HESI RN
HESI Pharmacology Exam 2 Questions
Extract:
History and Physical
The client is a 54-year-old male with a history of hypertension and type 2 diabetes. He takes spironolactone 25 mg per day, metformin 500 mg twice a day, and 25 units of insulin glargine.
Laboratory Test
Hemoglobin A1C
• Result: 6.8%
• Reference Range: 4-5.9%
Serum Creatinine
• Result: 1 mg/dL (88.4 μmol/L)
• Reference Range: 0.5-1.1 mg/dL (44-97 μmol/L)
BUN (Blood Urea Nitrogen)
• Result: 9 mg/dL (3.2 mmol/L)
• Reference Range: 10-20 mg/dL (3.6-7.1 mmol/L)
Sodium
• Result: 136 mEq/L (136 mmol/L)
• Reference Range: 136-145 mEq/L (136-145 mmol/L)
Potassium
• Result: 6.1 mEq/L (6.1 mmol/L)
• Reference Range: 3.5-5 mEq/L (3.5-5 mmol/L)
Blood Glucose
• Result: 109 mg/dL (6.1 mmol/L)
• Reference Range: 74-106 mg/dL (4.1-5.9 mmol/L)
Question 1 of 5
The nurse reviews the lab values."What questions can the nurse ask the client based on the lab results? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Without specific lab values, general questions about urinary urgency (renal function), salt substitutes (potassium intake), itching/hives (allergic reactions), supplements (drug interactions), and dry skin (electrolyte imbalances) are relevant to monitor captopril/spironolactone effects.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
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Question 4 of 5
Correct Answer:
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Question 5 of 5
Correct Answer:
Rationale: