Pharm 230 Final
A nurse is caring for a client who has angina and asks about obtaining a prescription for sildenafil To treat erectile dysfunction. Which of the following medications is contraindicated with sildenafil? -Aspirin. -isosorbide -Clopidogrel -Atorvastatin
-isosorbide
In nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? -Furosemide -Captopril -Ranolazine -metoprolol
-metoprolol
Retake The Cardiovascular System Module- Pharm Made Easy
On ATI for practice
A nurse is caring for a client who has a new prescription for captopril for hypertension . The nurse should monitor the client for which of the following as an adverse effect of this medication? -Bradycardia. -Hypokalemia. -Hypernatremia. -Neutropenia.
-Neutropenia.
A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension . Which of the following instructions should the nurse include? -"Take this medication before bedtime." -"Monitor for leg cramps." -"Avoid grapefruit juice." -"Reduce intake of potassium rich foods."
-"Monitor for leg cramps."
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication? -"I can walk a mile a day." -"I've had a back ache for several days." -"I am urinating more frequently." -"I have felt nauseated and have no appetite."
-"I have felt nauseated and have no appetite."
A nurse is providing teaching to a client who has a new prescription or lisinopril . Which of the following statements by the nurse indicates an understanding of the teaching? -"I should increase my intake of potassium rich foods." -"I should expect to have facial swelling when taking this medication." -"I should take this medication with food." -"I should report a cough to my provider."
-"I should report a cough to my provider."
A nurse is teaching a client who is taking digoxin and has a new prescription colesevelam. Which of the following instructions should the nurse include in the teaching? -"Take digoxin with your morning dose of colesevelam" -"Your sodium and potassium levels will be monitored periodically while taking colesevelam." -"Watch for bleeding or bruising while taking colesevelam." -"Take colesevelam with food and at least one glass of water."
-"Take colesevelam with food and at least one glass of water."
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate IV continuous infusion. Which of the following findings should the nurse report to the provider? -2+ deep tendon reflexes -2+ pedal edema -24ml/hr urinary output -respirations 12/min
-24ml/hr urinary output
A nurse is preparing to administer metoprolol 5 milligrams IV bolus to a client for a heart rate control. Available is metoprolol injection 1 milligram per milliliter. How many milliliters should the nurse administer per dose? Round to the nearest whole number.
-5mL
A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The client asks, what is my next step if I take one tablet , wait five minutes, but still have anginal pain? which Of the following responses should the nurse make? -Take two more sublingual tablets at the same time. -Call the emergency response team. -Take a sustained release nitroglycerine capsule. -Wait another 5 minutes then take a second sublingual tablet.
-Call the emergency response team.
A nurse is taking a medication history from a client who has angina and is to begin taking ranolazine. The nurse should report which of the following medications in the client history that can interact with ranolazine? Select all that apply. -Digoxin. -Simvastatin. -Verapamil -Amlodipine -Nitroglycerin transdermal patch.
-Digoxin. -Simvastatin. -Verapamil
A nurse is reviewing a new prescription for terbutaline with a client who has a history of preterm labor. Which of the following client statements indicates understanding of the teaching? -I can increase my activity now that I've started on this medication. -I will increase my daily fluid intake to three quarts. -I will report increasing intensity of contractions to my doctor. -I am glad this will prevent preterm labor.
-I will report increasing intensity of contractions to my doctor.
A nurse is teaching a client who has a new prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include? -Remove the patch each evening. -Cut each patch in half if angina attacks are under control. -Take off the nitroglycerin patch for 30 minutes if headache occurs. -Apply a new patch every 48 hours.
-Remove the patch each evening.
A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which the following instructions? -Remove the prior dose before applying a new dose. -Rub the ointment directly onto your skin until it is no longer visible. -Cover the applied ointment with a clean gauze pad. -Apply the ointment to the same skin area each time.
-Remove the prior dose before applying a new dose.
A nurse is preparing to administer digoxin to a 6 month old infant period prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?
-90/min
A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further? -Diet controlled type 2 diabetes mellitus. -A history of left sided heart failure. -A concurrent prescription for tadalafil. -Recently treated bilateral pneumonia.
