HESI RN
HESI Bsn 225 RN Pharmacology Questions
Extract:
Question 1 of 5
When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: D
Rationale: Zolpidem is a sedative for insomnia, and sleeping soundly through the night indicates its effectiveness. Emotional outbursts, concentration, and incontinence are not primary targets of zolpidem.
Question 2 of 5
The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take?
Correct Answer: C
Rationale: An INR of 2.8 is within the therapeutic range for atrial fibrillation, but monitoring for bleeding is critical as a routine precaution. Repeating the sample, giving the dose, or notifying the provider are less immediate.
Question 3 of 5
The nurse is administering SUBQ enoxaparin to a client following knee replacement surgery to prevent a deep vein thrombosis. Which laboratory result requires immediate action by the nurse?
Correct Answer: A
Rationale: A platelet count of 100,000/mm3 indicates thrombocytopenia, increasing bleeding risk with enoxaparin, requiring immediate action. Creatinine, BUN, and hematocrit are within normal ranges.
Extract:
History and physical
Client is a 66-year-old male with a history of type 2 diabetes mellitus and hypertension. He takes a metoprolol, hydrochlorothiazide, and metformin. He went to his primary healthcare provider reporting that he had been having trouble controlling his blood pressure in the last few days. He has also had a severe headache. Client was a direct admit to the hospital from the primary healthcare provider's office.
Nurses notes
1000
Admitted the client to the medical floor. He informs that he already took his metoprolol,
hydrochlorothiazide, and metformin dose. He says his morning glucose was 111 mg/dL (6.16 mmol/L). Rates his pain as 6 on a 0 to 10 pain scale. Minoxidil and ibuprofen given as prescribed.
1200
Pain rated at 1 on a 0 to 10 pain scale.
Lab results
Blood glucose 218mg/dl
Flowsheet
1000
Vital signs
. Temperature 99° F (37.2° C) orally
. Heart rate 59 beats/minute in atrial fibrillation
• Respiratory rate 20 breaths/minute
. Blood pressure 203/166 mm Hg
Oxygen saturation 97% on room air
Orders
Admit to the medical floor
Heart healthy diet
Vital signs every 2 hours and as needed (PRN)
Give minoxidil 5 mg PO now
Give 400 mg ibuprofen PO PRN for pain
Check blood glucose before meals and at sleep (HS)
Question 4 of 5
Review H and P, nurse's notes, laboratory results, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a non-therapeutic side-effect, or an unrelated finding. Each row must have one option selected.
| Options | Therapeutic result | Non therapeutic side effect | Unrelated finding |
|---|---|---|---|
| Dizziness while sitting up: Non-therapeutic side effect | |||
| Blood glucose 218mg/dl: Unrelated finding | |||
| Mouth dryness: Non-therapeutic side effect | |||
| Blood pressure 162/111mmHg: Therapeutic result | |||
| Heart rate 99: Non-therapeutic side effect | |||
| Pain of 1 out of 10: Unrelated finding | |||
| Urine output 600ml: Unrelated finding |
Correct Answer:
Rationale: A: Dizziness is a minoxidil side effect (hypotension). B: High glucose relates to diabetes. C: Dry mouth is a possible side effect. D: Lowered blood pressure is therapeutic. E: Tachycardia is a side effect. F: Pain reduction relates to ibuprofen. G: Urine output is unrelated.
Extract:
Question 5 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: C
Rationale: Restlessness indicates hyperthyroidism, suggesting excessive levothyroxine. Constipation, decreased appetite, and cold intolerance are hypothyroidism symptoms, not overdose.