HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Exploring what the client means by 'is not working' is the first step to clarify their concerns, symptoms, or misconceptions about carbidopa-levodopa’s effects. This guides further assessment and education, addressing the client’s specific issues before evaluating side effects or administration timing.
Question 2 of 5
A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?
Correct Answer: B
Rationale: Diphenhydramine causes significant drowsiness, posing a safety risk when driving. This instruction is critical to ensure the client’s safety and prevent accidents.
Question 3 of 5
The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond?
Correct Answer: B
Rationale: Echinacea has immune-boosting properties and may help reduce the severity of canker sores. This response acknowledges its potential benefits while remaining evidence-based, addressing the husband’s concerns appropriately.
Question 4 of 5
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Correct Answer: D
Rationale: The most direct indicator of the effectiveness of epoetin alfa is an increase in hemoglobin levels. Epoetin alfa stimulates erythropoiesis, raising hemoglobin in clients with anemia due to CKD. Monitoring hemoglobin provides objective evidence of the medication’s efficacy, unlike subjective reports or dietary changes.
Question 5 of 5
The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: Taking additional acetaminophen doses as needed is dangerous due to the risk of liver toxicity from exceeding the maximum daily dose. The client needs instruction to adhere to prescribed dosing and consult the provider before adjusting doses.