UCO Pharm HESI
The nurse provides education to a client about the side effects of furosemide. These client statements indicate that the teaching is understood.
"I should change my position slowly." "I must eat a food that contains potassium every day."
A client with a history of severe diarrhea for the past 3 days is admitted for dehydration. The nurse anticipates that which intravenous (IV) solution will be prescribed initially?
0.9% sodium chloride
The healthcare provider prescribes enoxaparin to be administered subcutaneously daily to a client who had a total knee replacement. To ensure client safety, which measure would the nurse take when administering this medication?
Administer in the abdomen area only.
After an acute episode of gastrointestinal (GI) bleeding, a client is diagnosed with a gastric ulcer. The client receives a prescription for ranitidine 150 mg twice a day. What concern prompts the nurse to contact the health care provider about the prescription?
An administration route is not specified.
Despite receiving 2900 mL intake for 2 days, the client's urine output has progressively diminished. The nurse identifies that the urinary output is less than 40 mL/hr over the past 3 hours. What action will the nurse take?
Assess breath sounds and obtain vital signs.
A client with myasthenia gravis is to receive immunosuppressive therapy. What assures the nurse that this therapy will be effective?
Decreases the production of autoantibodies that attack acetylcholine receptors
What is the priority goal for a client with asthma who is being discharged from the hospital with prescriptions for inhaled bronchodilators?
Demonstrates use of a metered-dose inhale
The nurse is preparing discharge instructions for a client who was prescribed enalapril for treatment of hypertension. Which instruction is appropriate for the nurse to include in the client's teaching?
Do not change to a standing position suddenly
Steroid therapy is prescribed for a client with an exacerbation of ulcerative colitis. The nurse evaluates that teaching is effective when the client identifies which times for the medication schedule?
In the early morning with food
A client who is receiving hydrochlorothiazide asks what this drug actually does. What information about the drug's therapeutic action will the nurse consider when formulating a response?
Increases the excretion of sodium
A healthcare provider prescribes simvastatin 20 mg daily for elevated cholesterol and triglyceride levels for a female client. Which is most important for the nurse to teach when the client initially takes the medication?
Inform the healthcare provider if the client wishes to become pregnant.
A client with arthritis increases the dose of ibuprofen to abate joint discomfort. After several weeks the client becomes increasingly weak. The client is admitted to the hospital and is diagnosed with severe anemia. What findings does the nurse expect to identify when performing an admission assessment?
Melena Tachycardia
A healthcare provider prescribes famotidine and magnesium hydroxide/aluminum hydroxide antacid for a client with a peptic ulcer. The nurse should teach the client to take the antacid at what time?
One hour before or 2 hours after famotidine
The healthcare provider prescribes finasteride for a client with benign prostatic hyperplasia. What information does the nurse provide to the client?
Protection should be worn during intercourse with a pregnant female.
A health care provider prescribes ranitidine for a client with heartburn. During a teaching session, which information will the nurse share with the client about how this drug works?
Ranitidine reduces gastric acidity in the stomach.
A nurse is monitoring a client who is receiving an intravenous (IV) infusion of normal saline. What is a serious complication of IV therapy?
Shortness of breath with crackles
Some clients self-prescribe over-the-counter glucosamine to help relieve joint pain and stiffness. Which condition should the nurse identify as a reason for a client not to take this supplement?
diabetes mellitus
A client reports nausea, vomiting, and seeing a yellow light around objects. A diagnosis of hypokalemia is made. Upon a review of the client's prescribed medication list, the nurse determines that what is the likely cause of the clinical findings?
digoxin
A healthcare provider prescribes bed rest, loperamide, and esomeprazole for a client who just had major surgery. After several days of this regimen, the client complains of diarrhea. Which treatment strategy does the nurse conclude is the most likely cause of the diarrhea?
esomeprazole
A client is admitted to the intensive care unit with acute pulmonary edema. Which diuretic does the nurse anticipate will be prescribed?
forosemide
A client is receiving dexamethasone to treat acute exacerbation of asthma. For what side effect should the nurse monitor the client?
increased blood glucose
A health care provider prescribes daily docusate sodium for a client. The nurse explains to the client that this drug has what action?
