Western Governors University D 236
pharmacology HESI Practice 2 Questions and Answers Study Guide
,A client receives a prescription for esomeprazole History of deep vein
thrombosis. (Nexium) for heartburn. Which finding in the client's history
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.
A male client who is in the terminal stage of cancer is Titrate the morphine dose upward until the client has adequate pain
relief. cared for at home by his family and receives a
prescription for morphine at a rate to control intractable
pain. When the hospice nurse visits, the client awakens,
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.
,A client with Paget's disease is started on calcitonin Observe the client for signs of
hypersensitivity. (Calcimar) 500 mcg subcutaneously daily. During the initial
treatment, what is the priority nursing action?
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.
A client is taking cyclosporine for renal allograft rejection Creatinine 28
mg/dl. 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.
, The nurse receives a unit of blood from the blood bank Return the blood to the blood bank for refrigeration within 30
minutes. for a postoperative client who is currently in the X-ray
department. What action should the nurse implement?
Return the blood to the blood bank for refrigeration
within 30 minutes.
Hang the blood transfusion as soon as the client
returns 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 initiate
the transfusion.
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 healing.
Serum hemoglobin level of 9 mg/dl.
Select all that apply
Mood swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
pharmacology HESI Practice 2 Questions and Answers Study Guide
,A client receives a prescription for esomeprazole History of deep vein
thrombosis. (Nexium) for heartburn. Which finding in the client's history
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.
A male client who is in the terminal stage of cancer is Titrate the morphine dose upward until the client has adequate pain
relief. cared for at home by his family and receives a
prescription for morphine at a rate to control intractable
pain. When the hospice nurse visits, the client awakens,
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.
,A client with Paget's disease is started on calcitonin Observe the client for signs of
hypersensitivity. (Calcimar) 500 mcg subcutaneously daily. During the initial
treatment, what is the priority nursing action?
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.
A client is taking cyclosporine for renal allograft rejection Creatinine 28
mg/dl. 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.
, The nurse receives a unit of blood from the blood bank Return the blood to the blood bank for refrigeration within 30
minutes. for a postoperative client who is currently in the X-ray
department. What action should the nurse implement?
Return the blood to the blood bank for refrigeration
within 30 minutes.
Hang the blood transfusion as soon as the client
returns 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 initiate
the transfusion.
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 healing.
Serum hemoglobin level of 9 mg/dl.
Select all that apply
Mood swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