-A history of left sided heart failure.
A nurse is completing in nursing history for a client who takes some Boston. The nurse should identify which of the following disorders as a contraindication to adding ezetimibe to the client's medications? -History of severe constipation. -History of hypertension. -Active hepatitis C. -Type 2 diabetes mellitus.
-Active hepatitis C.
A nurse is in meeting a client for a total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following actions is the nurses priority? -Administering a supplemental dose of hydrocortisone. -Instructing the client about coughing and deep breathing. -Collecting additional information about the clients history of Addison's disease. -Inserting an indwelling urinary catheter.
-Administering a supplemental dose of hydrocortisone.
While instructing a client about using isosorbide to treat angina, you advise the client to avoid which of the following? -Milk. -Caffeine. -Alcohol. -Grapefruit juice.
-Alcohol.
A nurse is providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include? Select all that apply. -Apply the patch to a hairless area and rotate sides. -Apply a new patch each morning. -Remove the patch for 10-12 hours daily. -Apply the patch to dry skin and cover the area with plastic wrap. -Apply a new patch at the onset of anginal pain.
-Apply the patch to a hairless area and rotate sides. -Apply a new patch each morning. -Remove the patch for 10-12 hours daily.
A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? -Apply a new transdermal patch once a week. -Apply the transdermal patch in the morning. -Apply the transdermal patch at the same location as the previous patch. -Apply a new transdermal patch when chest pain is experienced.
-Apply the transdermal patch in the morning.
A nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? -Hypertension -Asthma -Glaucoma -Tachycardia
-Asthma
A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium? -Bananas. -Cooked carrots. -Cheddar cheese. -2% milk.
-Bananas.
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? -Blood sodium 140 mEq/L. -Urine output 120 mL in 4 hours. -Blood potassium 5.2 mEq/L. -Blood pressure 140/90 mm Hg.
-Blood potassium 5.2 mEq/L.
A nurse is caring for a client who is taking propylthiouracil. Which of the following findings should the nurse monitor for as an adverse effect of this medication? -Bradycardia. -Insomnia. -Heat intolerance. -Weight loss.
-Bradycardia.
A nurse is teaching a client who has hypertension and a new prescription atenolol. Which of the following findings should the nurse include as adverse effects of this medication? -Bradycardia. -Tremor. -Cough. -Constipation.
-Bradycardia.
A nurse is caring for a client who is taking somatropin to stimulate growth. The nurse should plan to monitor the client's urine for which of the following? -Bilirubin. -Protein. -Potassium. -Calcium.
-Calcium.
A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? -Notify the clients provider -Check the client's vital signs -Fill out an occurrence form -Administer the medication to the right client
-Check the client's vital signs
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first? -Check the client's vital signs. -Request a dietitian consult. -Suggest that the client rests before eating the meal. -Request an order for an antiemetic.
-Check the client's vital signs.
A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? -Contact provider if heart rate is less than 60 beats per minute. -Check pulse rate for 30 seconds and multiply result by two. -Increase intake of sodium. -Take with food if nausea occurs.
-Contact provider if heart rate is less than 60 beats per minute.
You are caring for a client who is taking amiodarone to treat atrial fibrillation. Recognizing the adverse effects of amiodarone, you advised the client to watch for and report which of the following? Select all that apply. -Cough. -Blurred vision. -Dizziness. -Sore throat. -Fever.
-Cough. -Blurred vision. -Dizziness. -Fever.
A nurse is reviewing the laboratory results of a client who has liver failure with the cities and is receiving spironolactone. Which the following findings should the nurse expect? -Decrease sodium level. -Decreased phosphate level. -Decrease potassium level. -Decrease chloride level.
-Decrease sodium level.
A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? -Increase of HDL cholesterol. -Decreased blood pressure. -Prevention of bipolar manic episodes. -Improved sexual function.
-Decreased blood pressure.
