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Evolve Pharmacology HESI Practice –
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,Evolve Pharmacology hesi practice.pdf Evolve Pharmacology hesi practice.pdf Evolve Pharmacology hesi practice.pdf
A client who has been taking phenazopyridine (Pyridium) for symptoms of urethritis and
cystitis comes to the clinic because her urine is reddish-orange. Which question should the
practical nurse ask to determine if the medication has been effective?
A) How much water have you been drinking each day?
B) Does the urine color stain your toilet bowl or undergarments?
C) Have you had any relief from urinary pain, burning, or urgency?
D) Did your urine appear cloudy or have a foul odor on voiding?
C) Have you had any relief from urinary pain, burning, or urgency?
Feedback:
Phenazopyridine, an over-the-counter urinary analgesic, acts on the mucosa of the urinary
tract to relieve urinary pain, burning, itching, or urgency (C) associated with urethritis and
cystitis. Although determining if the client is forcing fluids (A), experiencing staining from
Pyridium's side effect (B), or having signs of a urinary infection (D) are worthwhile
assessments, the therapeutic response of Pyridium is related to urinary discomforts only.
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A male client who has been receiving an antineoplastic drug has developed
thrombocytopenia. What instructions should the practical nurse (PN) reinforce?
A) Use suppository form of drugs.
B) Avoid large public gatherings.
C) Rise slowly when standing up.
D) Shave with an electric razor.
D) Shave with an electric razor.
Feedback:
Thrombocytopenia is a common side effect of bone marrow depression caused by several
antineoplastic agents. The client is experiencing a low platelet count and should use an
electric razor (D) to reduce his risk of bleeding. (A, B, and C) are not indicated for a client
who needs to implement thrombocytopenia precautions.
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The practical nurse (PN) is caring for a client who has been taking prednisone (Deltasone)
daily for a year. Which adverse effect should the PN document in the client's record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and redistribution of fat deposition.
Weight gain (B) and moon face reflect adverse effects of long-term prednisone use and
should be documented. (A, C, and D) do not occur with treatment using prednisone.
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