Pharmacology Hesi Practice 2
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A client receives a prescription for History of deep vein thrombosis.
esomeprazole (Nexium) for
heartburn. Which finding in the
client's history should the nurse
report to the healthcare provider
before administering the
prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on
weekends.
Family history of diabetes mellitus.
,A male client who is in the terminal Titrate the morphine dose upward until the client
stage of cancer is cared for at home has adequate pain relief.
by his family and receives a
prescription for morphine at a rate to
control intractable pain. When the
hospice nurse visits, the client
awakens, moans in severe pain, and
asks for an increase in the morphine
dosage. After determining the
client's respirations are 10 per minute,
what is the best action for the nurse
to implement?
Titrate the morphine dose upward
until the client has adequate pain
relief.
Suggest to the family that they can
also give the client ibuprofen, a non-
narcotic analgesic.
Hold additional morphine until the
client's respirations are at least 16 per
minute.
Inform the client that an increased
dose of morphine increases side
effects without additional pain
control.
,A client with Paget's disease is Observe the client for signs of hypersensitivity.
started on calcitonin (Calcimar) 500
mcg subcutaneously daily. During
the initial treatment, what is the
priority nursing action?
Assess the injection site for
inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline
phosphatase levels.
Observe the client for signs of
hypersensitivity.
A client is taking cyclosporine for Creatinine 28 mg/dl.
renal allograft rejection prevention.
After 9 months of drug therapy, the
nurse reviews laboratory data and
notes that the blood urea nitrogen
level is 36 mg/dl. What additional
finding should the nurse identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction.
, The nurse receives a unit of blood Return the blood to the blood bank for
from the blood bank for a refrigeration within 30 minutes.
postoperative client who is currently
in the X-ray department. What action
should the nurse implement?
Return the blood to the blood bank
for refrigeration within 30 minutes.
Hang the blood transfusion as soon
as the client returns to the unit.
Store the blood bag in the nursing
unit's refrigerator until the client
returns.
Take the unit of blood to the X-ray
department to initiate the
transfusion.
Which side effects should the nurse Mood swings.
monitor for a client who is receiving Increased weight gain.
dexamethasone (Decadron) Delayed incisional wound healing.
following neurosurgery? (Select all Serum hemoglobin level of 9 mg/dl.
that apply.)
Select all that apply
Mood swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
Leave the first rating
Save
Terms in this set (67) Hide definitions
A client receives a prescription for History of deep vein thrombosis.
esomeprazole (Nexium) for
heartburn. Which finding in the
client's history should the nurse
report to the healthcare provider
before administering the
prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on
weekends.
Family history of diabetes mellitus.
,A male client who is in the terminal Titrate the morphine dose upward until the client
stage of cancer is cared for at home has adequate pain relief.
by his family and receives a
prescription for morphine at a rate to
control intractable pain. When the
hospice nurse visits, the client
awakens, moans in severe pain, and
asks for an increase in the morphine
dosage. After determining the
client's respirations are 10 per minute,
what is the best action for the nurse
to implement?
Titrate the morphine dose upward
until the client has adequate pain
relief.
Suggest to the family that they can
also give the client ibuprofen, a non-
narcotic analgesic.
Hold additional morphine until the
client's respirations are at least 16 per
minute.
Inform the client that an increased
dose of morphine increases side
effects without additional pain
control.
,A client with Paget's disease is Observe the client for signs of hypersensitivity.
started on calcitonin (Calcimar) 500
mcg subcutaneously daily. During
the initial treatment, what is the
priority nursing action?
Assess the injection site for
inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline
phosphatase levels.
Observe the client for signs of
hypersensitivity.
A client is taking cyclosporine for Creatinine 28 mg/dl.
renal allograft rejection prevention.
After 9 months of drug therapy, the
nurse reviews laboratory data and
notes that the blood urea nitrogen
level is 36 mg/dl. What additional
finding should the nurse identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction.
, The nurse receives a unit of blood Return the blood to the blood bank for
from the blood bank for a refrigeration within 30 minutes.
postoperative client who is currently
in the X-ray department. What action
should the nurse implement?
Return the blood to the blood bank
for refrigeration within 30 minutes.
Hang the blood transfusion as soon
as the client returns to the unit.
Store the blood bag in the nursing
unit's refrigerator until the client
returns.
Take the unit of blood to the X-ray
department to initiate the
transfusion.
Which side effects should the nurse Mood swings.
monitor for a client who is receiving Increased weight gain.
dexamethasone (Decadron) Delayed incisional wound healing.
following neurosurgery? (Select all Serum hemoglobin level of 9 mg/dl.
that apply.)
Select all that apply
Mood swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
