HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
The nurse is preparing to apply the client’s scheduled fentanyl transdermal patch. The nurse notes the previously applied patch is intact on the client’s upper back and the client reports no pain. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Fentanyl patches are replaced every 72 hours, with new patches applied to a different site to prevent skin irritation. Removing the old patch and applying the new one in a different location maintains effective pain control.
Question 2 of 5
Levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much levothyroxine sodium? Which symptom should the nurse instruct the client to report?
Correct Answer: C
Rationale: Excessive levothyroxine can cause hyperthyroidism symptoms, such as restlessness, due to increased metabolic rate. Instructing the client to report this symptom ensures timely detection and adjustment of the dose to prevent complications.
Question 3 of 5
The nurse is preparing to apply the client’s scheduled fentanyl transdermal patch. The nurse notes the previously applied patch is intact on the client’s upper back and the client reports no pain. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Fentanyl patches are replaced every 72 hours, with new patches applied to a different site to prevent skin irritation. Removing the old patch and applying the new one in a different location maintains effective pain control.
Question 4 of 5
A female client with mild depression reports to the nurse of recently starting St. John's wort. Which information provided by the client requires further instruction? Which information provided by the client requires further instruction?
Correct Answer: D
Rationale: St. John’s wort induces cytochrome P450 enzymes, reducing the efficacy of hormonal contraceptives. The client’s statement that no additional contraception is needed is incorrect, requiring instruction to use alternative methods to prevent pregnancy.
Question 5 of 5
A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the nurse implement? Which action should the nurse implement?
Correct Answer: B
Rationale: Glipizide, a sulfonylurea, can cause hypoglycemia, leading to symptoms like confusion and blurred vision. Obtaining a fingerstick blood glucose confirms hypoglycemia, guiding immediate treatment to restore normal glucose levels.