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Practice HESI BSN315
Practice HESI BSN315 #1
| Question | Answer |
|---|---|
| A client who was recently diagnosed with myasthenia gravis receives a prescription for pyridostigmine, a cholinergic agent. Which information should the nurse instruct the client to implement when taking this medication? | To report muscle weakness or bradycardia |
| A client with depression receives a prescription for amitriptyline. Which instruction should the nurse include in the client's teaching? | Avoid the consumption of alcohol. |
| A client who is diagnosed with methicillin-resistant Staphylococcus aureus receives a prescription for vancomycin. Which assessment should the nurse perform to identify a potential adverse effect? | Whisper test. |
| While reviewing the client's (EMR), the nurse assesses a client who is at risk for a possible interaction with an (OTC) decongestant. Which client health history should the nurse report to the healthcare provider concerning the OTC medication? | Closed angle glaucoma. Chronic hypertension. |
| The healthcare provider has prescribed digoxin for a client who has been taking furosemide for six months. What laboratory serum levels should the nurse review before administering the digoxin? | Potassium |
| A client is taking danazol for endometriosis and calls the clinic nurse to complain of a dark, swollen, and painful leg. Which instructions should the nurse provide the client? | Proceed to the closest emergency room. |
| A client who takes a statin and gemfibrozil for hyperlipidemia reports the onset of muscle pain and weakness. Which additional assessment is most important for the nurse to obtain? | Serum liver enzymes. |
| Which common side effect should the nurse alert a female client about when medroxyprogesterone is prescribed? | Vaginal bleeding after discontinuing the medication. |
| The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea? | Colchicine. |
| Which is the expected outcome of esomeprazole when prescribed for a client with gastroesophageal reflux disease (GERD)? | Promotion of rapid tissue healing. |
| A pediatric client who has been diagnosed with partial seizures receives a prescription for topiramate. Which information should the nurse provide to the child's parents? | Do not crush the tablet prior to administration. |
| A client is taking sulfisoxazole for a urinary tract infection (UTI) and complains of nausea and gastric upset since starting the medication. Which additional adverse reaction should the nurse instruct the client to report? | Rash |
| A resident of a long-term care facility is taking lithium carbonate to treat bipolar disorder. Which instruction should the nurse provide to this client's caregivers? | Report symptoms of hypothyroidism such as fatigue and constipation. |
| A pt with chronic gouty arthritis takes allopurinol and experiences an acute attack of gouty arthritis. The provider prescribes concurrent low-dose colchicine. Which info should the nurse provide the pt that best explains the action of the colchicine? | Reduces inflammation at the affected site. |
| A client with rheumatoid arthritis is receiving a prescription for minocycline. Which side effect is most important for the nurse to instruct the client to report? | Loss of balance and dizziness. |
| A client receives a new prescription for ciprofloxacin, a synthetic quinolone. When teaching about this drug, which information in the client's history requires special emphasis by the nurse? | Works twenty hours a week as a lifeguard at the local pool. |
| Which is the effect of beta-blocking agents when used for the treatment of glaucoma? | Inhibiting aqueous humor production. |
| A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction? | Take at same time each day one hour before eating a meal. |
| The healthcare provider discontinues prednisone, a glucocorticoid, for a client with chronic obstructive pulmonary disease. Which instructions should the nurse give the client about the regimen to follow? | The dose must be tapered over the course of 7 to 10 days. |
| A pt in the terminal stage of cancer has a script for morphine to control pain. The client awakens, moans in severe pain &asks for an increase in the morphine dosage. The client's respirations are 10 bpm what is the best action for the nurse to implement? | Titrate the morphine dose upward until the client has adequate pain relief. |
| A client receives a prescription for sulfamethoxazole-trimethoprim for a urinary tract infection (UTI). Which instruction should the nurse provide the client? | Drink at least 8 glasses of water a day. |
| A client is beginning therapy with montelukast PO 10 mg once a day in the evening. The client asks the nurse, "When should I begin to feel better?" How should the nurse respond? | Peak is 3-4 hours with duration of 24 hours. |
| A female client receives a prescription for cefadroxil for a urinary tract infection. The client informs the nurse that she is currently taking oral contraceptives (OCP). Which information is important for the nurse to share with the client? | Use an additional form of contraception until your menstrual cycle. |
