HESI PRACTICE EXAM-PHARM 315
QUESTIONS WITH ANSWERS RATED
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UPDATE
Whichmclientmshouldmthemnursemidentifymasmbeingmatmhighestmriskmformcomplicationsmduringmthemu
semofmanmopioidmanalgesic?m-
mCORRECTmANSWERSmAmyoungmadultmwithminflammatorymbowelmdisease.
Rationale:
Themprincipalmindicationmformopioidmusemismacutempain,mandmamclientmwithminflammatorymbowelmdi
seasemismatmriskmformtoxicmmegacolonmormparalyticmileusmrelatedmtomslowedmperistalsis,mamsidemeffe
ctmofmmorphine.mAdversemeffectsmofmmorphinemdomnotmposemasmgreatmamriskmformclientsmwithmdiab
etesmormamfracturemasmformthemclientmwithmbowelmdisease.
Themhealthcaremprovidermprescribesmdigitalism(Digoxin)mformamclientmdiagnosedmwithmheartmfailure
.mWhichminterventionmshouldmthemnursemimplementmpriormtomadministeringmthemdigoxin?m-
mCORRECTmANSWERSmAssessmthemserummpotassiummlevel.
Rationale:
Hypokalemiam(decreasedmserummpotassium)mwillmprecipitatemdigitalismtoxicityminmpersonsmreceivi
ngmdigoxin.mThemnursemshouldmmonitormthemclient'smserummpotassiummlevels.mBloodmpressureman
dmrespiratorymratemwillmnotminformmthemnursemaboutmpotentialmsafetymissuesmwithmdigitalis.
Amclientmwithmhyperlipidemiamreceivesmamprescriptionmformniacinm(Niaspan).mWhichmclientmteachin
gmismmostmimportantmformthemnursemtomprovide?m-
mCORRECTmANSWERSmExpectedmdurationmofmflushing.
Rationale:
,Flushingmofmthemfacemandmneck,mlastingmupmtomanmhour,mismamfrequentmreasonmformdiscontinuingmni
acin.mInclusionmofmthismeffectminmclientmteachingmmaympromotemcomplianceminmtakingmthemmedica
tion.mWhilemnutritionmtipsmandmmanagingmpruritismaremworthwhileminstructionsmtomhelpmclientsmm
inimizemormcopemwithmnormalmsidemeffectsmassociatedmwithmniacinm(Niaspan),mflushingmismintensem
andmcausesmthemmostmconcernmformthemclient.
Amclientmwhomwasmprescribedmatorvastatinm(Lipitor)monemmonthmagomcallsmthemtriagemnursematmth
emclinicmcomplainingmofmmusclempainmandmweaknessminmhismlegs.mWhichmstatementmreflectsmthemc
orrectmdrug-specificmteachingmthemnursemshouldmprovidemtomthismclient?m-
mCORRECTmANSWERSmMakemanmappointmentmtomseemthemhealthcaremprovider,mbecausemmusclemp
ainmmaymbemanmindicationmofmamseriousmsidemeffect.
Rationale:
Myopathy,msuggestedmbymthemlegmpainmandmweakness,mismamserious,mandmpotentiallymlife-
threatening,mcomplicationmofmLipitor,mandmshouldmbemevaluatedmimmediatelymbymthemhealthcarem
provider.
Anmantacidm(Maalox)mismprescribedmformamclientmwithmpepticmulcermdisease.mThemnursemknowsmtha
tmthempurposemofmthismmedicationmismtom-
mCORRECTmANSWERSmmaintainmamgastricmpHmofm3.5mormabove.
Rationale:
ThemobjectivemofmantacidsmismtomneutralizemgastricmacidsmandmkeepmpHmofm3.5mormabovemwhichmism
necessarymformpepsinogenminactivity.
Whichmdosingmschedulemshouldmthemnursemteachmthemclientmtomobservemformamcontrolled-
releasemoxycodonemprescription?m-mCORRECTmANSWERSmEverym12mhours.
Rationale:
Amcontrolled-releasemoxycodonemprovidesmlong-
actingmanalgesiamtomrelievemmoderatemtomseverempain,msomamdosingmschedulemofmeverym12mhoursm
, providesmthembestmaround-the-clockmpainmmanagement.mControlled-
releasemoxycodonemismnotmprescribedmformbreakthroughmpainmonmamPRNmormasmneededmschedule.m
Usingmamschedulemofmeverym4mtom6mhoursmmaymjeopardizempatientmsafetymduemtomcumulativemeffe
cts.
