PN pharm hesi v2

PN Pharm Hesi V2 Questions and Answers 2023 A client is being treated for hyperthyridism with propylthiouracil (PTU). The LPN/LVN knows that the action of this drug is to: Ans- inhibit synthesis of T3 and T4 by the thyroid gland A female client with RA takes ibuprofen (motrin) 600mg PO 4xday. To preven GI bleeding, misoprostol (cytotec) 100mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? Ans- use contraception during intercourse Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client with which condition? Ans- Heart failure Which medications should the nurse caution the client about taking while receiving an opioid analgesic? Ans- Benzodiasepines Which client should the LPN/LVN identify as being at the highest risk for complications during the use of an opioid analgesic? Ans- A young adult with inflammatory bowel disease Which change in data indicates to the nurse the desired effect of the angiotensin II receptor antagonist valsartan (Diovan) has been achieved Ans- Blood pressure reduced from 160/90 to 130.80 A client with heart failure is prescribed spironolactone (Aldactone). Which information is most important for the LPN/LVN to provide to the client about diet modifications? Ans- Refrain for eating foods high in potassium The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement? Ans- Notify the healthcare provider of this finding immediately The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide? Ans- Another type of nonsteroidal antiinflammatory drug may be indicated An older client with a decreased percentage of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process? Ans- Distribution ) A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the optimum time for the LPN/LVN to obtain the trough level? Ans- Immediately before the next antibiotic dose is given. A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse should indicate that the desired outcome of the medication is being achieved? Ans- Lessening of tremors A client with congestive heart failure (CHF) is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The LPN/LVN discharge instruction should include reporting which problem to the healthcare provider? Ans- Dizziness A client is receiving metroprolol (Lopressor SR). What assessment is most important for the LPN/LVN to obtain? Ans- Blood pressure A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, the nurse assesses the client. Which finding requires the most immediate intervention? Ans- Vomiting Upon admission to the emergency center, an adult client with acute status asthmaticus is prescribed this series of medications. In which order should the nurse administer the prescribed medications? (Arrange from first to last.) Ans- Albuterol (Proventil) puffs Salmeterol (Serevent Diskus). Prednisone (Deltasone) orally Gentamicin (Garamycin) IM An antacid (maalox) is prescribed for a client with PUD. The LPN/ LVN knows that the purpose of this medication is to Ans- Maintain a gastric pH of 3.5 or above Which dosing schedule should the nurse teach the client to observe for a controlled-release oxycodone prescription? Ans- Every 12 hours In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the nurse should encourage the client to report which adverse response to the healthcare provider? Ans- Presence of hand tremors. Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? Ans- Bismuth subsalicylate (Pepto Bismol). A client receiving albuterol (Proventil) tablets complains of nausea every evening with her 9 p.m. dose. What action should the LPN/LVN take to alleviate this side effect? Ans- Administer the dose with a snack A client is receiving digoxin for the onset of supraventricular tachycardia (SVT). Which laboratory findings should the LPN/LVN identify that places this client at risk? Ans- Hypokalemia. ) Following heparin treatment for a PE, a client is being discharged with a prescription for warfarin. In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly? Ans- Prothrombin time (PT/INR) A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider? Ans- Tachycardia and chest pain. Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the LPN/LVN that the desired effect has been achieved? Ans- Client states chest pain is relieved An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client? Ans- Apply the patch at least 4 hours prior to departure. Which action is most important for the nurse to implement prior to the administration of the antiarrhythmic drug adenosine (Adenocard)? Ans- Apply continuous cardiac monitoring A client is receiving clonidine (catapres) 0.1mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? Ans- Blood pressure has changed from 180/120 to 140/70 A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When the client reports the onset of a headache prior to the next scheduled dose, which action should the LPN/LVN implement? Ans- Administer the 60 mg dose of Imdur an