TEST 3 PRACTICE QUESTIONS

A patient is receiving cholestyramine (Questran) for elevated low-density lipoprotein (LDL) levels. As the nurse completes the nursing care plan, which adverse effects will be included for continued monitoring? 1. Abdominal pain 2. Orange-red urine and saliva 3. Decreased capillary refill time 4. Sore throat and fever

1

Simethicone (Gas-X, Mylicon) may be added to some medications or given plain for what therapeutic effect? 1. Decrease the amount of gas associated with GI disorders. 2. Increase the acid-fighting ability of some medications. 3. Prevent constipation associated with gastrointestinal drugs. 4. Prevent diarrhea associated with gastrointestinal drugs.

1

The nurse is caring for a patient with gastroesophageal reflux disease and would question an order for which of the following? 1. Amoxicillin (Amoxil) 2. Ranitidine (Zantac) 3. Pantoprazole (Protonix) 4. Calcium carbonate (Tums)

1

A 24-year-old patient has been taking sulfasalazine (Azulfidine) for irritable bowel syndrome and complains to the nurse that he wants to stop taking the drug because of the nausea, headaches, and abdominal pain it causes. What would the nurse's best recommendation be for this patient? 1. The drug is absolutely necessary, even with the adverse effects. 2. Talk to the healthcare provider about dividing the doses throughout the day. 3. Stop taking the drug and see if the symptoms of the irritable bowel syndrome have resolved. 4. Take an antidiarrheal drug such as loperamide (Imodium) along with the sulfasalazine.

2

A patient with terminal cancer is receiving naloxegol (Movantik) for control of opioid-induced constipation. Because this drug is an opioid-antagonist, what effects on the patient's pain should the nurse anticipate? 1. The pain may worsen and additional adjunctive drugs may be required 2. There should be no effects on the patient's level of pain 3. The pain may decrease, requiring less of the opioid drug 4. The patient's pain level may decrease, but respiratory depression may occur

2

A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug? a. Hyperuricemia b. Hypernatremia c. Hyperkalemia d. Hypoglycemia

a

A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug? a. Grapefruit juice b. Milk c. Foods high in vitamin K d. NSAIDs

a

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs? a. Omeprazole b. Aluminum hydroxide c. Sucralfate d. Famotidine

b

A nurse is caring for a client who is taking spironolactone to treat hypertension. The nurse should recognize that which of the following client laboratory values requires immediate intervention? a. Sodium 140 mEq/L b. Potassium 5.2 mEq/L c. Chloride 100 mEq/L d. Magnesium 1.9 mEq/L

b

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include? a. Take the medication with food. b. Swallow the capsules whole. c. Dissolve the tablets in water. d. Take the medication at bedtime.

b

A nurse is providing teaching to a client who is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing drug therapy? a. bronchoconstriction b. muscle pain c. lip numbness d. somnolence

b

A nurse is reviewing the medical record of a client who has a new prescription for famotidine. The nurse should recognize that which of the following drugs interacts with famotidine? a. Phenobarbital sodium b. Ketoconazole c. Lisinopril d. Hydrochlorothiazide

b

A nurse should identify that which of the following drugs is used only for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use? a. Quinidine b. Procainamide c. Nitroglycerin d. Verapamil

b

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? a. Pancreatitis b. Aspirin sensitivity c. Bronchitis d. GERD

b

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include? (Select all that apply.) a. Take the drug with food. b. Report any new intolerance to fried foods. c. Report muscle tenderness. d. Expect periodic liver function testing. e. Take the drug once each day.

b c d

A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs? (Select all that apply.) a. ACE inhibitor b. MAOI c. General anesthetic d. Tricyclic antidepressant e. Beta blocker

b c d e

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (Select all that apply.) a. Level of consciousness b. Skin integrity c. Temperature d. Urine output e. CBC

b c e

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug? a. Headache b. Drowsiness c. Abdominal pain d. Sore throat

c

A nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of over-the-counter drugs while taking propranolol? a. Antihistamines b. Potassium supplements c. NSAIDs d. Vitamin C

c

A nurse is caring for a client who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions? a. Migraine headaches b. Pancreatitis c. Second-degree AV block d. Angina pectoris

c

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication? a. Acetylcysteine b. Flumazenil c. Antigen-binding fragments d. Deferoxamine

c

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? a. Dissolve the powder thoroughly in 8 oz (237 mL) of water. b. Take with diphenhydramine to prevent extrapyramidal effects. c. Avoid activities that require alertness. d. Take 30 min before activities that trigger nausea.

