| High-Risk Medications, Safety, Side Effects, Interactions, And Dosage
Concepts | HESI ATI Exit Exam Study Guide Quiz
(NCLEX-RN Pharmacology Exam Prep| Questions with Rationales | High-Risk Medications, Safety,
Side Effects, Interactions, and Dosage Concepts | HESI ATI Exit Exam Study Guide).
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Bank category: NCLEX-RN Pharmacology Exam Prep| Questions with Rationales | High-Risk Medications, Safety, Side
Effects, Interactions, and Dosage Concepts | HESI ATI Exit Exam Study Guide
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nursing track.
,1 Question 1
A client prescribed furosemide for fluid retention due to heart failure reports
dizziness when standing up. The nurse' s priority action should be:
☐ A. Instruct the client to increase fluid intake
☑ B. Assess the clientʼs blood pressure and heart rate
☐ C. Administer a dose of antihypertensive medication
☐ D. Encourage the client to lie down and rest for 30 minutes
RATIONALE
Furosemide is a loop diuretic that can cause hypotension (low blood pressure) and dizziness,
especially when standing up. The nurse should assess the clientʼs blood pressure and heart rate
to determine if the symptoms are related to hypotension or fluid imbalance.
KEY TERMS EXPLAINED
Furosemide = a diuretic used to treat fluid retention in heart failure
Hypotension = low blood pressure, which can cause dizziness and fainting
Fluid retention = buildup of excess fluid in the body, often managed with diuretics
, 2 Question 2
A client receiving morphine for postoperative pain reports increasing pain despite
the prescribed dose. What is the nurseʼs priority action?
☐ A. Administer the next dose of morphine and reassess in 30 minutes
☑ B. Assess the clientʼs pain level, respiratory rate, and oxygen saturation
☐ C. Encourage the client to walk around to relieve pain
☐ D. Increase the morphine dose by 25%
RATIONALE
Pain that increases despite opioid administration may indicate an underlying problem, such as
inadequate pain control, respiratory depression, or other complications. The nurse should assess
the clientʼs pain, respiratory rate, and oxygen saturation to ensure safe administration of pain
relief.
KEY TERMS EXPLAINED
Opioid analgesic = a medication used to relieve moderate to severe pain
Respiratory depression = slowed breathing, a side effect of morphine
Oxygen saturation = the percentage of oxygen in the blood, which can be decreased by
morphine