Pharmacology Hesi Exam All Answers Correct

Pharmacology Hesi Exam All Answers Correct A wife is caring for her husband who has Parkinson's disease. The wife calls the clinic and report the husband has involuntary movement... Ans- Determine what other medications the patient has taken What are some common side effects of antidepressants? Ans- Blurred vision, dry ,mouth, constipation A client is discharged with a prescription for warfarin. What discharge instructions should the nurse emphasize? Ans- Avoid going barefoot especially outside 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? Ans- Toasted wheat bread and jelly A patient was given a dose of Trimethobenzamide is sedated but easily aroused. What should the nurse do? Ans- Allow the patient to rest A client is having an acute asthma attack. What medication to administer? Ans- Pirbuterol The nurse is assessing the client's INR which is 20. What is the nurse's priority? Ans- Give Vitamin K, STOP THE INFUSSSION A client is being educated on Benadryl. What is the most important teaching? Ans- Avoid driving, restlessness, drowsiness A client complaints about upset stomach when taking Resedronate. Ans- R. What will the nurse ask the client? How does the nurse know that Kayexalate is effective? Ans- K+ 3.8, 3.5, 5.0 Prevent asthma attack when inhaled Ans- mucomyst (acetylcysteine) 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? Ans- Hold the dose and notify the healthcare provider of the changes in laboratory studies The nurse suspects that a client has experienced an adverse response to a prescribed medications. What action should the nurse take first? Ans- Complete a focused systems assessment of the client 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? AnsNotify the healthcare provider of the passage of black stools The nurse assesses a client with intermittent claudication who is receiving pentoxifylline (Trental). Which assessment should the nurse perform to determine the effectiveness of the medication? AnsMonitor numeric pain scale 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? Ans- Reports sclera are yellow A client is receiving orlistat (Xenical) 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? Ans- BMI 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? Ans- Explain that this effect reduces serum ammonia levels. 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? Ans- Apical pulse of 52bpm A client receiving filgrastim (Neupogen) reports increasing bone pain. What action should the nurse implement? Ans- Administer a prescribed PRN analgesic A Schiz patient on Risperidone making funny body movements...? Ans- Give Benztropine A client is taking Isotretion for acne. What should the nurse advise? Ans- Consider a different job other than a lifeguard A male client who is currently receiving methadone (Dolophine) 10mg q8hrs reports that his pain is an 8 on a scale of 1 to 10. Which action should the nurse implement? Ans- Give the PRN dose of Morphine for break-through pain Miotics....? Ans- decrease night vision 100 ml infuse at 3ml/min. How many ml/hr? Ans- 180 A client has a prescription for Tamsulosin, what is the priority teaching before administering this medication? Ans- Call for assistance when needing to go to the bathroom A patient is scheduled for a CT Scan with contrast. What in the patient's history would cause the nurse to notify the HCP?. Ans- Patient takes Metformin A patient in the hospital tells the nurse that she does not want to take her Carafate until after she eats. What should the nurse instruct the patient to do? Ans- Explain the importance of taking the medication 1 hour before meals A patient had Succinylcholine during surgery. What should the nurse report post op? Ans- Ventricular Tachycardia A client has been taking insulin for years. The HCP has prescribed Gargline so what should the nurse teach? Ans- Self injections What should the nurse report for a patient taking Cefoxitin? Ans- Rash 31The nursing is evaluating the prescribe medication Prednisolone. The patient reports that she has not seen any improvement by using this medication. What should the nurse anticipate? Ans- The HCP to adjust the dosage of the medication A patient is on IV Nitroglycerin suddenly develops a severe headache. What is the nursing first priority? Ans- Reevaluate the blood pressure How does Bactrim work? Ans- Both of these medications provide a synergistic effect to reduce bacteria What's the purpose of Phenazopyridine? Ans- Stop the burning A patient prescribed Pregabalin presents with Tremors. What should the nurse do? Ans- Notify the HCP Which drug can cause AKI (Acute kidney injury)? Ans- Vancomycin Order of 1,000,000 units. Available is 1,200,000 per 2ml. How many ml should the nurse administer? Ans- 1,000,000/1,200,000 * 2= 1.7ml The nurse is monitor labs for a patient who is taking statins. Which lab should the nurse observe? AnsLiver enzymes What teaching does the nurse need to provide for a patient prescribed Elixir? Ans- Use straw What should the nurse teach a patient who is prescribed Ciprofloxacin? ALL THAT APLLY Ans- Increase fluids, limit sun exposure, and report swollen tendons Which data indicate the Epoetin is effective? Ans- Hemoglobin is 12 What should the nurse monitor for a patient taking Propylthiouracil? Ans- Monitor white blood cells What does the nurse need to report after a patient has taken Al