Pharmacology HESI 2023 Quizlet

Pharmacology HESI 2023 Quizlet Related

Review Pharmacology HESI 2023 Quizlet related questions and content

The healthcare provider has prescribed an influenza vaccine for a 74-year-old client before discharge. Which client condition would prompt the practical nurse to consult with the charge nurse rather than administer the vaccine?

  • A. History of congestive heart failure
  • B. History of an egg allergy
  • C. History of pneumococcal vaccination
  • D. History of end-stage renal disease
Correct Answer: B

Rationale: The correct answer is B: History of an egg allergy. The influenza vaccine may contain a small amount of egg protein. According to the CDC, individuals with a severe allergy to any component of the vaccine, including egg protein, should not receive the influenza vaccine. Therefore, if the client has a history of an allergy to eggs, the practical nurse should not administer the vaccine and consult with the charge nurse for further guidance, as it is a contraindication. The other conditions listed do not require consultation before administering the influenza vaccine.

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A client with hypertension is prescribed metoprolol. The healthcare provider should monitor the client for which potential side effect?

  • A. Bradycardia
  • B. Tachycardia
  • C. Hyperglycemia
  • D. Hyponatremia
Correct Answer: A

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

A client diagnosed with a sinus infection is prescribed ampicillin sodium. The practical nurse (PN) should instruct the client to notify the healthcare provider immediately if which symptom occurs?

  • A. Rash
  • B. Nausea
  • C. Headache
  • D. Dizziness
Correct Answer: A

Rationale: The correct answer is A - Rash. Rash is the most common adverse side effect of all generations of penicillin, indicating an allergy to the medication. An allergic reaction could lead to anaphylactic shock, a severe and potentially life-threatening emergency. It is crucial for the client to inform the healthcare provider promptly if a rash develops after taking ampicillin sodium.

The practical nurse administers lactulose to a client. Which client outcome would indicate a therapeutic response?

  • A. An increase in urine output
  • B. Two to three soft stools per day
  • C. Absence of nausea
  • D. Decreased serum potassium
Correct Answer: B

Rationale: Lactulose is a type of laxative that works by preventing the absorption of ammonia in the colon, leading to increased water absorption in the stool and softening of the stool. The therapeutic response to lactulose is indicated by the passage of two to three soft stools per day, showing that the medication is effectively promoting bowel movements.

A client with hypertension is prescribed doxazosin. The nurse should monitor for which potential side effect?

  • A. Hypotension
  • B. Hypertension
  • C. Hyperglycemia
  • D. Hypernatremia
Correct Answer: A

Rationale: The correct answer is A: Hypotension. Doxazosin is an alpha-blocker medication commonly used to treat hypertension. One of the potential side effects of doxazosin is causing a sudden drop in blood pressure, leading to hypotension. Therefore, the nurse should closely monitor the client for signs and symptoms of low blood pressure when initiating or adjusting the dose of doxazosin.

A client with rheumatoid arthritis is prescribed tofacitinib. What should the nurse include in the client's teaching plan?

  • A. Avoid live vaccines while taking this medication.
  • B. Take this medication with food to decrease gastrointestinal upset.
  • C. Report any signs of infection to the healthcare provider.
  • D. Avoid sunlight while taking this medication.
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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