2023-2024 HESI Pharmacology V1
Study online at https://quizlet.com/_d4482f
1. A nurse is caring for a client 3. Calcitonin (Miacalcin)
with hyperparathyroidism and
notes that the client's serum Rationale:
calcium level is 13 mg/dL. The normal serum calcium level is 8.6 to 10.0 mg/dL. This
Which medication should the client is experiencing hypercalcemia. Calcium gluconate and
nurse prepare to administer as calcium chloride are medications used for the treatment of
prescribed to the client?1. Cal- tetany, which occurs as a result of acute hypocalcemia. In
cium chloride hypercalcemia, large doses of vitamin D need to be avoided.
2. Calcium gluconate Calcitonin, a thyroid hormone, decreases the plasma calcium
3. Calcitonin (Miacalcin) level by inhibiting bone resorption and lowering the serum
4. Large doses of vitamin D calcium concentration.
2. Oral iron supplements are pre- 4. Orange juice
scribed for a 6-year-old child
with iron deficiency anemia. Rationale:
The nurse instructs the moth- Vitamin C increases the absorption of iron by the body. The
er to administer the iron with mother should be instructed to administer the medication
which best food item? with a citrus fruit or a juice that is high in vitamin C. Milk may
1. Milk affect absorption of the iron. Water will not assist in absorp-
2. Water tion. Orange juice contains a greater amount of vitamin C
3. Apple juice than apple juice.
4. Orange juice
3. Salicylic acid is prescribed for 1. Tinnitus
a client with a diagnosis of
psoriasis. The nurse monitors Rationale:
the client, knowing that which Salicylic acid is absorbed readily through the skin, and sys-
of the following would indicate temic toxicity (salicylism) can result. Symptoms include tin-
the presence of systemic toxic- nitus, dizziness, hyperpnea, and psychological disturbances.
ity from this medication? Constipation and diarrhea are not associated with salicylism.
1. Tinnitus
2. Diarrhea
, 2023-2024 HESI Pharmacology V1
Study online at https://quizlet.com/_d4482f
3. Constipation
4. Decreased Respirations
4. The camp nurse asks the chil- 4. At least 30 minutes before exposure to the sun
dren preparing to swim in
the lake if they have ap- Rationale:
plied sunscreen. The nurse re- Sunscreens are most effective when applied at least 30 min-
minds the children that chemi- utes before exposure to the sun so that they can penetrate
cal sunscreens are most effec- the skin. All sunscreens should be reapplied after swimming
tive when applied: or sweating
1. Immediately before swim-
ming
2. 15 minutes before exposure
to the sun
3. Immediately before expo-
sure to the sun
4. At least 30 minutes before
exposure to the sun
5. Mafenide acetate (Sulfamylon) 3. Informing the client that this is normal
is prescribed for the client with
a burn injury. When applying Rationale:
the medication, the client com- Mafenide acetate is bacteriostatic for gram-negative and
plains of local discomfort and gram-positive organisms and is used to treat burns to reduce
burning. Which of the following bacteria present in avascular tissues. The client should be
is the most appropriate nurs- informed that the medication will cause local discomfort and
ing action? burning and that this is a normal reaction; therefore options
1. Notifying the registered 1, 2, and 4 are incorrect
nurse
2. Discontinuing the medica-
tion
3. Informing the client that this
, 2023-2024 HESI Pharmacology V1
Study online at https://quizlet.com/_d4482f
is normal
4. Applying a thinner film than
prescribed to the burn site
6. The burn client is receiving 1.Hyperventilation
treatments of topical mafenide
acetate (Sulfamylon) to the site Rationale:
of injury. The nurse moni- Mafenide acetate is a carbonic anhydrase inhibitor and can
tors the client, knowing that suppress renal excretion of acid, thereby causing acidosis.
which of the following indicates Clients receiving this treatment should be monitored for
that a systemic effect has oc- signs of an acid-base imbalance (hyperventilation). If this
curred?1.Hyperventilation occurs, the medication should be discontinued for 1 to 2
2.Elevated blood pressure days. Options 3 and 4 describe local rather than syeffects.
3.Local pain at the burn site An elevated blood pressure may be expected from the pain
4.Local rash at the burn site that occurs with a burn injury.
