HESI RN
HESI RN Pharmacology 106a Questions
Extract:
Question 1 of 5
What are the signs and symptoms of hypothyroidism?
Correct Answer: A,C,D
Rationale: A: Decreased appetite results from reduced metabolism in hypothyroidism. C: Intolerance to cold occurs due to decreased heat production. D: Constipation is caused by slowed gastrointestinal motility. B: Restlessness is associated with hyperthyroidism, not hypothyroidism.
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?
Correct Answer: D
Rationale: The options seem misaligned with the question, as they describe instructions, not symptoms. However, taking levothyroxine early in the day prevents insomnia, a symptom of excessive dosing (hyperthyroidism). Clients should report symptoms like insomnia, palpitations, or restlessness, indicating overdose. Fluid intake, standing slowly, or twice-weekly dosing are unrelated to overdose symptoms.
Question 3 of 5
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
Correct Answer: B
Rationale: Methylphenidate, a stimulant, can increase blood pressure, making hypertension a critical condition to review. Bronchitis, diabetes, and hypercholesterolemia are less directly impacted by methylphenidate.
Question 4 of 5
A client is receiving tamsulosin for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide?
Correct Answer: A,B
Rationale: A: Hard candy alleviates dry mouth, a common tamsulosin side effect. B: Insomnia is a potential side effect, and clients should be informed. However, the most critical instruction is typically to stand/sit slowly to prevent orthostatic hypotension, which is not listed. Dry mouth and insomnia are valid but secondary concerns.
Question 5 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.