HESI RN
HESI 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? Which computer documentation indicates that the desired outcome has been achieved?
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, is prescribed for insomnia. Documentation of sleeping soundly through the night directly indicates the medication’s intended effect of improving sleep quality.
Question 2 of 5
A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide? Which instruction should the nurse provide?
Correct Answer: D
Rationale: Baclofen can cause dizziness and fatigue, increasing the risk of falls or accidents. Advising the client to avoid hazardous activities like driving until symptoms subside enhances safety while the side effects are assessed.
Question 3 of 5
A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take? Which action should the nurse take?
Correct Answer: B
Rationale: Doxycycline can reduce the effectiveness of oral contraceptives by altering gut flora and estrogen metabolism. Advising the client to use an additional contraceptive method, such as condoms, during and after the antibiotic course prevents unintended pregnancy.
Question 4 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.
Question 5 of 5
The nurse is reviewing the client’s laboratory results. Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? Which action should the nurse expect to implement?
Correct Answer: D
Rationale: Digoxin toxicity is often exacerbated by electrolyte imbalances, such as hypokalemia or hypercalcemia. Checking acid-base and electrolyte values identifies contributing factors, guiding appropriate interventions like withholding digoxin or correcting imbalances.