BSN 315 PHARM II PRACTICE HESI QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
1. A client with a history of chronic obstructive pulmonary disease (COPD)
receives a new prescription for an ipratropium inhaler. Which action indicates
to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
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, b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature. ANS >>> Primes the inhaler with 7
pumps.
2. A client with heart failure (HF) develops hyperaldosteronism and spirono-
lactone is prescribed. Which instruction should the nurse include in this
client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising. ANS >>> Limit intake of high-potassium food
3. A client with peptic ulcer disease receives a new prescription for cimetidine.
Which statement provided by the client requires additional instruction by the
nurse?
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, a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids ANS >>> Decrease cigarette use to
a pack per day
4. A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to
report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea. ANS >>> Involuntary movements.
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, 5. The nurse admits a client with a diagnosis of stage 4 cancer. The client has
a prescription to wear a subcutaneous morphine sulfate patch for pain. The
client is short of breath and difficult to arouse. While performing a head to
toe assessment. the nurse discovers four patches on the client's body. Which
action should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
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ANSWERS GRADED A+ LATEST UPDATE.
1. A client with a history of chronic obstructive pulmonary disease (COPD)
receives a new prescription for an ipratropium inhaler. Which action indicates
to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
mailto:https://www.stuvia.com/user/techgrades
, b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature. ANS >>> Primes the inhaler with 7
pumps.
2. A client with heart failure (HF) develops hyperaldosteronism and spirono-
lactone is prescribed. Which instruction should the nurse include in this
client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising. ANS >>> Limit intake of high-potassium food
3. A client with peptic ulcer disease receives a new prescription for cimetidine.
Which statement provided by the client requires additional instruction by the
nurse?
mailto:https://www.stuvia.com/user/techgrades
, a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids ANS >>> Decrease cigarette use to
a pack per day
4. A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to
report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea. ANS >>> Involuntary movements.
mailto:https://www.stuvia.com/user/techgrades
, 5. The nurse admits a client with a diagnosis of stage 4 cancer. The client has
a prescription to wear a subcutaneous morphine sulfate patch for pain. The
client is short of breath and difficult to arouse. While performing a head to
toe assessment. the nurse discovers four patches on the client's body. Which
action should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
mailto:https://www.stuvia.com/user/techgrades
