HESI Pharm 2023 with complete solution questions and and answers

A client newly diagnosed with type 2 diabetes is receiving glyburide (Micronase) and asks the nurse how this drug works. How should the nurse respond? It stimulates the pancreas to produce insulin A client with schizophrenia is prescribed antipsychotic medication. During the follow-up visit, the primary health-care provider (PHP) administers parenteral diphenhydramine to the client. Which symptom required the administration of parenteral diphenhydramine by the PHP? Lip smacking and tongue protrusion What dietary choices should the nurse instruct the client taking spironolactone to avoid increasing? Potatoes, Cantaloupe The health care provider prescribes donepezil (Aricept) 5 mg by mouth once a day for a client exhibiting initial signs of dementia of the Alzheimer type. The client is already taking digoxin (Lanoxin) 0.125 mg in the morning and alprazolam (Xanax) 0.5 mg twice a day. What should the nurse teach the client's spouse to do? Prefill a weekly drug box with the medications for the spouse to self-administer Which medications are associated commonly with upper gastrointestinal (GI) bleeding? Aspirin, Ibuprofen, Methylpredisolone A client is admitted to the hospital with a diagnosis of an exacerbation of asthma. What should the nurse plan to do to best help this client? Give prescribed drugs to promote bronchiolar dilation. What are the desired outcomes that the nurse expects when administering a nonsteroidal antiinflammatory drug (NSAID)? Pain Reliefe, Antipyresis, Reduced Inflammation A client diagnosed with Paget's disease is prescribed zoledronic acid. Which assessments should be performed before initiating therapy? Serum Creatinine, Dental Exam A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth three times a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statement? I need to have my blood work checked periodically. A client with heart failure is receiving digoxin and hydrochlorothiazide. The nurse will assess for which signs and symptoms that indicate digoxin toxicity? Nausea, Yellow Vision, Irregular Pulse A nurse is teaching a female client about using oral contraceptives and when to report complications. What clinical findings should alert the client to stop taking the contraceptive and notify the health care provider immediately? Headaches, Visual Disturbances A woman has been administered prostaglandin E2 as a part of a treatment to induce labor. Which factor determines if an infusion with oxytocin should be continued? One contraction every three minutes A nurse is caring for a client who is receiving IV magnesium sulfate for preeclampsia. At 37 weeks' gestation she gives birth to an infant weighing 4 lb. What clinical finding in the newborn may indicate magnesium sulfate toxicity? Hypotonia A nurse is teaching a prenatal class about the types of pain blocks that provide perineal anesthesia during labor. Which type of pain block should the nurse include in the discussion that will provide perineal anesthesia but allow the client to feel contractions and push during the second stage of labor? Pudendal Upon assessment, the primary healthcare provider finds that the client is experiencing weight gain as well as elevated lipid and blood glucose levels. Which drugs in the client's prescription list are most likely to cause these metabolic side effects? Clozapine, Olanzapine The nurse concludes that a client with glaucoma needs education when the client makes which statement? It is dangerous for me to use sedatives A 29-week-pregnant woman is found to have uterine contractions. Which medication does the primary healthcare provider prescribe? Indomethacin A nurse is caring for a client who is addicted to opioids and who has undergone major surgery. The client is receiving methadone. What is the purpose of this medication? Switches the user from illicit opioid use to use of a legal drug A nurse assesses a primigravida who has been in labor for 5 hours. The fetal heart rate tracing is reassuring. Contractions, which are of mild intensity, are lasting 30 seconds and are 3 to 5 minutes apart. An oxytocin infusion is prescribed. What is the priority nursing intervention at this time? Infusing oxytocin by piggybacking into the primary line What complication should a nurse be alert for in a client receiving an oxytocin (Pitocin) infusion to induce labor? Uterine tetany A healthcare provider prescribes lithium carbonate for a client with bipolar disorder, depressive episode. What instructions will the nurse include when teaching the client about lithium? Take with food, It make take several weeks for benefits to occur, Do not restrict your dietary sodium A nurse administers the prescribed regular insulin to a client in diabetic ketoacidosis. In addition, an intravenous (IV) solution with potassium is prescribed even though the serum potassium level is within normal limits. What does the nurse recognize as the reason for potassium administration? Serum potassium levels will decrease as potassium ions shift from the extracellular fluid to the intracellular fluid compartment. A child who has been undergoing prolonged steroid therapy takes on a cushingoid appearance. What will the nursing evaluation probably reveal? Trunkal Obesity, Thin Extremeties A client with a large fetus is to have a pudendal block during the second stage of labor. What does the nurse plan to instruct the client about the effectiveness of the block? Perineal pain will not be felt, The bearing-down reflex will be diminished A nurse at a women's health clinic confirms that client teaching regarding the use of an oral contraceptive is understood when the client makes which statement? "I will put a baby's picture on my bathroom mirror so I'll see it every morning A client with myasthenia gravis who is taking a cholinesterase inhibitor is admitted to the emergency department in crisis. Which medication does the nurse anticipate the provider to prescribe in order to differentiate between myasthenic crisis and cholinergic crisis? Edrophonium chloride (Tensilon) A client is taking an antithyroid medication for hyperthyroidism. The nurse provides education about serious health problems that may develop if the medication is not effective and tachycardia continues. The nurse instructs the client to seek medical attention immediately if any of the problems occur. Which should be included in the teaching? Weight gain, Pedal edema A health care provider has prescribed isoniazid (Laniazid) for a client. Which instruction should the nurse give the client about this medication? Drinking alcohol daily can cause drug-induced hepatitis A nurse needs to administer fluid in a severely burned child of 2 years, but the peripheral vein is obscured. Which other route should the nurse use? Intraosseous A pregnant client states to the nurse, "I have been advised to take an over-the-counter medication for the flu. The drug label says it is a category B drug." How should the nurse respond to these statements? This drug does not show risks to an animal fetus so you can safely take it while pregnant. A client with gastroesophageal reflux disease (GERD) receives a prescription for an H2 receptor antagonist. Which medications are within the classification of an H2 receptor antagonist? Ranitidine, Famotadine, Nizatidine Despite receiving 2900 mL intake for two days, the client's urine output has progressively diminished. The nurse identifies that the urinary output is less than 40 mL/hr over the past three hours. What action should the nurse take? Assess breath sounds and obtain vital signs A client with stage III-B Hodgkin disease is started on chemotherapy. The nurse teaches the client to notify the health care provider to seek treatment for which response to chemotherapy? Sores in mouth A school-aged child with a seizure disorder has been taking carbamazepine (Tegretol) for 3 years. What nursing intervention is most important at this time? Monitoring the child's complete blood cell counts A client who is addicted to opioids undergoes emergency surgery. During the postoperative period the health care provider decreases the previously prescribed methadone dosage. For what clinical manifestations should the nurse monitor the client? Agitation and attempts to escape from the hospital A client is diagnosed with tuberculosis associated with human immunodeficiency virus (HIV) infection. What crucial laboratory test results should the nurse review before antitubercular pharmacotherapy is started? LFTs The alkylating agent cyclophosphamide (Cytoxan) is prescribed for a school-aged child with cancer. What is the most important sign or symptom for the nurse to be alert for while the child is receiving this medication? Pain with urination A nurse is caring for a client recently diagnosed with type 1 diabetes. When assessing the client for an insulin reaction, what will the nurse look for? Headache, Diaphoresis, Nervousness Which tocolytic agent can be used safely without combining with other agents to inhibit labor and maintain a pregnancy? Nifedipine A client with heart failure is digitalized (given a loading dose of digoxin) and placed on a maintenance dose of digoxin 0.25 mg by mouth daily. What responses does the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved? Diuresis and decreased pulse rate A nurse is reviewing the admission laboratory report of an infant with severe gastroenteritis. The serum potassium is 3 mEq/L. Potassium chloride 20 mEq/L is prescribed to be added to the infant's intravenous (IV) line. What should the nurse do next? Find out when the infant