HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
Which action should the nurse implement to assess the effectiveness of amlodipine?
Correct Answer: C
Rationale: Amlodipine, a calcium channel blocker, is used to manage hypertension. Measuring blood pressure directly assesses its effectiveness in lowering blood pressure, the primary therapeutic goal.
Question 2 of 5
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
Correct Answer: B
Rationale: Orlistat inhibits fat absorption to promote weight loss. Monitoring BMI is the most direct way to assess its effectiveness, as it tracks changes in weight status over time, reflecting the medication’s impact on the client’s weight management program.
Question 3 of 5
The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Exploring what the client means by 'is not working' is the first step to clarify their concerns, symptoms, or misconceptions about carbidopa-levodopa’s effects. This guides further assessment and education, addressing the client’s specific issues before evaluating side effects or administration timing.
Question 4 of 5
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Correct Answer: D
Rationale: While antiretroviral therapy (ART) significantly reduces HIV transmission risk by lowering viral load, it does not completely prevent it. The client needs clarification that even with an undetectable viral load, transmission is possible, and preventive measures like safer sex practices are still necessary.
Question 5 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: B
Rationale: Tamsulosin, an alpha-1 antagonist, can cause hypotension, especially when initiating treatment. Monitoring blood pressure is essential to detect significant drops that could lead to dizziness or fainting, ensuring client safety.