c

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? a. A seizure disorder b. Rheumatoid arthritis c. A positive pregnancy test d. Heart failure

c

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include? (Select all that apply.) a. "Apply a new patch at the onset of anginal pain." b. "Apply the patch to dry skin and cover the area with plastic wrap." c. "Apply the patch to a hairless area and rotate sites." d. "Apply a new patch when you start your day." e. "Remove patches for 10 to 12 hours each day."

c d e

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (Select all that apply.) a. Sit upright for 30 min after taking the drug. b. Avoid antacids. c. Take the drug 30 to 60 min before activities that trigger nausea. d. Avoid activities that require alertness. e. Increase fluid and fiber intake.

c d e

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (Select all that apply.) a. Expect results in 6 to 12 hr. b. Urinate every 4 hr. c. Take the drug with at least 8 oz (237 mL) of fluid. d. Avoid activities that require alertness. e. Increase fluid and fiber intake.

c e

A nurse is caring for a client who has a glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug? a. The drug can cause hypoglycemia in clients who have a low urine output. b. The drug does not reduce blood pressure for clients who have a low urine output. c. The drug can increase the risk of pulmonary edema for clients who have renal insufficiency. d. The drug does not promote diuresis for clients who have renal insufficiency.

d

A nurse is caring for a client who has a new prescription for famotidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking famotidine and which of the following over-the-counter drugs? a. Ginkgo biloba b. Antidiarrheals c. St. John's wort d. Antacids

d

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions? a. Hyperglycemia b. Bradycardia c. Hypotension d. Hypoglycemia

d

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons? a. Phenytoin increases the metabolism of sucralfate. b. Phenytoin reduces the effectiveness of sucralfate. c. Sucralfate increases the risk for phenytoin toxicity. d. Sucralfate interferes with the absorption of phenytoin.

d

Lisinopril (Prinivil) is part of the treatment regimen for a patient with heart failure. The nurse monitors the patient for the development of which adverse effects of this drug? (Select all that apply.) 1. Hyperkalemia 2. Hypocalcemia 3. Cough 4. Dizziness 5. Heartburn

1 3 4

Erectile dysfunction drugs such as sildenafil (Viagra) are contraindicated in patients taking nitrates for angina. What is the primary concern with concurrent administration of these drugs? 1. They contain nitrates, resulting in an overdose. 2. They also decrease blood pressure through vasodilation and may result in prolonged and severe hypotension when combined with nitrates. 3. They will adequately treat the patient's angina as well as erectile dysfunction. 4. They will increase the possibility of nitrate tolerance developing and should be avoided unless other drugs can be used.

2

Nifedipine (Procardia XL) has been ordered for a patient with hypertension. In the care plan, the nurse includes the need to monitor for which adverse effect? 1. Rash and chills 2. Reflex tachycardia 3. Increased urinary output 4. Weight loss

2

The nurse is preparing to administer chemotherapy to an oncology patient who also has an order for ondansetron (Zofran). When should the nurse administer the ondansetron? 1. Every time the patient complains of nausea 2. Just prior to starting the chemotherapy 3. Only if the patient complains of nausea 4. When the patient begins to experience vomiting during the chemotherapy

2

The patient is being discharged with nitroglycerin (Nitrostat) for sublingual use. While planning patient education, what instruction will the nurse include? 1. "Swallow three tablets immediately for pain and call 911." 2. "Put one tablet under your tongue for chest pain. If pain does not subside, call 911." 3. "Call your healthcare provider when you have chest pain. She will tell you how many tablets to take." 4. "Place three tablets under your tongue and call 911."