last had a wet diaper A practical nurse teaches a client with rheumatoid arthritis about precautions to be taken during the intake of methotrexate. Which statements made by the client indicates effective learning? Drink lots of water, Avoid becoming pregnant A client develops a seizure disorder as a result of a traumatic fall. When the client returns to the clinic for a routine visit, the client states, "I have not had a seizure in two years. When can I stop taking my anti-seizure medications?" What is the nurse's best response? "A gradual reduction in seizure medication may be considered." A client is scheduled for a 6-week electroconvulsive therapy (ECT) treatment program. What intervention is important during the course of treatment? Elimination of benzodiazepines for nighttime sedation A nurse is couseling a pregnant client with sickle cell anemia about the importance of taking supplemental folic acid. How does folic acid help this client? Promotes production of hemoglobin A client with burns is to receive the exposure method of treatment with application of mafenide twice a day. With this type of treatment the nurse plans to do what? Administer prescribed pain medication A hospitalized client is receiving pyridostigmine for control of myasthenia gravis. In the middle of the night, the nurse finds the client weak and barely able to move. Which additional clinical findings support the conclusion that these responses are related to pyridostigmine? Respiratory depression, Decreased bp, High-pitched gurgling bowel sounds A nurse concludes that a client has a hypoglycemic reaction to insulin. Which clinical findings support this conclusion? Irritability, Heart palpitations Before the administration of Rho(D) immune globulin (RhoGAM) the nurse reviews the laboratory data of a pregnant client. Which blood type and Coombs test result must a pregnant woman have to receive RhoGAM after giving birth? Rh-negative and Coombs negative The nurse is monitoring a client who is having a third transfusion of packed red blood cells. Which of these may be evident if the client is experiencing a febrile transfusion reaction? Chills, Hypotension, Tachycardia What are the clinical indicators that a nurse expects when an intravenous (IV) line has infiltrated? Pallor, Edema, Decreased glow rate What is the planned effect of naloxone when it is administered for a heroin overdose? To compete with opioids for receptors that control respiration What intrauterine medication exposure may lead to the child being born with a cleft lip? The mother was on nitrofurantoin therapy. Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the nurse what this medication does. How does the nurse respond? "It inhibits gastric acid secretion." Immediately after a client has completed the third stage of labor, the nurse adds the prescribed 10 units of oxytocin to the intravenous line. What is the desired response to this medication? Prevention of the occurrence of profuse bleeding after placental separation A client has been taking levothyroxine (Synthroid) for hypothyroidism for three weeks. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? Tremors, Heat intolerance A nurse is caring for a client whose laboratory values indicate the presence of hyponatremia. For which risk factors should the nurse assess the client that most likely may have caused the hyponatremia? Rapid IV infusion of 5% dextrose in water, Diaphoresis Which nursing interventions would help to ensure the safe administration of antiepileptics to children? Avoid carbonated beverages while taking valproic acid, Use a graduated device to deliver an oral dose, Encourage the wearing of a medical alert bracelet, Maintain a record of symptoms of seizures before, during, and after treatment with anti-epileptics A client is admitted to the psychiatric hospital with a diagnosis of obsessive-compulsive disorder. The client's anxiety level is approaching a panic level, and the client's ritual is interfering with work and daily living. Which selective serotonin reuptake inhibitor (SSRI) should the nurse anticipate that the health care provider may prescribe? Fluvoxamine (Luvox) A health care provider prescribes steroid therapy for a four-year-old child who has nephrotic syndrome. What goal of this treatment does the nurse explain to the child's parents? Stimulates diuresis A primary healthcare provider prescribes carbamazepine for a client. The nurse teaches the client about effects of the drug that should be reported to the primary healthcare provider. Which effects does the nurse include? Nausea and vomiting, Unusual bleeding or bruising A client with type 1 diabetes comes to the clinic because of concerns regarding erratic control of blood glucose with the prescribed insulin therapy. The client has been experiencing a sudden fall