Pharmacology Hesi Practice 2
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1. A client receives a prescription for esomeprazole (Nex- History of deep vein
ium) for heartburn. Which finding in the client's history thrombosis.
should the nurse report to the healthcare provider
before administering the prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on weekends.
Family history of diabetes mellitus.
2. A male client who is in the terminal stage of cancer Titrate the morphine dose
is cared for at home by his family and receives a pre- upward until the client has
scription for morphine at a rate to control intractable adequate pain relief.
pain. When the hospice nurse visits, the client awak-
ens, moans in severe pain, and asks for an increase
in the morphine dosage. After determining the client's
respirations are 10 per minute, what is the best action
for the nurse to implement?
Titrate the morphine dose upward until the client has
adequate pain relief.
Suggest to the family that they can also give the client
ibuprofen, a non-narcotic analgesic.
Hold additional morphine until the client's respirations
are at least 16 per minute.
Inform the client that an increased dose of morphine
increases side effects without additional pain control.
3. A client with Paget's disease is started on calcitonin Observe the client for
(Calcimar) 500 mcg subcutaneously daily. During the signs of hypersensitivity.
initial treatment, what is the priority nursing action?
, Pharmacology Hesi Practice 2
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Assess the injection site for inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline phosphatase levels.
Observe the client for signs of hypersensitivity.
4. A client is taking cyclosporine for renal allograft rejec- Creatinine 28 mg/dl.
tion prevention. After 9 months of drug therapy, the
nurse reviews laboratory data and notes that the blood
urea nitrogen level is 36 mg/dl. What additional finding
should the nurse identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction.
5. The nurse receives a unit of blood from the blood Return the blood to the
bank for a postoperative client who is currently in the blood bank for refrigera-
X-ray department. What action should the nurse im- tion within 30 minutes.
plement?
Return the blood to the blood bank for refrigeration
within 30 minutes.
Hang the blood transfusion as soon as the client re-
turns to the unit.
Store the blood bag in the nursing unit's refrigerator
until the client returns.
Take the unit of blood to the X-ray department to initi-
ate the transfusion.
6. Which side effects should the nurse monitor for a client Mood swings.
who is receiving dexamethasone (Decadron) following Increased weight gain.
neurosurgery? (Select all that apply.) Delayed incisional wound
, Pharmacology Hesi Practice 2
Study online at https://quizlet.com/_8b67zd
healing.
Select all that apply Serum hemoglobin level
Mood swings. of 9 mg/dl.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
7. A client is taking danazol (Danocrine) for endometrio- Proceed to the closest
sis and calls the clinic nurse to complain of a dark, emergency room.
swollen, and painful leg. What instructions should the
nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps.
8. A client asks the nurse to explain the meaning of a A small margin exists be-
narrow therapeutic index of a medication. What infor- tween safe and toxic plas-
mation should the nurse use to answer the question? ma levels.
The onset of action for the medication occurs very
quickly.
A small margin exists between safe and toxic plasma
levels.
Bioavailability is significantly reduced by the first-pass
effect.
Minimum dosage is needed for the medication to be
effective.
9. Urinary retention.
Study online at https://quizlet.com/_8b67zd
1. A client receives a prescription for esomeprazole (Nex- History of deep vein
ium) for heartburn. Which finding in the client's history thrombosis.
should the nurse report to the healthcare provider
before administering the prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on weekends.
Family history of diabetes mellitus.
2. A male client who is in the terminal stage of cancer Titrate the morphine dose
is cared for at home by his family and receives a pre- upward until the client has
scription for morphine at a rate to control intractable adequate pain relief.
pain. When the hospice nurse visits, the client awak-
ens, moans in severe pain, and asks for an increase
in the morphine dosage. After determining the client's
respirations are 10 per minute, what is the best action
for the nurse to implement?
Titrate the morphine dose upward until the client has
adequate pain relief.
Suggest to the family that they can also give the client
ibuprofen, a non-narcotic analgesic.
Hold additional morphine until the client's respirations
are at least 16 per minute.
Inform the client that an increased dose of morphine
increases side effects without additional pain control.
3. A client with Paget's disease is started on calcitonin Observe the client for
(Calcimar) 500 mcg subcutaneously daily. During the signs of hypersensitivity.
initial treatment, what is the priority nursing action?
, Pharmacology Hesi Practice 2
Study online at https://quizlet.com/_8b67zd
Assess the injection site for inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline phosphatase levels.
Observe the client for signs of hypersensitivity.
4. A client is taking cyclosporine for renal allograft rejec- Creatinine 28 mg/dl.
tion prevention. After 9 months of drug therapy, the
nurse reviews laboratory data and notes that the blood
urea nitrogen level is 36 mg/dl. What additional finding
should the nurse identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction.
5. The nurse receives a unit of blood from the blood Return the blood to the
bank for a postoperative client who is currently in the blood bank for refrigera-
X-ray department. What action should the nurse im- tion within 30 minutes.
plement?
Return the blood to the blood bank for refrigeration
within 30 minutes.
Hang the blood transfusion as soon as the client re-
turns to the unit.
Store the blood bag in the nursing unit's refrigerator
until the client returns.
Take the unit of blood to the X-ray department to initi-
ate the transfusion.
6. Which side effects should the nurse monitor for a client Mood swings.
who is receiving dexamethasone (Decadron) following Increased weight gain.
neurosurgery? (Select all that apply.) Delayed incisional wound
, Pharmacology Hesi Practice 2
Study online at https://quizlet.com/_8b67zd
healing.
Select all that apply Serum hemoglobin level
Mood swings. of 9 mg/dl.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
7. A client is taking danazol (Danocrine) for endometrio- Proceed to the closest
sis and calls the clinic nurse to complain of a dark, emergency room.
swollen, and painful leg. What instructions should the
nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps.
8. A client asks the nurse to explain the meaning of a A small margin exists be-
narrow therapeutic index of a medication. What infor- tween safe and toxic plas-
mation should the nurse use to answer the question? ma levels.
The onset of action for the medication occurs very
quickly.
A small margin exists between safe and toxic plasma
levels.
Bioavailability is significantly reduced by the first-pass
effect.
Minimum dosage is needed for the medication to be
effective.
9. Urinary retention.
