Hesi Pharmacology (ACTUAL)
Questions and Answers
Before administering a laxative to a bedfast client, it is most important for the
nurse to perform what assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements - ANSWER-D
rationale
the nurse should ensure that the client is not experiencing diarrhea (ANSWER
choice D) before administering a laxative, which will increase the frequency of
bowel movements. ANSWER choices A,B,C R4 and assessments for the provision
of care when the client experience is a valve, but are of less priority then ANSWER
choice D which provides data about the possible need to hold medication
A female client with multiple sclerosis reports having less fatigue and improved
memory since she began using the herbal supplement, ginkgo biloba. Which
information is most important for the nurse to include in the teaching plans for
this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
,d-ginkgo biloba use should be limited and not taken during pregnancy - ANSWER-
Rationale
ginkgo biloba has blood thinning properties and should not be used in taking
aspirin or unsafe which increased the risk for bleeding. nausea diarrhea anxiety
and headaches are also side effects of supplements but they do not pose the
same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-
moxazole/TMP-SMZ (bactrium) to a client receiving the medication for a urinary
tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of
symptoms - ANSWER-D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial
resistance enterprise D, thereby increasing the drug therapeutic benefits ANSWER
choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness
& a stiff neck. Which interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
, -obtain a 12 lead EKG - ANSWER-Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side effect
of health all that can be reversed with Benadryl ANSWER choice A. the client
complaints are not considered hallucinations b. Massaging the neck does not
eliminate the symptoms. A 12 lead EKG is not indicated because the pain is not
cardiac in origin.
Which intervention is most important for the nurse implement for a client is
receiving lispro Humalog insulin?
-Check blood glucose levels every six hours
-provide meals at the same time that insulin is given
-assess for hypoglycemia between meals
-keeping oral liquid or glucose source available - ANSWER-B
Rationale
Humalog is a rapid acting insulin 15 minutes, so meals should be readily available
time administration of lispro (B). Although glucose blood levels a, monitoring for
hypoglycemia see, and keeping emergency source of glucose available B should be
implemented for client receiving any form of insulin those who take these are at
greatest risk for rapid hypoglycemia shortly after it is administered
Client takes nonsteroidal anti-inflammatory 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
observe for gastrointestinal bleeding
monitor liver function test results
protect skin from bruising
Questions and Answers
Before administering a laxative to a bedfast client, it is most important for the
nurse to perform what assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements - ANSWER-D
rationale
the nurse should ensure that the client is not experiencing diarrhea (ANSWER
choice D) before administering a laxative, which will increase the frequency of
bowel movements. ANSWER choices A,B,C R4 and assessments for the provision
of care when the client experience is a valve, but are of less priority then ANSWER
choice D which provides data about the possible need to hold medication
A female client with multiple sclerosis reports having less fatigue and improved
memory since she began using the herbal supplement, ginkgo biloba. Which
information is most important for the nurse to include in the teaching plans for
this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
,d-ginkgo biloba use should be limited and not taken during pregnancy - ANSWER-
Rationale
ginkgo biloba has blood thinning properties and should not be used in taking
aspirin or unsafe which increased the risk for bleeding. nausea diarrhea anxiety
and headaches are also side effects of supplements but they do not pose the
same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-
moxazole/TMP-SMZ (bactrium) to a client receiving the medication for a urinary
tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of
symptoms - ANSWER-D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial
resistance enterprise D, thereby increasing the drug therapeutic benefits ANSWER
choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness
& a stiff neck. Which interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
, -obtain a 12 lead EKG - ANSWER-Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side effect
of health all that can be reversed with Benadryl ANSWER choice A. the client
complaints are not considered hallucinations b. Massaging the neck does not
eliminate the symptoms. A 12 lead EKG is not indicated because the pain is not
cardiac in origin.
Which intervention is most important for the nurse implement for a client is
receiving lispro Humalog insulin?
-Check blood glucose levels every six hours
-provide meals at the same time that insulin is given
-assess for hypoglycemia between meals
-keeping oral liquid or glucose source available - ANSWER-B
Rationale
Humalog is a rapid acting insulin 15 minutes, so meals should be readily available
time administration of lispro (B). Although glucose blood levels a, monitoring for
hypoglycemia see, and keeping emergency source of glucose available B should be
implemented for client receiving any form of insulin those who take these are at
greatest risk for rapid hypoglycemia shortly after it is administered
Client takes nonsteroidal anti-inflammatory 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
observe for gastrointestinal bleeding
monitor liver function test results
protect skin from bruising
