HESI Pharmacology Exam Test Bank

Correct Answer: A

Rationale: The correct answer is A: Bradycardia. Digoxin can lead to bradycardia due to its effect on slowing down the heart rate. Monitoring the client's heart rate is essential to detect and manage this potential side effect.

Correct Answer: C

Rationale: The correct answer is C: 'Do not stop taking this medication abruptly.' Alprazolam should not be stopped suddenly as it can lead to withdrawal symptoms. It is important for clients to taper off the medication gradually under medical supervision to prevent adverse effects.

Correct Answer: C

Rationale: It is essential for the nurse to educate the client that healing from erosive esophagitis typically takes several weeks to manage expectations. This information helps the client understand the timeline for improvement and reduces anxiety about the effectiveness of the treatment. It is not necessary to confirm the timing of medication intake, assess bowel sounds, or measure the apical pulse in this scenario. Since symptoms have persisted after one week of lansoprazole, it may not be appropriate to immediately escalate to a higher dose without further assessment or guidance from the healthcare provider.

Correct Answer: A

Rationale: The correct answer is A: Bleeding. Warfarin is an anticoagulant medication that works by thinning the blood. One of the potential side effects of warfarin is an increased risk of bleeding. It is crucial for the nurse to monitor the client for signs of bleeding, such as unusual bruising, blood in the urine or stool, or prolonged bleeding from cuts or gums. Prompt recognition and management of bleeding are essential to prevent complications.

Correct Answer: B

Rationale: The signs and symptoms of thyroid hormone toxicity, especially when the dosage is excessive, include tachycardia (rapid heart rate) and chest pain. These symptoms are indicative of hyperthyroidism, where the body receives an excessive amount of thyroid hormone. It is crucial to report these symptoms promptly to the healthcare provider to adjust the medication dosage and prevent potential complications.