Pharm HESI 1 12023 with verified questions and answers

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 What are some common side effects of antidepressants? Blurred vision, dry ,mouth, constipation A client is discharged with a prescription for warfarin. What discharge instructions should the nurse emphasize? 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? Toasted wheat bread and jelly A patient was given a dose of Trimethobenzamide is sedated but easily aroused. What should the nurse do? Allow the patient to rest A client is having an acute asthma attack. What medication to administer? Pirbuterol The nurse is assessing the clinet's INR which is 20. What is the nurse's priority? Give Vitamin K A client is being educated on benedryl. What is the most important teaching? Avoid driving A client complaints about upset stomach when taking Resedronate. What will the nurse ask the client? How how does she take the medication How does the nurse know that Kayexalate is effective? K+ 3.8 Mucomyst ... 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 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? 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? Notify the healthcare provider of the passage of black stools 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. 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. 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 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 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. 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 52bpm A client receiving filgrastim (Neupogen) reports increasing bone pain. What action should the nurse implement? Administer a prescribed PRN analgesic A Schiz patient on Risperadone making funny body movements...? Give Benzotropine A client is taking Isotretion for acne. What should the nurse advise? Consider a different job other than a lifeguard A client is giving himself a self-injection with Epi-pen. The nurse should intervene if Client cleans the Epi-pen for reuse 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? Give the PRN dose of Morphine for break-through pain Miotics....? decrease night vision 100 ml infuse at 3ml/min. How many ml/hr? 180 A client has a prescription for Tamsulosin, what is the priority teaching before administering this medication? 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?. 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? Explain the importance of taking the medication 1 hour before meals A patient had Succinycholine during surgery. What should the nurse report post op? Ventricular Tachycardia A client has been taking insulin for years. The HCP has prescribed Gargline so what should the nurse teach? Self injections What should the nurse report for a patient taking Cefoxitin? Rash The 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? 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? Reevaluate the blood pressure How does Bactrium work? Both of these medications provide a synergistic effect to reduce bacteria Whats the purpose of Phenazopyridine? Stop the burning A patient prescibed Pregamblin presents with Tremors. What should the nurse do? Notify the HCP Which drug can cause AKI? Vancomycin Order of 1,000,000 units. Available is 1,200,000 per 2ml. How many ml should the nurse administer? 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? Liver enzymes What teaching does the nurse need to provide for a patient prescribed Elixir? Use straw What should the nurse teach a patient who is prescribed Ciprofloxcan? Increase fluids, limit sun exposure, and report swollen tendons Which data indicate the Epoetin is effective? Hemoglobin is 12 What should the nurse monitor for a patient taking Propythiouracil? Monitor white blood cells What does the nurse need to report after a patient has taken Albuterol? Rapid, irregular heartbeat What's the purpose of Probenicid? Promote excretion of uric acid through the urine A patient has been taking Feverfew which is a herbal. What should the nurse teach the patient about taking herbal medications? May interact with Aspirin and NSAIDs What is a priority when caring for a patient with an Epidural infusion? Monitor O2 with oximeter probe Post-op a patient complaint that the Scopclamine is not working for pain. How should the nurse respond? Inform the patient that it is not for pain... nausea & vomiting What is a side effect of Verapamil? Constipation What's a common side effect of Rivastigmine ?? A patient is administer Codeine and Tylenol for pain. What should the nurse instruct the patient to do? Request assistance How should a patient use the meterdose inhaler? Activate with a slow deep breath Glucosamine...? Decrease Pain