PHARM HESI QUIZZES

After completing a week of abx therapy, an infant develops oral thrush. Which medication is indicated for tx of this condition? a. Acyclovir b. Vidarabine c. Nystatin d. Fluconazole

C. Nystatin = antifungal acyclovir= antiviral vidarabine= antiviral

Which client statement indicates understanding the SE of nitroglycerin ointment? a. "I may experience a headache" b. "Confusion is a common adverse effect" c. "a slow pulse rate is an expected SE" d. "Increased BP readings may occur initially"

a. "I may experience a headache"

Which adverse effect would the nurse anticipate in a client receiving lithium therapy for tx of depression? a. ataxia b. confusion c. blurred vision d. paradoxical anxiety

a. ataxia

A healthcare provider rx aspirin therapy for a client witih arthritis. THe nurse will advise the client to report which adverse effect? SATA a. ongoing nausea b. constipation c. easy bruising d. decreased pulse e. ringing in the ears

a. ongoing nausea c. easy bruising e. ringing in the ears Aspirin irritates the GI= can cause N/V and GI bleeding Tinnitus and hearing loss can occur because of effects on cranial nerve 8

Which points would the nurse include when counseling a woman on hormone therapy? SATA a. the client should use appropriate sun protection b. the client should monitor any deviations in body weight c. the client should take the medication on an empty stomach d. the client should dc the med if adverse effects occur e. the client should alternate the time of day the med is taken

a. the client should use appropriate sun protection b. the client should monitor any deviations in body weight hormones make people sensitive to sunlight abnormal bleeding could lead to wt loss

Which med would the nurse identify as a potential risk for hearing impairment in a child? a. amoxicillin b. gentamicin c. clindamycin d. cirpofoxacin

b. gentamicin

A client with an IV infusion containing 40 mEq of potassium reports a stinging pain at the IV site. Which actions should the nurse take? SATA a. restart the IV in a different vein b. assist the client through guided imagery c. assess the IV site d. ask the health care provider for pain medication e. verify that the K is adequately diluted and not infusing too rapidly

c. Assess the IV site e. Verify that the K is adequately diluted and not infusing too rapidly

Which lab test result would alert the nurse that fluid intake would need to be increased in a child receiving vincristine? a. urine pH of 6 b. Urine specfic gravity of 1.020 c. Blood uric acid level of 7.5 mg/dL d. blood urea nitrogen level of 15 mg/dL

c. blood uric acid level of 7.5 mg/dL Normal Blood uric acid in children= 2.5-5.5 mg/dL an increase in uric acid level caused by the destruction of cells may lead to renal problems

When administering albumin IV, which fluid shift would then nurse anticipate? a. Interstitial compartment to the intracellular compartment b. intravascular compartment to the interstitial compartment c. interstitial compartment to the intravascular compartment d. extracellular compartment to the intracellular compartment

c. interstitial compartment to the intravascular compartment IV albumin increases colloid osmotic pressure, resulting in a pull of fluid FROM THE INTERSTITIAL COMPARTMENT to THE INTRAVASCULAR COMPARTMENT

Which group of the pediatric population is at a higher risk of developing respiratory complications upon administration of general anethesia? a. infants b. children c. neonates d. adolescents

c. neoonates neonates have small airway diameter high metabolic rate structure of respiratory system

A client reports frequently taking calcium carbonate. The nurse advises the client that this can have which effect ? a. diarrhea b. water retention c. rebound hyperacidity d. bone demineralization

c. rebound hyperacidity the antacid action of calcium carbonate adds alkalinity, neutralizing gastric pH= this stimulated renewed secretion of acid by the gastric mucosa

Which preparations use toxoids but NOT LIVE viruses? SATA a. Rotavirus vaccine b. Varicella virus vaccine c. Measles, mumps and rubella virus vaccine d. Diphtheria, hep b, pertussis, polio, and tetanus vaccine e. Diphtheria and tetanus toxoids and acellular pertussis vaccine

d. Diphtheria, hep b, pertussis, polio, and tetanus vaccine e. Diphtheria and tetanus toxoids and acellular pertussis vaccine

A client with laryngeal cancer is receiving chemo, which lab report is MOST important for the nurse to monitor when considering the effects of chemo? a. platelets b. hemoglobin level c. RBC count d. WBC count

d. WBC count Antineoplastic medications depress bone marrow, which results in leukopenia

Which statement will the nurse include in the instructions for a client learning to self-administer eyedrops? a. Lie on the unaffected side for administration b. instill drops onto the pupil to promote absorption c. close eyes tightly after administrating the eyedrops d. apply pressure to the nasolacrimal duct after instillation

d. apply pressure to the nasolacrimal duct after instillation

Which medication requires a serum blood level to determine whether the therapeutic levels have been achieved? a. sertraline b. lorazepam c. olanzapine d. valproic acid

d. valproic acid