Video Library
Hesi pharmacology exam
Total Questions : 80
Showing 10 questions, Sign in for moreTwo months after taking nitrofurantoin for a bacterial infection, a client reports the onset of severe, watery diarrhea to the home health nurse. How should the nurse respond?
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
The nurse is planning the home health care of a client who is receiving a mydriatic medication. Which environment is best for this client?
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
44-year-old female who had multiple traumatic injuries resulting from an assault. The attacker used a baseball bat to hit the client's legs repeatedly. She has multiple fractures to her legs. She also has a fracture to her wrist and abrasions on her right arm after falling. Buck's traction applied and stabilized.
Hospitalization Day 4
0800:
Client on her right side. The client says she has some itching in her legs. Pain is rated 7 on a 0 to 10 pain scale. Skin is pink and well perfused around Buck's traction. Morphine, ibuprofen, and bisacodyl given.
0930:
Had a semifluid stool; total output of stool was 400 mL. Reports that she has some burning in her anus. The itching on her legs has increased since the previous assessment. Provided a bed bath for the client and found a non-blanchable red area on the right buttock near the anus. She rates her pain 2 on a 0 to 10 pain scale. Heart rhythm is sinus tachycardia.
Hospitalization Day 4
0800:
- Heart rate 74 beats/minute
- Respiratory rate 15 breaths/minute
- Blood pressure 110/65 mm Hg
0930:
- Heart rate 104 beats/minute
- Respiratory rate 17 breaths/minute
- Blood pressure 135/81 mm Hg
|
|
Total Intake |
Total Urine Output |
Bowel Movement |
|
Hospitalization Day 1 |
1,800 mL |
1,680 mL |
None |
|
Hospitalization Day 2 |
2,000 mL |
2,100 mL |
None |
|
Hospitalization Day 3 |
1,900 mL |
1,900 mL |
None |
Hospitalization Day 1
Admit to the surgical floor
Regular diet
Bedrest
Vital signs every 4 hours
Ibuprofen 800 mg PO every 8 hours for pain 1 to 3 on a 0 to 10 pain scale
Morphine 1 mg IV every 4 hours for pain greater than 4 on a 0 to 10 pain scale
Record daily intake and output
Hospitalization Day 4
0800:
Bisacodyl 10 mg suppository rectally daily
Review H and P, nurse's notes, flow sheet, and prescriptions.
Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non- therapeutic side effect, or an unrelated finding. Each row must have one option selected.
Explanation
• Non-blanchable red area: This finding indicates early skin breakdown or a stage 1 pressure injury due to immobility and pressure from Buck’s traction. It is unrelated to bisacodyl, which affects bowel function but does not impact skin integrity directly.
• Blood pressure 135/81 mm Hg: This blood pressure reading is slightly elevated but still within an acceptable range for this patient. It is unrelated to bisacodyl administration as the medication does not directly influence blood pressure.
• Burning sensation: The burning sensation near the anus is a non-therapeutic side effect likely caused by irritation from the bisacodyl suppository or frequent bowel movements. This local irritation can cause discomfort during defecation.
• Semifluid stool: The presence of semifluid stool is a therapeutic result of bisacodyl’s stimulant laxative effect, promoting bowel motility and softening stool to relieve constipation.
• Itching in legs: Itching is likely related to immobility, dry skin, or healing abrasions and is not connected to bisacodyl use, making it an unrelated finding.
• Pain rating 2 on pain scale of 0 to 10: A reduced pain rating suggests effective pain management with prescribed analgesics. While bisacodyl does not directly reduce pain, alleviating constipation can contribute to overall comfort, marking this as a therapeutic result.
• Sinus tachycardia: This increased heart rate is likely due to pain, anxiety, or physiological stress related to trauma. It is not caused by bisacodyl.
The client reports to the nurse that the last time penicillin was prescribed a severe maculopapular rash appeared over the entire chest. Which information should the nurse provide the client regarding future antibiotic prescriptions?
A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?
A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?
A client who weighs 91 kg receives a prescription for a continuous infusion of dopamine at 3 mcg/kg/min. The solution is labeled, "Dopamine 400 mg in 5% Dextrose Injection 250 mL." How many mL/hr should the nurse program the infusion pump to deliver? (Enter numeric value only. If rounding is required, round to the nearest tenth).
Explanation
Calculation:
- Calculate the total dose per minute and convert to milligrams per hour.
Total dose (mcg/min) = Patient weight (kg) x Ordered dose (mcg/kg/min)
= 91 kg x 3 mcg/kg/min
= 273 mcg/min
- Convert to mg/hr:
Total dose (mg/hr) = (273 mcg/min / 1000 mcg/mg) x 60 min/hr
= 0.273 mg/min x 60 min/hr
= 16.38 mg/hr.
- Identify the available concentration.
Available concentration = Total drug amount / Total volume
= 400 mg / 250 mL
= 1.6 mg/mL.
- Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate (mL/hr) = Desired dose (mg/hr) / Available concentration (mg/mL)
= 16.38 mg/hr / 1.6 mg/mL
= 10.2375 mL/hr.
- Round to the nearest tenth.
= 10.2 mL/hr.
After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.
Sign Up or Login to view all the 80 Questions on this Exam
Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
