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HESI Pharmacology Exam Questions and Answers (Verified Answers) 1.A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline?a.Fruit-flavored yogurt b.Toasted wheat bread and jelly c.Cold cereal with skim milk
d.Cheese and crackers ANS : B.
2.The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye drops?a.Refraction b.Eye convergence c.Pupillary constriction
d.Accommodation ANS : C.
3.A older male client is being discharged after a myocardial infacrtion (MI) and receives a new prescription for atenolol. Which instruction is most important for the nurse to include in her clients teaching plan? 1 / 3
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a.Avoid intake of alcoholic beverages.b.Avoid driving or operating machinery.c.Take a missed dose as soon as possible.
d.Standing slowly when getting up from bed ANS : D.
4.The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with methicillin-resistant staphylococcus aureus (MRSA).Review of the client's laboratory values shows that serum peak and trough levels are within the desired therapeutic range and the serum creatinine level is 4.5 mg/dL. Which action should the nurse implement?
- Withhold the next scheduled dose and contact the healthcare provider.
- Monitor the laboratory values until all prescribed doses have been
given. c. Administer the next dose and flag the results for the healthcare provider. d. Insert a second IV catheter for the administration of
emergency IV fluids. ANS : A.
5.After taking orlistat for one week, a female client tells the home health nurse that she is experiencing increasingly frequent oily stools and flatus. Which action should the nurse take? a. Instruct the client to increase her intake of saturated fats over the next week. b. Obtain a stool specimen to evaluate for occult blood and fat content.
- Ask the client to describe her dietary intake history for the last several
days. d. Advise the client to stop taking the drug and contact her healthcare
provider. ANS : C. 2 / 3
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6.6. A client receiving a heparin sodium infusion develops hemoptysis.
The nurse reviews the client's laboratory values to include hemoglobin 8 g/dL and platelet count of
50,000/mm3. Vital signs are: oxygen saturation 92% on 50% venturi mask,
heart rate 130 beats/minute, respiration 32 breaths/minute, and blood pres- sure 76/50mmHg. Which intervention should the nurse implement first?a.Obtain consent for a blood transfusion.b.Stop the heparin sodium infusion.c.Titrate Venturi mask oxygen to 60%.
d.Administer protamine sulfate. ANS : B.
7.The nurse is teaching a client with coronary artery disease about a newly prescribed medication, atorvastatin. The client plans to take the medication in the morning with breakfast. Which food choices are best for the nurse to recommend that the client should include with the meal? (select all that apply) a.Whole milk.b.Low fat yogurt.c.Oatmeal.d.Sliced grapefruit.
e.Whole banana. ANS : C, E
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