Practice Question
A client has a new prescription for diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). Which information in the client’s history is of greatest concern to the nurse in monitoring the client’s response to this medication?
Answer Choices:
Correct Answer:
Chronic alcoholism.
Rationale:
🟣 Chronic alcohol use increases the risk of gastrointestinal bleeding and liver toxicity, both of which are potential complications of NSAID use, including diclofenac.
🟣 NSAIDs are metabolized by the liver and can also irritate the gastric mucosa, making this combination especially dangerous.
🟣 Alcohol and diclofenac together significantly raise the risk for gastric ulcers, GI hemorrhage, and hepatotoxicity.
🟣 The nurse must assess alcohol history carefully and consider alternative pain management strategies.
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This question is from RN-HESI Pharmacology Final Exam which contains 54 questions.
More Questions from This Exam
A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?
Answer Choices:
A. Take the medications at least 12 hours apart.
B. Stop the oral contraceptive immediately.
C. Use an additional form of contraception.
D. Avoid prolonged exposure to direct sunlight.
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client’s caregivers?
Answer Choices:
A. Explain that the client should not use the discus more than twice daily.
B. Clients using the discus may experience decreased blood pressure.
C. When using the discus, have the client breathe out rapidly into the mouthpiece.
D. Offer the discus to the client for use during an acute asthma attack.
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?
Answer Choices:
A. The medications can decrease acquired immunodeficiency syndrome (AIDS) related complications.
B. The viral load can be decreased to an undetectable level.
C. HIV infection is not cured by the antiretroviral regimen.
D. Antiretroviral medication prevents the transmission of the virus.
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Answer Choices:
A. Photosensitivity.
B. Rapid weight gain.
C. Gastric irritation.
D. Sexual dysfunction.
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Answer Choices:
A. Avoid taking on an empty stomach.
B. Consume 2 liters of water daily.
C. Reduce caffeine and acidic intake.
D. Double the dose if a dose is missed.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pharmacology
- Answer Choices: 4