A Nurse is providing teaching to a female client who is taking testosterone to treat advanced breast cancer. The nurse should tell the client that which of the following adverse effects of the medication? (Select all that apply) -Deepening voice -Weight gain -Low Blood Pressure -Dry mouth -Facial Hair
-Deepening voice -Weight gain -Facial Hair
A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertension. Which of the following conditions should the nurse monitor the client for as an adverse effect of this medication? -Intestinal ileus -Neutropenia -Delirium -Hyperthermia
-Delirium
A primary care provider then prescribes quinidine gluconate as an oral antidysrhythmic agent. A health care professional should question the use of quinidine for a client taking digoxin, due to a possible drug interaction that can result in which adverse effect? -Liver toxicity. -Quinidine toxicity. -Digoxin toxicity. -Cardio toxicity.
-Digoxin toxicity.
Recognizing the potential for a drug interaction between the diuretic, furosemide, and cardiac glucoside, digoxin, the primary care provider plans to monitor this client for which adverse effect? -Hyperkalemia. -Ototoxicity. -Digoxin toxicity. -Hypoglycemia.
-Digoxin toxicity.
When talking with a client who is taking captopril to treat hypertension, which instructions do you include to help her manage the drugs adverse effects? -Check your heart rate prior to taking the drug. -Wear sunscreen and protective clothing while outdoors. -Do not use salt substitutes to season your food. -Take the drug with a meal.
-Do not use salt substitutes to season your food.
A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? -Do not use salt substitutes while taking this medication. -Take the medication with food. -Count your pulse rate before taking the medication. -Expect to gain weight while taking this medication.
-Do not use salt substitutes while taking this medication.
A nurse is caring for a client who has increased intracranial pressure and his wrist receiving mannitol. Which of the following findings should the nurse report to the provider? -Blood glucose 150 mg/dL. -Urine output 40 mL/hr. -Dyspnea. -Bilateral equal pupil size.
-Dyspnea.
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking for furosemide. Which of the following instructions should the nurse include? -Take aspirin if headaches develop. -Eat foods that contain plenty of potassium. -Expect some swelling in the hands and feet. -Take the medication at bedtime.
-Eat foods that contain plenty of potassium.
A charge nurse is teaching a group of nurses about agonist and antagonists. The nurse should include in the teaching that which of the following agonist medications binds to receptors and causes activation that affects the cardiovascular system? -Insulin. -Epinephrine. -Morphine. -Norethindrone.
-Epinephrine.
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate? -Withholding the medication if the heart rate is above 100 beats per minute. -Instructing the client to eat foods that are low in potassium. -Measuring apical pulse rate for 30 seconds before administration. -Evaluating the client for nausea, vomiting, and anorexia.
-Evaluating the client for nausea, vomiting, and anorexia.
A nurse is assessing a client who has a prescription for bethanechol to treat urinary retention. The nurse should identify that which of the following findings is a manifestation of muscarinic stimulation? -Hypertension. -Fecal impaction. -Dry mouth. -Excessive perspiration.
-Excessive perspiration.
Digoxin is effective in treating heart failure due to which pharmacological actions? Select all that apply. -Exerts positive inotropic action. -Decrease his cardiac output. -Decreases sympathetic tone. -Increases vascular constriction. -Increases myocardial contractility.
-Exerts positive inotropic action. -Decreases sympathetic tone. -Increases myocardial contractility.
A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation of digoxin toxicity? Select all that apply. -Fatigue. -Anorexia. -Constipation. -Rash. -Blurred vision.
-Fatigue. -Anorexia. -Blurred vision.
A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation of digoxin toxicity? Select all that apply. -Fatigue. -Constipation. -Anorexia. -Rash. -Blurred vision.
-Fatigue. -Anorexia. -Blurred vision.
A client is about to start taking aliskiren to treat hypertension. Which of the following should you tell the client to avoid to ensure optimal absorption of this drug? -Soy sauce. -Green, leafy vegetables. -Fatty foods. -Foods high in carbohydrates.
-Fatty foods.
You were talking with a client who is taking blue losartan for hypertension. She asks you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk? -Macrosomia. -Fetal injury. -Gestational diabetes. -Thromboembolic disease.
-Fetal injury.
