PN HESI PHARM | 75 Questions and Answers with complete solution

While taking a client's history, the practical nurse (PN) discovers that the client, who takes Coumadin daily, has added a ginger supplement on the advice of a friend. What comment is critical for the PN to provide to this client? - "Your health care provider is interested in all medications and herbs you take." A client with diabetes mellitus takes insulin daily and is prescribed propranolol (Inderal). Which information should the nurse provide to this client? - A sign of hypoglycemia is that propranolol slows a rapid heart rate. A client has a positive skin test for tuberculosis. What prophylactic drug should the practical nurse (PN) expect to be prescribed for this client? - Isoniazid (INH) Amitriptyline hydrochloride (Elavil) is prescribed for an adult female client who is clinically depressed. Five days after beginning the drug, the client is admitted to the hospital because of suicide ideation. She tells the practical nurse (PN) that the drug is not working because she is not feeling any better. Which explanation should the PN provide? - "It takes 2 to 4 weeks for antidepressant medications to become effective." In planning care for a client diagnosed with bacterial pneumonia, which intervention should the practical nurse implement? - Obtain the sputum specimen before administering prescribed antibiotics. Phenytoin (Dilantin) is prescribed for a client who has a seizure disorder. Which statement by the client indicates to the practical nurse that the instruction about this drug has been effective? - "I know that I should never stop taking this medication abruptly." The practical nurse (PN) is obtaining the medical history of a female client starting a new prescription for conjugated estrogens (Premarin) 0.625 mg PO daily. Before taking the first dose of the medication, which information is most important for the PN to obtain from the client? - Cigarette smoking history A mother brings her 3-month-old infant to the well-baby clinic because the baby has developed oral thrush. Which pharmacological agent should the practical nurse (PN) expect to be prescribed for the thrush? - Nystatin (Mycostatin)