2

The teaching plan for a patient receiving hydralazine (Apresoline) should include which point? 1. Returning for monthly urinalysis testing 2. Including citrus fruits, melons, and vegetables in the diet 3. Decreasing potassium-rich food in the diet 4. Rising slowly to standing from a lying or sitting position

4

What health teaching should the nurse provide for the patient receiving nadolol (Corgard)? 1. Increase fluids and fiber to prevent constipation. 2. Report a weight gain of 1 kg per month or more. 3. Immediately stop taking the medication if sexual dysfunction occurs. 4. Rise slowly after prolonged periods of sitting or lying down.

4

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects? a. Hypokalemia b. Hypoglycemia c. Hypouricemia d. Hyponatremia

a

Which assessment findings in a patient who is receiving atenolol (Tenormin) for angina would be cause for the nurse to hold the drug and contact the provider? (Select all that apply.) 1. Heart rate of 50 beats/minute 2. Heart rate of 124 beats/minute 3. Blood pressure 86/56 4. Blood pressure 156/88 5. Tinnitus and vertigo

1 3

The patient is taking atenolol (Tenormin) and doxazosin (Cardura). What is the rationale for combining two antihypertensive drugs? 1. The blood pressure will decrease faster. 2. Lower doses of both drugs may be given with fewer adverse effects. 3. There is less daily medication dosing. 4. Combination therapy will treat the patient's other medical conditions.

2

The patient is to begin taking atorvastatin (Lipitor) and the nurse is providing education about the drug. Which symptom related to this drug should be reported to the healthcare provider? 1. Constipation 2. Increasing muscle or joint pain 3. Hemorrhoids 4. Flushing or "hot flash"

2

The nurse is instructing a patient on home use of niacin and will include important instructions on how to take the drug and about its possible adverse effects. Which of the following may be expected adverse effects of this drug? (Select all that apply.) 1. Fever and chills 2. Intense flushing and hot flashes 3. Tingling of the fingers and toes 4. Hypoglycemia 5. Dry mucous membranes

2 3

A 35-year-old man has been prescribed omeprazole (Prilosec) for treatment of gastroesophageal reflux disease. Which assessment findings would assist the nurse to determine whether drug therapy has been effective? (Select all that apply.) 1. Decreased "gnawing" upper abdominal pain on an empty stomach 2. Decreased belching 3. Decreased appetite 4. Decreased nausea 5. Decreased dysphagia

2 4 5

The nurse is caring for a patient with chronic hyper-tension. The patient is receiving losartan (Cozaar) daily. Which patient manifestations would the nurse conclude is an adverse effect of this medication? (Select all that apply.) 1. Tremors 2. Dizziness 3. Drowsiness 4. Hypoglycemia 5. Angioedema

2 4 5

A patient has been ordered gemfibrozil (Lopid) for hyperlipidemia. The nurse will first validate the order with the healthcare provider if the patient reports a history of which disorder? 1. Hypertension 2. Angina 3. Gallbladder disease 4. Tuberculosis

3

A patient with heart failure has an order for lisinopril (Prinivil, Zestril). Which condition in the patient's history would lead the nurse to confirm the order with the provider? 1. A history of hypertension previously treated with diuretic therapy 2. A history of seasonal allergies currently treated with antihistamines 3. A history of angioedema after taking enalapril (Vasotec) 4. A history of alcoholism, currently abstaining

3

A patient with severe diarrhea has an order for diphenoxylate with atropine (Lomotil). When assessing for therapeutic effects, what will the nurse expect to find? 1. Increased bowel sounds 2. Decreased belching and flatus 3. Decrease in loose, watery stools 4. Decreased abdominal cramping

3

A nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client? a. Reserpine b. Captopril c. Hydralazine d. Eplerenone

a

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following? a. One formed stool per day b. Urination without burning c. Cessation of nausea or vomiting d. Reduced GI reflux effects

a

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects? a. Myopathy b. Hypoglycemia c. Irregular pulse d. Kidney failure

a

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? a. Nausea b. Constipation c. Urinary retention d. Sore throat

a

A nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations? a. Lethargy b. Cellulitis c. Dry mouth d. Myalgia

a

A patient with constipation is prescribed psyllium (Metamucil) by his healthcare provider. What essential teaching will the nurse give to the patient? 1. Take the drug with meals and at bedtime. 2. Take the drug with minimal water so that it will not be diluted in the GI tract. 3. Avoid caffeine and chocolate while taking this drug. 4. Mix the product in a full glass of water and drink another glassful after taking the drug.