You are caring for a client whose atrial dysrhythmia fails to respond to other antidysrhythmics therapies. You anticipate that the primary care provider might try which drugs whose off-label use includes refractory atrial dysrhythmias? -Propranolol (Inderal). -Lidocaine (Xylocaine). -Flecainide (Tambocor). -Amiodarone (Cordarone).
-Flecainide (Tambocor).
A nurse is teaching to a client who has hypertension and a new prescription for verapamil. which of the following beverages should the nurse tell the client to avoid while taking this medication? -Milk. -Orange juice. -Coffee. -Grapefruit juice.
-Grapefruit juice.
A nurse is reviewing the medical record of a client who takes desmopressin for diabetes insipidus. Which of the following findings is an adverse effect of desmopressin? -Hypovolemia. -Hypercalcemia. -Agitation. -Headache.
-Headache.
A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication? -Heart rate 46 beats per minute. -Oxygen saturation 95%. -Respiratory rate 18 per minute -Blood pressure 160/94 mm Hg
-Heart rate 46 beats per minute.
A nurse is planning to administer a first dose of captopril to a client who has hypertension. Which of the following medications can intensify first dose hypotension? Select all that apply. -Simvastatin. -Hydrochlorothiazide -Phenytoin -Clonidine -Aliskiren
-Hydrochlorothiazide -Clonidine -Aliskiren
A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which the following electrolyte imbalances? -Hypernatremia. -Hyperuricemia. -Hypercalcemia. -Hyperchloremia.
-Hyperuricemia.
A client is taking bumetanide and spironolactone. You explained to the client that using these drugs together may reduce the risk of which adverse effects? -Hypokalemia. -Hyponatremia. -Hyperglycemia. -Hypochloremia.
-Hypokalemia.
A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor? -Hypervolemia. -Hypertension. -Hypokalemia. -Hypoglycemia.
-Hypokalemia.
A nurse is planning care for a client who has a new prescription for torsemide. The nurse should plan to monitor for which the following conditions as potential adverse reactions of this medication? Select all that apply. -Respiratory acidosis. -Hypokalemia. -Hypotension. -Ototoxicity. -Ventricular dysrhythmias.
-Hypokalemia. -Hypotension. -Ototoxicity. -Ventricular dysrhythmias.
A client is about to start taking hydrochlorothiazide for hypertension period to assess for adverse effects of this drug, you monitor for which during drug therapy? Select all that apply. -Ototoxicity. -Hyponatremia. -Hypokalemia. -Dehydration. -Hypoglycemia.
-Hyponatremia. -Hypokalemia. -Dehydration.
A nurse is providing teaching to a client who will start alfuzosin for treatment of benign prostatic hyperplasia. The nurse should instruct the client that which of the following is an adverse effect of the medication. -Bradycardia -Edema -Hypotension -Tremor
-Hypotension
He nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching? -I'll dial 911 if I still have pain after three nitroglycerin tablets 5 minutes apart. -I'll dial 911 if I still have pain after taking forward nitroglycerin tablets over a 20 minute period. -I'll dial 911 when I have pain and then I take the nitroglycerin tablets. -I'll dial 911 if one nitroglycerin tablet does not relieve my pain, and then take up to two more tablets 5 minutes apart while waiting.
-I'll dial 911 if one nitroglycerin tablet does not relieve my pain, and then take up to two more tablets 5 minutes apart while waiting.
A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting repaglinide. which of the following statements by the client indicates understanding of the administration of this medication? -I'll take this medication after I eat. -I'll take this medication 30 minutes before I eat. -I'll take this medication just before I go to bed. -I'll take this medication at least one hour before I eat.
-I'll take this medication 30 minutes before I eat.
A primary care provider prescribes captopril to treat the clients hypertension and also help alleviate his heart failure. It is essential for a health care provider to make sure a client understands that he should not take which over the counter drugs while taking captopril? -Ibuprofen (Advil, Motrin). -Acetaminophen (Tylenol). -Calcium carbonate (Tums). -Diphenhydramine (Benadryl).
-Ibuprofen (Advil, Motrin).