| What pathophysiological action supports the expected outcome for a client with chronic cancer pain who is treated with imipramine, a tricyclic antidepressant? | Decreases transmission of pain impulses by altering serotonin and norepinephrine activity at nerve synapses. |
| Miotic drug therapy for the treatment of glaucoma is based chiefly upon which physiologic action?The nurse should expect the healthcare provider to prescribe which treatment regimen for a client with a peptic ulcer caused by Helicobacter pylori ? | Enhancing aqueous humor outflow. |
| The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the X-ray department. Which action should the nurse implement? | Return the blood to the blood bank for refrigeration within 30 minutes. |
| A healthcare provider prescribes cefadroxil for a client with a postoperative infection. It is most important for the nurse to assess for which additional drug allergy before administering this prescription? | Penicillins. |
| An emergency department triage nurse is interviewing a female client who has a history of epilepsy with tonic-clonic seizures controlled by phenytoin. Which information is most significant in planning this client's care? | She ran out of her medication 4 days ago. |
| When assessing a client prior to the administration of digoxin, which data is most important for the nurse to consider? | Irregular apical pulse with a rate of 87. |
| Which side effects should the nurse monitor for a client who is receiving dexamethasone following neurosurgery? (Select all that apply.) | Mood Swings Delayed incisional wound healing increased weight gain Serum hemoglobin level of 9 mg/dl. |
| What teaching should the nurse provide a client who has received a new prescription for sildenafil? (Select all that apply.) | Take within 30 to 60 minutes of sexual stimulation. Report rebound priapism that occurs for 4 hours or more Can cause facial flushing and headache. . |
| A client receives a new prescription for pentazocine, a mixed opioid agonist-antagonist after an opioid agonist is discontinued. Which is the advantage for the client when the new prescription is implemented? | Used to decrease substance use disorder. |
| A client is receiving fentanyl via an epidural infusion. Which side effect should the nurse anticipate in the first 24 hours of epidural analgesia? | urinary retention |
| A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and shooting pains in both legs. Which medication is considered the best course of treatment for the nurse to administer? | High dose methylprednisolone intravenously. |
| Which drug of choice is indicated for acute ventricular dysrhythmias associated with myocardial infarction? | Amiodarone. |
| A client receives a new prescription for nitroglycerin tablets. Which instruction should the nurse include in this client's teaching? | Place under the tongue as needed every 5 minutes up to 3 times. |
| A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of contrast media. Which pharmacologic agent is of greatest use in this situation? | Epinephrine |
| Which route should the nurse clarify with the healthcare provider prior to administering a drug with a high first-pass effect? | oral |
| The healthcare provider prescribes oral antifungal therapy for a client with onychomycosis. Which information should the nurse tell the client? | The infection is difficult to eradicate and requires prolonged therapy for 3 to 6 months. |
| The mother of a newborn asks the nurse why her infant needs the vitamin K injection. Which information should the nurse provide? | Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract. |
| A client who uses ipratropium reports having nausea, blurred vision, headaches, and insomnia after using the inhaler. Which action should the nurse implement first? | Withhold medication and report symptoms and vital signs to the healthcare provider. |
| The nurse reviews the new prescription, phenelzine, a monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which information is most important for the nurse to assess? | Consumption of any alcohol or tyramine-rich foods. |
| An older client is taking warfarin sodium PO 2.5 mg twice a day. Which laboratory value should the nurse identify as a therapeutic response of the medication? | INR of 2 to 3. |
| A client receives a new prescription for an angiotensin-converting enzyme (ACE) inhibitor. Which client history contraindicates its use? | Renal artery stenosis. |
| A client with pneumonia receives a prescription for tetracycline. Which precaution should the nurse include in this client's teaching? | Avoid dairy products for 2 hours after taking the medication. |
| A pt 30 wks EGA is in preterm labor. The HCP prescribes 2 12-mg doses of betamethasone IM every 12 hours. The client asks the nurse why she is receiving betamethasone. Which information should the nurse use to explain the action of the medication? | Stimulates fetal surfactant production. |
| When prescribed for a client with hepatic encephalopathy, which is the therapeutic action of lactulose? | Lowers the pH of the colon. |
| The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects should the nurse assess the client for during the initial dose? | Dystonia |