Amclientmwithmosteoarthritismreceivesmamnewmprescriptionmformcelecoxibm(Celebrex)morallymformsym
ptommmanagement.mThemnursemnotesmthemclientmismallergicmtomsulfa.mWhichmactionmismmostmimpo
rtantmformthemnursemtomimplementmpriormtomadministeringmthemfirstmdose?m-
mCORRECTmANSWERSmNotifymthemhealthcaremprovider.
Rationale:
Celebrexmcontainsmamsulfurmmolecule,mwhichmcanmleadmtomanmallergicmreactionminmindividualsmwho
maremsensitivemtomsulfonamides,msomthemhealthcaremprovidermshouldmbemnotifiedmofmthemclient'sma
llergies.
Themnursemismassessingmamclientmwhomismexperiencingmanaphylaxismfrommanminsectmsting.mWhichmp
rescriptionmshouldmthemnursempreparemtomadministermthismclient?m-
mCORRECTmANSWERSmEpinephrine.
Rationale:
Epinephrinemismanmadrenergicmagentmthatmstimulatesmbetamreceptorsmtomincreasemcardiacmautoma
ticityminmcardiacmarrestmandmrelaxmbronchospasmsminmanaphylaxis.mOnmthemithermhand,mdopamine
mismamvasopressormusedmtomtreatmclientsmwithmshock.mEphedrinemcausesmperipheralmvasoconstricti
onmandmismusedminmthemtreatmentmofmnasalmcongestion.mDiphenhydraminemismanmantihistaminemd
econgestantmusedminmthemtreatmentmofmmildmallergicmreactionsmandmmotionmsickness.mEpinephrin
emismthemmedicationmofmchoiceminmtreatingmanaphylaxis.
Amclientmismbeingmtreatedmformosteoporosismwithmalendronatem(Fosamax),mandmthemnursemhasmco
mpletedmdischargemteachingmregardingmmedicationmadministration.mWhichmmorningmschedulemw
ouldmindicatemtomthemnursemthatmthemclientmteachingmhasmbeenmeffective?m-
mCORRECTmANSWERSmTakemmedication,mgomformam30mminutemmorningmwalk,mthenmeatmbreakfast.
QUESTIONS WITH ANSWERS RATED
A+ | GUARANTEED PASS| LATEST
UPDATE
Whichmclientmshouldmthemnursemidentifymasmbeingmatmhighestmriskmformcomplicationsmduringmthemu
semofmanmopioidmanalgesic?m-
mCORRECTmANSWERSmAmyoungmadultmwithminflammatorymbowelmdisease.
Rationale:
Themprincipalmindicationmformopioidmusemismacutempain,mandmamclientmwithminflammatorymbowelmdi
seasemismatmriskmformtoxicmmegacolonmormparalyticmileusmrelatedmtomslowedmperistalsis,mamsidemeffe
ctmofmmorphine.mAdversemeffectsmofmmorphinemdomnotmposemasmgreatmamriskmformclientsmwithmdiab
etesmormamfracturemasmformthemclientmwithmbowelmdisease.
Themhealthcaremprovidermprescribesmdigitalism(Digoxin)mformamclientmdiagnosedmwithmheartmfailure
.mWhichminterventionmshouldmthemnursemimplementmpriormtomadministeringmthemdigoxin?m-
mCORRECTmANSWERSmAssessmthemserummpotassiummlevel.
Rationale:
Hypokalemiam(decreasedmserummpotassium)mwillmprecipitatemdigitalismtoxicityminmpersonsmreceivi
ngmdigoxin.mThemnursemshouldmmonitormthemclient'smserummpotassiummlevels.mBloodmpressureman
dmrespiratorymratemwillmnotminformmthemnursemaboutmpotentialmsafetymissuesmwithmdigitalis.
Amclientmwithmhyperlipidemiamreceivesmamprescriptionmformniacinm(Niaspan).mWhichmclientmteachin
gmismmostmimportantmformthemnursemtomprovide?m-
mCORRECTmANSWERSmExpectedmdurationmofmflushing.
Rationale:
,Flushingmofmthemfacemandmneck,mlastingmupmtomanmhour,mismamfrequentmreasonmformdiscontinuingmni
acin.mInclusionmofmthismeffectminmclientmteachingmmaympromotemcomplianceminmtakingmthemmedica
tion.mWhilemnutritionmtipsmandmmanagingmpruritismaremworthwhileminstructionsmtomhelpmclientsmm
inimizemormcopemwithmnormalmsidemeffectsmassociatedmwithmniacinm(Niaspan),mflushingmismintensem
andmcausesmthemmostmconcernmformthemclient.
