Pharmacology Hesi Practice 1 questions and answers latest top score.

Pharmacology Hesi Practice 1 questions and answers latest top score. Which medications should the nurse caution the client about taking while receiving an opioid analgesic? Antacids. Benzodiazepines. Antihypertensives. Oral antidiabetics. - correct answers.Benzodiazepines. The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement? Refer the client to an audiologist for evaluation of her hearing. Advise the client that this is a common side effect of aspirin therapy. Notify the healthcare provider of this finding immediately. Ask the client to turn off her hearing aid during the exam - correct answers.Notify the healthcare provider of this finding immediately. A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent? Progressive difficulty with swallowing. Decreased respiratory effort. Improvement in generalized fatigue. Decreased muscle weakness. - correct answers.Decreased muscle weakness. A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider? Tinnitus and dizziness. Tachycardia and chest pain. Dry skin and intolerance to cold. Weight gain and increased appetite. - correct answers.Tachycardia and chest pain. A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse to implement prior to administering the first dose? Review the client's hemoglobin results. Notify the healthcare provider. Inquire about the reaction to sulfa. Record the client's vital signs. - correct answers.Notify the healthcare provider. The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest priority before initiating the PCA pump? The expiration date on the morphine syringe in the pump. The rate and depth of the client's respirations. The type of anesthesia used during the surgical proce - correct answers.The rate and depth of the client's respirations. A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication? Serum glucose. Serum calcium. Red blood cells. Serum potassium. - correct answers.Serum glucose. In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? An increase in urine output. Two or three soft stools per day. Watery, diarrhea stools. Increased serum bilirubin. - correct answers.Two or three soft stools per day. A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs? Rash. Nausea. Headache. Dizziness. - correct answers.Rash. The nurse is teaching a client with cancer about opioid management for intractable pain and tolerance related side effects. The nurse should prepare the client for which side effect that is most likely to persist during long-term use of opioids? Sedation. Constipation. Urinary retention. Respiratory depression. - correct answers.Constipation. Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge? Perfusion scan. Prothrombin Time (PT/INR). Activated partial thromboplastin (APTT). Serum Coumadin level (SCL). - correct answers.Prothrombin Time (PT/INR). A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse would indicate that the desired outcome of the medication is being achieved? Decreased blood pressure. Lessening of tremors. Increased salivation. Increased attention span. - correct answers.Lessening of tremors. Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? Client states chest pain is relieved. Client's pulse decreases from 120 to 90. Client's systolic blood pressure decreases from 180 to 90. Client's SaO2 level increases from 92% to 96%. - correct answers.Client states chest pain is relieved. A category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client? Use a reliable form of birth control. Avoid exposure to ultra violet light. Refuse this medication if planning pregnancy. Abstain from intercourse while on this drug. - correct answers.Use a reliable form of birth control. Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) Select all that apply Increase fluid intake, especially cranberry juice. Do not abruptly discontinue the medication; taper use. Check blood pressure daily to detect hypertension. Avoid drinking alcohol while taking this medication. Use condoms until treatment is completed. Ensure that all sexual partners a - correct answers.Avoid drinking alcohol while taking this medication. Use condoms until treatment is completed. Ensure that all sexual partners are treated at the same time. Increase fluid intake, especially cranberry juice. A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action of this drug is to decrease the amount of thyroid-stimulating hormone circulating in the blood. increase the amount of thyroid-stimulating hormone circulating in the blood. increase the amount of T4 and decrease the amount of T3 produced by the thyroid. inhibit synthesis of T3 and T4 by the thyroid gland. - correct it synthesis of T3 and T4 by the thyroid gland. A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? Client denies recent episodes of angina. Change in peripheral edema from +3 to +1. Client denies recent nausea or vomiting. Blood pressure has changed from 180/120 to 140/70 mmHg. - correct answers.Blood pressure has changed from 180/120 to 140/70 mmHg. Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? Loperamide (Imodium). Probanthine (Propantheline). Bismuth subsalicylate (Pepto Bismol). Diphenoxylate hydrochloride with atropine (Lomotil). - correct answers.Bismuth subsalicylate (Pepto Bismol). A client who was prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client? Increase consumption of potassium-rich foods since low potassium levels can cause muscle spasms. Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia, a cause of cramping. Make an appointment to see the heal - correct answers.Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect. A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has completed discharge teaching regarding medication administration. Which morning schedule would indicate to the nurse that the client teaching has been effective? Take medication, go for a 30 minute morning walk, then eat breakfast. Take medication, rest in bed for 30 minutes, eat breakfast, go for morning walk. Take medication with breakfast, then take a 30 minute morning walk.