HESI PRACTICE EXAM-PHARM 315 QUESTIONS WITH ANSWERS RATED A+ | GUARANTEED PASS| LATEST UPDATE

HESI PRACTICE EXAM-PHARM 315
QUESTIONS WITH ANSWERS RATED
A+ | GUARANTEED PASS| LATEST
UPDATE
Whichmclientmshouldmthemnursemidentifymasmbeingmatmhighestmriskmformcomplicationsmduringmthemu
semofmanmopioidmanalgesic?m-
mCORRECTmANSWERSmAmyoungmadultmwithminflammatorymbowelmdisease.




Rationale:

Themprincipalmindicationmformopioidmusemismacutempain,mandmamclientmwithminflammatorymbowelmdi
seasemismatmriskmformtoxicmmegacolonmormparalyticmileusmrelatedmtomslowedmperistalsis,mamsidemeffe
ctmofmmorphine.mAdversemeffectsmofmmorphinemdomnotmposemasmgreatmamriskmformclientsmwithmdiab
etesmormamfracturemasmformthemclientmwithmbowelmdisease.



Themhealthcaremprovidermprescribesmdigitalism(Digoxin)mformamclientmdiagnosedmwithmheartmfailure
.mWhichminterventionmshouldmthemnursemimplementmpriormtomadministeringmthemdigoxin?m-
mCORRECTmANSWERSmAssessmthemserummpotassiummlevel.




Rationale:

Hypokalemiam(decreasedmserummpotassium)mwillmprecipitatemdigitalismtoxicityminmpersonsmreceivi
ngmdigoxin.mThemnursemshouldmmonitormthemclient'smserummpotassiummlevels.mBloodmpressureman
dmrespiratorymratemwillmnotminformmthemnursemaboutmpotentialmsafetymissuesmwithmdigitalis.



Amclientmwithmhyperlipidemiamreceivesmamprescriptionmformniacinm(Niaspan).mWhichmclientmteachin
gmismmostmimportantmformthemnursemtomprovide?m-
mCORRECTmANSWERSmExpectedmdurationmofmflushing.




Rationale:

,Flushingmofmthemfacemandmneck,mlastingmupmtomanmhour,mismamfrequentmreasonmformdiscontinuingmni
acin.mInclusionmofmthismeffectminmclientmteachingmmaympromotemcomplianceminmtakingmthemmedica
tion.mWhilemnutritionmtipsmandmmanagingmpruritismaremworthwhileminstructionsmtomhelpmclientsmm
inimizemormcopemwithmnormalmsidemeffectsmassociatedmwithmniacinm(Niaspan),mflushingmismintensem
andmcausesmthemmostmconcernmformthemclient.



Amclientmwhomwasmprescribedmatorvastatinm(Lipitor)monemmonthmagomcallsmthemtriagemnursematmth
emclinicmcomplainingmofmmusclempainmandmweaknessminmhismlegs.mWhichmstatementmreflectsmthemc
orrectmdrug-specificmteachingmthemnursemshouldmprovidemtomthismclient?m-
mCORRECTmANSWERSmMakemanmappointmentmtomseemthemhealthcaremprovider,mbecausemmusclemp


ainmmaymbemanmindicationmofmamseriousmsidemeffect.



Rationale:

Myopathy,msuggestedmbymthemlegmpainmandmweakness,mismamserious,mandmpotentiallymlife-
threatening,mcomplicationmofmLipitor,mandmshouldmbemevaluatedmimmediatelymbymthemhealthcarem
provider.



Anmantacidm(Maalox)mismprescribedmformamclientmwithmpepticmulcermdisease.mThemnursemknowsmtha
tmthempurposemofmthismmedicationmismtom-
mCORRECTmANSWERSmmaintainmamgastricmpHmofm3.5mormabove.




Rationale:

ThemobjectivemofmantacidsmismtomneutralizemgastricmacidsmandmkeepmpHmofm3.5mormabovemwhichmism
necessarymformpepsinogenminactivity.



Whichmdosingmschedulemshouldmthemnursemteachmthemclientmtomobservemformamcontrolled-
releasemoxycodonemprescription?m-mCORRECTmANSWERSmEverym12mhours.



Rationale:

Amcontrolled-releasemoxycodonemprovidesmlong-
actingmanalgesiamtomrelievemmoderatemtomseverempain,msomamdosingmschedulemofmeverym12mhoursm

, providesmthembestmaround-the-clockmpainmmanagement.mControlled-
releasemoxycodonemismnotmprescribedmformbreakthroughmpainmonmamPRNmormasmneededmschedule.m
Usingmamschedulemofmeverym4mtom6mhoursmmaymjeopardizempatientmsafetymduemtomcumulativemeffe
cts.



Amclientmwithmosteoarthritismreceivesmamnewmprescriptionmformcelecoxibm(Celebrex)morallymformsym
ptommmanagement.mThemnursemnotesmthemclientmismallergicmtomsulfa.mWhichmactionmismmostmimpo
rtantmformthemnursemtomimplementmpriormtomadministeringmthemfirstmdose?m-
mCORRECTmANSWERSmNotifymthemhealthcaremprovider.




Rationale:

Celebrexmcontainsmamsulfurmmolecule,mwhichmcanmleadmtomanmallergicmreactionminmindividualsmwho
maremsensitivemtomsulfonamides,msomthemhealthcaremprovidermshouldmbemnotifiedmofmthemclient'sma


llergies.



Themnursemismassessingmamclientmwhomismexperiencingmanaphylaxismfrommanminsectmsting.mWhichmp
rescriptionmshouldmthemnursempreparemtomadministermthismclient?m-
mCORRECTmANSWERSmEpinephrine.




Rationale:

Epinephrinemismanmadrenergicmagentmthatmstimulatesmbetamreceptorsmtomincreasemcardiacmautoma
ticityminmcardiacmarrestmandmrelaxmbronchospasmsminmanaphylaxis.mOnmthemithermhand,mdopamine
mismamvasopressormusedmtomtreatmclientsmwithmshock.mEphedrinemcausesmperipheralmvasoconstricti


onmandmismusedminmthemtreatmentmofmnasalmcongestion.mDiphenhydraminemismanmantihistaminemd
econgestantmusedminmthemtreatmentmofmmildmallergicmreactionsmandmmotionmsickness.mEpinephrin
emismthemmedicationmofmchoiceminmtreatingmanaphylaxis.



Amclientmismbeingmtreatedmformosteoporosismwithmalendronatem(Fosamax),mandmthemnursemhasmco
mpletedmdischargemteachingmregardingmmedicationmadministration.mWhichmmorningmschedulemw
ouldmindicatemtomthemnursemthatmthemclientmteachingmhasmbeenmeffective?m-
mCORRECTmANSWERSmTakemmedication,mgomformam30mminutemmorningmwalk,mthenmeatmbreakfast.