Amclientmwhomwasmprescribedmatorvastatinm(Lipitor)monemmonthmagomcallsmthemtriagemnursematmth
emclinicmcomplainingmofmmusclempainmandmweaknessminmhismlegs.mWhichmstatementmreflectsmthemc
orrectmdrug-specificmteachingmthemnursemshouldmprovidemtomthismclient?m-
mCORRECTmANSWERSmMakemanmappointmentmtomseemthemhealthcaremprovider,mbecausemmusclemp
ainmmaymbemanmindicationmofmamseriousmsidemeffect.
Rationale:
Myopathy,msuggestedmbymthemlegmpainmandmweakness,mismamserious,mandmpotentiallymlife-
threatening,mcomplicationmofmLipitor,mandmshouldmbemevaluatedmimmediatelymbymthemhealthcarem
provider.
Anmantacidm(Maalox)mismprescribedmformamclientmwithmpepticmulcermdisease.mThemnursemknowsmtha
tmthempurposemofmthismmedicationmismtom-
mCORRECTmANSWERSmmaintainmamgastricmpHmofm3.5mormabove.
Rationale:
ThemobjectivemofmantacidsmismtomneutralizemgastricmacidsmandmkeepmpHmofm3.5mormabovemwhichmism
necessarymformpepsinogenminactivity.
Whichmdosingmschedulemshouldmthemnursemteachmthemclientmtomobservemformamcontrolled-
releasemoxycodonemprescription?m-mCORRECTmANSWERSmEverym12mhours.
Rationale:
Amcontrolled-releasemoxycodonemprovidesmlong-
actingmanalgesiamtomrelievemmoderatemtomseverempain,msomamdosingmschedulemofmeverym12mhoursm
, providesmthembestmaround-the-clockmpainmmanagement.mControlled-
releasemoxycodonemismnotmprescribedmformbreakthroughmpainmonmamPRNmormasmneededmschedule.m
Usingmamschedulemofmeverym4mtom6mhoursmmaymjeopardizempatientmsafetymduemtomcumulativemeffe
cts.
Amclientmwithmosteoarthritismreceivesmamnewmprescriptionmformcelecoxibm(Celebrex)morallymformsym
ptommmanagement.mThemnursemnotesmthemclientmismallergicmtomsulfa.mWhichmactionmismmostmimpo
rtantmformthemnursemtomimplementmpriormtomadministeringmthemfirstmdose?m-
mCORRECTmANSWERSmNotifymthemhealthcaremprovider.
Rationale:
Celebrexmcontainsmamsulfurmmolecule,mwhichmcanmleadmtomanmallergicmreactionminmindividualsmwho
maremsensitivemtomsulfonamides,msomthemhealthcaremprovidermshouldmbemnotifiedmofmthemclient'sma
llergies.
Themnursemismassessingmamclientmwhomismexperiencingmanaphylaxismfrommanminsectmsting.mWhichmp
rescriptionmshouldmthemnursempreparemtomadministermthismclient?m-
mCORRECTmANSWERSmEpinephrine.
Rationale:
Epinephrinemismanmadrenergicmagentmthatmstimulatesmbetamreceptorsmtomincreasemcardiacmautoma
ticityminmcardiacmarrestmandmrelaxmbronchospasmsminmanaphylaxis.mOnmthemithermhand,mdopamine
mismamvasopressormusedmtomtreatmclientsmwithmshock.mEphedrinemcausesmperipheralmvasoconstricti
onmandmismusedminmthemtreatmentmofmnasalmcongestion.mDiphenhydraminemismanmantihistaminemd
econgestantmusedminmthemtreatmentmofmmildmallergicmreactionsmandmmotionmsickness.mEpinephrin
emismthemmedicationmofmchoiceminmtreatingmanaphylaxis.
Amclientmismbeingmtreatedmformosteoporosismwithmalendronatem(Fosamax),mandmthemnursemhasmco
mpletedmdischargemteachingmregardingmmedicationmadministration.mWhichmmorningmschedulemw
ouldmindicatemtomthemnursemthatmthemclientmteachingmhasmbeenmeffective?m-
mCORRECTmANSWERSmTakemmedication,mgomformam30mminutemmorningmwalk,mthenmeatmbreakfast.
