Hesi Pharmacology Exam 2024
Before28administering28a28laxative28to28a28bedfast28client,28it28is28most28important28
for28the28nurse28to28perform28what28assessment?
a-
Observe28the28skin28integrity28of28the28client's28rectal28and28
sacral28areas28b-
assess28the28client28strength28in28moving28and28turning28in28th
e28bed
c-evaluate28the28client's28ability28to28recognize28the28urge28to28defecate
d-
determine28the28frequency28and28consistency28of28bowel28movements28-
28D28rationale
the28nurse28should28ensure28that28the28client28is28not28experiencing28diarrhea28(answ
er28choice28D)28before28administering28a28laxative,28which28will28increase28the28freq
uency28of28bowel28movements.28answer28choices28A,B,C28R428and28assessments28for28the28
provision28of28care28when28the28client28experience28is28a28valve,28but28are28of28less28
priority28then28answer28choice28D28which28provides28data28about28the28possible28need28
to28hold28medication
A28female28client28with28multiple28sclerosis28reports28having28less28fatigue28and28im
proved28memory28since28she28began28using28the28herbal28supplement,28ginkgo28biloba.28
Which28information28is28most28important28for28the28nurse28to28include28in28the28teach
ing28plans28for28this28client?
a-Aspirin28and28nonsteroidal28anti-
inflammatory28drugs28interact28with28ginkgo28b-
nausea28and28diarrhea28can28occur28when28using28this28supplement
c-anxiety28and28headaches28increased28with28use28of28ginkgo
d-ginkgo28biloba28use28should28be28limited28and28not28taken28during28pregnancy28-
28Rationale28ginkgo28biloba28has28blood28thinning28properties28and28should28not28be28
used28in28taking28aspirin28or28unsafe28which28increased28the28risk28for28bleeding.28n
ausea28diarrhea28anxiety28and28headaches28are28also28side28effects28of28supplements2
8but28they28do28not28pose28the28same28risk28as28a.28Although28D28is28accurate28A28has28a
28higher28priority
In28explaining28the28benefits28of28the28combination28anti-infective28drug28code28tri-
moxazole/TMP-
28SMZ28(bactrium)28to28a28client28receiving28the28medication28for28a28urinary28tract28
infection,28more28rationale28to28the28nurse28provide?
-Each28drug28could28cause28damage28to28the28kidneys28if28taken28separately
-one28drug28reduces28the28risk28of28side28effects28caused28by28the28drug
-while28one28drug28provide28releif,28the28other28fights28the28infection
Before28administering28a28laxative28to28a28bedfast28client,28it28is28most28important28
for28the28nurse28to28perform28what28assessment?
a-
Observe28the28skin28integrity28of28the28client's28rectal28and28
sacral28areas28b-
assess28the28client28strength28in28moving28and28turning28in28th
e28bed
c-evaluate28the28client's28ability28to28recognize28the28urge28to28defecate
d-
determine28the28frequency28and28consistency28of28bowel28movements28-
28D28rationale
the28nurse28should28ensure28that28the28client28is28not28experiencing28diarrhea28(answ
er28choice28D)28before28administering28a28laxative,28which28will28increase28the28freq
uency28of28bowel28movements.28answer28choices28A,B,C28R428and28assessments28for28the28
provision28of28care28when28the28client28experience28is28a28valve,28but28are28of28less28
priority28then28answer28choice28D28which28provides28data28about28the28possible28need28
to28hold28medication
A28female28client28with28multiple28sclerosis28reports28having28less28fatigue28and28im
proved28memory28since28she28began28using28the28herbal28supplement,28ginkgo28biloba.28
Which28information28is28most28important28for28the28nurse28to28include28in28the28teach
ing28plans28for28this28client?
a-Aspirin28and28nonsteroidal28anti-
inflammatory28drugs28interact28with28ginkgo28b-
nausea28and28diarrhea28can28occur28when28using28this28supplement
c-anxiety28and28headaches28increased28with28use28of28ginkgo
d-ginkgo28biloba28use28should28be28limited28and28not28taken28during28pregnancy28-
28Rationale28ginkgo28biloba28has28blood28thinning28properties28and28should28not28be28
used28in28taking28aspirin28or28unsafe28which28increased28the28risk28for28bleeding.28n
ausea28diarrhea28anxiety28and28headaches28are28also28side28effects28of28supplements2
8but28they28do28not28pose28the28same28risk28as28a.28Although28D28is28accurate28A28has28a
28higher28priority
In28explaining28the28benefits28of28the28combination28anti-infective28drug28code28tri-
moxazole/TMP-
28SMZ28(bactrium)28to28a28client28receiving28the28medication28for28a28urinary28tract28
infection,28more28rationale28to28the28nurse28provide?
-Each28drug28could28cause28damage28to28the28kidneys28if28taken28separately
-one28drug28reduces28the28risk28of28side28effects28caused28by28the28drug
-while28one28drug28provide28releif,28the28other28fights28the28infection