A nurse is teaching a client who has a new prescription for verapamil control hypertension. Which of the following instructions should the nurse include? -Increase the amount of fiber in the diet. -Drink grapefruit juice daily to increase vitamin C intake. -Decrease the amount of calcium in the diet. -Withhold food for one hour after the medication is taken.
-Increase the amount of fiber in the diet.
A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include? -Limit your fluid intake to mealtimes. -Do not take this medication on an empty stomach. -Increase your daily intake of dietary fiber. -You can expect swelling of the ankles while taking this medication.
-Increase your daily intake of dietary fiber.
A nurse is assessing a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse recognize as a therapeutic effect? -Increased pulse. -Increased urine output. -Decreased blood pressure. -Decreased dysrhythmias.
-Increased urine output.
A nurse is providing teaching to a client who has a prescription for pramlintide for type one diabetes mellitus. Which of the following should the nurse include in the teaching? Select all that apply. -Take oral medications 30 minutes before injection. -Use upper arms as preferred injection sites. -Mix pramlintide with the breakfast dose of insulin. -Inject pramlintide just before a meal. -Discard open vials after 28 days.
-Inject pramlintide just before a meal. -Discard open vials after 28 days.
A nurse is collecting data from a client who is taking gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse effect of this medication? -Mental status changes. -Tremor. -Jaundice. -Pneumonia.
-Jaundice.
A nurse is caring for a client who has been taking acarbose for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse plan to monitor? -WBC -Amylase. -Platelet count. -Liver function tests.
-Liver function tests.
Nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? -Metoprolol -Furosemide -Captopril -Ranolazine
-Metoprolol
A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? Select all that apply. -Monitor blood potassium levels. -Assess for tinnitus. -Report urine output 50 mL/hr. -Recommend eating a banana daily. -Elevate the head of bed slowly before ambulation.
-Monitor blood potassium levels. -Assess for tinnitus. -Recommend eating a banana daily. -Elevate the head of bed slowly before ambulation.
A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in the teaching? -Monitor for cough -Hold medication for heart rate less than 60 beats per minute -Take the medication with food -Avoid grapefruit juice
-Monitor for cough
A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect? -Urinary retention. -Muscle weakness. -Orthostatic hypotension. -Blurred vision.
-Muscle weakness.
A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statement should the nurse include in the teaching? -Place one tablet under your tongue every five minutes for 30 minutes to relieve chest pain. -Nitroglycerin decreases chest pain by dissolving blood clots that are including the arteries. -You can store the bottle of tablets in your bathroom medicine cabinet. -Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart.
-Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart.
A client starts drug therapy, but the following day he reports that he is having palpitations. His EKG at the emergency department indicates frequent premature ventricular contractions, so the primary care provider prescribes a stat dose of lidocaine, 50 mg via IV bolus . A health care professional who administers the drug monitors the client for which adverse reactions to lidocaine? -Metabolic alkalosis. -Hypertension. -Tachycardia. -Paresthesias.
-Paresthesias.
You are administering lidocaine, 50 mg via IV bolus , to a client with a ventricular dysrhythmia. You monitor the client for which adverse reactions to lidocaine? -Metabolic alkalosis. -Hypertension. -Tachycardia. -Paresthesias.
-Paresthesias.
A nurse is caring for a client who has a new prescription for propanol . The nurse should monitor the client for which of the following adverse reactions to this medication? -Ototoxicity. -Tachycardia. -Postural hypotension. -Hypokalemia.
-Postural hypotension.
A nurse in a providers office is monitoring blood electrolytes for four clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? -Calcium 9.2 mg/dL. -Calcium 10.3 mg/dL. -Potassium 3.4 mEq/L. -Potassium 4.8 mEq/L.
-Potassium 3.4 mEq/L.
A nurse is planning to administer digoxin to a client who has heart failure. Which of the following laboratory results is a priority for the nurse to review prior to administering the medication? -Potassium. -Hemoglobin. -Creatinine. -Blood urea nitrogen.
-Potassium.
