PN HESI PHARM QUESTIONS AND ANSWERS ALREADY PASSED

PN HESI PHARM QUESTIONS AND ANSWERS ALREADY PASSED While taking a client's history, the practical nurse (PN) discovers that the client, who takes Coumadin daily, has added a ginger supplement on the advice of a friend. What comment is critical for the PN to provide to this client? "Your health care provider is interested in all medications and herbs you take." A client with diabetes mellitus takes insulin daily and is prescribed propranolol (Inderal). Which information should the nurse provide to this client? A sign of hypoglycemia is that propranolol slows a rapid heart rate. A client has a positive skin test for tuberculosis. What prophylactic drug should the practical nurse (PN) expect to be prescribed for this client? Isoniazid (INH) Amitriptyline hydrochloride (Elavil) is prescribed for an adult female client who is clinically depressed. Five days after beginning the drug, the client is admitted to the hospital because of suicide ideation. She tells the practical nurse (PN) that the drug is not working because she is not feeling any better. Which explanation should the PN provide? "It takes 2 to 4 weeks for antidepressant medications to become effective." In planning care for a client diagnosed with bacterial pneumonia, which intervention should the practical nurse implement? Obtain the sputum specimen before administering prescribed antibiotics. Phenytoin (Dilantin) is prescribed for a client who has a seizure disorder. Which statement by the client indicates to the practical nurse that the instruction about this drug has been effective? "I know that I should never stop taking this medication abruptly." The practical nurse (PN) is obtaining the medical history of a female client starting a new prescription for conjugated estrogens (Premarin) 0.625 mg PO daily. Before taking the first dose of the medication, which information is most important for the PN to obtain from the client? Cigarette smoking history A mother brings her 3-month-old infant to the well-baby clinic because the baby has developed oral thrush. Which pharmacological agent should the practical nurse (PN) expect to be prescribed for the thrush? Nystatin (Mycostatin) The H2 receptor blocker famotidine (Pepcid) is prescribed for a client who has been taking antacids for chronic gastritis. Which client statement indicates to the practical nurse (PN) that teaching was effective regarding concurrent use of these medications? "I will take the antacid after meals and the Pepcid at bedtime." A mother brings her 18-month-old child to the clinic because the child has had "bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy and gave my daughter a half-ounce." The practical nurse (PN) sees that the bottle contains loperamide (Imodium AD). What intervention is most important for the PN to implement initially? Ask the mother when the child last voided. A client who received a prescription for cyclosporine ophthalmic emulsion (Restasis) for dry eyes asks the practical nurse (PN) if it is safe to continue using artificial tears. What information should the PN provide? Allow a 15-minute interval between the administration of Restasis and artificial tears. The health care provider prescribes morphine sulfate grain 1/8 IM stat. Morphine is available in 8 mg/mL. How many milliliters should the practical nurse (PN) administer? 1 mL A 74-year-old female client asks the practical nurse (PN) if she should get a flu shot. Which response should the PN provide? "Yes. Normal aging decreases your immunity, making you more susceptible to contagious diseases such as the flu." A 78-year-old client with congestive heart failure (CHF) receives the cardiac glycoside digoxin (Lanoxin) 0.25 mg PO daily. Which observation by the nurse indicates that the medication has been effective? Clear breath sounds bilaterally. The healthcare provider orders 1000 mL of 0.5% normal saline to run over 8 hours. The drop factor is 15 gtt/mL. The nurse plans to adjust the flow rate to how many gtt/min? (Round to the nearest whole number.) 31 A client asks the practical nurse (PN) if glipizide (Glucotrol) is an oral insulin. What answer should the PN provide? "No, it is not an oral insulin and can be used only when some beta cell function is present." A female client who started taking an oral sulfonamide for a urinary tract infection the previous day reports to the nurse that the medication is causing slight anorexia. She also states that she continues to experience urinary frequency, so she takes the medication with a small sip of cranberry juice and limits her fluid intake. What information should the practical nurse provide Drink a full glass of water with the medication and drink additional fluids throughout the day A health care provider prescribes cefadroxil (Duricef) for a client with a postoperative infection. It is most important for the practical nurse (PN) to consider that a cross allergy is possible with what drug allergy? Penicillins A client is receiving the antipsychotic medication haloperidol (Haldol). In evaluating the effectiveness of this medication, which action provides the practical nurse with the most reliable information? Observe the client for changes in behavior weekly. A client is receiving benztropine (Cogentin) and olanzapine (Seroquel) to control psychotic behavior. When reinforcing teaching to the client and/or significant others about these medications, what should the practical nurse (PN) explain about the use of benztropine (Cogentin)? The benztropine (Cogentin) is used to control extrapyramidal symptoms. Which question should the practical nurse (PN) ask an older client before beginning treatment with gentamicin sulfate (Garamycin)? Are you hard