RN EXIT HESI- PHARM 2024 Questions with 100% Complete Solutions

A client taking atorvastatin may experience an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem? A. Muscle tenderness. B. Nausea and vomiting. C. Excessive bruising. D. Peripheral edema.A. Muscle tenderness. Which serum laboratory value increase indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease? A. LDL (Low-density lipoprotein) B. Triglycerides (Type of fat) C. HDL (High-density lipoprotein) D. VLDL (Very low-density lipoprotein)C. HDL (High-density lipoprotein) NGN - Patient Data History and Physical: The patient is a 36-year-old female with moderate persistent asthma. She is prescribed fluticasone/salmeterol 250 mcg/50 mcg, to be inhaled twice daily, and albuterol 90 mcg/inhalation, 2 inhalations every 4-6 hours as needed. Nurses' Notes: The patient reported experiencing more severe asthma symptoms than usual over the past week. Despite using multiple doses of albuterol for several days, her forced expiratory volume remained at 60-65%. Upon arrival at the hospital, she complained of feeling dizzy and lightheaded, and reported experiencing "heart palpitations". During assessment, no wheezes were detected, and her oxygen saturation level was at 99%. Review H and P, and nurse’s note. Identify from the choices below which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress. Potential Condition: Methemoglobinemia Actions to Take: 1. Draw blood for a complete blood count 2. Administer methylene blue Parameters to Monitor: 1. Methemoglobin level 2. Heart rate and rhythm The nurse provided discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth three times a day for post-herpetic neuralgia. Which symptoms should the nurse tell the client to report to the healthcare provider? A. Sexual dysfunction B. Gastric irritation C. Rapid weight gain D. PhotosensitivityB. Gastric irritation A patient with chronic lower back pain has been taking the nonsteroidal anti-inflammatory drug ibuprofen orally twice a day for several months. Which assessment is most important for the nurse to complete? A. Assess back pain using a numeric scale B. Palpate volume of pedal pulses C. Determine presence of abdominal pain D. Evaluate ongoing sleep patternsC. Determine presence of abdominal pain At 0700, the nurse gives risedronate to a client with osteoporosis. The client requests a glass of milk to drink with the medication. What should the nurse do? A. Advise the client to only take the medication with water. B. Ask a non-licensed assistant to bring the client a glass of low-fat milk. C. Postpone the medication until the client's breakfast tray is available on the unit. D. Discuss with a pharmacist about scheduling the dose one hour after the client eats.A. Instruct the client that it is necessary to take nothing but water with the medication. Which action should the nurse implement to assess the effectiveness of calcium channel blocker amlodipine? A. Note the clients serum calcium levels B. Monitor the clients serum electrolytes C. Review the clients intake and output D. Measure the clients blood pressure D. Measure the clients blood pressure A client is receiving tamsulosin an alpha adrenergic - blocking agent for the management of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? A. Use a twice a week dosing schedule B. Stand and sit up slowly C. Take the medication early in the day D. Reduce daily fluid intake B. Stand and sit up slowly