Pharmacology HESI
The nurse cares for a client receiving vancomycin for
methicillin-resistant
Staphylococcus aureus. After reviewing the list of medications that the
client is takingwhich drug interactions concern the nurse? Select all
concurrently,
that apply.
1. Polyethylene
glycol
2.
NSAIDs
3.
Aminoglycosides
4.
Cyclosporine
5. Acetaminophen correct answers
2, 3, 4
The nurse cares for a client who has a history of congestive heart failure. The
client has
prescriptions of furosemide and gentamicin for a diagnosis with a
Klebsiella
pneumoniae respiratory infection. The healthcare provider adds a new order
of digoxin
administration. Which nursing action is
essential?
1. Administer intravenous gentamicin at the same time as
furosemide
2. Discontinue furosemide and digoxin during the administration of
gentamicin
3. Contact the healthcare provider about an al correct
answers 4
The nurse provides health education about furosemide to a client diagnosed
with heart
failure, arthritis, and hypertension. Which statement by the client
shows an
understanding of the
teaching?
1. "I can continue taking furosemide, even if I become
pregnant."
2. "I should check my blood pressure every
day."
3. "When I get up from sitting on the couch, I should get up
quickly."
4. "Furosemide can also manage my arthritis." correct
answers 2
The nurse is caring for a client receiving digoxin, furosemide, and
cefazolin forheart failure and pyelonephritis. During the assessment, the
congestive
nurse notes aof 38.6℃ (101.4℉) and oliguria with dark-colored urine. The
temperature
client reports
nausea and vomiting. Which possible complications does the nurse suspect?
Select all
that
apply.
1.
Nephrotoxicity
2. Digoxin
toxicity
,3.
Sepsis
4.
Dehydration
5. Hypervolemia correct answers 1,
2, 3, 4
The nurse cares for a client diagnosed with congestive heart failure
and bipolar
disorder. The client's medications include lithium and furosemide.
During the
assessment, the nurse notes a serum sodium level of 131 mmol/L
and a serum
1.Assess for serum creatinine
potassium level of 3.5 mmol/L. Which action by the nurse is a
level
priority?
2.Assess for serum lithium
level
3.Assess for serum digoxin
level
4.Assess for serum furosemide level correct
answers 2
The nurse is caring for a client diagnosed with traumatic brain injury.
During the the nurse notes an elevated intracranial pressure and
assessment,
decreasing levelWhich
consciousness. of action does the nurse
implement?
1.Prepare for the administration of
furosemide
2.Infuse hydrochlorothiazide
immediately
3.Administer mannitol
intravenously
4.Administer IV spironolactone correct
answers 3
The nurse provides health teaching about hydrochlorothiazide to a client
diagnosed
hypertension with
and diabetes. Which statement demonstrates an
understanding of the
teaching
?
1."I will take the medication daily at bedtime to prevent dizziness
during the
2."This drugday."
will start working 12 hours after I
takeshould
3."I it." take this drug if my blood pressure is
too low."
4."I need to watch my blood sugar because the drug can raise it." correct
answers 4
The nurse monitors a client diagnosed with renal failure secondary to
diabetes
Which finding
mellitus.
does the nurse directly associate with kidney dysfunction?
Select all that
apply
.
1.Ecchymosis on the lower
extremities
2.Increased blood
pressure
3.Acid-base
imbalances
4.Increased blood glucose
level
, 5.Increased serum drug levels correct answers
2, 3, 5
The nurse administers loop diuretics to a client diagnosed with severe
edema.
client Thehow the drug works. Which statement by the nurse
asks
is correct?
1."The loop diuretic's site of action is at the distal
collecting tubule."
2.The loop diuretic's location of action is at the proximal
collecting tubule.
3.Loop diuretics are more potent than potassium-sparing
diuretics.
4.The combination of loop and potassium-sparing diuretics can
cause severe correct
hypokalemia.
answers 3
The nurse is caring for a client diagnosed with congestive heart failure and
renal
Whichinjury.
medication does the nurse know to implement for
this client?
1.Administer
metoprolol
2.Administer thiazide
diuretics
3.Administer potassium-sparing
diuretics
4.Administer loop diuretics correct
answers 4
The head nurse orients a newly hired nurse about potassium-
sparing diuretic
medications. Which statement by the nurse shows an understanding of the
teaching?
1.The site of action of potassium-sparing diuretics is in the
glomerulus.
2.Potassium-sparing diuretics are used primarily as monotherapy for
hypertension.
3.Potassium-sparing diuretics cause a mild increase in urine
output.
4.Sprinolocatone is not an aldosterone antagonist drug. correct
answers 3
The nurse assesses a client diagnosed with tuberculosis who is taking
rifampin.alert
findings Whichthe nurse that the client is experiencing
hepatotoxicity
medication? from all
Select thisthat
apply.
1.Fatigue and
weakness
2.Yellowing of the skin and
eyes
3.A serum alanine aminotransferase (ALT) level of 500 units/L
(8.4serum
4.A µkat/L)aspartate aminotransferase (AST) level of 40 units/L
(0.67
5.A µkat/L)
serum blood urea nitrogen level of 20 mg/dL (1.2 mmol/L) correct
answers 1, 2, 3
The nurse cares for a client receiving vancomycin for
methicillin-resistant
Staphylococcus aureus. After reviewing the list of medications that the
client is takingwhich drug interactions concern the nurse? Select all
concurrently,
that apply.
