Wgu RN HESI Pharmocology

Extract:

Question 1 of 5

The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?

Correct Answer: C

Rationale: Sodium polystyrene sulfonate treats hyperkalemia. A potassium level of 3.8 mEq/L (
C) indicates effectiveness (matches 55-Q45). Hemoglobin (
A), glucose (
B), and ammonia (
D) are unrelated.

Question 2 of 5

A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for the nurse to provide this client?

A. Breast feeding is not recommended while taking this medication. B. Baseline liver function results must be obtained during therapy. C. Do not take multiple vitamins that contain vitamin A while taking this drug. D. Discontinue this medication one month before attempting to conceive.

Correct Answer: D

Rationale: Isotretinoin is highly teratogenic, causing severe birth defects. Discontinuing 1 month before conception (
D) is critical. Breastfeeding (
A) and liver tests (
B) are secondary. Vitamin A (
C) avoidance is relevant but less urgent. Note: Explanation suggests D was intended.

Question 3 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?

A. Instruct the client that it is necessary to take nothing but water with the medication. B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk. C. Withhold the medication until the client's breakfast tray is available on the unit. D. Consult with a pharmacist about scheduling the dose one hour after the client eats.

Correct Answer: A

Rationale: Risedronate, a bisphosphonate, must be taken with plain water on an empty stomach, 30 minutes before food or beverages (
A) to ensure absorption (matches 55-Q1/16). Milk (
B) contains calcium, reducing efficacy. Delaying until breakfast (
C) or post-meal dosing (
D) violates guidelines.

Question 4 of 5

Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client?

A. Tell the client to notify the nurse if the pain is not relieved. B. Advise the client that the medication should start to work in about 30 minutes. C. Administer a stool softener/laxative at the same time as the analgesic. D. Instruct the client to request assistance when ambulating to the bathroom.

Correct Answer: D

Rationale: Codeine causes drowsiness, increasing fall risk. Instructing assistance when ambulating (
D) is the priority for safety. Notifying about pain (
A), onset time (
B), and stool softeners (
C) are secondary.

Question 5 of 5

A client has a new prescription for zolpidem, a hypnotic. The client tells the home health nurse that he plans to take a dose of the medication during the day because he is exhausted and needs to take a short afternoon nap prior to an evening activity in his home. Which action should the nurse take?

A. Encourage the client to wait until bedtime to take the medication. B. Remind the client to drink plenty of fluids when taking the medication. C. Advise the client to take the medication with the noon meal. D. Explain that the client needs to allow for sleep time of at least two hours.

Correct Answer: A

Rationale: Zolpidem should be taken at bedtime (
A) to avoid daytime drowsiness and fall risk (matches 55-Q4). Fluids (
B) are unrelated. Noon meal dosing (
C) reduces efficacy. Two hours (
D) is insufficient for clearance.

Wgu RN HESI Pharmocology | Nurselytic

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HESI RN

HESI RN