RN Exit Hesi- Pharm 2024 103Questions and Answers (Latest Update 2024 RATED A+

RN Exit Hesi- Pharm 2024 103Questions and Answers (Latest Update 2024 RATED A+
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?

A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema. - CORRECT ANSWERS A. Muscle tenderness.

An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?

A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein) - CORRECT ANSWERS C. HDL (High-density lipoprotein)

NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2 inhalations every 4-6 hours as needed.

Nurses notes:
The client states that she has had more severe asthma symptoms than usual in the past week. Her forced expiratory volume has been 60-65% even with multiple doses of albuterol for several days in a row. She came to the hospital feeling dizzy, lightheaded, and complaining of "heart palpitations". Upon assessment, no wheezes were found. Her oxygen saturation is 99%.

Review H and P, and nurse's note. Identify from the choices below which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress. - CORRECT ANSWERS Potential Condition:
Methemoglobinemia

Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue

Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm

The nurse provide discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth three times a day for post herpetic neuralgia. Which symptoms should the nurse tell the client to report to the healthcare provider?

A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity - CORRECT ANSWERS B. Gastric irritation

A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID) drug ibuprofen by mouth twice a day for several months. Which assessment is most important for the nurse to complete?

A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns - CORRECT ANSWERS C. Determine presence of abdominal pain

The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?