Care Hope College RN HESI Pharmacology

Extract:

Question 1 of 5

The nurse is administering the muscle relaxant baclofen orally to a patient diagnosed with multiple sclerosis. What intervention should the nurse implement?

Correct Answer: A

Rationale: Baclofen causes drowsiness and weakness, increasing fall risk. Advising slow, cautious movement (
A) enhances safety. Muscle strength checks (
B) and intake/output (
C) are less critical. Abruptly stopping baclofen (
D) risks withdrawal (e.g., seizures), not advised.

Question 2 of 5

An adult patient at an outpatient clinic has been prescribed the antibiotic tetracycline HCI. What should the nurse include in the patient’s teaching plan?

A. Consume with milk or antacids to prevent gastrointestinal irritation. B. Protect your skin from sunlight while on this medication. C. Enhance gastrointestinal absorption by taking with orange juice. D. Return to the clinic weekly for serum drug level checks.

Correct Answer: B

Rationale: Tetracycline causes photosensitivity, increasing sunburn risk, so sun protection (
B) is essential. Milk/antacids (
A) reduce absorption by chelating tetracycline. Orange juice (
C) contains calcium, impairing absorption. Weekly drug level checks (
D) are not required for tetracycline.

Question 3 of 5

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

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

Correct Answer: A

Rationale: Codeine, an opioid, causes drowsiness and dizziness, increasing fall risk. Instructing the client to request assistance when ambulating (
A) is the highest priority for safety. Stool softeners (
B) address constipation but are secondary. Notifying about unrelieved pain (
C) and onset time (
D) are important but not immediate safety concerns.

Question 4 of 5

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client’s plan of care?

A. Replace salt with a salt substitute. B. Cover your skin before going outside. C. Limit intake of high-potassium foods. D. Monitor skin for excessive bruising.

Correct Answer: C

Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia. Limiting high-potassium foods (
C) prevents this risk. Salt substitutes (
A) often contain potassium, worsening hyperkalemia. Sun protection (
B) and bruising (
D) are unrelated to spironolactone’s primary risks.

Question 5 of 5

A client reports confusion and blurred vision after receiving a dose of glipizide. What should the nurse do?

A. Administer glucagon intramuscularly. B. Measure the client’s vital signs. C. Obtain a fingerstick blood glucose. D. Perform a neurological exam.

Correct Answer: C

Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, presenting as confusion and blurred vision. Checking blood glucose (
C) confirms the cause. Glucagon (
A) treats severe hypoglycemia, not confirmed yet. Vital signs (
B) and neurological exams (
D) are secondary.

Care Hope College RN HESI Pharmacology | Nurselytic

Nurselytic

HESI RN

HESI RN