Wgu RN HESI Pharmocology | Nurselytic

Questions 39

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Wgu RN HESI Pharmocology Questions

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Question 1 of 5

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

Correct Answer: C

Rationale: Yellow skin (jaundice) suggests liver damage, a serious acetaminophen side effect (
C) (matches 55-Q47). Reporting to the provider is critical. Glucose (
A) and oxygen saturation (
D) are unrelated. Reducing dosage (
B) without consultation is unsafe.

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: C

Rationale: Erythromycin may reduce oral contraceptive efficacy (
C) (matches 55-Q8). Additional contraception prevents pregnancy. Stopping contraceptives (
A) is unnecessary. Timing gaps (
B) don’t mitigate the interaction. Sunlight avoidance (
D) relates to other antibiotics.

Question 3 of 5

Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 8.4 mg/L (35.6 mcmol/L). Which action should the nurse take?

Correct Answer: B

Rationale: Carbamazepine’s therapeutic range is 4-12 mg/L; 8.4 mg/L (
B) is therapeutic, so administer as prescribed (matches 55-Q23, but 55-Q23 had 84 mg/L, likely a typo). Notifying (
A) or withholding (
D) is unnecessary. Assessing side effects (
C) is routine but not specific.

Question 4 of 5

The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with hypertension. The client's vital signs are temperature 99°F (37.22°C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (B/P) 150/90 mm Hg. Which action should the nurse take?

Correct Answer: D

Rationale: Labetalol, a beta-blocker, can worsen bradycardia (48 bpm). Withholding the dose and notifying the provider (
D) is safest (matches 55-Q41). Administering (
B) risks exacerbating bradycardia. Orthostatic hypotension (
A) and telemetry (
C) are secondary.

Question 5 of 5

The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?

Correct Answer: D

Rationale: A scratchy throat (
D) may indicate anaphylaxis, requiring immediate cessation of piperacillin-tazobactam (matches 55-Q2). Hypertension (
A), bradycardia (
B), and pupillary constriction (
C) are not typical allergic response signs.

Similar Questions

Prior to administering oral doses of calcitriol and calcium carbonate to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 14 mg/dL (3.5 mmol/L). Which action should the nurse implement?
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The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to arouse. While performing a head to toe assessment, the nurse discovers four patches on the client's body. Which action should the nurse take first?
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A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?

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