in the blood glucose level, followed by a sudden episode of hyperglycemia. Which complication of insulin therapy should the nurse conclude that the client is experiencing? Somogyi effect Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the next nursing action? Stop the transfusion What potentially dangerous adverse effect of an intravenous titrated drip of lidocaine should the nurse immediately report to the healthcare provider? Tremors Amlodipine (Norvasc) is prescribed for a client with hypertension. Which response to the medication should the nurse instruct the client to report to the health care provider? Difficulty breathing The nurse prepares an intravenous solution of lactated Ringer solution to replace the T-tube output of a client who had a cholecystectomy and common bile duct exploration. Which condition will improve if the administration of lactated Ringer solution is effective? Metabolic acidosis A nurse is reviewing a plan of care for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which prescription should the nurse question? Parenteral albumin (Albuminar) A 3-year-old child is to receive a liquid iron preparation. What should the nurse teach the mother regarding this medication? Have the child drink the diluted iron preparation through a straw. Steroid therapy is prescribed for a client with an exacerbation of ulcerative colitis. The nurse evaluates that teaching is effective when the client identifies which times for the medication schedule? In the early morning with food A client asks the nurse what she should do if she forgets to take her contraceptive pill one day. How should the nurse respond? "On the next day take one pill in the morning and one before bedtime." A pregnant client at 30 weeks' gestation begins to experience contractions every 5 to 7 minutes. She is admitted with a diagnosis of preterm labor. Although the client is being given tocolytic therapy her cervix continues to dilate, and it is determined that a preterm birth is inevitable. Which medication does the nurse expect the health care provider to prescribe? Dexamethasone What antidote to the side effects of terbutaline (Brethine) should a nurse have available? Propranolol (Inderal) A client is receiving furosemide (Lasix). For which sign of hypokalemia should the nurse monitor the client? Flabby muscles Which drug does a nurse anticipate may be prescribed to produce diuresis and inhibit formation of aqueous humor for a client with glaucoma? AcetaZOLAMIDE (Diamox) An estrogen-progestin oral contraceptive is prescribed for a client. Which adverse effects should the nurse teach the client to report to the health care provider? Chest pain, Breast soreness, Calf tenderness A nurse is administering hydroxyzine (Vistaril) to a client. For which common side effects of this drug should the nurse monitor the client? Drowsiness and dry mouth A female client has severe cramping, pain, backache, and a migraine headache that presents with anxiety and mood swings. Which medication does the nurse think will be prescribed first to reduce the symptoms? Sertraline A 5-year-old child is receiving dactinomycin (Cosmegen) and doxorubicin therapy after nephrectomy for Wilms tumor. What intervention should the nurse include when planning care? Offering warm saline mouthwash A young adult client with schizophrenia is prescribed haloperidol. When the nurse administers the medication, the client asks, "What's this for?" The nurse responds that the medication has which effect? Helps the client relax and think more clearly In which clinical situation would cervical ripening drugs be prescribed to pregnant women? The cervical status indicates a Bishop score of 6. A client diagnosed with gastroesophageal reflux disease (GERD) is being treated with antacid therapy. When teaching the client about the therapy, the nurse reinforces what about antacid tablets? They are known to interfere with the absorption of other drugs. A client with systemic lupus erythematosus (SLE) is at 39 weeks gestation. What does the nurse anticipate regarding this client? A need to discontinue the client's salicylate therapy A client is diagnosed with acute lymphoid leukemia and is receiving chemotherapy. The nurse should monitor what thrombocytopenic side effects of chemotherapy? Purpura, Hematuria, Melena The nurse provides discharge medication education to a client who has been switched from a prescription for heparin to a prescription for warfarin sodium (Coumadin). The nurse concludes that the teaching was effective when the client states what? "I will take acetaminophen (Tylenol) for my occasional headaches." A client who takes high-dose aspirin for arthritis has an acute episode of right ventricular heart failure. The healthcare provider prescribes furosemide and lowers the client's usual dosage of