A nurse is teaching a client who has Graves' disease and a new prescription for propranolol . Which of the following client statements indicates effective teaching? -Propranolol helps increase blood flow to my thyroid gland. -Propranolol is used to prevent excess glucose in my blood. -Propranolol will decrease my tremors and fast heartbeat. -Propranolol promotes a decrease of thyroid hormone in my body.
-Propranolol will decrease my tremors and fast heartbeat.
A nurse is teaching clients about the use of insulin to treat type one diabetes mellitus. For which of the following types of insulin should the nurse tell the client to expect a peak effect one to five hours after administration? -Insulin glargine -NPH Insulin. -Regular insulin. -Insulin lispro.
-Regular insulin.
Nurse is monitoring a client who received epinephrine for angioedema after a first dose of Losartan . Which of the following data indicates a therapeutic response to epinephrine? -Respirations are unlabored. -Client reports decreasing groin pain of three on a 1 to 10 scale. -The client's blood pressure when arising from resting position is at premedication levels. -The client tolerates a second dose of medication with no greater than 1+ peripheral edema.
-Respirations are unlabored.
A nurse is providing teaching for a client who has a new prescription for metformin. Which of the following findings should the nurse instruct the client to report as an adverse effect of metformin? -Somnolence. -Constipation. -Fluid retention. -Weight gain.
-Somnolence: can indicate lactic acidosis which may cause drowsiness, hyperventilation, and muscle pain (rare)
A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? -Furosemide. -Hydrochlorothiazide. -Metolazone. -Spironolactone.
-Spironolactone.
A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. the nurse recognizes that this medication is for which of the following purposes? -Decrease chest wall compliance. -Suppress respiratory effort. -Induce sedation. -Decrease respiratory secretions.
-Suppress respiratory effort.
A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained release capsules. Which of the following instructions should the nurse include? -Take one capsule at the onset of anginal pain. -Stop taking the medication if side effects are troublesome. -Take the medication with meals. -Swallow the capsules whole.
-Swallow the capsules whole.
A nurse is assessing a client who takes lisinopril to treat hypertension. Which of the following findings is a priority to report? -Dry cough. -Swelling of the tongue. -Nausea. -Nasal congestion.
-Swelling of the tongue.
A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets . The nurse should include which of the following instructions regarding how to take the medication? -Take this medication after each meal and at bedtime. -Take one tablet every 15 minutes during an acute attack. -Take one tablet at the first indication of chest pain. -Take this medication with eight ounces of water
-Take one tablet at the first indication of chest pain.
A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide . Which of the following instructions should the nurse provide? -Weigh weekly to monitor therapeutic effect. -Take the medication on an empty stomach. -Take the medication early in the day. -Muscle pain is an expected adverse effect.
-Take the medication early in the day.
A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? -Take the medication with food. -Plan to take the medication at bedtime. -Expect increased swelling of the ankles. -Fluid intake should be limited in the morning.
-Take the medication with food.
A nurse is teaching a client who has a new prescription for colesevelam to lower his low density lipoprotein level. Which the following instructions should the nurse include? -Take this medication 4 hours after other medications. -Reduce fluid intake. -Take this medication on an empty stomach. -Chew tablets before swallowing.
-Take this medication 4 hours after other medications.
A nurse is providing teaching to a client who is starting simvastatin . Which of the following information should the nurse include in the teaching? -Take this medication in the evening. -Change position slowly when rising from a chair. -Maintain a steady intake of green leafy vegetables. -Consume no more than one liter per day of fluid.
-Take this medication in the evening.
A nurse is reviewing the health history for a client who has angina pectoris and a prescription for Propranolol hydrochloride PO 40mg twice daily. Which of the following findings in the history should the nurse report to the provider? -The client has a history of hypothyroidism. -The client has a history of bronchial asthma. -The client has a history of hypertension. -The client has a history of migraine headaches.
-The client has a history of bronchial asthma.
A nurse is completing a medical interview with a client who has an elevated cholesterol levels and takes warfarin. The nurse should recognize that which of the following actions by the client can potentate the effects of warfarin? -Client follows a low fat diet to reduce cholesterol. -The client drinks a glass of grapefruit juice everyday. -The client sprinkles black seeds on food one hour before taking the anticoagulant. -The client uses garlic to lower cholesterol levels.
