HESI PHARM - Prototype Drugs and their Therapeutic Use/Indications

1. A client with chronic kidney disease (CKD) is receiving calcium acetate 867 mg by mouth. A decrease in which blood value indicates to the nurse that the medication is having the desired affect? Phosphate 2. A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction you should provide to the client? Apply the new patch today and use a backup method for 7 days 3. A client with a history of anaphylactic reaction to penicillin receives a prescription for cephalexin 500mg by mouth twice daily, which action should the nurse take? Contact the healthcare provider 4. Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment? Determine the frequency and consistency of bowel movements 5. A client has a prescription for clopidogrel bisulfate 75 mg by mouth day et 0900. In which situation should the nurse hold this medication? Elective surgery is scheduled in two hours 6. A client is receiving orlistat part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication? Body mass index 7. Based on a client's serum digoxin level a client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? Check acid-base and electrolyte values 8. An adolescent with major depressive disorder has been taking duloxetine (Duloxetine is used to treat depression and anxiety) for the past 12 days. Which assessment finding requires immediate attention? Describes life as without purpose 9. The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instructions should be included in the teaching plan? Report any tendon pain or swelling to the healthcare provider immediately, Limit exposure to sunlight and avoid tanning beds, and Increase fluid intake while taking the medication. 10. Hormone replacement therapy with levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to reports certain symptoms because it indicates that the client is taking too much of the hormonal agent levothyroxine sodium? Restlessness 11. A female client experiencing anxiety tells the nurse that she has started taking St. Jhon’s wort, an herbal supplement. Which question is most important for the nurse to ask? "What other medications are you taking?" 12. A male client reports to the nurse that he is experiencing gastrointestinal distress from a high dose of a corticosteroid and is planning to stop taking medication. In response to the client' statement, which nursing action is moat important for the nurse to implement? Advise the client that the medication should be stopped gradually rather than abruptly 13. A client with a history of angina report the onset of chest pain. The nurse determines that the heart rate is 104 beat/minute and blood pressure is 136/86 mmHg. A transdermal nitroglycerin patch that was applied 30 minutes ago to the right upper chest. Which action should the nurse take? Leave the patch in place and administer a PRN dose of sublingual nitroglycerin 14. A Client with multiple sclerosis starts a new prescription to control muscle spasticity. Three days later, the client calls the nurse about certain symptoms. Which instruction should the nurse provide? Avoid hazardous activities until symptoms subside 15. The nurse initiate an infusion of piperacillin-tazobectam for a client with a urinary tract infection. Five minutes into the infusion the client reports certain symptoms. Which client manifestation should the nurse Identify as a reason to stop the infusion? Scratchy throat 16. A client who had a kidney transplant last week is receiving cyclosporine, an immunosuppressant. This morning the client is complaining of a headache, and blurred vision. Based on which assessment finding should the nurse withhold the medication until the healthcare provider is notified? Blood pressure 180/08 mm Hg 17. An older adult receiving vancomycin for hospital acquired infection. Which intervention is most important for the nurse to implement? Ensure that vancomycin peak and trough levels are obtained daily 18. A client has been receiving hydromorphone every six hours for four days. Which assessment is the most important for the nurse to monitor? Auscultate the client's bowel sounds 19. A glycogen emergency kit is prescribed for a client with type 1 DM. When should the nurse instruct the client to use it? When signs of severe hypoglycemia occur 20. The nurse observes that a client has become lethargic 30 minutes after receiving an opioid injection for pain. Which vital sign should the nurse monitor? Respiratory rate 21. While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client skin looks yellow this finding? Report the finding to the healthcare provider 22. A client who is taking methylprednisolone reports feeling thirsty. Which action should the nurse take first? Obtain fingerstick blood glucose 23. A client recently diagnosed with multiple sclerosis, who self-administers beta-1a interferon, reports feeling increasingly depressed. Which action should the nurse implement? Notify the healthcare provider of the findings immediately 24. Which action should the nurse implement to assess the effectiveness of the calcium channel blocker amplopdine? Measure the client's blood pressure. 25. A client diagnosed with chronic hepatitis C receiving ribavirin in combination with alfe-interferon reports the onset of extreme fatigue und dyspnea on exertion. It is the nurse to monitor which serum laboratory? Hemoglobin 26. A client with heart failure, who is taking furosemide, complains of muscle cramps and weakness in the lower extremities. Which action implement? Collect blood for serum electrolytes 27. A client reports to the nurse of taking more than the prescribed dose of alprazolam each day. After counseling the importance advantage of the