Graded A+
Which assessment would the nurse perform for a taking lithium for cycles of mania. Which
10 yr old client prescribed methylphenidate to laboratory parameters may lead to this condition?
treat ADHD? SATA - ANSWER -3 mEq/L serum lithium levels
A. grades
B. Weight
C. Appetite A client in the hyperactive phase of bipolar
D. Behavior disorder is receiving lithium.The nurse sees at
E. Heart rate - ANSWER -all of the above the client's lithium. Blood level is 1.8.mEQ/L.
Which action should the nurse take? -
ANSWER -Hold Medication and notify HCP
Which instruction would the nurse provide to a immediately because the blood lithium level may
client who has anxiety and depression and is be toxic (Normal: 0.6-1.2)
prescribed venlafaxine ER, tablets. SATA -
ANSWER -Do not crush the tablets.
report any suicidal thoughts Which complication can occur if a client receiving
the medication takes 3 to 4 weeks isocarboxazid fails to adhere to necessary dietary
That suddenly stopped taking the medication. restrictions? - ANSWER -HTN crisis
Temper your dose up to the required dose.
A client who has been taking the prescribed dose
Which manifestation is an extrapyramidal SE of of Zolpidem for five days returns to the clinic for a
chlorpromazine? SATA - ANSWER - follow up visit. Which statement by the client
Drooling indicates the medication has been effective? -
Facial tics ANSWER -" i have been sleeping much
Shuffling gait better"
tongue rolling
restless mvt because it is a sedative-hypnotic that causes
CNS depression
An antidepressant is prescribed for a depressed
older client. After one week, the clients son A 45-year-old client who recently completed
expresses concern that there does not seem to alcohol detoxification reports plans to begin
be much improvement. Which is the best using. disulfirams as part of the alcoholism
response by the nurse? - ANSWER - treatment regime. which client teaching would the
Antidepressant therapy requires several weeks nurse share regarding this medication -
before it becomes effective. ANSWER -foods, meds, and any topical
preparation containing alcohol should be
avoided.
Lab reports reveal that the client's thyroxine
levels are low. Which medication might have led
to this condition? - ANSWER -Lithium Which statement by the nurse reflects teachings
for a client recently initiated on anticonvulsants?
SATA - ANSWER -All correct
the nurse observed seizures in a client who is take at same time everyday
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, Pharm HESI Test Questions with Verified Answers
Graded A+
Do not drink excessive amounts of caffeine-
containing beverages or alcohol which action will the nurse take after stopping the
Avoid driving or hazardous activities until any SR antibiotic infusion of a client who becomes
such as drowsiness can be determined restless and flushed, and begins to wheeze
Interfere with vitamin and mineral absorption so during the admin of an antibiotic?
you may need a supplement 1. Check the client's temp
Oral hygiene, gum massages and tooth brushing 2. take pt BP
are important 3. Obtain pt's pulse ox
4. Assess pt's resp. status - ANSWER -
Assess the client's respiratory status
which data collection assessment would be
performed to evaluate the effectiveness of
Furosemide administered to a client with Which statement is important for the nurse to
congestive heart failure. SATA - include in the teaching plan of a client with
ANSWER -Daily weight. irritable bowel syndrome who has instructions to
I&O take psyllium for constipation?
monitor for edema a. urine may be discolored
Daily pulse oximeter. b. stop taking laxatives once bowel movement
auscultate breath sounds occurs
c. daily use may inhibit the absorption of some
fat-soluble vitamins
which purpose is served by an evening snack of d. Each dose should be taken with a full glass of
milk, crackers, and cheese for a client who is water or juice - ANSWER -"Each dose
receiving NPH insulin? - ANSWER -food to should be taken with a full glass of water or juice
counteract late insulin activity
Neuroleptic malignant syndrome is a potentially
which statement by a client who has gastric ulcer fatal reaction to antipsychotic therapy. Which
and asks what to do if epigastric pain occurs signs and symptoms of this syndrome will the
indicates that teaching was effective? - nurse ID? SATA
ANSWER -"Taking an antacid preparation
will decrease pain due to gastric acid" Jaundice
Diaphoresis
Hyperrigidity
which topic will the nurse include in the discharge Hyperthermia
teaching of a client who has had a total Photosensitivity - ANSWER -Diaphoresis
gastrectomy? - ANSWER -injections of Hyperrigidity
vitamin B12 for life Hyperthermia
which medication is indicated for management of Which essential test results will the nurse review
clinical manifestations associated with an opioid before starting antitubercular pharmacotherapy
OD? - ANSWER -Naloxone when caring for a client with human
immunodeficiency virus (HIV) infection who is
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