HESI Comprehensive Exam 2020 133- Cyclobenzaprine (Flexeril) is prescribed to a client with multiple sclerosis for the treatment of muscle spasms. For which common side effect of this medication does the nurse monitor the client? A. Diarrhea B. Drowsiness Correct C. Abdominal pain D. Increased salivation 134 - A nurse administers nitroglycerin sublingually to a client with angina pectoris who complains of chest pain. The medication is ineffective, so the nurse prepares to administer a second dose. Before administering the nitroglycerin, which action does the nurse make a priority? A. Checking the client's blood pressure Correct B. Obtaining blood levels of cardiac enzymes C. Asking the client whether he has a headache D. Obtaining a 12-lead electrocardiogram (ECG) 135- Ciprofloxacin hydrochloride (Cipro) is prescribed to a client with a urinary tract infection. The nurse, providing instruction about the medication, tells the client that it is best to take the medication: A. With milk B. With an antacid C. 2 hours after meals Correct D. With aluminum hydroxide 136.- A nurse provides home care instructions to a client with coronary artery disease (CAD) who is being discharged from the hospital. Which statement by the client indicates a need for further instruction? A. "I need to carry my nitroglycerin with me at all times." B. "I need to check my pulse before, during, and after exercise." C. "I need to avoid foods with saturated fats and foods high in cholesterol." D. "I need to participate in aerobic and weightlifting exercise three times a week." Correct 137- A nurse provides information to a client who will be undergoing endoscopic retrograde cholangiopancreatography (ERCP). The nurse tells the client that: A. There is no need to fast (NPO status) before the procedure B. The gallbladder is easily removed during this procedure if gallstones are found C. The procedure is performed specifically to visualize the esophagus, stomach, and duodenum D. Dye may be injected during the procedure to permit visualization of the pancreatic and biliary ducts Correct 138.ID: 383713175 A client who has undergone knee-replacement surgery will be self-administering enoxaparin sodium (Lovenox) at home. The nurse teaches the client about the medication and tells the client to: A. Store the medication in the refrigerator B. Lie down to administer the subcutaneous injection Correct C. Inject the medication in the upper outer aspect of the arm D. Discard the medication if the solution appears pale yellow 139.ID: 383703667 An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-ParkinsonWhite syndrome. Which piece of equipment does the nurse make a priority of obtaining before administering the medication? A. Pulse oximeter B. Cardiac monitor Correct C. Blood-pressure cuff D. Suction catheter and suction machine