2024 HESI Pharmacology Questions With 100% Verified Answers

A 43-year-old female client is prescribed thyroid replacement hormone following a thyroidectomy. Which adverse effects should the nurse instruct the client to report immediately to the healthcare provider? - Tachycardia and chest pain. A adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse reviews the medication record, expecting that which dose should be prescribed? - 15 mg four times a day A Category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client? - Use a reliable form of birth control. A child is brought to the emergency department for treatment of an acute asthma attack. The nurse prepares to administer which of the following medications first? - A β2 agonist A child is hospitalized with a diagnosis of lead poisoning. The nurse assisting in caring for the child would prepare to assist in administering which of the following medications? - Dimercaprol (BAL in Oil) A client admitted to the hospital gives the nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. What behaviors observed in the client would validate noncompliance with this medication? - Frequent handwashing with hot, soapy water A client arrives at the health care clinic and tells the nurse that he has been doubling his daily dosage of bupropion hydrochloride (Wellbutrin) to help him get better faster. The nurse understands that the client is now at risk for which of the following? - Seizure activity A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse provide? - "No, it is not an oral insulin and can be used only when some beta cell function is present." A client being discharged home is prescribed an antibiotic with a dosage three times higher than it was administered when the client was in the hospital. Which route of administration should the nurse anticipate will be prescribed for the greatest firstpass effect? - Oral. A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month? - Prothrombin Time (PT). A client being treated for hyperthyroidism with propylthiouracil (PTU) asks the nurse how the medication works. Which is the best response to give the client? - It inhibits the synthesis of T3 and T4 by the thyroid gland. A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a β-blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is made. Which of the following assessment data would support this diagnosis? - Double vision, loss of appetite, and nausea A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 mL/hour. The nurse notes that the client's urinary output has been 20 mL/hour for the last 2 hours. Which intervention should the nurse initiate? - Notify the healthcare provider of the urinary output. A client has a prescription for valproic acid (Depakene) orally once daily. The nurse plans to: - Ensure that the medication is administered at the same time each day. A client has a prescription to take guaifenesin (Humibid) every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client states that he or she will: - Take the tablet with a full glass of water. A client has been prescribed amikacin (Amikin). Which of the following priority baseline functions should be monitored? - Hearing acuity A client has been started on long-term therapy with rifampin (Rifadin). A nurse teaches the client that the medication: - Causes orange discoloration of sweat, tears, urine and feces. A client has been taking isoniazid (INH) for 2 months. The client complains to a nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing: - Peripheral neuritis. A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which of the following while taking this medication? - Coffee, cola, and chocolate A client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this client for relief of: - Nausea and vomiting A client in the mental health unit is administered haloperidol (Haldol). The nurse would check which of the following to determine medication effectiveness? - The client's orientation and delusional status