HESI PHARM BSN 315 (Latest 2025/ 2026 Update) Questions and Verified Answers | 100% Correct| Grade A- Nightingale 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?
- Use a twice a week dosing schedule
- Stand and sit up slowly
- Take the medication early in the day
- Reduce daily fluid intake - ANSWER B. Stand and sit up
- Nausea
- Involuntary movements
- Diarrhea
- Unusual irritability - ANSWER B. Involuntary
slowly A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?
movements A client is receiving orlistat as part of a weight management program.Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication? 1 / 4
- Body mass index
- Depression screening
- Daily calorie count
- Serum protein levels - ANSWER A. Body mass index
- Type 2 diabetes mellitus
- Seasonal allergic rhinitis
- Irritable bowel syndrome
- Coronary artery disease - ANSWER D. Coronary artery
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is most important to determine if the client's history includes which problem?
disease A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200 mL.How many mL/hr should the nurse program the infusion pump to deliver? - ANSWER 200 mL/hr
Rationale:
xmL/hr = 200 mL x 400 mg = 80,000 = 200 mL/hr 400 mg 1 hr 400 2 / 4
Before administering a laxative to a bed fast client, it is most important for the nurse to perform which assessment?
- Determine the frequency and consistency of bowel movements
- Observe the skin integrity of the clients rectal and sacral areas
- Assess the clients strength in moving and turning the bed
- Evaluate the clients ability to recognize the urge to defecate -
- Have a chest x-ray prior to your first dose
- Avoid crowds and people who are sick
- Obtain routine vaccinations as scheduled
- Undergo annual eye examinations - ANSWER A. Have a
- Pancreatitis
- Diabetes mellitus
- Myocardial infarction
- Chronic obstructive pulmonary disease - ANSWER A.
ANSWER A. Determine the frequency and consistency of bowel movements The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and is now prescribed adalimumab. Which instructions should the nurse provide the client?
chest x-ray prior to your first dose The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which of the following is documented in the client's history?
Pancreatitis 3 / 4
Hormone replacement therapy with levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much of the hormonal agent, levothyroxine?
- Intolerance to cold
- Constipation
- Restlessness
- Decreased appetite - ANSWER C. Restlessness
- Take the medication an hour after antacids.
- Notify the healthcare provider of lethargy.
- Decrease cigarette use to a pack per day.
- Monitor for any signs of sexual dysfunction. - ANSWER
- Decrease cigarette use to a pack per day.
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?
The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
A: Scratchy throat.
B: Pupillary constriction.
C: Bradycardia.
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