4

In taking a new patient's history, the nurse notices that he has been taking omeprazole (Prilosec) consistently over the past 6 months for treatment of epigastric pain. Which recommendation would be the best for the nurse to give this patient? 1. Try switching to a different form of the drug. 2. Try a drug like cimetidine (Tagamet) or famotidine (Pepcid). 3. Try taking the drug after meals instead of before meals. 4. Check with his healthcare provider about his continued discomfort.

4

The community health nurse is working with a patient taking simvastatin (Zocor). Which patient statement may indicate the need for further teaching about this drug? 1. "I'm trying to reach my ideal body weight by increasing my exercise." 2. "I didn't have any symptoms even though I had high lipid levels. I hear that's common." 3. "I've been taking my pill before my dinner." 4. "I take my pill with grapefruit juice. I've always taken my medications that way."

4

The nurse is caring for a patient with chronic stable angina who is receiving isosorbide dinitrate (Isordil). Which of the following are common adverse effects of isosorbide? 1. Flushing and headache 2. Tremors and anxiety 3. Sleepiness and lethargy 4. Light-headedness and dizziness

4

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include? a. "Monitor your pulse rate and report changes." b. "Remain upright for 30 minutes after taking this medication." c. "This medication can decrease digoxin levels." d. "This medication can cause urinary incontinence."

a

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? a. "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn." b. "The medication can stain your contact lenses green." c. "The medication can color your urine dark brown." d. "Take an iron supplement when you take sulfasalazine to prevent anemia."

a

The nurse is assisting the older adult diagnosed with a gastric ulcer to schedule her medication administration. What would be the most appropriate time for this patient to take her lansoprazole (Prevacid)? 1. About 30 minutes before her morning meal 2. At night before bed 3. After fasting at least 2 hours 4. 30 minutes after each meal

1

The patient is receiving hydralazine with isosorbide (BiDil) for heart failure. The nurse should monitor this patient for: 1. Dizziness and rapid heart rate 2. Bleeding 3. Tingling or cramping in the legs 4. Confusion and agitation

1

A patient has been on long-term therapy with colestipol (Colestid). To prevent adverse effects related to the length of therapy and lack of nutrients, which supplements may be required? (Select all that apply.) 1. Folic acid 2. Vitamins A, D, E, and K 3. Potassium, iodine, and chloride 4. Protein 5. B vitamins

1 2

What health teaching should the nurse provide for a patient receiving diltiazem (Cardizem)? Select all that apply. 1. Avoid driving or performing other activities requiring mental alertness until the effects of the drug are known. 2. Maintain adequate fluid and fiber intake to facilitate stool passage. 3. Report weight gain of 2 kg (5 lb) per week. 4. Rise slowly from prolonged periods of sitting or lying down. 5. Immediately stop taking the medication if sexual dysfunction is noted.

1 2 3 4

Nitroglycerin patches have been ordered for a patient with a history of angina. What teaching will the nurse give to this patient? 1. Keep the patches in the refrigerator. 2. Use the patches only if the chest pain is severe. 3. Remove the old patch and wait 6-12 hours before applying a new one. 4. Apply the patch only to the upper arm or thigh areas.

