Pharm HESI V2
Study online at https://quizlet.com/_d95ber
1. A client who had B) Blood pressure 180/98 mmHg
a kidney transplant
last week is re-
ceiving cyclosporine,
an immunosuppres-
sant. This morning the
client is complaining
of a headache and
blurred vision. Based
on which assessment
finding should the
nurse withhold the
medication until the
healthcare provider is
notified?
A) Temperature of
100.8 F (38.2 C)
B) Blood pressure
180/98 mmHg.
C) Elevated blood urea
nitrogen (BUN)
D) Renal output of 120
mL/hour
2. What labs should be Check LFTs ( LIVER ENZYMES)due to risk of hepatotoxicity risk & CK for any
routinely checked dur- c/o of muscle pain.
ing Statin therapy?
3. A client with acute "Weakness and fatigue commonly occur and will diminish with continued
muscle spasms has medication use."
been taking baclofen.
The client calls the Rationale: The client should be instructed that symptoms such as drowsi-
, Pharm HESI V2
Study online at https://quizlet.com/_d95ber
clinic nurse because ness, weakness, and fatigue are more intense in the early phase of ther-
of continuous feelings apy and diminish with continued medication use. The client should be
of weakness and fa- instructed never to withdraw or stop the medication abruptly because
tigue and asks the abrupt withdrawal can cause visual hallucinations, paranoid ideation, and
nurse about discon- seizures. It is best for the nurse to inform the client that these symptoms will
tinuing the medica- subside and encourage the client to continue the use of the medication.
tion. The nurse should
make which appropri-
ate response to the
client
4. A client with multiple Avoid hazardous activities until the symptoms subside
sclerosis starts a new
prescription, baclofen,
to control muscle
spasticity. Three days
later the client calls
the clinic nurse and
reports feeling fatigue
and dizzy. What in-
structions should the
nurse provide?
5. Zolpidem Used for short term insomnia to promote sleep
6. The client with a gas- One hour before meals and at bedtime
tric ulcer has a pre-
scription for sucralfate
1 g by mouth four
times daily. The nurse
should schedule the
medication to be ad-
, Pharm HESI V2
Study online at https://quizlet.com/_d95ber
ministered at which
times?
7. sucralfate Used for acute maintenance therapy of duodenal ulcers
8. A nurse is providing B. Famotidine Explanation: The nurse should inform the client that famo-
discharge teaching for tidine is an H2-receptor antagonist that is prescribed for the treatment of
a client who has a new peptic ulcer disease to inhibit the secretion of gastric acid.
prescription for med-
ications to treat pep-
tic ulcer disease. The
nurse should identify
that which of the fol-
lowing medications in-
hibits gastric acid se-
cretion?
A. Calcium carbonate
B. Famotidine
C. Aluminum hydrox-
ide
D. Sucralfate
9. Famotidine is a hista-
mine 2 receptor antag-
onist used to treat ul-
cers. The nurse should
monitor for a reduc-
tion in epigastric pain
to determine if the
treatment is effective.
10. A histamine (H2)-re- a. Nizatidine (Axid)
ceptor antagonist will b. Ranitidine (Zantac)
Study online at https://quizlet.com/_d95ber
1. A client who had B) Blood pressure 180/98 mmHg
a kidney transplant
last week is re-
ceiving cyclosporine,
an immunosuppres-
sant. This morning the
client is complaining
of a headache and
blurred vision. Based
on which assessment
finding should the
nurse withhold the
medication until the
healthcare provider is
notified?
A) Temperature of
100.8 F (38.2 C)
B) Blood pressure
180/98 mmHg.
C) Elevated blood urea
nitrogen (BUN)
D) Renal output of 120
mL/hour
2. What labs should be Check LFTs ( LIVER ENZYMES)due to risk of hepatotoxicity risk & CK for any
routinely checked dur- c/o of muscle pain.
ing Statin therapy?
3. A client with acute "Weakness and fatigue commonly occur and will diminish with continued
muscle spasms has medication use."
been taking baclofen.
The client calls the Rationale: The client should be instructed that symptoms such as drowsi-
, Pharm HESI V2
Study online at https://quizlet.com/_d95ber
clinic nurse because ness, weakness, and fatigue are more intense in the early phase of ther-
of continuous feelings apy and diminish with continued medication use. The client should be
of weakness and fa- instructed never to withdraw or stop the medication abruptly because
tigue and asks the abrupt withdrawal can cause visual hallucinations, paranoid ideation, and
nurse about discon- seizures. It is best for the nurse to inform the client that these symptoms will
tinuing the medica- subside and encourage the client to continue the use of the medication.
tion. The nurse should
make which appropri-
ate response to the
client
4. A client with multiple Avoid hazardous activities until the symptoms subside
sclerosis starts a new
prescription, baclofen,
to control muscle
spasticity. Three days
later the client calls
the clinic nurse and
reports feeling fatigue
and dizzy. What in-
structions should the
nurse provide?
5. Zolpidem Used for short term insomnia to promote sleep
6. The client with a gas- One hour before meals and at bedtime
tric ulcer has a pre-
scription for sucralfate
1 g by mouth four
times daily. The nurse
should schedule the
medication to be ad-
, Pharm HESI V2
Study online at https://quizlet.com/_d95ber
ministered at which
times?
7. sucralfate Used for acute maintenance therapy of duodenal ulcers
8. A nurse is providing B. Famotidine Explanation: The nurse should inform the client that famo-
discharge teaching for tidine is an H2-receptor antagonist that is prescribed for the treatment of
a client who has a new peptic ulcer disease to inhibit the secretion of gastric acid.
prescription for med-
ications to treat pep-
tic ulcer disease. The
nurse should identify
that which of the fol-
lowing medications in-
hibits gastric acid se-
cretion?
A. Calcium carbonate
B. Famotidine
C. Aluminum hydrox-
ide
D. Sucralfate
9. Famotidine is a hista-
mine 2 receptor antag-
onist used to treat ul-
cers. The nurse should
monitor for a reduc-
tion in epigastric pain
to determine if the
treatment is effective.
10. A histamine (H2)-re- a. Nizatidine (Axid)
ceptor antagonist will b. Ranitidine (Zantac)
