Pharmacology Hesi Practice 2
A client receives a prescription for esomeprazole (Nexium) for heartburn.
Which
in finding history should the nurse report to the healthcare
the client's
provider beforethe
administering
prescription?
Eats spicy food three times a
week.
History of deep vein
thrombosis.
Drinks 2 alcoholic beverages on
weekends.
Family history of diabetes mellitus. correct answers History of deep vein
thrombosis.
A male client who is in the terminal stage of cancer is cared for at home
by his
and family a prescription for morphine at a rate to control intractable
receives
pain. When
hospice nurse thevisits, the client awakens, moans in severe pain, and
asks for an
increase in the morphine dosage. After determining the client's respirations
are 10 per
minute, what is the best action for the nurse to
implement?
Titrate the morphine dose upward until the client has adequate
pain relief.
Suggest to the family that they can also give the client ibuprofen, a
non-narcotic
analgesi
c.
Hold additional morphine until the client's respirations are at least 16
per minute.
Inform the client that an increased dose of morphine increases side
effects without
additional pain control. correct answers Titrate the morphine dose
upward
client hasuntil the
adequate pain
relief.
A client with Paget's disease is started on calcitonin (Calcimar)
500 mcg
subcutaneously daily. During the initial treatment, what is the priority
nursing action?
Assess the injection site for
inflammation.
Evaluate the client's level of
pain.
Monitor the client's alkaline phosphatase
levels.
Observe the client for signs of hypersensitivity. correct answers Observe
the client
signs of for
hypersensitivity.
A client is taking cyclosporine for renal allograft rejection prevention. After
9 months
drug of the nurse reviews laboratory data and notes that the blood
therapy,
urea nitrogen
level is 36 mg/dl. What additional finding should the nurse
identify?
Hypotensio
n.
White blood cell count
10,000.
Creatinine 28
mg/dl.
Anaphylactic reaction. correct answers Creatinine
28 mg/dl.
, The nurse receives a unit of blood from the blood bank for a postoperative
client whoinisthe X-ray department. What action should the nurse
currently
implement?
Return the blood to the blood bank for refrigeration within 30
minutes.
Hang the blood transfusion as soon as the client returns to
the unit.
Store the blood bag in the nursing unit's refrigerator until the
clientthe
Take returns.
unit of blood to the X-ray department to initiate the
transfusion.
answers correct
Return the blood to the blood bank for refrigeration within
30 minutes.
Which side effects should the nurse monitor for a client who is
receiving
dexamethasone (Decadron) following neurosurgery? (Select all
that apply.)
Select all that
apply
Mood
swings.
Decreased
Increased weight
appetite.
gain.
Serum glucose level of 65
mg/dl.
Delayed incisional wound
healing.
Serum hemoglobin level of 9 mg/dl. correct answers Mood
swings.
Increased weight
gain.
Delayed incisional wound
healing.
Serum hemoglobin level of 9
mg/dl.
A client is taking danazol (Danocrine) for endometriosis and calls the
clinic nurse
complain of to
a dark, swollen, and painful leg. What instructions should the
nurse provide
the
client?
Wear support
stockings.
Elevate both legs and apply
heat.
Proceed to the closest emergency
Walk for 20 to 30 minutes to reduce muscle cramps. correct answers
room.
Proceedemergency
closest to the
room.
A client asks the nurse to explain the meaning of a narrow therapeutic
index of a What information should the nurse use to answer the
medication.
question?
The onset of action for the medication occurs very
quickly.
A small margin exists between safe and toxic plasma
levels.
Bioavailability is significantly reduced by the first-
pass effect.
Minimum dosage is needed for the medication to be effective. correct
answersexists
margin A smallbetween safe and toxic plasma
levels.
A c lient is receiving fentanyl via an epidural infusion. Which side effect
should the in
anticipate nurse
the first 24 hours of epidural
analgesia ?
Headach
e.
A client receives a prescription for esomeprazole (Nexium) for heartburn.
Which
in finding history should the nurse report to the healthcare
the client's
provider beforethe
administering
prescription?
Eats spicy food three times a
week.
History of deep vein
thrombosis.
Drinks 2 alcoholic beverages on
weekends.
Family history of diabetes mellitus. correct answers History of deep vein
thrombosis.
A male client who is in the terminal stage of cancer is cared for at home
by his
and family a prescription for morphine at a rate to control intractable
receives
pain. When
hospice nurse thevisits, the client awakens, moans in severe pain, and
asks for an
increase in the morphine dosage. After determining the client's respirations
are 10 per
minute, what is the best action for the nurse to
implement?
Titrate the morphine dose upward until the client has adequate
pain relief.
Suggest to the family that they can also give the client ibuprofen, a
non-narcotic
analgesi
c.
Hold additional morphine until the client's respirations are at least 16
per minute.
Inform the client that an increased dose of morphine increases side
effects without
additional pain control. correct answers Titrate the morphine dose
upward
client hasuntil the
adequate pain
relief.
A client with Paget's disease is started on calcitonin (Calcimar)
500 mcg
subcutaneously daily. During the initial treatment, what is the priority
nursing action?
Assess the injection site for
inflammation.
Evaluate the client's level of
pain.
Monitor the client's alkaline phosphatase
levels.
Observe the client for signs of hypersensitivity. correct answers Observe
the client
signs of for
hypersensitivity.
A client is taking cyclosporine for renal allograft rejection prevention. After
9 months
drug of the nurse reviews laboratory data and notes that the blood
therapy,
urea nitrogen
level is 36 mg/dl. What additional finding should the nurse
identify?
Hypotensio
n.
White blood cell count
10,000.
Creatinine 28
mg/dl.
Anaphylactic reaction. correct answers Creatinine
28 mg/dl.
, The nurse receives a unit of blood from the blood bank for a postoperative
client whoinisthe X-ray department. What action should the nurse
currently
implement?
Return the blood to the blood bank for refrigeration within 30
minutes.
Hang the blood transfusion as soon as the client returns to
the unit.
Store the blood bag in the nursing unit's refrigerator until the
clientthe
Take returns.
unit of blood to the X-ray department to initiate the
transfusion.
answers correct
Return the blood to the blood bank for refrigeration within
30 minutes.
Which side effects should the nurse monitor for a client who is
receiving
dexamethasone (Decadron) following neurosurgery? (Select all
that apply.)
Select all that
apply
Mood
swings.
Decreased
Increased weight
appetite.
gain.
Serum glucose level of 65
mg/dl.
Delayed incisional wound
healing.
Serum hemoglobin level of 9 mg/dl. correct answers Mood
swings.
Increased weight
gain.
Delayed incisional wound
healing.
Serum hemoglobin level of 9
mg/dl.
A client is taking danazol (Danocrine) for endometriosis and calls the
clinic nurse
complain of to
a dark, swollen, and painful leg. What instructions should the
nurse provide
the
client?
Wear support
stockings.
Elevate both legs and apply
heat.
Proceed to the closest emergency
Walk for 20 to 30 minutes to reduce muscle cramps. correct answers
room.
Proceedemergency
closest to the
room.
A client asks the nurse to explain the meaning of a narrow therapeutic
index of a What information should the nurse use to answer the
medication.
question?
The onset of action for the medication occurs very
quickly.
A small margin exists between safe and toxic plasma
levels.
Bioavailability is significantly reduced by the first-
pass effect.
Minimum dosage is needed for the medication to be effective. correct
answersexists
margin A smallbetween safe and toxic plasma
levels.
A c lient is receiving fentanyl via an epidural infusion. Which side effect
should the in
anticipate nurse
the first 24 hours of epidural
analgesia ?
Headach
e.