| A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months postpartum. A prescription is written for metronidazole. Which information is most important for the nurse to obtain from the client before initiating treatment? | Method of infant feeding |
| A client receives a prescription for esomeprazole for heartburn. Which finding in the client's history should the nurse report to the healthcare provider before administering the prescription? | History of deep vein thrombosis. |
| The healthcare provider prescribes pyridostigmine bromide tablets for a client with myasthenia gravis (MG). Which instruction should the nurse provide this client? | That the medication is not a cure, but it does relieve symptoms. |
| Based on the C&S, the HCP prescribes an IV aminoglycoside antibiotic and dc's the current prescription for another broad-spectrum antibiotic. The MAR indicates that the client received the dc'd med 2 hours ago. Which action should the nurse implement? | Administer the initial dose of the aminoglycoside antibiotic as soon as possible. |
| A client with chronic pancreatitis receives a new prescription for pancrelipase. Which instruction is most important for the nurse to include in this client's teaching? | Take the medication when consuming food. |
| Which statement by a client warrants further instruction by the nurse about the changing insulin needs of a diabetic client during pregnancy? | "I will increase my insulin dosage by 5 units each month during the first trimester." |
| The nurse should instruct a client to avoid which product while taking carisoprodol for muscle spasms? | Alcoholic beverages. |
| A client who is receiving chemotherapy is prescribed ondansetron. Which side effect should the nurse include in the teaching plan? | Headache |
| The therapeutic effect of insulin in treating type 1 diabetes mellitus is based on which physiologic action? | Facilitates transport of glucose into the cells. |
| A child is taking methylphenidate hydrochloride for (ADHD). The mother tells the nurse that she gives the medication at bedtime so it is "working" during school the next morning. Which modification to the plan should the nurse recommend to this mother? | Administer at least six hours before bedtime. |
| Which action should the nurse implement to provide analgesic titration for a client in pain? | Determine the optimal analgesic dosage required that causes the least side effects. |
| The nurse is providing medication teaching for a client who has recently received a prescription for clozapine. Which instruction should be included in this client's teaching plan? | Rise slowly from a lying position. |
| A client with chronic schizophrenia illness is admitted after taking risperidone 10 mg/day for 3 months. The nurse implements a daily assessment using the "Abnormal Involuntary Movement Scale" Which findings should the nurse report to the HCP? | Tremors and muscle twitching. |
| A client is admitted for atrial fibrillation, and the healthcare provider prescribes disopyramide. After explaining the action of this antidysrhythmic agent, which complaint should the nurse instruct the client to report? | Daily weight gain of 2 pounds. |
| A client is taking cyclosporine for renal allograft rejection 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? | Creatinine 2.8 mg/dl (0.25 mmol/L). |
| The healthcare provider prescribes medication for an older adult client who is complaining of insomnia and instructs the client to return in two weeks. The nurse should question which prescription? | Eszopiclone 10 milligrams orally at bedtime. |
| Which findings should the nurse identify in an adult client with possible chronic salicylate intoxication? | Tinnitus and hearing loss. |
| A client who has Trichomonas vaginalis receives a prescription for metronidazole. Which instruction should the nurse provide during client education? | Avoid over-the-counter antitussives. |
| A pt with meningitis is prescribed cefotaxime IV and asks the nurse why he cannot receive an oral drug, such as cefaclor or cefadroxil, that he has taken before for infections. How should the nurse respond when considering the actions of cephalosporins? | Cefotaxime provides therapeutic CNS concentrations. |
| A client with Paget's disease is started on calcitonin 500 mcg subcutaneously daily. During the initial treatment, which is the priority nursing action? | Observe the client for signs of hypersensitivity. |
| A client calls the clinic and states that she forgot to take her oral contraceptives for the past two days. Which instruction is best for the nurse to provide to this client? | Take 2 pills a day for 2 days and use an alternate method of contraception for 7 days. |
| The nurse administers the initial dose of a fentanyl transdermal patch to a client with chronic pain. When monitoring the client an hour later, which assessment is most important for the nurse to obtain? | Numeric pain scale. |
| A client asks the nurse to explain the meaning of a narrow therapeutic index of a medication. Which information should the nurse use to answer the question? | A small margin exists between safe and toxic plasma levels. |
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Janelleu4771
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