Which information should the nurse provide to the client? Which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic? 5 Full-length HESI practice tests that look just like the exam you will take. What action should the nurse take first? Uploaded by. A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom management. Which prescription should the nurse prepare to administer this client? Morphine and ketorolac (Toradol) can be administered concurrently (A), and may produce an additive analgesic effect, resulting in the ability to reduce the dose of morphine, as seen in this prescription. Diphenhydramine (D) is an antihistamine decongestant used in the treatment of mild allergic reactions and motion sickness. HESI Pharmacology Specialty exams are the most predictive of passing the HESI … Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy? A client is receiving digoxin for the onset of supraventricular tachycardia (SVT). It should be taken around-the-clock (A) so that a stable blood level of the drug can be maintained, thereby decreasing the possibility of hypotension (an adverse effect) occurring because of too much of the drug circulating systemically at any particular time of day. Passing the Health Systems Education exam is one of the last steps that you must take to graduate from an associate nursing program. (A and B) are valuable nursing interventions, but are of less importance than monitoring for potentially fatal arrhythmias. Glaucoma (A) is managed using adrenergic agents and beta-adrenergic blocking agents. (C and D) are common side effects, but are not usually severe. An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. While taking a nursing history, the client states, "I am allergic to penicillin." PTU inhibits the synthesis of all thyroid hormones--both T3 and T4(C). The client has a PRN prescription for Demerol 100 mg PO q3h. When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body? What related allergy to another type of antiinfective agent should the nurse ask the client about when taking the nursing history? Alternative method of administration, such as sublingual (B), IV (C), and subcutaneous (D) routes, avoid this first-pass effect. (D) should be monitored if he/she is a diabetic and is perhaps receiving insulin. Lactulose does not affect (D). A client who was prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which client teaching is most important for the nurse to provide? HELP! HESI Pharmacology Specialty Exam Test Bank Download. Ephedrine (B) causes peripheral vasoconstriction and is used in the treatment of nasal congestion. (B, C, and D) are common side effects of penicillins that should subside after the body adjusts to the medication. A controlled-release oxycodone provides long-acting analgesia to relieve moderate to severe pain, so a dosing schedule of every 12 hours (B) provides the best around-the-clock pain management. HESI Pharmacology Exam Practice. My grade is hovering at a 79 and we need at least a 80 to pass. (A, C, and D) provide helpful information, but are not as high a priority as the assessment described in (B).