-The client uses garlic to lower cholesterol levels.
A nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. Which of the following dosage schedule should the nurse expect for this client? -The client we'll start at a high dosage, and the amount will be tapered as needed -the client will remain on the initial dosage during the course of treatment. -The client's dosage will be adjusted daily based on blood levels. -The client will start on a low dosage which will be gradually increased.
-The client will start on a low dosage which will be gradually increased.
A nurse is explaining the mechanism of action of combination oral contraceptives to a group of clients. The nurse should tell the clients that which of the following actions occur with the use of combination oral contraceptives? Select all that apply. -Thickening the cervical mucus. -Inducing maturation of ovarian follicle. -Increasing development of the corpus luteum. -Altering the endometrial lining. -Inhibiting ovulation.
-Thickening the cervical mucus. -Altering the endometrial lining. -Inhibiting ovulation.
A nurse is teaching a client about terbutaline. Which of the following statements by the client indicates understanding of the teaching? -This medication will stop my contractions. -This medication will prevent vaginal bleeding. -This medication will promote blood flow to my baby. -This medication will increase my prostaglandin production.
-This medication will stop my contractions.
A Nurse is reviewing the healthcare record of a client who is asking about conjugated equine estrogens. The nurse should inform the client this medication is contraindicated in which of the following conditions? -Atrophic vaginitis -Dysfunctional uterine bleeding -Osteoporosis -Thrombophlebitis
-Thrombophlebitis
A nurse in a providers clinic is assessing a client who takes sublingual nitroglycerin for stable angina. The client reports getting a headache each time he takes the medication. Which of the following statement should the nurse make? -Take only one dose of nitroglycerin to reduce the risk of getting a headache. -There is nothing that can be done to relieve the headaches that nitroglycerin causes. -Try taking a mild analgesic to relieve the headache. -We will ask the provider to prescribe a different medication for you.
-Try taking a mild analgesic to relieve the headache.
A nurse is caring for a client who has a new prescription for oxytocin to stimulate uterine contractions. Which of the following actions should the nurse take? (select all that apply). -Use an infusion pump for medication administration. -Obtain vital signs frequently and with every dose change. -Stop infusion if uterine contractions occur every four minutes and lasts 45 seconds. -Increase medication infusion rate rapidly. -Monitor fetal heart rate continuously.
-Use an infusion pump for medication administration. -Obtain vital signs frequently and with every dose change. -Monitor fetal heart rate continuously.
A nurse is caring for a client who is in labor and is receiving oxytocin. The nurse should monitor the client for which of the following as complications of oxytocin? Select all that apply. -Uterine rupture. -Uterine tachysystole. -Placental abruption. -Hyponatremia. -Placenta previa.
-Uterine rupture. -Uterine tachysystole. -Placental abruption. -Hyponatremia.
A nurse is caring for a client who has a new prescription for alirocumab to reduce cholesterol. The nurse should monitor for which of the following findings has an adverse effect of alirocumab? Select all that apply. -Muscle aches. -Vasculitis. -Hearing loss. -Urticaria. -Jaundice.
-Vasculitis. -Urticaria. -Jaundice.
A nurse is caring for a client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? -Phenytoin. -Verapamil. -Warfarin. -Aluminum hydroxide.
-Verapamil.
A nurse is caring for a client who has a prescription for digoxin 0.25 milligrams PO daily . The amount available is digoxin 0.125 milligram tablet. The clients current vital signs are: blood pressure 144 / 96, heart rate 54 beats per minute , respirations 18 per minute, and a temperature of 98.6 degrees Fahrenheit. Which of the following actions should the nurse take? -Administer digoxin 0.125 milligram. -Administer digoxin 0.25 milligram. -Withhold the digoxin dose for elevated blood pressure. -Withhold the digoxin dose for decreased pulse rate.
-Withhold the digoxin dose for decreased pulse rate.
Study endocrine medications
pharm made easy ATI post assessment quiz
