HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Sucralfate forms a protective barrier on ulcers and is most effective on an empty stomach. Electrolyte monitoring, Candida assessment, and once-daily dosing are not specific to sucralfate’s administration.
Question 2 of 5
A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John's wort reduces oral contraceptive effectiveness, necessitating additional contraception. Hard candy for dry mouth, insomnia, and photosensitivity are correct understandings and do not require further instruction.
Question 3 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement?
Correct Answer: D
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding treatment. A neurological exam, glucagon administration, or vital signs assessment are secondary until glucose levels are verified.
Question 4 of 5
The spouse of a client diagnosed with Parkinson's disease calls the clinic and tells the nurse the client is having involuntary jerky movements of the legs and arms and is confused. Which action should the clinic nurse implement first?
Correct Answer: B
Rationale: Involuntary movements and confusion suggest a serious issue, possibly medication toxicity or disease progression, requiring immediate emergency evaluation. Clinic visits, medication lists, or disease duration are secondary to urgent care.
Question 5 of 5
The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Sucralfate forms a protective barrier on ulcers and is most effective on an empty stomach. Electrolyte monitoring, Candida assessment, and once-daily dosing are not specific to sucralfate’s administration.