HESI Pharmacology Spring 2023/2024 Test
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1) A nurse is caring for a client with hyperparathyroidism and notes that
the client's serum calcium level is 13 mg/dL. Which medication should the
nurse prepare to administer as prescribed to the client?
1.Calcium chloride
2.Calcium gluconate
3.Calcitonin (Miacalcin)
4.Large doses of vitamin D 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium chloride are
medications used for the treatment of tetany, which occurs as a result of
acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be
avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium
level by inhibiting bone resorption and lowering the serum calcium
concentration.
10.) The clinic nurse is performing an admission assessment on a client. The
nurse notes that the client is taking azelaic acid (Azelex). Because of the
medication prescription, the nurse would suspect that the client is being
treated for:
1.Acne
2.Eczema
HESI Pharmacology Spring 2023/2024 Test
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3.Hair loss
4.Herpes simplex 1. Acne
Rationale:
Azelaic acid is a topical medication used to treat mild to moderate acne.
The acid appears to work by suppressing the growth of Propionibacterium
acnes and decreasing the proliferation of keratinocytes. Options 2, 3, and 4
are incorrect.
100.) Saquinavir (Invirase) is prescribed for the client who is human
immunodeficiency virus seropositive. The nurse reinforces medication
instructions and tells the client to:
1.Avoid sun exposure.
2.Eat low-calorie foods.
3.Eat foods that are low in fat.
4.Take the medication on an empty stomach. 1. Avoid sun exposure.
Rationale:
Saquinavir (Invirase) is an antiretroviral (protease inhibitor) used with
other antiretroviral medications to manage human immunodeficiency
virus infection. Saquinavir is administered with meals and is best absorbed
if the client consumes high-calorie, high-fat meals. Saquinavir can cause
photosensitivity, and the nurse should instruct the client to avoid sun
exposure.
101.) Ketoconazole is prescribed for a client with a diagnosis of candidiasis.
Select the interventions that the nurse includes when administering this
HESI Pharmacology Spring 2023/2024 Test
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medication. Select all that apply.
1.Restrict fluid intake.
2.Instruct the client to avoid alcohol.
3.Monitor hepatic and liver function studies.
4.Administer the medication with an antacid.
5.Instruct the client to avoid exposure to the sun.
6.Administer the medication on an empty stomach. 2. Instruct the client
to avoid alcohol.
3. Monitor hepatic and liver function studies.
5. Instruct the client to avoid exposure to the sun.
Rationale:
Ketoconazole is an antifungal medication. It is administered with food (not
on an empty stomach) and antacids are avoided for 2 hours after taking the
medication to ensure absorption. The medication is hepatotoxic and the
nurse monitors liver function studies. The client is instructed to avoid
exposure to the sun because the medication increases photosensitivity.
The client is also instructed to avoid alcohol. There is no reason for the
client to restrict fluid intake. In fact, this could be harmful to the client.
102.) A client with human immunodeficiency virus is taking nevirapine
(Viramune). The nurse should monitor for which adverse effects of the
medication? Select all that apply.
HESI Pharmacology Spring 2023/2024 Test
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1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheral neuropathy
5. Reduced bone mineral density 1. Rash
2. Hepatotoxicity
Rationale:
Nevirapine (Viramune) is a non-nucleoside reverse transcriptase inhibitors
(NRTI) that is used to treat HIV infection. It is used in combination with
other antiretroviral medications to treat HIV. Adverse effects include rash,
Stevens-Johnson syndrome, hepatitis, and increased transaminase levels.
Hyperglycemia, peripheral neuropathy, and reduced bone density are not
adverse effects of this medication.
103.) A nurse is caring for a hospitalized client who has been taking
clozapine (Clozaril) for the treatment of a schizophrenic disorder. Which
laboratory study prescribed for the client will the nurse specifically review
to monitor for an adverse effect associated with the use of this
medication?
1. Platelet count
2. Cholesterol level
3. White blood cell count
HESI Pharmacology Spring 2023/2024 Test
Bank(LatestUpdate):Expert Solved
Bank(LatestUpdate):Expert Solved
1) A nurse is caring for a client with hyperparathyroidism and notes that
the client's serum calcium level is 13 mg/dL. Which medication should the
nurse prepare to administer as prescribed to the client?