1. Polyethylene
glycol
2.
NSAIDs
3.
Aminoglycosides
4.
Cyclosporine
5. Acetaminophen correct answers
2, 3, 4
The nurse cares for a client who has a history of congestive heart failure. The
client has
prescriptions of furosemide and gentamicin for a diagnosis with a
Klebsiella
pneumoniae respiratory infection. The healthcare provider adds a new order
of digoxin
administration. Which nursing action is
essential?
1. Administer intravenous gentamicin at the same time as
furosemide
2. Discontinue furosemide and digoxin during the administration of
gentamicin
3. Contact the healthcare provider about an al correct
answers 4
The nurse provides health education about furosemide to a client diagnosed
with heart
failure, arthritis, and hypertension. Which statement by the client
shows an
understanding of the
teaching?
1. "I can continue taking furosemide, even if I become
pregnant."
2. "I should check my blood pressure every
day."
3. "When I get up from sitting on the couch, I should get up
quickly."
4. "Furosemide can also manage my arthritis." correct
answers 2
The nurse is caring for a client receiving digoxin, furosemide, and
cefazolin forheart failure and pyelonephritis. During the assessment, the
congestive
nurse notes aof 38.6℃ (101.4℉) and oliguria with dark-colored urine. The
temperature
client reports
nausea and vomiting. Which possible complications does the nurse suspect?
Select all
that
apply.
1.
Nephrotoxicity
2. Digoxin
toxicity
,3.
Sepsis
4.
Dehydration
5. Hypervolemia correct answers 1,
2, 3, 4
The nurse cares for a client diagnosed with congestive heart failure
and bipolar
disorder. The client's medications include lithium and furosemide.
During the
assessment, the nurse notes a serum sodium level of 131 mmol/L
and a serum
1.Assess for serum creatinine
potassium level of 3.5 mmol/L. Which action by the nurse is a
level
priority?
2.Assess for serum lithium
level
3.Assess for serum digoxin
level
4.Assess for serum furosemide level correct
answers 2
The nurse is caring for a client diagnosed with traumatic brain injury.
During the the nurse notes an elevated intracranial pressure and
assessment,
decreasing levelWhich
consciousness. of action does the nurse
implement?
1.Prepare for the administration of
furosemide
2.Infuse hydrochlorothiazide
immediately
3.Administer mannitol
intravenously
4.Administer IV spironolactone correct
answers 3
The nurse provides health teaching about hydrochlorothiazide to a client
diagnosed
hypertension with
and diabetes. Which statement demonstrates an
understanding of the
teaching
?
1."I will take the medication daily at bedtime to prevent dizziness
during the
2."This drugday."
will start working 12 hours after I
takeshould
3."I it." take this drug if my blood pressure is
too low."
4."I need to watch my blood sugar because the drug can raise it." correct
answers 4
The nurse monitors a client diagnosed with renal failure secondary to
diabetes
Which finding
mellitus.
does the nurse directly associate with kidney dysfunction?
Select all that
apply
.
1.Ecchymosis on the lower
extremities
2.Increased blood
pressure
3.Acid-base
imbalances
4.Increased blood glucose
level
, 5.Increased serum drug levels correct answers
2, 3, 5
The nurse administers loop diuretics to a client diagnosed with severe
edema.
client Thehow the drug works. Which statement by the nurse
asks
is correct?
1."The loop diuretic's site of action is at the distal
collecting tubule."
2.The loop diuretic's location of action is at the proximal
collecting tubule.
3.Loop diuretics are more potent than potassium-sparing
diuretics.
4.The combination of loop and potassium-sparing diuretics can
cause severe correct
hypokalemia.
answers 3
The nurse is caring for a client diagnosed with congestive heart failure and
renal
Whichinjury.
medication does the nurse know to implement for
this client?
1.Administer
metoprolol
2.Administer thiazide
diuretics
3.Administer potassium-sparing
diuretics
4.Administer loop diuretics correct
answers 4
The head nurse orients a newly hired nurse about potassium-
sparing diuretic
medications. Which statement by the nurse shows an understanding of the
teaching?
1.The site of action of potassium-sparing diuretics is in the
glomerulus.
2.Potassium-sparing diuretics are used primarily as monotherapy for
hypertension.
3.Potassium-sparing diuretics cause a mild increase in urine
output.
4.Sprinolocatone is not an aldosterone antagonist drug. correct
answers 3
The nurse assesses a client diagnosed with tuberculosis who is taking
rifampin.alert
findings Whichthe nurse that the client is experiencing
hepatotoxicity
medication? from all
Select thisthat
apply.
1.Fatigue and
weakness
2.Yellowing of the skin and
eyes
3.A serum alanine aminotransferase (ALT) level of 500 units/L
(8.4serum
4.A µkat/L)aspartate aminotransferase (AST) level of 40 units/L
(0.67
5.A µkat/L)
serum blood urea nitrogen level of 20 mg/dL (1.2 mmol/L) correct
answers 1, 2, 3
