Pharmacology HESI
The nurse reviews the new prescription, phenelzine (Nardil), a
monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which
information is
most important for the nurse to assess? correct answers Consumption of any
alcohol or
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first
tyramine-rich
time.
side
foods. What should the nurse assess the client for during the initial
effects
dose? correct
answers
Dystonia.
While reviewing the client's electronic medical record (EMR), the nurse
assesses
client whoa is at risk for a possible interaction with an over-the-
counter (OTC) Which client health history should the nurse report to the
decongestant.
healthcare
provider concerning the OTC medication? (Select all that apply.) correct
answers
Closed angle
glaucoma.
Chronic
hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches,
and insomnia
after using the inhaler. Which action should the nurse implement first?
correct answers
Withhold medication and report symptoms and vital signs to
healthcare provider.
A client diagnosed with multiple sclerosis is experiencing profound
weakness,
vision, and blurry
shooting pains in both legs. Which medication is considered the
best
of course for the nurse to administer? correct answers
treatment
High dose
methylprednisolone
intravenously.
The nurse administers 30 mL of lactulose for a client with stage
2 hepatic
encephalopathy. Which assessment finding would indicate the
medication is correct
therapeuitc? being answers A decrease in blood
ammonia levels.
The nurse is teaching a client who is newly diagnosed with Type 1
diabetesprotamine
neutral about Hagedor (NPH) insulin. Which statement by the client
indicates an of how the medication works? correct answers It facilitates
understanding
theglucose
of transport
into the
cells.
The nurse should withhold which medication if a client reports nausea,
vomiting, and
diarrhea? correct answers Colchicine (Mitigare,
Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux
disease
asks the(GERD)
nurse how the medication will help. Which is the best explanation
to provide
the client? correct answers It will promote rapid tissue
healing.
, A nurse is providing medication education for a client prescribed a beta-
blocking
for agents
treatment of glaucoma. Which statement by the client
demonstrates an
understanding of the mechanism of the medication? correct answers It
inhibits the
aqueous humor
production.
A nurse is planning a teaching session for a client newly prescribed a miotic
drug for the
treatment of glaucoma. Which information should the nurse include in
the teaching
session? correct answers The medication enhances the aqueous humor
outflow.
The healthcare provider (HCP) prescribes a medication for an older adult
client whoinsomnia,
reporting is and the HCP instructs the client to return in two weeks.
The nurse
should question which prescription? correct answers Eszopiclone
(Lunesta) 10
milligrams orally at
bedtime.
A client is diagnosed with peptic ulcer disease and receives a
prescription
esomeprazole for(Nexium) 20 mg capsule daily. When providing this client with
discharge
teaching, the nurse should include which instruction? correct answers
Take at
time same
each day one hour before eating a
meal.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone.
When teaching about this drug, which information in the client's history
requires special
emphasis by the nurse? correct answers Works twenty hours a week as a
lifeguard
the local at
pool.
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal
patch to
client. a
Which assessment finding should the nurse use to evaluate the
effectiveness
the medication? of correct answers The number on the numeric
pain scale.
Based on the blood culture and sensitivity results, the healthcare provider
prescribes
IV aminoglycoside
an antibiotic and discontinues the current prescription for
another broad
spectrum antibiotic. The medication administration record indicates
that the client
received the broad spectrum antibiotic two hours ago. Which action should
the nurse
implement? correct answers Administer the initial dose of the
aminoglycoside
as soon as antibiotic
possible.
The nurse is providing medication teaching for a client who recently
received a for clozapine (Clozaril). Which instruction should be included in
prescription
this client's
teaching plan? correct answers Rise slowly from a lying
position.
A client receives a new prescription for nitroglycerin (Nitrostat) tablets.
Which instruction
should the nurse include in this client's teaching? correct answers Place
under the
tongue as needed every 5 minutes up to 3
times.
The nurse reviews the new prescription, phenelzine (Nardil), a
monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which
information is
most important for the nurse to assess? correct answers Consumption of any
alcohol or
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first
tyramine-rich
time.
side
foods. What should the nurse assess the client for during the initial
effects
dose? correct
answers
Dystonia.
While reviewing the client's electronic medical record (EMR), the nurse
assesses
client whoa is at risk for a possible interaction with an over-the-
counter (OTC) Which client health history should the nurse report to the
decongestant.
healthcare
provider concerning the OTC medication? (Select all that apply.) correct
answers
Closed angle
glaucoma.
Chronic
hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches,
and insomnia
after using the inhaler. Which action should the nurse implement first?
correct answers
Withhold medication and report symptoms and vital signs to
healthcare provider.
A client diagnosed with multiple sclerosis is experiencing profound
weakness,
vision, and blurry
shooting pains in both legs. Which medication is considered the
best
of course for the nurse to administer? correct answers
treatment
High dose
methylprednisolone
intravenously.
The nurse administers 30 mL of lactulose for a client with stage
2 hepatic
encephalopathy. Which assessment finding would indicate the
medication is correct
therapeuitc? being answers A decrease in blood
ammonia levels.
The nurse is teaching a client who is newly diagnosed with Type 1
diabetesprotamine
neutral about Hagedor (NPH) insulin. Which statement by the client
indicates an of how the medication works? correct answers It facilitates
understanding
theglucose
of transport
into the
cells.
The nurse should withhold which medication if a client reports nausea,
vomiting, and
diarrhea? correct answers Colchicine (Mitigare,
Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux
disease
asks the(GERD)
nurse how the medication will help. Which is the best explanation
to provide
the client? correct answers It will promote rapid tissue
healing.
, A nurse is providing medication education for a client prescribed a beta-
blocking
for agents
treatment of glaucoma. Which statement by the client
demonstrates an
understanding of the mechanism of the medication? correct answers It
inhibits the
aqueous humor
production.
A nurse is planning a teaching session for a client newly prescribed a miotic
drug for the
treatment of glaucoma. Which information should the nurse include in
the teaching
session? correct answers The medication enhances the aqueous humor
outflow.
The healthcare provider (HCP) prescribes a medication for an older adult
client whoinsomnia,
reporting is and the HCP instructs the client to return in two weeks.
The nurse
should question which prescription? correct answers Eszopiclone
(Lunesta) 10
milligrams orally at
bedtime.
A client is diagnosed with peptic ulcer disease and receives a
prescription
esomeprazole for(Nexium) 20 mg capsule daily. When providing this client with
discharge
teaching, the nurse should include which instruction? correct answers
Take at
time same
each day one hour before eating a
meal.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone.
When teaching about this drug, which information in the client's history
requires special
emphasis by the nurse? correct answers Works twenty hours a week as a
lifeguard
the local at
pool.
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal
patch to
client. a
Which assessment finding should the nurse use to evaluate the
effectiveness
the medication? of correct answers The number on the numeric
pain scale.
Based on the blood culture and sensitivity results, the healthcare provider
prescribes
IV aminoglycoside
an antibiotic and discontinues the current prescription for
another broad
spectrum antibiotic. The medication administration record indicates
that the client
received the broad spectrum antibiotic two hours ago. Which action should
the nurse
implement? correct answers Administer the initial dose of the
aminoglycoside
as soon as antibiotic
possible.
The nurse is providing medication teaching for a client who recently
received a for clozapine (Clozaril). Which instruction should be included in
prescription
this client's
teaching plan? correct answers Rise slowly from a lying
position.
A client receives a new prescription for nitroglycerin (Nitrostat) tablets.
Which instruction
should the nurse include in this client's teaching? correct answers Place
under the
tongue as needed every 5 minutes up to 3
times.
