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HESI DOSAGE CALCULATIONS, HESI PHARMACOLOGY REVIEW QUESTIONS WITH CORRECT ANSWERS

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HESI DOSAGE CALCULATIONS, HESI PHARMACOLOGY REVIEW QUESTIONS WITH CORRECT ANSWERS

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The nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a pump that
is programmed to deliver 30 ml/hour. The available solution is Ringer's Lactated 1,000
ml with Pitocin 20 units. How many milliunits/minute is the client receiving? (Enter
numeric value only.)


Give this one a try later!


10


Convert units to milliunits, 20 x 1,000 = 20,000 units. Using D/H x Q = 30
ml/hour X/20,000 units x 1,000 ml = 30 ml/hour (60 minutes) X/20 =30/60,
reduce X/2 = 1/2, and 2X = 20, so X = 10 milliunits/minute OR 20/1,000 = 0.02
1000 : 0.02 :: 30 : X = 0.6 :: 1,000X X = 600 and 600/60 = 10 milliunits/minute.




A client receives a prescription for an intravenous infusion 0.45% sodium chloride 500
ml to be infused over 6 hours. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only. If rounding is required, round to the
nearest whole number.)

,Give this one a try later!


83


Calculate using Volume/Time: 500 ml/6 hours = 83.3 ml/hour




3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which of the following would indicate the presence
of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations


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1. Tinnitus




74.) A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse
monitors for signs and symptoms of cholinergic crisis caused by overdose of the
medication. The nurse checks the medication supply to ensure that which medication
is available for administration if a cholinergic crisis occurs?
1. Vitamin K
2. Atropine sulfate
3. Protamine sulfate
4. Acetylcysteine (Mucomyst)


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2. Atropine sulfate

,98.) The nurse is assigned to care for a client with cytomegalovirus retinitis and
acquired immunodeficiency syndrome who is receiving foscarnet. The nurse should
check the latest results of which of the following laboratory studies while the client is
taking this medication?
1. CD4 cell count
2. Serum albumin
3. Serum creatinine
4. Lymphocyte count


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3. Serum creatinine




The healthcare provider prescribes acetazolamide (Diamox) 600 mg/m2/day divided
into 3 doses. The nurse calculates the child's body surface area (BSA) as 0.7 m2. How
many mg should the child receive per dose? (Enter numeric value only.)


Give this one a try later!


140

Using the child's BSA, 0.7 m2, calculate the mg/dose, 600 mg x 0.7 m2 = 420
mg/day/3 doses = 140 mg/dose




93.) The client who is human immunodeficiency virus seropositive has been taking
stavudine (d4t, Zerit). The nurse monitors which of the following most closely while
the client is taking this medication?
1. Gait
2. Appetite
3. Level of consciousness
4. Hemoglobin and hematocrit blood levels

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1. Gait




9.) The nurse is applying a topical corticosteroid to a client with eczema. The nurse
would monitor for the potential for increased systemic absorption of the medication if
the medication were being applied to which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands


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2. Axilla




111.) A client arrives at the health care clinic and tells the nurse that he has been
doubling his daily dosage of bupropion hydrochloride (Wellbutrin) to help him get
better faster. The nurse understands that the client is now at risk for which of the
following?
1. Insomnia
2. Weight gain
3. Seizure activity
4. Orthostatic hypotension


Give this one a try later!


3. Seizure activity

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