PHARM HESI PRACTICE QUESTIONS (SAUNDERS) Exam Questions and
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A patient with Crohn's disease is scheduled to receive an infusion of infliximab. What
intervention by the nurse will determine the effectiveness of treatment?
a. Monitoring leukocyte count for 2 days after the infusion
b. Checking the frequency and consistency of bowel movements.
c. Checking serum liver enzyme levels before and after the infusion.
d. Carrying out a Hematest on gastric fluids after the infusion is completed. b. Checking the
frequency and consistency of bowel movements.
Principle manifestations of Crohn's disease are diarrhea and abdominal pain. Infliximab is an
immunomodulator that reduces the degree of inflammation in the colon, reducing diarrhea.
A client has an as needed prescription for loperamide hydrochloride. For which condition should
the nurse administer this medication?
a. Constipation
b. Abdominal pain
c. An episode of Diarrhea
d. Hematest-positive nasogastric tube drainage. c. An episode of diarrhea.
Loperamide is an antidiarrheal agent. It is used to manage acute and chronic diarrhea in
conditions such as IBS.
A patient has an as needed prescription for ondansetron. For which condition should the nurse
administer this medication?
a. Paralytic ileus
b. Incisional pain
,c. Urinary Retention
d. Nausea and vomiting d. Nausea and vomiting
Ondansetron is an antiemetic used to treat postoperative nausea and vomiting as well as
nausea and vomiting associated with chemo.
A client has begun medication therapy with pancrelipase. The nurse evaluates that the
medication is having the optimal intended benefit if which effect is observed?
a. Weight loss
b. Relief of heartburn
c. Reduction of steatorrhea
d. Absence of abdominal pain c. Reduction of steatorrhea
Pancrelipase is a pancreatic enzyme used in clients with pancreatitis as a digestive aid. The
medication should reduce the amount of fatty stools (steatorrhea). Another intended effect
could be improved nutritional status. It is not used to treat abdominal pain/heartburn. It could
result in weight gain not weight loss.
An older client recently has been taking cimetidine. The nurse monitors the client for which
most frequent CNS side effect of this medication?
a. tremors
b. dizziness.
c. confusion
d. hallucinations c. Confusion
Cimetidine is a histamine H2 receptor antagonist. Older clients are especially susceptible to CNS
side effects of this med, most frequent is confusion.
, A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The
nurse should schedule the medication for which times?
a. With meals and at bedtime
b. Every 6 hours around the clock
c. One hour after meals and at bedtime
d. One hour before meals and at bedtime d. One hour before meals and at bedtime
Sucralfate is a gastric protectant. The med should be scheduled for administration 1 hour before
meals and at bedtime and it's timed to allow it to form a protective coating over the ulcer
before food intake stimulates gastric acid production and mechanical irritation.
The client who uses NSAIDS has been taking misoprostol. The nurse determines that the
misoprostol is having the intended therapeutic effect if which finding is noted?
a. Resolved diarrhea
b. Relief of epigastric pain
c. Decreased platelet count
d. Decreased WBC b. Relief of epigastric pain
The client who uses NSAIDS is prone to gastric mucosal injury. Misoprostol is a gastric protectant
and is given specifically to prevent this occurrence in clients taking NSAIDS.
The client has been taking omeprazole for 4 weeks. The nurse evaluates that the client is
receiving the optimal intended effect of the medication if the client reports the absence of
which symptoms?
a. diarrhea
b. heartburn.
c. flatulence
Answers| Latest Update 100% Solved | Guaranteed Success
A patient with Crohn's disease is scheduled to receive an infusion of infliximab. What
intervention by the nurse will determine the effectiveness of treatment?
a. Monitoring leukocyte count for 2 days after the infusion
b. Checking the frequency and consistency of bowel movements.
c. Checking serum liver enzyme levels before and after the infusion.
d. Carrying out a Hematest on gastric fluids after the infusion is completed. b. Checking the
frequency and consistency of bowel movements.
Principle manifestations of Crohn's disease are diarrhea and abdominal pain. Infliximab is an
immunomodulator that reduces the degree of inflammation in the colon, reducing diarrhea.
A client has an as needed prescription for loperamide hydrochloride. For which condition should
the nurse administer this medication?
a. Constipation
b. Abdominal pain
c. An episode of Diarrhea
d. Hematest-positive nasogastric tube drainage. c. An episode of diarrhea.
Loperamide is an antidiarrheal agent. It is used to manage acute and chronic diarrhea in
conditions such as IBS.
A patient has an as needed prescription for ondansetron. For which condition should the nurse
administer this medication?
a. Paralytic ileus
b. Incisional pain
,c. Urinary Retention
d. Nausea and vomiting d. Nausea and vomiting
Ondansetron is an antiemetic used to treat postoperative nausea and vomiting as well as
nausea and vomiting associated with chemo.
A client has begun medication therapy with pancrelipase. The nurse evaluates that the
medication is having the optimal intended benefit if which effect is observed?
a. Weight loss
b. Relief of heartburn
c. Reduction of steatorrhea
d. Absence of abdominal pain c. Reduction of steatorrhea
Pancrelipase is a pancreatic enzyme used in clients with pancreatitis as a digestive aid. The
medication should reduce the amount of fatty stools (steatorrhea). Another intended effect
could be improved nutritional status. It is not used to treat abdominal pain/heartburn. It could
result in weight gain not weight loss.
An older client recently has been taking cimetidine. The nurse monitors the client for which
most frequent CNS side effect of this medication?
a. tremors
b. dizziness.
c. confusion
d. hallucinations c. Confusion
Cimetidine is a histamine H2 receptor antagonist. Older clients are especially susceptible to CNS
side effects of this med, most frequent is confusion.
, A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The
nurse should schedule the medication for which times?
a. With meals and at bedtime
b. Every 6 hours around the clock
c. One hour after meals and at bedtime
d. One hour before meals and at bedtime d. One hour before meals and at bedtime
Sucralfate is a gastric protectant. The med should be scheduled for administration 1 hour before
meals and at bedtime and it's timed to allow it to form a protective coating over the ulcer
before food intake stimulates gastric acid production and mechanical irritation.
The client who uses NSAIDS has been taking misoprostol. The nurse determines that the
misoprostol is having the intended therapeutic effect if which finding is noted?
a. Resolved diarrhea
b. Relief of epigastric pain
c. Decreased platelet count
d. Decreased WBC b. Relief of epigastric pain
The client who uses NSAIDS is prone to gastric mucosal injury. Misoprostol is a gastric protectant
and is given specifically to prevent this occurrence in clients taking NSAIDS.
The client has been taking omeprazole for 4 weeks. The nurse evaluates that the client is
receiving the optimal intended effect of the medication if the client reports the absence of
which symptoms?
a. diarrhea
b. heartburn.
c. flatulence
