HESI LPN
Pharmacology HESI 2023 Quizlet Questions
Question 1 of 5
A client with chronic heart failure is prescribed spironolactone. The nurse should monitor for which potential side effect?
Correct Answer: A
Rationale: The correct answer is A: Hyperkalemia. Spironolactone is a potassium-sparing diuretic that can lead to an excess of potassium in the body, resulting in hyperkalemia. This side effect is important to monitor in clients taking spironolactone, especially those with chronic heart failure, as hyperkalemia can lead to serious cardiac complications.
Question 2 of 5
A female client who started chemotherapy three days ago for cancer of the breast calls the clinic reporting that she is so upset she cannot sleep. The client has several PRN medications available. Which drug should the nurse instruct her to take?
Correct Answer: D
Rationale: Acetaminophen and diphenhydramine help with sleep without severe side effects.
Question 3 of 5
A client with a diagnosis of bipolar disorder is prescribed quetiapine. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: When a client with bipolar disorder is prescribed quetiapine, the nurse should monitor for weight gain as a potential adverse effect. Quetiapine is known to commonly cause weight gain, which can have implications for the client's overall health. Regular monitoring of weight can help in early detection and management of this side effect.
Question 4 of 5
When educating a client about the adverse effects of conjunctivitis, what is a serious condition that requires prompt attention?
Correct Answer: D
Rationale: Epigastric pain unrelieved by antacids is a concerning symptom that may indicate a more serious underlying condition such as a perforated ulcer. This symptom requires immediate medical attention to prevent further complications.
Question 5 of 5
A client with rheumatoid arthritis is prescribed tofacitinib. What should the nurse include in the client's teaching plan?
Correct Answer: A
Rationale: Tofacitinib is an immunosuppressive medication used in rheumatoid arthritis. Patients taking tofacitinib should avoid live vaccines because the medication can weaken the immune system, making live vaccines potentially harmful. It is essential to educate the client on this to prevent any complications related to live vaccines during their treatment.
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