HESI Pharmacology Exam V3| 2023 / 2024 Update | Questions and Verified Answers (55 Q & A)

HESI Pharmacology Exam V3| 2023 / 2024 Update | Questions and Verified Answers (55 Q & A) QUESTION a client with heart failure, who is taking furosemide, complains of muscle cramps and weakness in the lower extremities. Which action should the nurse implement? Collect blood for serum electrolytes Encourage the use of salt with meals Restrict potassium rich foods Stretch the foot into dorsiflexoin Answer: Collect blood for serum electrolytes QUESTION a client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/min and blood pressure is 138/86 mmhg. A transdermal nitriglycerin that was applied 30 min ago to the right upper chest. Which action should the nurse take? Obtain another transdermal patch and position it on the clients left upper chest Reassure the client that the patch will begin to take effect within a few minutes Leave the patch in place and administer a PRN dose of sublingual nitroglycerin Withhold further doses of nitroglycerin until contacting the healthcare provider Answer: Leave the patch in place and administer a PRN dose of sublingual nitroglycerin QUESTION the nurse is caring for an adult client who is taking digoxin . Which lab value should be reported to the healthcare provider immediately? Potassium level of 3.2 Creatine level 0.8 Digoxin level of 1.1 Sodium level of 135 Answer: Potassium level of 3.2 QUESTION a client who has recently diagnosed with multiple sclerosis self administers the first dose of interferon alfa while the clinic nurse supervises. When assessing the client after the injection, which finding requires the most immediate intervention by the nurse? Pain at the injection site Anxiety and nervousness Swelling of lips and tongue Nausea and headache Answer: Swelling of lips and tongue QUESTION a postoperative male client asks the nurse to bring the largest possible dose of prescribed narcotic. Which action should the nurse implement first? Determine when the last dose was administered Ask the client to describe his current pain using the pain scale Review the history for past use of recreational drugs Encourage the client to use diversional thoughts to manage pain Answer: Ask the client to describe his current pain scale QUESTION a nurse administered a second dose of an opioid containing codeine and acetaminophen to a client fifteen min after the first dose was administered by another nurse, because the first dose was not documented in the medication record. Which intervention is most important for the nurse to implement ? Obtain serum cover enzyme panel Complete a medication error form Assess the clients pain on a 10 point scale Evaluate the clients vital signs Answer: Evaluate the clients vital signs