HESI RN Pharmacology 3 2025 UPDATE

HESI RN Pharmacology 3 2025 UPDATE Before administering a laxative to a bed- fast client, it is important for the nurse to perform what assessment? A female client with multiple sclero- sis reports having less fatigue and im- proved memory since she began using the herbal supplement, gingko biloba. Which information is most important for the nurse to include in the teaching plans for this client? In explaining the benefits of the combina- tion anti-infective drug code TMP-SMX (Bactrim) to a client receiving the med- ication for a urinary tract infection, what more information should the nurse pro- vide? A client being treated with Haldol for schizophrenia is complaining of jaw tight- ness and a stiff neck. Which intervention should the nurse implement? Which intervention is most important for the nurse to implement for a client that is receiving Lispro Humalog insulin? Client takes nonsteroidal anti-inflamma- tory drugs every day for rheumatoid arthritis is being treated for anemia which intervention is most important for the nurse to include any plan of care A client receives a prescription for theo- phylline (Theo-Dur) PO to be initiated in the morning after the dose of theo- phylline IV is complete. The nurse de- termines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this information, which action should the nurse implement? determine the frequency and consisten- cy of bowel movements gingko biloba use should be limited and not taken during pregnancy the two drugs work together to reduce resistance of the bacterial infection of symptoms give PRN dose of diphenhydramine (Be- nadryl) Provide meals at the same time that in- sulin is given observe for gastrointestinal bleeding Hold the theophylline dose and notify the health care provider The nurse is reviewing a client's labora- tory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider? The nurse is preparing a child for trans- port to the operating room for an emergency appendectomy. The anes- thesiologist prescribes atropine sulfate (Atropine), IM STAT. What is the primary purpose for administering this drug to the child at this time? When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this client to developing digoxin toxicity? A client is receiving anti-infective drug therapy for a postoperative infection. Which complaint should alert the nurse to the possibility that the client has con- tracted a superinfection? During the initial nursing assessment history, a client tells the nurse that he is taking tetracycline hydrochloride (Sumycin) for urethritis. Which medication taken concurrently with Sumycin could interfere with its absorption? Following the administration of sublin- gual nitroglycerin, which assessment finding indicates that the medication was effective? Alteration of which laboratory finding represents the achievement of a Hypokalemia Decrease the oral secretions low serum potassium level "My mouth feels sore" Sucralfate (Carafate) decrease in level of chest pain partial thromboplastin time (PTT) therapeutic goal for heparin administra- tion? he nurse is assessing a stuporous client in the emergency department who is suspected of overdosing with opi- oids. Which agent should the nurse pre- pare to administer if the client becomes comatose? A client with HIV who was recently diag- nosed with tuberculosis (TB) asks the nurse, "Why do I need to take all of these medications for TB?" What information should the nurse provide? Two hours after taking the first dose of penicillin, a client arrives at the emergency department complaining of feeling ill, exhibiting hives, having difficulty breathing, and experiencing hy- potension. These findings are consistent with which client response that requires immediate action? Which question should the nurse ask a client prior to the initiation of treatment with IV infusions of gentamicin sulfate (Garamycin)? A male client who has chronic back pain is on long-term pain medication management and asks the nurse why his pain relief therapy is not as effective as it was 2 months ago. How should the nurse respond? The nurse is providing discharge instruc- tions to a client who has received a prescription for an antibiotic that is hepa- totoxic. Which information should the nurse include in the instructions? naloxone hydrochloride (Narcan) multiple drugs prevent the development of resistant organisms severe acute anaphylactic response "Are you having difficulty hearing?" Pharmacodynamics tolerance requires increased drug levels to achieve the same effect. Avoid ingesting any alcohol or aceta- minophen (Tylenol). A client with mild Parkinsonism is started on oral amantadine (Symmetrel). Which statement accurately describes the action of this medication? A female client who has started long-term corticosteroid therapy tells the nurse that she is careful to take her daily dose at bedtime with a snack of crackers and milk. Which is the best response by the nurse? A female client with myasthenia graves is taking a cholinesterase inhibitor and asks the nurse what can be done to remedy her fatigue and difficulty swal- lowing. What action should the nurse im- plement? A female client is receiving tetracy- cline (Vibramycin) for acne. Which client teaching should the nurse include? A female client with trichomoniasis (Tri- chomonas vaginalis) receives a pre- scription for metronidazole (Flagyl). Which instruction is most important for the nurse to include in this client's teach- ing plan? A 2-month-old infant is scheduled to re- ceive the first DPT immunization. What is the preferred injection site to administer this immunization? The nurse is evaluating a client's un- derstanding of the prescribed antilipemic drug lovastatin (Mevacor). Which client statement indicates the need for further teaching? An older client who had a colon resection yesterday is receiving a constant dose Dopamine in the central nervous system is increased. Advise the client to take the medication in the morning, rather than at bedtime Develop a teaching plan for the client to self-adjust the dose of medication in response to symptoms Oral contraceptives may not be effective Avoid alcohol consumption. Vastus lateralis "I will take the medication every day be- fore breakfast" of hydromorphone (Dilaudid) via a pa- tient-controlled analgesia (PCA) pump. Which assessment finding is the most significant and requires that the nurse intervene? A client receives an antihypertensive agent daily. Which action is most impor- tant for the nurse to implement prior to administering the medications? The charge nurse is reviewing the ad- mission history and physical data for four clients newly to the unit. Which client is at greatest risk for adverse reactions to medications? The health care provider has prescribed a low-molecular-weight heparin, enoxa- parin (Lovenox) prefilled syringe, 30 mg/0.3mL IV every 12 hours, for a client following a hip replacement. Prior to ad- ministering the first dose, which interven- tion is most important for the nurse to implement? The nurse is preparing a plan of care for the client receiving the glucocorti- coid methylprednisolone (Solu-Medrol). Which nursing diagnosis reflects a prob- lem related to this medication that should be included in the care plan? The nurse is reviewing prescribed med- ications with a family client who is preparing for discharge. The client asks the nurse why the oral dose of anopi- oid analgesic is higher than the IV dose that she received during hospitalization. Which response is best for the nurse to provide? Respirations decrease to 14 breaths/min Obtain the client's blood pressure 75-year-old woman with liver disease Contact the health care provider to clarify the prescription Risk for infection Oral drugs dissolves in the gut and is not 100% absorbed unlike when it is admin- istered as an IV Amoxicillin 500 mg PO every 8 hours is prescribed for a client with an infection. The drug is available in a suspension of 125 mg/5 ml. How many milliliters should the nurse administer with each dose? Minocycline