HESI LPN
Pharmacology HESI 55 Questions 2023 Questions
Question 1 of 5
Prior to administration of the initial dose of the GI agent misoprostol, which information should the nurse obtain from the client?
Correct Answer: C
Rationale: The correct answer is C. It is crucial for the nurse to obtain information regarding the client's pregnancy status before administering misoprostol, as this medication is contraindicated in pregnancy due to its potential to cause uterine contractions. This can lead to serious complications such as miscarriage or premature birth. Therefore, assessing whether the client is currently pregnant is essential to ensure the safe administration of misoprostol.
Question 2 of 5
The healthcare provider is assessing the effectiveness of the drug amiodarone. Which client statement best indicates that the drug has been effective?
Correct Answer: D
Rationale: The effectiveness of amiodarone is best assessed by a reduction in irregular heartbeats, as it is primarily used to treat ventricular dysrhythmias. Angina spells, ankle swelling, and cholesterol levels are not direct indicators of amiodarone's effectiveness.
Question 3 of 5
A client with diabetes mellitus type 2 is prescribed dapagliflozin. The nurse should monitor for which potential adverse effect?
Correct Answer: A
Rationale: Dapagliflozin, a medication used in diabetes mellitus type 2, is associated with an increased risk of genital infections. This risk is due to its mechanism of action that involves promoting the excretion of glucose through the urine, creating a favorable environment for microbial growth in the genital area. Therefore, monitoring for genital infections is essential when a client is prescribed dapagliflozin.
Question 4 of 5
A client with chronic heart failure is prescribed furosemide. The nurse should monitor the client for which potential adverse effect?
Correct Answer: C
Rationale: When a client with chronic heart failure is prescribed furosemide, a diuretic, the nurse should be vigilant for potential adverse effects. Furosemide can lead to excessive fluid loss, resulting in dehydration. Dehydration is a significant concern as it can exacerbate heart failure symptoms. Additionally, furosemide can cause electrolyte imbalances, particularly affecting potassium and sodium levels. Monitoring for signs of dehydration and electrolyte disturbances is crucial to prevent complications and ensure the client's safety and well-being.
Question 5 of 5
The patient is prescribed cimetidine (Tagamet) orally. What should the nurse consider about administering this drug?
Correct Answer: D
Rationale: Cimetidine is best absorbed when taken 30 minutes before meals to decrease stomach acid. Administering it before meals allows for optimal absorption and effectiveness of the medication.
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