Wgu RN HESI Pharmacology | Nurselytic

Questions 35

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Wgu RN HESI Pharmacology Questions

Extract:


Question 1 of 5

When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasally, which serum laboratory test is most important for the nurse to monitor?

Correct Answer: B

Rationale: Antidiuretic hormone (ADH) regulates water reabsorption, affecting serum osmolality. Monitoring osmolality assesses ADH therapy effectiveness in maintaining fluid balance in diabetes insipidus. Platelets, glucose, and calcium are not directly impacted by ADH or diabetes insipidus management.

Question 2 of 5

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?

Correct Answer: B

Rationale: Erythromycin may reduce oral contraceptive efficacy. Additional contraception (e.g., condoms) prevents pregnancy. Stopping contraceptives, spacing doses, or avoiding sunlight are incorrect.

Question 3 of 5

A client is receiving metronidazole for Clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?

Correct Answer: D

Rationale: Metronidazole with alcohol causes a disulfiram-like reaction (flushing, nausea). Avoiding alcohol during and 48 hours post-treatment is critical. Refrigeration, specific water intake, or post-meal dosing are not required.

Question 4 of 5

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer: A

Rationale: Tamsulosin, an alpha-blocker, can cause orthostatic hypotension. Monitoring blood pressure detects this adverse reaction. Urine output, weights, or bladder scans assess BPH symptoms, not tamsulosin’s side effects.

Question 5 of 5

The nurse is teaching a client who has been diagnosed with HIV about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?

Correct Answer: D

Rationale: Antiretrovirals reduce viral load and transmission risk but do not fully prevent HIV transmission. Safe practices are needed. Other statements are accurate regarding HIV management.

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