HESI RN Pharmacology Exam
VERSION 19
A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? (select all that apply) Hemoglobin 7.0 g/dL Platelets 75000/mm3 Potassium 5.2 mEq/L A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication?blurred vision A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first?turn the client to a side-lying position A nurse is preparing to administer heparin subcutaneously to a client.Which of the following actions should the nurse plan to take?Administer the medication within a 5-cm radius of the umbilicus A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in teaching?Drink a glass of milk with each dose of medication A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include int he teaching plan? (select all that apply) Report muscle pain to the provider
Avoid taking the medication with grapefruit juice
Expect therapy with this medication to be lifelong A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information should the 1 / 3
nurse include in the teaching?"Store unused medication sticks in a storage container." A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report?The client reports shortness of breath A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescriptions for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?"I have tendonitis, so I haven't been able to exercise." A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first?Perform a capillary blood glucose test A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?Drink 8 to 10 glasses of water daily a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives?Carbamazepine A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?pregnacy test A nurse is preparing to administer to client 0.9%sodium chloride 1000 mL IV over 8 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?31 A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer.The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? 2 / 3
0830 A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure.Which of the following findings should the nurse identify as an adverse effect of the medication?orthostatic hypotension A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?Obtain the client's blood pressure A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include?change positions slowly A nurse is teaching a client who has an upper respiratory infection about guaifenesin. Which of the following statements should the nurse include in the teaching?"Increase your fluid intake to at least 2 liters each day while taking this medication." A nurse is reviewing the medical record of a client who has hypertension.The nurse should identify which of the following findings as a contraindication to receiving propranolol?asthma A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (select all that apply) Blood glucose levels will be monitored during therapy
Avoid contact with people who have known infections
Grapefruit juice can increase the effects of the medication A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?
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