HESI RN
HESI RN Pharmacology Questions
Extract:
Question 1 of 5
The nurse prepares to administer a scheduled dose of labetalol PO to a client with hypertension. The client's vital signs are a temperature of 99° F (37.2° C), a heart rate of 48 beats/minute, respirations of 16 breaths/minute, and a blood pressure of 150/90 mm Hg. Which action should the nurse take? Which action should the nurse take?
Correct Answer: C
Rationale: Labetalol, a beta-blocker, can worsen bradycardia (heart rate 48 beats/minute). Withholding the dose and notifying the provider ensures safety, preventing potential cardiac complications.
Question 2 of 5
A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Which observation indicates an adverse effect of gentamicin?
Correct Answer: B
Rationale: Gentamicin is associated with ototoxicity, which can manifest as decreased hearing due to damage to the inner ear. This adverse effect requires immediate attention to prevent permanent hearing loss.
Question 3 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.
Question 4 of 5
A client with a history of smoking cigarettes for many years arrives to the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching? Which information should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Bupropion, used for smoking cessation, commonly causes insomnia and weight loss. Informing the client about these side effects ensures they can monitor and report them, facilitating safe use and adherence to the treatment plan.
Question 5 of 5
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow up by the nurse? Which information in the client’s history requires follow up by the nurse?
Correct Answer: B
Rationale: Metformin can increase the risk of lactic acidosis when combined with iodinated contrast media, especially if renal function is compromised. Follow-up is needed to consider temporarily discontinuing metformin before and after the CT scan to prevent this serious complication.