3

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include? a. "Avoid driving or activities requiring alertness." b. "If you miss a dose, double the next dose." c. "Rinsing the mouth with alcohol-based mouthwash can reduce dryness." d. "Having one glass of wine each night can improve medication effectiveness."

a

A nurse is providing teaching to a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to the drug and needs to be reported? a. Facial edema b. Sleepiness c. Peripheral edema d. Constipation

a

The patient has been given a prescription of hydro-chlorothiazide (Microzide) as an adjunct to treatment of hypertension and returns for a follow-up check. Which is the most objective data for determining the therapeutic effectiveness of the furosemide? 1. Absence of edema in lower extremities 2. Weight loss of 13 kg (6 lb) 3. Blood pressure log notes blood pressure 120/70 mmHg to 134/88 mmHg since discharge 4. Frequency of voiding of at least 6 times per day

3

A patient with significant hypertension unresponsive to other medications is given a prescription for hydralazine. An additional prescription of propranolol (Inderal) is also given to the patient. The patient inquires why two drugs are needed. What is the nurse's best response? 1. Giving the two drugs together will lower the blood pressure even more than just one alone. 2. The hydralazine may cause tachycardia and the propranolol will help keep the heart rate within normal limits. 3. The propranolol is to prevent lupus erythematosus from developing. 4. Direct-acting vasodilators such as hydralazine cause fluid retention, and the propranolol will prevent excessive fluid buildup.

2

A woman reports using OTC aluminum hydroxide (AlternaGEL) for relief of gastric upset. She is on renal dialysis three times a week. What should the nurse teach this patient? 1. Continue using the antacids but if she needs to continue them beyond a few months, she should consult the healthcare provider about different therapies. 2. Take the antacid no longer than for 2 weeks; if it has not worked by then, it will not be effective. 3. Consult with the healthcare provider about the appropriate amount and type of antacid. 4. Continue to take the antacid; it is OTC and safe.

3

The patient is prescribed digoxin (Lanoxin) for treatment of heart failure. Which statement by the patient indicates the need for further teaching? 1. "I may notice my heart rate decrease." 2. "I may feel tired during early treatment." 3. "This drug should cure my heart failure." 4. "My energy level should gradually improve."

3

The patient who has not responded well to other therapies has been prescribed milrinone (Primacor) for treatment of his heart failure. What essential assessment must the nurse make before starting this drug? 1. Weight and presence of edema 2. Dietary intake of sodium 3. Electrolytes, especially potassium 4. History of sleep patterns and presence of sleep apnea

3

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake? a. Raisins b. Cabbage c. Cheese d. Eggs

a

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects? a. Reduces inflammation b. Reduces gastric acid c. Prevents diarrhea d. Prevents straining

d

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? a. Allopurinol delays the conversion of azathioprine and can lead to toxicity. b. Azathioprine increases the effectiveness of allopurinol. c. Allopurinol increases the metabolism of azathioprine and can require an increased dosage. d. Azathioprine decreases the effectiveness of allopurinol.

a

A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron? a. The drug is prescribed to female clients who have IBS-D lasting more than 6 months. b. The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months. c. The drug is most beneficial for male clients who have inflammatory bowel disease. d. The drug is most beneficial in treating clients who have constipation-predominant IBS (IBS-C).

a

A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug? a. Headache b. Constipation c. Hypertension d. Hyperglycemia

a

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? a. Inflammatory bowel disease b. Thrombophlebitis c. Agranulocytosis d. Immunization with a live virus vaccine within the last 6 weeks

a

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions? a. Acute myocardial infarction b. Peripheral vascular disease c. Ulcerative colitis d. Ventricular tachycardia

a

Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? a. Lubiprostone b. Azathioprine c. Sulfasalazine d. Alosetron

d

A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? a. Dizziness b. Bradycardia c. Tardive dyskinesia d. Dyspepsia

a

A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia? a. Simvastatin b. Furosemide c. Losartan d. Nitroglycerin

a

A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions? a. Gout b. Constipation c. Insomnia d. Hirsutism

a

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy? (Select all that apply.) a. Rash b. Distorted taste c. Swelling of the tongue d. Photosensitivity e. Dry cough

a b c e

A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug? (Select all that apply.) a. Hyperkalemia b. Throat swelling c. Constipation d. Cough e. Joint pain

a b d

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take? (Select all that apply.) a. Infuse the drug 30 min prior to chemotherapy. b. Administer the drug when the client reports nausea. c. Infuse the drug slowly over 15 min. d. Administer the drug immediately following chemotherapy. e. Repeat the dose 4 hr after chemotherapy.

a c e

A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions? a. Tachycardia b. Dehydration c. Diarrhea d. Hypotension

d