Pharm HESI 1 Complete, answered latest Spring 2022
1- A wife is caring for her husband who has Parkinson’s disease. The wife calls the clinic
and report the husband has involuntary movement...
Determine what other medications the patient has taken
2- What are some common side effects of antidepressants?
Blurred vision, dry, mouth, constipation
3- A client is discharged with a prescription for warfarin. What discharge instructions should
the nurse emphasize?
Avoid going barefoot especially outside
4- A client who is taking an oral dose of tetracycline complains of GI upset. What snack
should the nurse instruct the client to take with this medication?
Toasted wheat bread and jelly
5- A patient was given a dose of Trimethobenzamide is sedated but easily aroused. What
should the nurse do?
Allow the patient to rest
6- A client is having an acute asthma attack. What medication to administer?
Pirbuterol
7- The nurse is assessing the client’s INR which is 20. What is the nurse's priority?
Give Vitamin K
8- A client is being educated on Benadryl. What is the most important teaching?
Avoid driving
9- A client complaint about upset stomach when taking Resedronate. What will the nurse
ask the client?
How does she take the medication?
10- How does the nurse know that Kayexalate is effective?
K+ 3.8
11- The nurse is administering IV fluconazole (Diflucan) to a client who has systemic
candidiasis. After reviewing the diagnostic studies, the nurse identifies a rising trend
in the liver enzyme for aspartate aminotransferase (AST). What action should the
nurse implement?
Hold the dose and notify the health care provider of the changes in laboratory studies.
This study source was downloaded by 100000840903812 from CourseHero.com on 07-18-2022 23:08:30 GMT -05:00
https://www.coursehero.com/file/55943004/HESI-1-Pharmacologydocx/
, 12- The nurse suspects that a client has experienced an adverse response to a prescribed
medication. What action should the nurse take first?
Complete a focused systems assessment of the client
13- A male client who has been taking a high-dose of an NSAID comes to the clinic
complaining of gastric pain and blood in his stool. The healthcare provider discontinues
the NSAIDs and prescribes esomeprazole (Nexium). Which information should the
nurse include in this client's teaching plan?
Notify the healthcare provider of the passage of black stools
14- The nurse assesses a client with intermittent claudication who is receiving pentoxifyline
(Trental). Which assessment should the nurse perform to determine the effectiveness of
the medication?
Monitor numeric pain scale.
15- A female client is receiving rifampin (Rifadin), an antitubercular medication. Which
assessment by this client should prompt the nurse to notify the prescriber of a potential
problem?
Reports sclera are yellow.
16- The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/min, SpaO2 of 75%, and is unable to be aroused. What action should the nurse
implement?
Administer a second dose of naloxone
17- A client is receiving orlistat (Xenlcal) 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?
BMI
18- A male client with Laennec's cirrhosis refuses to take the daily dose of lactulose because
he had three soft stools yesterday. Which action should the nurse implement?
Explain that this effect reduces serum ammonia levels.
19- Prior to administering morning medications, the nurse assesses a client who is receiving
digoxin (Lanoxin) 0.25mg PO, levothyroxine (Synthroid) 0.5mcg PO, and olmesartan
hydrochlorothiazide (Benicar HCT) 40/12.5 PO. Which assessment finding indicates
that the nurse should withhold one of the morning medication doses?
Apical pulse of 52 bpm
This study source was downloaded by 100000840903812 from CourseHero.com on 07-18-2022 23:08:30 GMT -05:00
https://www.coursehero.com/file/55943004/HESI-1-Pharmacologydocx/
1- A wife is caring for her husband who has Parkinson’s disease. The wife calls the clinic
and report the husband has involuntary movement...
Determine what other medications the patient has taken
2- What are some common side effects of antidepressants?
Blurred vision, dry, mouth, constipation
3- A client is discharged with a prescription for warfarin. What discharge instructions should
the nurse emphasize?
Avoid going barefoot especially outside
4- A client who is taking an oral dose of tetracycline complains of GI upset. What snack
should the nurse instruct the client to take with this medication?
Toasted wheat bread and jelly
5- A patient was given a dose of Trimethobenzamide is sedated but easily aroused. What
should the nurse do?
Allow the patient to rest
6- A client is having an acute asthma attack. What medication to administer?
Pirbuterol
7- The nurse is assessing the client’s INR which is 20. What is the nurse's priority?
Give Vitamin K
8- A client is being educated on Benadryl. What is the most important teaching?
Avoid driving
9- A client complaint about upset stomach when taking Resedronate. What will the nurse
ask the client?
How does she take the medication?
10- How does the nurse know that Kayexalate is effective?
K+ 3.8
11- The nurse is administering IV fluconazole (Diflucan) to a client who has systemic
candidiasis. After reviewing the diagnostic studies, the nurse identifies a rising trend
in the liver enzyme for aspartate aminotransferase (AST). What action should the
nurse implement?
Hold the dose and notify the health care provider of the changes in laboratory studies.
This study source was downloaded by 100000840903812 from CourseHero.com on 07-18-2022 23:08:30 GMT -05:00
https://www.coursehero.com/file/55943004/HESI-1-Pharmacologydocx/
, 12- The nurse suspects that a client has experienced an adverse response to a prescribed
medication. What action should the nurse take first?
Complete a focused systems assessment of the client
13- A male client who has been taking a high-dose of an NSAID comes to the clinic
complaining of gastric pain and blood in his stool. The healthcare provider discontinues
the NSAIDs and prescribes esomeprazole (Nexium). Which information should the
nurse include in this client's teaching plan?
Notify the healthcare provider of the passage of black stools
14- The nurse assesses a client with intermittent claudication who is receiving pentoxifyline
(Trental). Which assessment should the nurse perform to determine the effectiveness of
the medication?
Monitor numeric pain scale.
15- A female client is receiving rifampin (Rifadin), an antitubercular medication. Which
assessment by this client should prompt the nurse to notify the prescriber of a potential
problem?
Reports sclera are yellow.
16- The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/min, SpaO2 of 75%, and is unable to be aroused. What action should the nurse
implement?
Administer a second dose of naloxone
17- A client is receiving orlistat (Xenlcal) 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?
BMI
18- A male client with Laennec's cirrhosis refuses to take the daily dose of lactulose because
he had three soft stools yesterday. Which action should the nurse implement?
Explain that this effect reduces serum ammonia levels.
19- Prior to administering morning medications, the nurse assesses a client who is receiving
digoxin (Lanoxin) 0.25mg PO, levothyroxine (Synthroid) 0.5mcg PO, and olmesartan
hydrochlorothiazide (Benicar HCT) 40/12.5 PO. Which assessment finding indicates
that the nurse should withhold one of the morning medication doses?
Apical pulse of 52 bpm
This study source was downloaded by 100000840903812 from CourseHero.com on 07-18-2022 23:08:30 GMT -05:00
https://www.coursehero.com/file/55943004/HESI-1-Pharmacologydocx/
