BSN 315 (Latest 2025/ 2026 Update)
L
Questions and Verified Answers|100%
Correct| Grade A- Nightingale
HESI Pharmacology II Review//
Rapid acting Insulin - answer-Lispro is a rapid acting insulin ( 15 min.), so meals should
be readily available at time of administration. Patients who take this are at risk for
hypoglycemic reaction to occur shortly after administration.
Hyperthyroidism- medication administration - answer-Propylthiouracil (PTU) blocks the
conversion of T4 to T3, which decreases hormone synthesis, and Lugol's solution
(iodine, potassium iodide, together with distilled water) provides iodine needed in the
thyroid hormone molecule. When an anti-thyroid drug & iodine should be administered
at least 1 hour before the PTU, which enhances the therapeutic effect of both drugs.
Spironolactone- Heart failure - answer-Hyperaldosteronism, a disease in which the
adrenal glands make too much aldosterone, causing high blood pressure & low
potassium levels, & spironolactone is used to spare potassium. The nurse should
therefore instruct the client to limit foods that are high in potassium.
Topical Antifungal - answer-The nurse should instruct the client to obtain a prescription
for an antifungal medication to treat their toenail fungal infection.
Gout-medications - answer-Uricosuric drugs promote the excretion of uric acid, & are
used primarily in the treatment of chronic gout.
, Glaucoma miotics- side effects - answer-Miotics cause pupillary constriction. This
reduces the eyes ability to dilate at night, & decreases night vision.
Bulk-Forming Laxative teaching - answer-The nurse should inform the client that bulk-
forming laxatives should be mixed with a glass of water just prior to administration &
follow with an additional glass of water to prevent fecal impaction.
COPD- discharge medication - answer-Guaifenesin is a mucolytic prescribed to liquefy
secretions. The nurse should review guaifenesin with the client to facilitate
expectoration of thick mucus associated with COPD.
Acetylcysteine evaluation - answer-To determine if the medication is having the desired
effect, the nurse should ask the client about the amount of phlegm production, as
acetylcysteine is a mucolytic agent. The desired action is to liquify thick secretions, so
they can be removed through coughing or suctioning.
Arbs- assessment - answer-arbs produce vasodilation by blocking angiotensin II at its
receptors on the peripheral vasculature causing a decrease in blood pressure & an
increased risk for orthostatic hypotension, which places the client at an increased risk
for falls.
Codeine- ambulate - answer-An important nursing intervention related to the
administration of an opioid analgesic is to instruct the client to request assistance with
ambulation because the client is at an increased risk for falls due to the sedative effects
of the medication.
Filgrastim-evaluation - answer-Filgrastim is administered to increase white blood cells in
clients who are neutropenic (abnormally low white blood cell count). The nurse should
inform the client that the desired effect has been achieved.
Aspirin caution - answer-The most important nursing action is to assess the client for
bleeding because large doses of aspirin can cause GI irritation and ulceration, &
coupled with aspirins actions to decrease platelet aggregation, this also places the client
L
Questions and Verified Answers|100%
Correct| Grade A- Nightingale
HESI Pharmacology II Review//
Rapid acting Insulin - answer-Lispro is a rapid acting insulin ( 15 min.), so meals should
be readily available at time of administration. Patients who take this are at risk for
hypoglycemic reaction to occur shortly after administration.
Hyperthyroidism- medication administration - answer-Propylthiouracil (PTU) blocks the
conversion of T4 to T3, which decreases hormone synthesis, and Lugol's solution
(iodine, potassium iodide, together with distilled water) provides iodine needed in the
thyroid hormone molecule. When an anti-thyroid drug & iodine should be administered
at least 1 hour before the PTU, which enhances the therapeutic effect of both drugs.
Spironolactone- Heart failure - answer-Hyperaldosteronism, a disease in which the
adrenal glands make too much aldosterone, causing high blood pressure & low
potassium levels, & spironolactone is used to spare potassium. The nurse should
therefore instruct the client to limit foods that are high in potassium.
Topical Antifungal - answer-The nurse should instruct the client to obtain a prescription
for an antifungal medication to treat their toenail fungal infection.
Gout-medications - answer-Uricosuric drugs promote the excretion of uric acid, & are
used primarily in the treatment of chronic gout.
, Glaucoma miotics- side effects - answer-Miotics cause pupillary constriction. This
reduces the eyes ability to dilate at night, & decreases night vision.
Bulk-Forming Laxative teaching - answer-The nurse should inform the client that bulk-
forming laxatives should be mixed with a glass of water just prior to administration &
follow with an additional glass of water to prevent fecal impaction.
COPD- discharge medication - answer-Guaifenesin is a mucolytic prescribed to liquefy
secretions. The nurse should review guaifenesin with the client to facilitate
expectoration of thick mucus associated with COPD.
Acetylcysteine evaluation - answer-To determine if the medication is having the desired
effect, the nurse should ask the client about the amount of phlegm production, as
acetylcysteine is a mucolytic agent. The desired action is to liquify thick secretions, so
they can be removed through coughing or suctioning.
Arbs- assessment - answer-arbs produce vasodilation by blocking angiotensin II at its
receptors on the peripheral vasculature causing a decrease in blood pressure & an
increased risk for orthostatic hypotension, which places the client at an increased risk
for falls.
Codeine- ambulate - answer-An important nursing intervention related to the
administration of an opioid analgesic is to instruct the client to request assistance with
ambulation because the client is at an increased risk for falls due to the sedative effects
of the medication.
Filgrastim-evaluation - answer-Filgrastim is administered to increase white blood cells in
clients who are neutropenic (abnormally low white blood cell count). The nurse should
inform the client that the desired effect has been achieved.
Aspirin caution - answer-The most important nursing action is to assess the client for
bleeding because large doses of aspirin can cause GI irritation and ulceration, &
coupled with aspirins actions to decrease platelet aggregation, this also places the client