7. Isotretinoin is prescribed for a 2. Triglyceride level
client with severe acne. Before
the administration of this med- Rationale:
ication, the nurse anticipates Isotretinoin can elevate triglyceride levels. Blood triglyceride
that which laboratory test will levels should be measured before treatment and periodi-
be prescribed? cally thereafter until the effect on the triglycerides has been
1. Platelet count evaluated. Options 1, 3, and 4 do not need to be monitored
2. Triglyceride level specifically during this treatment.
3. Complete blood count
4. White blood cell count
8. A client with severe acne is 1. Vitamin A
seen in the clinic and the health
care provider (HCP) prescribes Rationale:
isotretinoin. The nurse reviews Isotretinoin is a metabolite of vitamin A and can produce
the client's medication record generalized intensification of isotretinoin toxicity. Because of
the potential for increased toxicity, vitamin A supplements
, 2023-2024 HESI Pharmacology V1
Study online at https://quizlet.com/_d4482f
and would contact the (HCP) if should be discontinued before isotretinoin therapy. Options
the client is taking which med- 2, 3, and 4 are not contraindicated with the use of isotretinoin
ication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin)
9. The nurse is applying a top- 2. Axilla
ical corticosteroid to a client
with eczema. The nurse would Rationale:
monitor for the potential for Topical corticosteroids can be absorbed into the systemic
increased systemic absorption circulation. Absorption is higher from regions where the
of the medication if the med- skin is especially permeable (scalp, axilla, face, eyelids, neck,
ication were being applied to perineum, genitalia), and lower from regions in which per-
which of the following body ar- meability is poor (back, palms, soles).
eas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
10. The clinic nurse is performing 1. Acne
an admission assessment on
a client. The nurse notes that Rationale:
the client is taking azelaic acid Azelaic acid is a topical medication used to treat mild to
(Azelex). Because of the med- moderate acne. The acid appears to work by suppressing the
ication prescription, the nurse growth of Propionibacterium acnes and decreasing the pro-
would suspect that the client is liferation of keratinocytes. Options 2, 3, and 4 are incorrect.
being treated for:
1. Acne
2. Eczema
Study online at https://quizlet.com/_d4482f
1. A nurse is caring for a client 3. Calcitonin (Miacalcin)
with hyperparathyroidism and
notes that the client's serum Rationale:
calcium level is 13 mg/dL. The normal serum calcium level is 8.6 to 10.0 mg/dL. This
Which medication should the client is experiencing hypercalcemia. Calcium gluconate and
nurse prepare to administer as calcium chloride are medications used for the treatment of
prescribed to the client?1. Cal- tetany, which occurs as a result of acute hypocalcemia. In
cium chloride hypercalcemia, large doses of vitamin D need to be avoided.
2. Calcium gluconate Calcitonin, a thyroid hormone, decreases the plasma calcium
3. Calcitonin (Miacalcin) level by inhibiting bone resorption and lowering the serum
4. Large doses of vitamin D calcium concentration.
2. Oral iron supplements are pre- 4. Orange juice
scribed for a 6-year-old child
with iron deficiency anemia. Rationale:
The nurse instructs the moth- Vitamin C increases the absorption of iron by the body. The
er to administer the iron with mother should be instructed to administer the medication
which best food item? with a citrus fruit or a juice that is high in vitamin C. Milk may
1. Milk affect absorption of the iron. Water will not assist in absorp-
2. Water tion. Orange juice contains a greater amount of vitamin C
3. Apple juice than apple juice.
4. Orange juice
3. Salicylic acid is prescribed for 1. Tinnitus
a client with a diagnosis of
psoriasis. The nurse monitors Rationale:
the client, knowing that which Salicylic acid is absorbed readily through the skin, and sys-
of the following would indicate temic toxicity (salicylism) can result. Symptoms include tin-
the presence of systemic toxic- nitus, dizziness, hyperpnea, and psychological disturbances.
ity from this medication? Constipation and diarrhea are not associated with salicylism.
