Pharmacology HESI V2 Preparation Exam/Possible 2022 Questions and Answers

Pharmacology HESI V2 Preparation Exam/Possible 2022 Questions and Answers on the arm because older adults typically have fragile veins in the back of their hands. The nurse should direct the client to hold his arm below the level of his heart to distend the vein. A nurse is caring for a client receiving dextrose 5% in water IV at 250 mL. Which of the following findings are an indication of fluid volume overload? (Select all that apply.) A. Hypotension B. Bradycardia C. Shortness of breath D. Crackles heard in lungs E. Distended neck veins Correct answer- ANS: C, D, E Due to an increase in fluid in the cardiovascular system, hypertension and tachycardia are manifestations of fluid overload. A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) A. A client at 8 weeks of gestation who asks for an influenza immunization. B. A client who takes prednisone and has a possible fungal infection. C. A client who has chronic liver disease and reports he is taking hydrocodone. D. A client who has PUD and takes sucralfate and tells the nurse she has started taking OTC aluminum hydroxide. E. A client who has a prosthetic heart valve who takes warfarin and reports a suspected pregnancy. Correct answer- ANS: B, C, E Glucocorticoids should not be taken by a client who has possible systemic fungal infection. Acetaminophen is contraindicated due to toxicity for the client who has a liver disorder. Warfarin is a Pregnancy Category X medication, which can cause severe birth defects in a fetus. The influenza vaccine is recommended for all people older than 6 months of age and is not contraindicated for pregnant women. There is no contraindication for a client who has PUD and takes sucralfate and also starts taking OTC aluminum hydroxide. The nurse should ensure that the client takes medications 3 min apart. A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following is an appropriate nursing action? A. Administer the prescribed dose. B. Withhold the medication. C. Ask the provider to change the prescription to an oral form. D. Administer an oral antihistamine at the same time. Correct answer- ANS: B The nurse should withhold the medication and notify the provider of the client's previous reaction to penicillin so that an alternative antibiotic can be prescribed.