HESI PHARM 315 Questions With Complete Solutions
A client receives a prescription to itraconazole. Which
information provide by the client requires additional instruction
by the nurse?
A.) monitor for changes in stool color
B.) report any difficulty with breathing
C.) take the medication with antacids
D.) avoid the consumption of grapefruit juice
C.) take the medication with antacids
A client who received a renal transplant three months ago is
readmitted to the acute care unit with signs of graft rejection.
While taking the client's history, the nurse determines that the
client has been self-administering St. John's Wort, an herbal
preparation, on the advice of a friend. Which information is
most significant about this finding?
A: St. John's Wort can decrease plasma concentrations of
cyclosporine.
B: Adding the herb can decrease the need for corticosteroids.
C: The client probably used this herb to treat depression.
D: Ingestion of St. John's Wort can reduce the client's intake of
sodium.
,A: St. John's Wort can decrease plasma concentrations of
cyclosporine.
A client who receives multiple antihypertensive medications
experiences syncope due to a drop in blood pressure to 70/40
mm Hg. Which is the rationale for the nurse's decision to hold
the client's scheduled antihypertensive medications?
A: Increased urinary clearance of the multiple medications has
produced diuresis and lowered the blood pressure.
B: The synergistic effect of the multiple medications has
resulted in drug toxicity and hypotension.
C: The antagonistic interaction among the various blood
pressure medications has reduced their effectiveness.
D: The additive effect of multiple medications has caused the
blood pressure to drop too low.
D: The additive effect of multiple medications has caused the
blood pressure to drop too low.
A client is scheduled for a spiral computed tomography (CT)
scan with contrast to evaluate for pulmonary embolism. Which
information in the clients history requires follow up by the
nurse?
A. Metal hip prosthesis was placed twenty years ago
B. Takes metformin hydrochloride for type 2 diabetes millitus
,C. CT scan that was performed six months earlier
D. Report of clients sobriety for the last five years
B. Takes metformin hydrochloride for type 2 diabetes millitus
A male client reports to the nurse that he is
experiencing gastrointestinal distress from a high dose
of corticosteroid and is planning to stop taking the medication.
In response to the clients statement, which nursing action is
most important for the nurse to implement?
A. Advise the client that the medication should be stopped
gradually rather than abruptly
B. encourage the client to take the medication with food to
decrease GI distress
C. Assess the client for other indications of adverse effects of
corticosteroid use
D. review the clients dosing schedule to ensure he is taking the
prescribed amount
A. Advise the client that the medication should be stopped
gradually rather than abruptly
A client is receiving pilocarpine
hydrochloride opthalmic drops for glaucoma. The client calls
the clinic nurse and reports difficulty seeing at night. Which
explanation should the nurse provide?
A. The drug can cause the lens to become more opaque
, B. The drops increase the fluid in the eyes and cloud the visual
field
C. The eye drops slow pupil response to accommodate for
darkness
D. The medication causes pupils to dilate, which reduces night
vision
C. The eye drops slow pupil response to accommodate for
darkness
A client is receiving rifampin, an antitubercular medication.
Which statement by this client should prompt the nurse to notify
the healthcare provider of a potential problem?
A. Reports that the sclera are yellow
B. Voids urine that is orange colored
C. uses condoms for contraception
D. complains of persistent tinnitus
A. Reports that the sclera are yellow
A male client has been receiving the antibiotic gentamicin
sulfate, IV piggyback every 12 hours for several days. Which
A client receives a prescription to itraconazole. Which
information provide by the client requires additional instruction
by the nurse?
A.) monitor for changes in stool color
B.) report any difficulty with breathing
C.) take the medication with antacids
D.) avoid the consumption of grapefruit juice
C.) take the medication with antacids
A client who received a renal transplant three months ago is
readmitted to the acute care unit with signs of graft rejection.
While taking the client's history, the nurse determines that the
client has been self-administering St. John's Wort, an herbal
preparation, on the advice of a friend. Which information is
most significant about this finding?
A: St. John's Wort can decrease plasma concentrations of
cyclosporine.
B: Adding the herb can decrease the need for corticosteroids.
C: The client probably used this herb to treat depression.
D: Ingestion of St. John's Wort can reduce the client's intake of
sodium.
,A: St. John's Wort can decrease plasma concentrations of
cyclosporine.
A client who receives multiple antihypertensive medications
experiences syncope due to a drop in blood pressure to 70/40
mm Hg. Which is the rationale for the nurse's decision to hold
the client's scheduled antihypertensive medications?
A: Increased urinary clearance of the multiple medications has
produced diuresis and lowered the blood pressure.
B: The synergistic effect of the multiple medications has
resulted in drug toxicity and hypotension.
C: The antagonistic interaction among the various blood
pressure medications has reduced their effectiveness.
D: The additive effect of multiple medications has caused the
blood pressure to drop too low.
D: The additive effect of multiple medications has caused the
blood pressure to drop too low.
A client is scheduled for a spiral computed tomography (CT)
scan with contrast to evaluate for pulmonary embolism. Which
information in the clients history requires follow up by the
nurse?
A. Metal hip prosthesis was placed twenty years ago
B. Takes metformin hydrochloride for type 2 diabetes millitus
,C. CT scan that was performed six months earlier
D. Report of clients sobriety for the last five years
B. Takes metformin hydrochloride for type 2 diabetes millitus
A male client reports to the nurse that he is
experiencing gastrointestinal distress from a high dose
of corticosteroid and is planning to stop taking the medication.
In response to the clients statement, which nursing action is
most important for the nurse to implement?
A. Advise the client that the medication should be stopped
gradually rather than abruptly
B. encourage the client to take the medication with food to
decrease GI distress
C. Assess the client for other indications of adverse effects of
corticosteroid use
D. review the clients dosing schedule to ensure he is taking the
prescribed amount
A. Advise the client that the medication should be stopped
gradually rather than abruptly
A client is receiving pilocarpine
hydrochloride opthalmic drops for glaucoma. The client calls
the clinic nurse and reports difficulty seeing at night. Which
explanation should the nurse provide?
A. The drug can cause the lens to become more opaque
, B. The drops increase the fluid in the eyes and cloud the visual
field
C. The eye drops slow pupil response to accommodate for
darkness
D. The medication causes pupils to dilate, which reduces night
vision
C. The eye drops slow pupil response to accommodate for
darkness
A client is receiving rifampin, an antitubercular medication.
Which statement by this client should prompt the nurse to notify
the healthcare provider of a potential problem?
A. Reports that the sclera are yellow
B. Voids urine that is orange colored
C. uses condoms for contraception
D. complains of persistent tinnitus
A. Reports that the sclera are yellow
A male client has been receiving the antibiotic gentamicin
sulfate, IV piggyback every 12 hours for several days. Which
