HESI PHARMACOLOGY
Study online at https://quizlet.com/_9w1p4h
1. "Have you felt sad or depressed lately?" A female client tells
the practical nurse (PN)
that she started taking
Rationale: St. John's Wort is an herbal supplement
an over-the-counter herbal
that is often used for depression. The nurse should
supplement, St. John's
further explore why the client felt the need for taking
Wort (Hypericum perfora-
this over-the-counter (OTC) herb and determine if the
tum), last week. Which ques-
client is at risk for suicide (B). Gingko, not St. John's
tion should the PN ask the
Wort, is often used to improve memory (A). Although
client?
all OTC medications should be included in the client's
medication list, (C) is not indicated at this time. The
vitamin niacin causes facial flushing (D).
2. Serum blood glucose. A client is hospitalized with
an asthma exacerbation and
Rationale: A side effect of large doses of steroids can is being treated with methyl-
cause in elevation in the serum glucose levels, so the prednisolone (Solu-Medrol)
PN should monitor the client's serum glucose (A). (B, 125 mg q6 hours. Which
C, and D) are not affected by the administration of laboratory value should the
corticosteroids. practical nurse (PN) to mon-
itor?
3. A client who takes metformin (Glucophage) is sched- Which client situation re-
uled for a test using iodine dye. quires a response from the
practical nurse?
Rationale: Glucophage, which is used to treat type 2
diabetes, should be temporarily discontinued before
a client has a diagnostic test that requires the use of
iodine-based dye, which places the client at risk for
renal complications (C). (A) is a harmless, common
side effect of Niacin. (B) is a common side effect of
, HESI PHARMACOLOGY
Study online at https://quizlet.com/_9w1p4h
albuterol (Ventolin). Ampicillin can alter the normal
bowel flora and cause (D), a common side effect.
4. "I wonder if I will have to stop taking my diuretic for An elderly female client who
my kidney problem." is starting a pain manage-
ment program using opi-
oid analgesia receives a pre-
scription for codeine 10 mg
PO q4 hours PRN for pain, or
codeine 15 mg PO q4 hours
PRN for pain, or codeine 30
mg PO q4 hours PRN for
pain. Which statement by the
client is most important to
consider when deciding on
the dose to administer at this
time?
5. Clopidogrel (Plavix) The practical nurse (PN)
reinforces preoperative in-
structions to a client sched-
uled for abdominal surgery.
Which medication should
the PN tell the client to stop
taking 7 days prior to the
surgery?
6. Uses a salt substitute that has potassium A client with hypertension
receives a prescription for
Rationale: irbesartan (Avapro). Which
finding by the practical nurse
indicates that the client
Avapro, angiotensin II receptor blocking (ARB) agent,
Study online at https://quizlet.com/_9w1p4h
1. "Have you felt sad or depressed lately?" A female client tells
the practical nurse (PN)
that she started taking
Rationale: St. John's Wort is an herbal supplement
an over-the-counter herbal
that is often used for depression. The nurse should
supplement, St. John's
further explore why the client felt the need for taking
Wort (Hypericum perfora-
this over-the-counter (OTC) herb and determine if the
tum), last week. Which ques-
client is at risk for suicide (B). Gingko, not St. John's
tion should the PN ask the
Wort, is often used to improve memory (A). Although
client?
all OTC medications should be included in the client's
medication list, (C) is not indicated at this time. The
vitamin niacin causes facial flushing (D).
2. Serum blood glucose. A client is hospitalized with
an asthma exacerbation and
Rationale: A side effect of large doses of steroids can is being treated with methyl-
cause in elevation in the serum glucose levels, so the prednisolone (Solu-Medrol)
PN should monitor the client's serum glucose (A). (B, 125 mg q6 hours. Which
C, and D) are not affected by the administration of laboratory value should the
corticosteroids. practical nurse (PN) to mon-
itor?
3. A client who takes metformin (Glucophage) is sched- Which client situation re-
uled for a test using iodine dye. quires a response from the
practical nurse?
Rationale: Glucophage, which is used to treat type 2
diabetes, should be temporarily discontinued before
a client has a diagnostic test that requires the use of
iodine-based dye, which places the client at risk for
renal complications (C). (A) is a harmless, common
side effect of Niacin. (B) is a common side effect of
, HESI PHARMACOLOGY
Study online at https://quizlet.com/_9w1p4h
albuterol (Ventolin). Ampicillin can alter the normal
bowel flora and cause (D), a common side effect.
4. "I wonder if I will have to stop taking my diuretic for An elderly female client who
my kidney problem." is starting a pain manage-
ment program using opi-
oid analgesia receives a pre-
scription for codeine 10 mg
PO q4 hours PRN for pain, or
codeine 15 mg PO q4 hours
PRN for pain, or codeine 30
mg PO q4 hours PRN for
pain. Which statement by the
client is most important to
consider when deciding on
the dose to administer at this
time?
5. Clopidogrel (Plavix) The practical nurse (PN)
reinforces preoperative in-
structions to a client sched-
uled for abdominal surgery.
Which medication should
the PN tell the client to stop
taking 7 days prior to the
surgery?
6. Uses a salt substitute that has potassium A client with hypertension
receives a prescription for
Rationale: irbesartan (Avapro). Which
finding by the practical nurse
indicates that the client
Avapro, angiotensin II receptor blocking (ARB) agent,
