HESI Pharmacology Quizlet

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Glimepiride (Amaryl) is prescribed for a client with diabetes mellitus. A healthcare provider reinforces instructions for the client and advises them to avoid which of the following while taking this medication?

  • A. Alcohol
  • B. Organ meats
  • C. Whole-grain cereals
  • D. Carbonated beverages
Correct Answer: A

Rationale: Alcohol should be avoided when taking glimepiride (Amaryl) because it can cause a disulfiram-like reaction and enhance the hypoglycemic effects of the medication. Consuming alcohol with glimepiride can lead to symptoms such as flushing, palpitations, nausea, and vomiting. Therefore, it is crucial for individuals on glimepiride therapy to steer clear of alcohol to prevent adverse reactions and maintain optimal medication efficacy.

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Carbamazepine (Tegretol) is prescribed for a client with a diagnosis of psychomotor seizures. The nurse reviews the client's health history, knowing that this medication is contraindicated if which of the following disorders is present?

  • A. Headaches
  • B. Liver disease
  • C. Hypothyroidism
  • D. Diabetes mellitus
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder. Which sign would indicate a possible toxic effect related to this medication?

  • A. Pallor
  • B. Drowsiness
  • C. Bradycardia
  • D. Restlessness
Correct Answer: D

Rationale: Signs of toxicity related to oxybutynin chloride (Ditropan XL) include central nervous system excitation, such as nervousness, restlessness, hallucinations, and irritability. Other signs of toxicity may include hypotension or hypertension, confusion, tachycardia, a flushed or red face, and signs of respiratory depression. Restlessness is a sign of central nervous system excitation, which can indicate a possible toxic effect of this medication.

A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse administers a sublingual nitroglycerin tablet to the client. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Which of the following vital signs is most important for the nurse to check before administering the medication?

  • A. Temperature
  • B. Respirations
  • C. Blood pressure
  • D. Radial pulse rate
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The client who chronically uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol (Cytotec). The nurse determines that the medication is having the intended therapeutic effect if which of the following is noted?

  • A. Resolved diarrhea
  • B. Relief of epigastric pain
  • C. Decreased platelet count
  • D. Decreased white blood cell count
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client is instructed to take levothyroxine (Synthroid). The medication should be taken:

  • A. With food
  • B. At lunchtime
  • C. On an empty stomach
  • D. At bedtime with a snack
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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