lowers the surface tension of feces
A client with gastroesophageal reflux disease (GERD) receives a prescription for an H2 receptor antagonist. Which medications are within the classification of an H2 receptor antagonist?
nizatidine ranitidine famotidine
What information should the nurse include when teaching a client about antacid tablets?
they interfere with the absorption of other drugs
The nurse provides teaching to a client who has received a prescription for oral pancreatic enzymes, pancrelipase. The nurse evaluates that teaching is understood when the client identifies which time for medication scheduling?
with meals
A nurse has provided teaching to a client with a newly prescribed proton pump inhibitor (PPI). The nurse determines that the teaching is effective when the client states that the medication is used for the treatment of which condition?
Gastroesophageal reflux disease (GERD)
After the nurse provides education about hydrochlorothiazide, the client will agree to notify the healthcare provider regarding the development of which symptom?
Generalized weakness
A client is admitted to the hospital with a diagnosis of an exacerbation of asthma. What should the nurse plan to do to best help this client?
Give prescribed drugs to promote bronchiolar dilation
A client has severe diarrhea, and the health care provider prescribes intravenous fluids, sodium bicarbonate, and an antidiarrheal medication. Which drug does the nurse expect the health care provider to prescribe?
Loperamide
Prednisone, an adrenal steroid, is prescribed for a client with an exacerbation of colitis. When administering the first dose of the medication, what information does the nurse provide to the client?
Prednisone is not curative, but does cause a suppression of the inflammatory process.
A client reports frequently taking calcium carbonate. What effect should the nurse advise the client that this can have?
Rebound hyperacidity
What should the nurse include when teaching a client with severe Parkinson's Disease about carbidopa-levodopa?
The medication can be taken with meals
A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole. What purpose does the nurse provide?
To treat Helicobacter pylori infection
A nurse is caring for a client who reports urinary problems, and the healthcare provider prescribes a cholinergic medication. Which urinary problem will this medication correct?
Urinary retention due to bladder atony
While receiving an adrenergic beta2 agonist drug for asthma, the client complains of palpitations, chest pain, and a throbbing headache. What is the most appropriate nursing action?
Withhold the drug and notify the healthcare provider
For a client with difficulty swallowing, the nurse should crush which medication?
acetaminophen extra strength
A client with a history of pulmonary emboli is taking warfarin daily. The nurse teaches the client about foods that are appropriate to consume when taking this medication. The nurse evaluates that the client needs further teaching when the client makes which statement?
"Dark green leafy vegetables are high in vitamin K so I should eat them more often."
Which client statement indicates to the nurse that a client who is receiving cyanocobalamin (vitamin B12) therapy for an intrinsic factor deficiency understands the treatment?
"I should have a vitamin B12 injection every month."
A client who has been taking ibuprofen for rheumatoid arthritis asks the nurse if acetaminophen can be substituted instead. What is the appropriate nursing response?
"Ibuprofen has antiinflammatory properties and acetaminophen does not."
A client who has a gastric ulcer asks what to do if epigastric pain occurs. The nurse evaluates that teaching is effective when the client makes which statement?
"Taking an antacid preparation will decrease pain due to gastric acid."
A healthcare provider prescribes an antibiotic intravenous piggyback twice a day for a client with an infection. The healthcare provider prescribes peak and trough levels 48 and 72 hours after initiation of the therapy. The client asks the nurse why there is a need for so many blood tests. What reason does the nurse provide?
"They determine adequate dosage levels of the drug."
A client is admitted to the hospital and benazepril is prescribed for hypertension. Which is an appropriate nursing action for clients taking this medication?
Assess for dizziness.
A client says, "I take baking soda in water when I get heartburn." The nurse suggests an antacid containing aluminum and magnesium hydroxide instead of baking soda. What is the advantage these antacids have over baking soda?
There is no direct effect on the systemic acid-base balance when taken as directed
Which medications are associated commonly with upper gastrointestinal (GI) bleeding? Select all that apply.
aspirin ibuprofen methylprednisolone
What response will a nurse monitor for when assessing a client for side effects of long-term cortisone therapy?
behavioral changes
A client is taking furosemide. At each clinic visit, the nurse should assess for what adverse effect?
hyporeflexia
