HESI PHARMACOLOGY EXIT|| ACTUAL EXAM AL
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L QUESTIONS AND 100% CORRECT ANSWERS AL
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READY GRADED A+|| LATEST AND COMPLETE 202
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4-
2025 WITH VERIFIED SOLUTIONS|| ASSURED PASS
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!!
1) A nurse is caring for a client with hyperparathyroidism and notes that the client'
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s serum calcium level is 13 mg/dL. Which medication should the nurse prepare to
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madminister as prescribed to the client?
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1. Calcium chloride m
2. Calcium gluconate m
3. Calcitonin (Miacalcin) m
4. Large doses of vitamin D 3. Calcitonin (Miacalcin) Rationale:
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The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
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mhypercalcemia. Calcium gluconate and calcium chloride are medications used fo
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r the treatment of tetany, which occurs as a result of acute hypocalcemia. In hype
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rcalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid hor
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mone, decreases the plasma calcium level by inhibiting bone resorption and lowe
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ring the serum calcium concentration.
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10.) The clinic nurse is performing an admission assessment on a client. The nurs
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e notes that the client is taking azelaic acid (Azelex). Because of the medication
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prescription, the nurse would suspect that the client is being treated for:
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1. Acne
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2. Eczema
3. Hair loss m
4. Herpes simplex m 1. Acne Rationale:
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Azelaic acid is a topical medication used to treat mild to moderate acne. The acid
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mappears to work by suppressing the growth of Propionibacterium acnes and decr
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easing the proliferation of keratinocytes. Options 2, 3, and 4 are incorrect.
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100.) Saquinavir (Invirase) is prescribed for the client who is human immunodefi
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ciency virus seropositive. The nurse reinforces medication instructions and tells th
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e client to:
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1. Avoid sun exposure. m m
2. Eat low-calorie foods.
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3. Eat foods that are low in fat.
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4. Take the medication on an empty stomach.1. Avoid sun exposure.
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Rationale:
Saquinavir (Invirase) is an antiretroviral (protease inhibitor) used with other antiretro
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viral medications to manage human immunodeficiency virus infection. Saquinavir is
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administered with meals and is best absorbed if the client consumes
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high-calorie, high- m
fat meals. Saquinavir can cause photosensitivity, and the nurse should instruct the clie
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nt to avoid sun exposure.
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101.) Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Selec
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t the interventions that the nurse includes when administering this medication. Sele
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ct all that apply.
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1. Restrict fluid intake. m m
2. Instruct the client to avoid alcohol.
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3. Monitor hepatic and liver function studies.
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4. Administer the medication with an antacid.
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5. Instruct the client to avoid exposure to the sun.
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6. Administer the medication on an empty stomach.
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2. Instruct the client to avoid alcohol.
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3. Monitor hepatic and liver function studies.
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5. Instruct the client to avoid exposure to the sun. Rationale:
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Ketoconazole is an antifungal medication. It is administered with food (not on an
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empty stomach) and antacids are avoided for 2 hours after taking the medication t
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o ensure absorption. The medication is hepatotoxic and the nurse monitors liver f
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unction studies. The client is instructed to avoid exposure to the sun because the
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medication increases photosensitivity. The client is also instructed to avoid
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alcohol. There is no reason for the client to restrict fluid intake. In fact, this could
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mbe harmful to the client.
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102.) A client with human immunodeficiency virus is taking nevirapin
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e (Viramune). The nurse should monitor for which adverse effects of t
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he medication? Select all that apply.
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1. Rash
2. Hepatotoxicity
3. Hyperglycemia
4. Peripheral neuropathy m
5. Reduced bone mineral density 1. Rash
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2. Hepatotoxicity Rationale:
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Nevirapine (Viramune) is a non- m m m m
nucleoside reverse transcriptase inhibitors (NRTI) that is used to treat HIV infecti
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on. It is used in combination with other antiretroviral medications to treat HIV. A
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dverse effects include rash, Stevens-
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mJohnson syndrome, hepatitis, and increased transaminase levels. Hyperglycemia,
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peripheral neuropathy, and reduced bone density are not adverse effects of this m
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edication.
103.) A nurse is caring for a hospitalized client who has been taking clozapine (Cl
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ozaril) for the treatment of a schizophrenic disorder. Which laboratory study presc
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ribed for the client will the nurse specifically review to monitor for an adverse effe
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ct associated with the use of this medication?
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