aspirin. The client asks the nurse the reason for the lower dose. On what principle does the nurse base a response? Competition for renal excretion sites by the drugs causes increased serum levels of aspirin. A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. The nurse concludes that the medication is appropriate for this client because it does what? Restores the dopamine levels in the brain A 7-year-old child contracts a urinary tract infection. A sulfonamide preparation is prescribed. What is the prioritynursing responsibility when the nurse is administering this drug? Administering the drug at the prescribed times A nurse administers trimethoprim-sulfamethoxazole (Bactrim) to a client diagnosed with a urinary tract infection. What should the nurse monitor to determine the therapeutic effectiveness of the drug? WBC A client is receiving morphine sulfate for severe metastatic bone pain. What should the nurse do to prevent complications from a common, serious side effect of morphine? Assess for altered breathing patterns Imipramine, 75 mg three times per day, is prescribed for a client. What nursing action is appropriate when this medication is being administered? Having the client checked for increased intraocular pressure and teaching about symptoms of glaucoma The postoperative prescriptions for a client who had repair of an inguinal hernia include docusate sodium (Colace) daily. Before discharge, what does the nurse teach the client that an intermittent side effect of this medication may be? Mild abdominal cramping A health care provider in the emergency department identifies that a client is in mild hypovolemic shock. Which type of drug should the nurse anticipate will be prescribed? Sympathomimetic Permethrin 1% lotion (Nix) is prescribed for a 5-year-old child with pediculosis capitis (head lice). What instruction should the nurse include while teaching the parents about treating the head lice? The child's hair must be combed with a fine-toothed comb to remove nits. A client is started on fluphenazine decanoate. What does the nurse emphasize when teaching the client about taking this medication? Sunscreen should be used for outdoor activities A client reports fatigue and dyspnea and appears pale. The nurse questions the client about medications currently being taken. In light of the symptoms, which medication causes the nurse to be most concerned? Methyldopa The nurse is caring for a child with a very low platelet count related to chemotherapy. The nurse should monitor this child's urine for the presence of what? Erythrocytes A client with type 2 diabetes is taking one oral hypoglycemic tablet daily. The client asks whether an extra pill should be taken before exercise. What is the best response by the nurse? "No, but you should observe for signs of hypoglycemia while exercising." A local anesthetic (pudendal block) is administered to a client as second-stage labor begins. For what side effect does the nurse monitor for the client? Decreased blood pressure Bupropion has a unique side effect not shared by most other drugs of its class. The nurse will assess the client for which unique possible side effect of this drug? Generalized seizures The alkylating agent cyclophosphamide is prescribed for a school-aged child with cancer. What is the most important sign or symptom for the nurse to be alert for while the child is receiving this medication? Pain with urination Which instructions should the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine (Questran)? "Increase your intake of fiber and fluid." Akathisia An extrapyramidal side effect of typical antipsychotics, is motor restlessness. The client is unable to sit or stand still and feels the need to move, pace, rock, swing the legs, or tap the feet. The condition occurs within 5 to 90 days of the initiation of therapy. Allopurinol (Zyloprim) is prescribed for a 6-year-old child undergoing chemotherapy regimen for cancer of the bone. When given the medication, the child asks, "Why do I have to take this pill?" What is the best response by the nurse? "Because with the other medicines it helps you get rid of the things that are making you sick." A health care provider prescribes bisacodyl (Dulcolax) for a client with cardiac disease. The nurse explains to the client that this drug acts by doing what? Stimulating peristalsis The parents of a school-aged child with cystic fibrosis tell the nurse that they have changed to natural pancreatic enzymes because of money issues. What is an appropriate response by the nurse? "Natural enzymes are not as effective as the brand-name product." The nurse knows that when a magnesium sulfate infusion is given to a client with preeclampsia, it can build to a toxic level. Which assessment finding should prompt the nurse to withhold the medication and