HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?
Correct Answer: D
Rationale: Adequate fluid intake (1500–3000 mL/day) is critical for lithium therapy to prevent toxicity and maintain stable levels. This instruction is essential for the client’s safety and effective treatment.
Question 2 of 5
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
Correct Answer: B
Rationale: Tamsulosin, an alpha-1 antagonist, can cause hypotension, especially when initiating treatment. Monitoring blood pressure is essential to detect significant drops that could lead to dizziness or fainting, ensuring client safety.
Question 3 of 5
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?
Correct Answer: B
Rationale: Methotrexate and adalimumab suppress the immune system, increasing infection risk. Avoiding crowds and sick individuals reduces exposure to pathogens, making this the most critical instruction to prevent serious infections.
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
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?
Correct Answer: B
Rationale: Glucagon is used to treat severe hypoglycemia when a client cannot consume oral glucose due to altered consciousness or inability to swallow. It rapidly increases blood glucose levels, making it critical for emergency management of severe hypoglycemic episodes.