Practice Question
A practical nurse (PN) is caring for a client with multiple sclerosis (MS) who is receiving an immunosuppressant. Which action is most important for the PN to implement to evaluate for adverse effects from the medication?
Answer Choices:
Correct Answer:
Observe the client's skin for bruising.
Rationale:
🟡 Immunosuppressants increase the risk of bone marrow suppression, leading to low platelets and potential bleeding.
🟡 Bruising is an early indicator of hematologic complications and must be monitored closely.
🟡 Bowel sounds, weight, and I&O are important in general care but not the most direct way to detect adverse effects.
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This question is from PN PHARMACOLOGY WITH NGN which contains 45 questions.
More Questions from This Exam
A female client who has been taking oral contraceptives for the past year comes into the clinic for an annual exam. Which finding is most important for the practical nurse (PN) to report to the healthcare provider (HCP)?
Answer Choices:
A. Left calf pain.
B. Breast tenderness.
C. Weight gain of 5 pounds (2.3 kg).
D. Change in menstrual flow.
The practical nurse (PN) administers exenatide subcutaneous one hour before breakfast to a client with diabetes mellitus. Which action should the PN take to determine if the medication was effective?
Answer Choices:
A. Document the percentage of diet eaten.
B. Determine if the client feels nauseated.
C. Observe for bruising at the injection site.
D. Monitor the client's blood glucose levels.
The practical nurse (PN) is administering cyclobenzaprine to a client who had a lumbar laminectomy. The PN should evaluate for which therapeutic responses first?
Answer Choices:
A. Reduced muscular back spasms and surgical pain.
B. Distal movement and sensation of both lower legs.
C. Drowsiness and potential for abuse.
D. Enhanced posture while ambulating.
The practical nurse (PN) is providing discharge instructions to a client who had a partial thyroidectomy. When explaining the actions of the prescribed thyroid supplement, levothyroxine sodium, which parameter should the PN tell the client is most important to monitor for potential side effects?
Answer Choices:
A. Sleep log.
B. Heart rate.
C. Daily weights.
D. Appetite.
A client with asthma receives a prescription for fluticasone, a metered-dose inhaler. Which instruction should the practical nurse (PN) reinforce?
Answer Choices:
A. Rinse the mouth out after dosing.
B. Avoid prolonged exposure to sunlight.
C. Use the inhaler for acute attacks.
D. Count the heart rate for one minute.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exams
- Domain: Pharmacology
- Answer Choices: 4