notify the primary healthcare provider? Absence of deep tendon reflexes A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate toxicity? Calcium gluconate A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole. What purpose does the nurse provide? To treat Helicobacter pylori infection Which teratogenic effect is seen due to lithium? Ebstein anomaly (cardiac defects) A nurse is caring for several clients who have severe psychiatric disorders. What is the major reason a health care provider prescribes an antipsychotic medication for these clients? To reduce the positive symptoms of psychosis A family member of a client with a hemorrhagic stroke asks about anticoagulant therapy. The nurse explains what about anticoagulant therapy for the client? It is contraindicated because it will increase bleeding An infertile client is found to have a hormonal deficiency at the pituitary level. Which fertility drug may be prescribed to treat infertility? Menotropin Which cardiovascular adverse effect is associated with the use of clomiphene? Tachycardia A client is diagnosed with myasthenia gravis, and the anticholinesterase medication pyridostigmine is prescribed. When teaching the client about this medication, the nurse explains that the desired effect is to increase what? Contraction of skeletal muscles A nurse concludes that the simvastatin (Zocor) being administered to a client is effective. A decrease in what clinical finding supports this conclusion? Triglycerides After 18 months of unsuccessful attempts at conception by a client, primary infertility related to anovulatory cycles is diagnosed. Clomiphene citrate (Clomid) is prescribed. The nurse concludes that the client understands the teaching about the correct time to take the clomiphene when the she makes which statement? "I'll start the pills on the fifth day of my cycle." Which medication does the nurse anticipate will be prescribed to relieve anxiety and apprehension in a client with pulmonary edema? Morphine A client in her 30th week of gestation is in preterm labor, and the practitioner prescribes betamethasone (Celestone). The client asks the nurse why she is being given this drug. As a basis for the response the nurse takes what into consideration? It promotes neonatal pulmonary maturity A client with schizophrenia is taking benztropine in conjunction with an antipsychotic. The client tells a nurse, "Sometimes I forget to take the benztropine." What will the nurse teach the client to do if this happens again? Take a dose as soon as possible, up to 2 hours before the next dose. A client receives information about rifampin for tuberculosis. Which statements indicate that the client understands this information? "This drug may be hard on my liver so I must avoid alcoholic drinks while taking it.", "This drug may reduce the effectiveness of the oral contraceptive I am taking.", "My health care provider must be called immediately if my eyes and skin become yellow." A nurse is caring for a client who is scheduled to undergo radiation therapy as a palliative treatment for advanced-stage breast cancer. A family member asks the nurse, "What is the expected outcome of the therapy?" Which is the most appropriate response by the nurse? "This therapy will reduce the pain caused by local recurrence and metastasis." A client with phosphate-based urinary calculi asks why aluminum hydroxide gel has been prescribed. The nurse explains that the medication decreases serum phosphorus by which action? Binding with phosphorus in the intestine A client with a history of type 1 diabetes is diagnosed with heart failure. Digoxin (Lanoxin) is prescribed. What should the nurse do when administering the medication? Monitor the client for atrial fibrillation and first-degree heart block A healthcare provider prescribes tolterodine for a client with an overactive bladder. What is most important for the nurse to teach the client to do? Avoid activities requiring alertness until the response to medication is known. A client starting her second trimester asks a nurse in the prenatal clinic whether she can safely take an over-the-counter (OTC) medicine now that she is past the first 3 months of pregnancy. The nurse explains why she should consult with her health care provider before taking any oral medications. What physiological alteration associated with pregnancy may change the client's response to medication? Longer gastrointestinal emptying time What is the most appropriate time for the nurse to administer an intravenous opioid analgesic to a client in active labor? When a contraction starts An agitated, acting-out, delusional patient is receiving large doses of haloperidol (Haldol), and the nurse is concerned because this drug can produce untoward side effects. Which clinical manifestations should alert the nurse