require monitoring but not immediate cessation.
Question 4 of 5
While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding? Which action should the nurse take in response to this finding?
Correct Answer: A
Rationale: Yellow skin suggests jaundice, indicating potential liver damage from acetaminophen, which is hepatotoxic in high doses. Reporting to the provider ensures evaluation and possible dose adjustment. Glucose, oxygen saturation, or self-reducing the dose are inappropriate without further assessment.
Question 5 of 5
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take? Which action should the nurse take?
Correct Answer: A
Rationale: Risedronate, a bisphosphonate, requires administration with water on an empty stomach to ensure absorption, as calcium in milk binds to the drug, reducing efficacy. Instructing the client to take it with water only is critical. Delaying or taking with food/milk is incorrect and reduces effectiveness.