Pharm II Hesi Exam Q&A Verified |
Update 2024/2025 | Already Passed
A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having
vaginal discomfort, itching, and a white discharge. The nurse should
discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until the symptoms subside.
C) Consult with healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
- ✔✔Consult with healthcare provider about another treatment for this
effect.
Rationale
A superinfection with normal flora yeast may occur during antibiotic
therapy. If suspected, the new onset of findings should be reported to the
healthcare provider for another prescribed treatment to treat the
superinfection.
, The nurse is assessing a client prior to administering the prescribed dose
of atenolol PO. The client's blood pressure is 120/68 mmHg, and the
telemetry monitor shows sinus bradycardia with a rate of 58 beats/minute,
and a P-R interval of 0.24. Based on this assessment, what intervention
should the nurse implement?
A) Lower the head of the bed and assess the client for orthostatic vital sign
changes.
B) Give the medication as prescribed and continue to monitor the client.
C) Prepare to administer atropine sulfate IVP.
D) Hold the prescribed dose and contact the healthcare provider. - ✔✔B)
Give the medication as prescribed and continue to monitor the client.
Ratiionale: Since the BP (blood pressure) is within normal limits, and the
pulse is above 50 with a first-degree block, the medication can be
administered. Atenolol is a beta-blocker, which slows the heart rate and
lowers the blood pressure; this drug is generally held if the heart rate is less
than 50 or the client exhibits dizziness related to hypotension.
The nurse is making early morning rounds on a group of clients when a
client begins exhibiting symptoms of an acute asthma attack. The nurse
Update 2024/2025 | Already Passed
A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having
vaginal discomfort, itching, and a white discharge. The nurse should
discuss which action with the client?
A) Discontinue the antibiotic because original symptoms have subsided.
B) Continue taking the medication until the symptoms subside.
C) Consult with healthcare provider about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
- ✔✔Consult with healthcare provider about another treatment for this
effect.
Rationale
A superinfection with normal flora yeast may occur during antibiotic
therapy. If suspected, the new onset of findings should be reported to the
healthcare provider for another prescribed treatment to treat the
superinfection.
, The nurse is assessing a client prior to administering the prescribed dose
of atenolol PO. The client's blood pressure is 120/68 mmHg, and the
telemetry monitor shows sinus bradycardia with a rate of 58 beats/minute,
and a P-R interval of 0.24. Based on this assessment, what intervention
should the nurse implement?
A) Lower the head of the bed and assess the client for orthostatic vital sign
changes.
B) Give the medication as prescribed and continue to monitor the client.
C) Prepare to administer atropine sulfate IVP.
D) Hold the prescribed dose and contact the healthcare provider. - ✔✔B)
Give the medication as prescribed and continue to monitor the client.
Ratiionale: Since the BP (blood pressure) is within normal limits, and the
pulse is above 50 with a first-degree block, the medication can be
administered. Atenolol is a beta-blocker, which slows the heart rate and
lowers the blood pressure; this drug is generally held if the heart rate is less
than 50 or the client exhibits dizziness related to hypotension.
The nurse is making early morning rounds on a group of clients when a
client begins exhibiting symptoms of an acute asthma attack. The nurse
