HESI RN Pharmacology 2025 UPDATE

HESI RN Pharmacology 2025 UPDATE 1. before administering a laxative to a bedfast client, it is most important for a nurse to preform what assessment? 2. A female client with multiple sclerosis reports having less fatigue and improved memory since she began us- ing the herbal supplement, ginkgo biloba. Which information is most impor- tant for the nurse to include in the teaching plans for this client 3. In explaining the benefits of the com- bination anti-infective drug code TMP- SMZ (Bactrim) to a client receiving the medication for a urinary tract infection, more rationale to the nurse provides? 4. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff neck. Which inter- ventions should the nurse implement? 5. Which intervention is most important for the nurse implement for a client is receiving Lispro Humalog insulin? 6. Client takes nonsteroidal anti-inflam- matory drugs every day for rheumatoid arthritis is being treated for anemia which intervention is most important for the nurse to include any plan of care 7. A client receives a prescription for theophylline (Theo-Dur) PO to be initiated in the morning after the dose of theophylline IV is complete. The nurse determines that a theophylline lev- el drawn yesterday was 22 mcg/mL. Based on this information, which action should the nurse implement? determine the frequency and consisten- cy of bowl movements. ginkgo biloba use should be limited and not taken during pregnancy the two drugs work together to reduce resistance of the bacterial infection of symptoms give PRN dose of diphenhydramine Be- nadry Provide meals at the same time that in- sulin is given Observe for gastrointestinal bleeding Hold the theophylline dose and notify the health care provider 8. The nurse is reviewing a client's labo- ratory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider 9. The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anes- thesiologist prescribes atropine sulfate (Atropine), IM STAT. What is the primary purpose for administering this drug to the child at this time? 10. When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this client to developing digoxin toxicity 11. A client is receiving anti-infective drug therapy for a postoperative infec- tion. Which complaint should alert the nurse to the possibility that the client has contracted a superinfection 12. During the initial nursing assessment history, a client tells the nurse that he is taking tetracycline hydrochloride (Sumycin) for urethritis. Which medication taken concurrently with Sumycin could interfere with its absorption? 13. Following the administration of sub- lingual nitroglycerin, which assessment finding indicates that the medication was effective? 14. Alteration of which laboratory finding represents the achievement of a Hypokalemia Decrease the oral secretions Low serum potassium level "My mouth feels sore" Sucralfate (Carafate) Decrease in level of chest pain therapeutic goal for heparin administra- tion? 15, the nurse is assessing a stuporous client in the emergency department who is suspected of overdosing with opioids. Which agent should the nurse prepare to administer if the client be- comes comatose? 16. A client with HIV who was recently diagnosed with tuberculosis (TB) asks the nurse, "Why do I need to take all of these medications for TB?" What information should the nurse provide? 17. Two hours after taking the first dose of penicillin, a client arrives at the emergency department complaining of feeling ill, exhibiting hives, having difficulty breathing, and experiencing hy- potension. These findings are consistent with which client response that requires immediate action? 18. Which question should the nurse ask a client prior to the initiation of treatment with IV infusions of gentamicin sulfate (Garamycin)? 19. A male client who has chronic back pain is on long-term pain medication management and asks the nurse why his pain relief therapy is not as effective as it was 2 months ago. How should the nurse respond? 20. The nurse is providing discharge in- structions to a client who has received a prescription for an antibiotic that is hepa- totoxic. Which information should the nurse include in the instructions? Partial thromboplastin time (PTT) Naloxone hydrochloride (Narcan) Multiple drugs prevent the development of resistant organisms. Severe acute anaphylactic response "Are you having difficulty hearing?" Pharmacodynamics tolerance requires increased drug levels to achieve the same effect Avoid ingesting any alcohol or aceta- minophen (Tylenol). 21. A client with mild Parkinsonism is started on oral amantadine (Symmetrel). Which statement accurately describes the action of this medication? 22. A female client who has started long-term corticosteroid therapy tells the nurse that she is careful to take her daily dose at bedtime with a snack of crackers and milk. Which is the best re- sponse by the nurse? 23. A female client with myasthenia gravis is taking a cholinesterase inhibitor and asks the nurse what can be done to remedy her fatigue and difficulty swallowing. What action should the nurse implement? 24. A female client is receiving tetracy- cline (Vibramycin) for acne. Which client teaching should the nurse include? 25. A female client with trichomoniasis (Trichomonas vaginalis) receives a prescription for metronidazole (Flagyl). Which instruction is most important for the nurse to include this client's teach- ing plan? 26. A 2-month-old infant is scheduled to receive the first DPT immunization. What is the preferred injection site to administer this immunization? 27. The nurse is evaluating a client's un- derstanding of the prescribed antilipemic drug lovastatin (Mevacor). Which client statement indicates that further teaching is needed? 28. An older client who had a colon re- section yesterday is receiving a constant