to stop the drug immediately? Jaundice, Tachycardia A client at 31 weeks' gestation is admitted in preterm labor. She asks the nurse whether there is any medication that can stop the contractions. What is the nurse's response? "A beta-adrenergic." A client with a recent history of sinusitis develops meningitis and demonstrates a positive Brudzinski sign. What is the priority nursing care? Administering prescribed antibiotics A client is admitted to the hospital with a diagnosis of acute salmonellosis. What does the nurse expect the health care provider to prescribe? Electrolytes Which conditions may result in the decreased effectiveness of estrogen therapy? Habit of smoking, Use of anticoagulants A client with newly diagnosed hyperthyroidism is treated with propylthiouracil, an antithyroid drug, along with potassium iodide. What should the nurse take into consideration when caring for the client? Monitoring for signs of infection or bleeding is necessary. A client with schizophrenia is started on an antipsychotic/neuroleptic medication. The nurse explains to a family member that this drug primarily is used to do what? Make the client more receptive to psychotherapy A client begins fighting and biting other clients. The practitioner prescribes a stat injection of haloperidol (Haldol). How should the nurse implement this prescription? Quickly, with an attitude of concern When a client has gluteal edema, why should the nurse avoid using the gluteus maximus muscle for administration of intramuscular medications? Blood supply is insufficient for adequate absorption A client with schizophrenia is actively psychotic, and a new medication regimen is prescribed. A student nurse asks the nurse, "Which of the medications will be the most helpful against the psychotic signs and symptoms?" What response should the nurse give? Ziprasidone (Geodon) A client in preterm labor is receiving subcutaneous terbutaline (Brethine) tocolytic therapy. Which nursing action is the most important during the initial administration of this medication? Assessing the client's pulse rate continuously A nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication should the nurse expect to be prescribed for this client on the day of surgery and in the immediate postoperative period? Hydrocortisone succinate A client has been taking prescribed risperidone (Risperdal) 3 mg twice a day for the past 8 days. A friend brings the client to the outpatient clinic. The client reports tremors, shortness of breath, a fever, and sweating. What should the nurse do? Take the client's vital signs and arrange for immediate transfer to a hospital Sildenafil (Viagra) is prescribed for a man with erectile dysfunction. A nurse teaches the client about common side effects of this drug. Flushing, Headache, Dyspepsia A client with diabetes asks how exercise will affect insulin and dietary needs. How should the nurse respond? Exercise increases the need for carbohydrates and decreases the need for insulin." A neuromuscular blocking agent is administered to a client before electroconvulsive therapy. At this time, what should the nurse monitor the client for? Respiratory difficulties A client with mild Alzheimer disease has been taking galantamine, and the primary healthcare provider prescribes paroxetine for depression. For what effect will a nurse assess the client when these medications are taken concurrently? Additive A client with depression is to be given fluoxetine (Prozac). What precaution should the nurse consider when initiating treatment with this drug? The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks. A postmenopausal woman has been administered raloxifene for osteoporosis. Which parameter should be assessed to ensure the efficacy of the drug and thus its continuation of use? Bone density A client has acute tubulointerstitial renal disease and is experiencing fluid and electrolyte imbalances. The client is confused and complains of nausea and muscle weakness. What does the nurse anticipate will be prescribed to help correct the electrolyte imbalance associated with this diagnosis? Administer a cation-exchange resin. A nurse is caring for a client who is being given intravenous magnesium sulfate to treat preeclampsia. Which adverse side effect alerts the nurse to notify the health care provider? Urine output of less than 100 mL in 4 hours A client's cells are deprived of oxygen during a cardiac arrest. What medication should the nurse be prepared to administer? Sodium bicarbonate A woman who underwent infertility treatment is pregnant with twins. Which drug might have been responsible? Clomiphene A client with a long history of alcohol abuse develops acute pancreatitis. What should be done to best prevent stimulation of the pancreas? Administer the histamine H2-receptor antagonist a