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HESI Pharmacology Nightingale College Study Guide

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HESI Pharmacology Nightingale College study resource covering medication concepts, drug classifications, pharmacology principles, nursing interventions, practice questions, and key topics for exam preparation.

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HESI Pharmacology Nightingale College Fall
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Terms in this set (49)


A client is scheduled for a spiral Takes metformin hydrochloride for type 2 DM.
computed tomography (CT) scan with
contrast to evaluate for PE. Which
information in the client's history requires
follow up by the nurse?

A client diagnosed with MS who self- Notify the healthcare provider of the findings immediately.
administers beta 1 a interferon, reports
feeling increasingly depressed. Which
action should the nurse implement?

Before administering the initial dose of CAD
sumatriptan succinate to a client with a
migraine headache. It is most important to
determine if the client's history includes
which problem?

A client receives a prescription for 200
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)
200mL. How many mL/hr should the
nurse program the infusion pump to
deliver?

Before administering a laxative to a Determine the frequency and consistency of bowel movements.
bedfast client it is most important for the
nurse to perform which assessment?

Hormone replacement therapy with Restlessness
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 sodium?


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A male client reports to the nurse that he Advise the client that medication should be gradually stopped rather than
is experiencing gastrointestinal distress abruptly.
from a high dose of a corticosteroid and
is planning to stop taking the medication.
In response to the client's statement
which nursing action is most important for
the nurse to implement?

A client is receiving pilocarpine The eye drops slow pupil response to accommodate for darkness
hydrochloride ophthalmic drops for
glaucoma. The client calls the clinic nurse
and reports difficulty seeing at night.
Which explanation should the nurse
provide?

A client is receiving rifampin an Reports that the sclera are yellow.
antitubercular medication. Which
statement by this client should prompt the
nurse to notify the healthcare provider of
a potential problem?

Which action should the nurse implement Measure the client's BP.
to assess the effectiveness of the Calcium
channel blocker amlodipine?

A male client has been receiving the Hearing has decreased.
antibiotic gentamicin sulfate IV piggyback
every 12 hours for several days. Which
observation by the nurse indicates that
the client may be experiencing an
adverse effect of gentamicin?

An older adult client with restless legs Determine sleep patterns.
syndrome begins taking melatonin at
bedtime. When evaluating the
effectiveness of the herb which
assessment should the nurse complete?

The nurse prepares to administer a Withhold the scheduled dose and notify the healthcare provider.
scheduled dose of labetalol by mouth to
a client with HTN. The client's V/Signs are
temp 99% (37.2*C) heart rate 48 beats/
minute RR 16 breaths/min and BP 150/90
mm/Hg. Which action should the nurse
take?

The nurse is planning discharge teaching Teach the client self-injection skills for daily subcutaneous administration.
for a client with DM who has a new
prescription for insulin glargine. Which
action should the nurse plan to include in
the discharge teaching?

The nurse is caring for a client who takes Have a chest x ray prior to your first dose.
methotrexate for rheumatoid arthritis and
is now prescribed adalimumab. Which
instructions should the nurse provide the
client?

The nurse provide discharge instructions Gastric irritation
to a client who has been prescribed
gabapentin 300 mg by mouth three times
a day for post herpetic neuralgia. Which
symptoms should the nurse tell the client
to report to the healthcare provider?



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