CHA 1 Proctored HESI

Which drug impairs fertility when administered along with fertility drugs?

Promethazine

A client who had a myocardial infarction receives a prescription for a nitroglycerin patch. What does the nurse identify as the purpose of the nitroglycerin patch?

Decreased cardiac preload reduces cardiac workload (its a vasodilator)

An older adult client who has type 1 diabetes and chronic bronchitis is prescribed atenolol for the management of angina pectoris. What clinical manifestation should alert the nurse to the fact that the client may be developing a life-threatening response to the drug?

Difficulty breathing

A newborn is Rh positive, and the mother is Rh negative. The infant is to receive an exchange transfusion. When the parents ask why their baby will receive Rh-negative blood, what explanation does the nurse provide?

Giving Rh-positive cells will lead to further hemolysis; Rh-negative cells are not attacked by maternal antibodies in the infant's blood.

A nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication should the nurse expect to be prescribed for this client on the day of surgery and in the immediate postoperative period?

Hydrocortisone succinate: a glucocorticoid. A client undergoing bilateral adrenalectomy must be given adrenocortical hormones so that adjustment to the sudden lack of these hormones that occurs with this surgery can take place

Which drug has an effect opposite to that of misoprostol?

Indomethacin Misoprostol is a prostaglandin derivative that is used to induce uterine contractions and promote abortion. Indomethacin is used to maintain a pregnancy in preterm labor by inhibiting prostaglandin activity

A child is administered a RotaTeq vaccine. What adverse drug effect should the nurse monitor for?

Intussusception

A blood donor whose blood type is O negative is known as a "universal donor." What does the nurse consider about O negative blood that accounts for this classification?

It does not have any of the antigens that can cause a reaction.

A child undergoing drug treatment develops hyperthermia, acidosis, and respiratory depression. Which type of drug would be responsible for the condition?

Salicylates

A client asks a nurse why captopril was prescribed. What specific drug classification should the nurse include in the explanation to the client?

Antihypertensive

A child being treated with cardiac drugs developed vomiting, bradycardia, anorexia, and dysrhythmias. Which drug toxicity is responsible for these symptoms?

Digoxin

A client with mild diarrhea is diagnosed with a Clostridium difficile infection. Which is the first-line drug that would be used to treat this condition?

Metronidazole

The nurse is reviewing a client's current medication therapy and suspects hematuria. Which medication is responsible for the client's condition?

anticoagulants (Warfarin)

What is intussusception?

life-threatening form of bowel obstruction that occurs due to the bowels folding in on itself

A client with midsternal pain presents to the emergency department. Vital signs are stable. Which form of nitroglycerin does the nurse anticipate giving initially?

spray- it provides prompt relief of symptoms

A client consumes alcohol during pregnancy. Which condition does the nurse anticipate to be seen in the newborn?

stillbirth

A nurse administers two serial intramuscular injections of betamethasone (corticosteroid) to a woman at 32 weeks' gestation who has been admitted in preterm labor. The nurse knows that this medication is given to accomplish what purpose?

stimulates surfactant production

A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. Why did the provider add spironolactone to the client's medication regimen?

to help prevent potassium loss

While the nurse is at the bedside of a client in acute renal failure, the client states, "My healthcare provider said that I will be getting some insulin. Do I also have diabetes?" What is the best nursing response?

"No, the insulin will help your body handle the increased potassium level."

A nurse identifies signs of electrolyte depletion in a client with heart failure who is receiving bumetanide and digoxin. What does the nurse determine is the cause of the depletion?

Diuretic therapy

A 12-year-old child with cystic fibrosis is to receive four pancrelipase capsules five times a day. The nurse explains that the medication should be taken with meals and snacks to accomplish which goal?

facilitate nutrient utilization

A client at 31 weeks' gestation is admitted in preterm labor. What class of drugs might the nurse anticipate being prescribed?

A beta-adrenergic because it is a tocolytic agent that may halt labor, but only temporarily

A nurse is caring for an older adult who is taking acetaminophen for the relief of chronic pain. Which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of acetaminophen?

Alcohol

The nurse reviews a female client's prescription and informs the client that there could be a risk of multiple pregnancies. Which drug might have been prescribed to the client?

Clomiphene

A nurse is caring for a client who is a victim of trauma and is to receive a blood transfusion. How should the nurse respond when the client expresses fear that acquired immunodeficiency syndrome (AIDS) may be acquired as a result of the blood transfusion?

Screening for the HIV antibodies has minimized this risk

A client with Lyme disease presents with dyspnea, dizziness, and facial paralysis. Which medication may be included in the prescription?

Stage II of Lyme disease is characterized by dizziness, dyspnea, and facial paralysis, and may be treated with ceftriaxone

A pregnant client with iron-deficiency anemia is prescribed iron supplements daily. To help the client increase iron absorption, the nurse should suggest that the client eat foods high in which substance?

Vitamin C

A client diagnosed with gastroesophageal reflux disease (GERD) is being treated with antacid therapy. When teaching the client about the therapy, what does the nurse reinforce?

antacids commonly interfere with the absorption of other drugs

Which medication should the nurse anticipate the healthcare provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?

aspirin

A nurse is caring for a client who is receiving serum albumin. What indicates that the albumin is effective?

effective cardiac output

A client receiving chemotherapy asks the nurse why an antibiotic was prescribed. Which tissue affected by chemotherapy should the nurse consider when formulating a response?

bone marrow

A client is diagnosed with myasthenia gravis, and the anticholinesterase medication pyridostigmine is prescribed. When teaching the client about this medication, the nurse explains to expect an increase in what function?

contraction of skeletal muscles

Which medication used to treat urinary incontinence strengthens the urinary sphincters and has anticholinergic action?

duloxetine

A client with irritable bowel syndrome has instructions to take psyllium 2 rounded teaspoons full twice a day for constipation. What is most important for the nurse to include in the teaching plan?

each dose should be taken with a full glass of water or juice

A client at 38 weeks' gestation is admitted to the prenatal unit with preeclampsia. A loading dose of magnesium sulfate is administered, and the dosage is subsequently lowered to a maintenance dosage. What is the most important parameter for the nurse to assess while monitoring the client for magnesium sulfate toxicity?

patellar reflex

A nurse is caring for a client who is receiving aspirin therapy. Which clinical indicator would be related to this therapy?

prolonged bleeding time

A client with diabetic ketoacidosis who is receiving intravenous fluids and insulin complains of tingling and numbness of the fingers and toes and shortness of breath. The cardiac monitor shows the appearance of a U wave. What complication does the nurse suspect?

Hypokalemia

During the administration of total parenteral nutrition (TPN), an assessment of the client reveals a bounding pulse, distended jugular veins, dyspnea, and cough. What is the priority nursing intervention?

Interrupt the client's infusion and notify the healthcare provider.

A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent urinary tract infections. What instructions should the nurse give to the client?

increase the intake of fluids

What are the major reasons that the pediatric population is more sensitive to drugs when compared to adults?

protein binding, blood-brain barrier, renal drug excretion, hepatic drug metabolism

A client is admitted and diagnosed with myasthenia gravis. Pyridostigmine bromide therapy via tablets has been prescribed. The nurse anticipates that the dosage will be changed frequently during the first week of therapy. While the dosage is being adjusted, what action does the nurse perform?

Evaluate the client's muscle strength every hour after the medication is given.

A client with osteoporosis is prescribed raloxifene. What should the nurse monitor in the client?

monitor liver function tests