1.Calcium chloride
2.Calcium gluconate
3.Calcitonin (Miacalcin)
4.Large doses of vitamin D 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium chloride are
medications used for the treatment of tetany, which occurs as a result of
acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be
avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium
level by inhibiting bone resorption and lowering the serum calcium
concentration.
10.) The clinic nurse is performing an admission assessment on a client. The
nurse notes that the client is taking azelaic acid (Azelex). Because of the
medication prescription, the nurse would suspect that the client is being
treated for:
1.Acne
2.Eczema
HESI Pharmacology Spring 2023/2024 Test
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3.Hair loss
4.Herpes simplex 1. Acne
Rationale:
Azelaic acid is a topical medication used to treat mild to moderate acne.
The acid appears to work by suppressing the growth of Propionibacterium
acnes and decreasing the proliferation of keratinocytes. Options 2, 3, and 4
are incorrect.
100.) Saquinavir (Invirase) is prescribed for the client who is human
immunodeficiency virus seropositive. The nurse reinforces medication
instructions and tells the client to:
1.Avoid sun exposure.
2.Eat low-calorie foods.
3.Eat foods that are low in fat.
4.Take the medication on an empty stomach. 1. Avoid sun exposure.
Rationale:
Saquinavir (Invirase) is an antiretroviral (protease inhibitor) used with
other antiretroviral medications to manage human immunodeficiency
virus infection. Saquinavir is administered with meals and is best absorbed
if the client consumes high-calorie, high-fat meals. Saquinavir can cause
photosensitivity, and the nurse should instruct the client to avoid sun
exposure.
101.) Ketoconazole is prescribed for a client with a diagnosis of candidiasis.
Select the interventions that the nurse includes when administering this
HESI Pharmacology Spring 2023/2024 Test
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, HESI Pharmacology Spring 2023/2024 Test
Bank(LatestUpdate):Expert Solved
medication. Select all that apply.
1.Restrict fluid intake.
2.Instruct the client to avoid alcohol.
3.Monitor hepatic and liver function studies.
4.Administer the medication with an antacid.
5.Instruct the client to avoid exposure to the sun.
6.Administer the medication on an empty stomach. 2. Instruct the client
to avoid alcohol.
3. Monitor hepatic and liver function studies.
5. Instruct the client to avoid exposure to the sun.
Rationale:
Ketoconazole is an antifungal medication. It is administered with food (not
on an empty stomach) and antacids are avoided for 2 hours after taking the
medication to ensure absorption. The medication is hepatotoxic and the
nurse monitors liver function studies. The client is instructed to avoid
exposure to the sun because the medication increases photosensitivity.
The client is also instructed to avoid alcohol. There is no reason for the
client to restrict fluid intake. In fact, this could be harmful to the client.
102.) A client with human immunodeficiency virus is taking nevirapine
(Viramune). The nurse should monitor for which adverse effects of the
medication? Select all that apply.
HESI Pharmacology Spring 2023/2024 Test
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1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheral neuropathy
5. Reduced bone mineral density 1. Rash
2. Hepatotoxicity
Rationale:
Nevirapine (Viramune) is a non-nucleoside reverse transcriptase inhibitors
(NRTI) that is used to treat HIV infection. It is used in combination with
other antiretroviral medications to treat HIV. Adverse effects include rash,
Stevens-Johnson syndrome, hepatitis, and increased transaminase levels.
Hyperglycemia, peripheral neuropathy, and reduced bone density are not
adverse effects of this medication.
103.) A nurse is caring for a hospitalized client who has been taking
clozapine (Clozaril) for the treatment of a schizophrenic disorder. Which
laboratory study prescribed for the client will the nurse specifically review
to monitor for an adverse effect associated with the use of this
medication?
1. Platelet count
2. Cholesterol level
3. White blood cell count
HESI Pharmacology Spring 2023/2024 Test
Bank(LatestUpdate):Expert Solved