1. Tinnitus
2. Diarrhea
, 2023-2024 HESI Pharmacology V1
Study online at https://quizlet.com/_d4482f
3. Constipation
4. Decreased Respirations
4. The camp nurse asks the chil- 4. At least 30 minutes before exposure to the sun
dren preparing to swim in
the lake if they have ap- Rationale:
plied sunscreen. The nurse re- Sunscreens are most effective when applied at least 30 min-
minds the children that chemi- utes before exposure to the sun so that they can penetrate
cal sunscreens are most effec- the skin. All sunscreens should be reapplied after swimming
tive when applied: or sweating
1. Immediately before swim-
ming
2. 15 minutes before exposure
to the sun
3. Immediately before expo-
sure to the sun
4. At least 30 minutes before
exposure to the sun
5. Mafenide acetate (Sulfamylon) 3. Informing the client that this is normal
is prescribed for the client with
a burn injury. When applying Rationale:
the medication, the client com- Mafenide acetate is bacteriostatic for gram-negative and
plains of local discomfort and gram-positive organisms and is used to treat burns to reduce
burning. Which of the following bacteria present in avascular tissues. The client should be
is the most appropriate nurs- informed that the medication will cause local discomfort and
ing action? burning and that this is a normal reaction; therefore options
1. Notifying the registered 1, 2, and 4 are incorrect
nurse
2. Discontinuing the medica-
tion
3. Informing the client that this
, 2023-2024 HESI Pharmacology V1
Study online at https://quizlet.com/_d4482f
is normal
4. Applying a thinner film than
prescribed to the burn site
6. The burn client is receiving 1.Hyperventilation
treatments of topical mafenide
acetate (Sulfamylon) to the site Rationale:
of injury. The nurse moni- Mafenide acetate is a carbonic anhydrase inhibitor and can
tors the client, knowing that suppress renal excretion of acid, thereby causing acidosis.
which of the following indicates Clients receiving this treatment should be monitored for
that a systemic effect has oc- signs of an acid-base imbalance (hyperventilation). If this
curred?1.Hyperventilation occurs, the medication should be discontinued for 1 to 2
2.Elevated blood pressure days. Options 3 and 4 describe local rather than syeffects.
3.Local pain at the burn site An elevated blood pressure may be expected from the pain
4.Local rash at the burn site that occurs with a burn injury.
7. Isotretinoin is prescribed for a 2. Triglyceride level
client with severe acne. Before
the administration of this med- Rationale:
ication, the nurse anticipates Isotretinoin can elevate triglyceride levels. Blood triglyceride
that which laboratory test will levels should be measured before treatment and periodi-
be prescribed? cally thereafter until the effect on the triglycerides has been
1. Platelet count evaluated. Options 1, 3, and 4 do not need to be monitored
2. Triglyceride level specifically during this treatment.
3. Complete blood count
4. White blood cell count
8. A client with severe acne is 1. Vitamin A
seen in the clinic and the health
care provider (HCP) prescribes Rationale:
isotretinoin. The nurse reviews Isotretinoin is a metabolite of vitamin A and can produce
the client's medication record generalized intensification of isotretinoin toxicity. Because of
the potential for increased toxicity, vitamin A supplements
, 2023-2024 HESI Pharmacology V1
Study online at https://quizlet.com/_d4482f
and would contact the (HCP) if should be discontinued before isotretinoin therapy. Options
the client is taking which med- 2, 3, and 4 are not contraindicated with the use of isotretinoin
ication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin)
9. The nurse is applying a top- 2. Axilla
ical corticosteroid to a client
with eczema. The nurse would Rationale:
monitor for the potential for Topical corticosteroids can be absorbed into the systemic
increased systemic absorption circulation. Absorption is higher from regions where the
of the medication if the med- skin is especially permeable (scalp, axilla, face, eyelids, neck,
ication were being applied to perineum, genitalia), and lower from regions in which per-
which of the following body ar- meability is poor (back, palms, soles).
eas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
10. The clinic nurse is performing 1. Acne
an admission assessment on
a client. The nurse notes that Rationale:
the client is taking azelaic acid Azelaic acid is a topical medication used to treat mild to
(Azelex). Because of the med- moderate acne. The acid appears to work by suppressing the
ication prescription, the nurse growth of Propionibacterium acnes and decreasing the pro-
would suspect that the client is liferation of keratinocytes. Options 2, 3, and 4 are incorrect.
being treated for:
1. Acne
2. Eczema
