106 Practice Test Ch Heart Failure, Dysrhythmias and Resp. Meds

A client being treated for hypertension reports having a persistent hacking cough. What class of antihypertensive should the nurse identify as a possible cause of this response when reviewing a list of this client's medications? 1 Angiotensin-converting enzyme (ACE) inhibitors 2 Thiazide diuretics 3 Calcium channel blockers 4 Angiotensin receptor blockers

1 angiotensin-concerting enzyme (ACE) inhibitors

A client is receiving albuterol (Proventil) to relieve severe asthma. For which clinical indicators should the nurse monitor the client? (Select all that apply.) 1 Tremors 2 Lethargy 3 Palpitations 4 Visual disturbances 5 Decreased pulse rate

1 tremors 3 palpitations

What is the priority goal for a client with asthma who is being discharged from the hospital? 1 Is able to obtain pulse oximeter readings 2 Demonstrates use of a metered-dose inhaler 3 Knows the health care provider's office hours 4 Can identify the foods that may cause wheezing

2 Demonstrates use of metered-dose inhaler

When teaching the parents of an 8-year-old child who is taking a high dose of prednisone (Meticorten) for asthma, what critical information about prednisone should be included? 1 It protects against infection. 2 It should be stopped gradually. 3 An early growth spurt may occur. 4 A moon-shaped face will develop.

2 It should be stopped gradually.

A client with a history of type 1 diabetes is diagnosed with heart failure. Digoxin (Lanoxin) is prescribed. When administering the medication, the nurse should: 1 Administer the medication with 8 ounces of orange juice 2 Monitor the client for atrial fibrillation and first-degree heart block 3 Administer the digoxin one hour after the client's morning insulin 4 Withhold the medication if the apical pulse rate is greater than 60 beats/min

2 Monitor the client for atrial fibrillation and first-degree heart block

A client is admitted to the hospital and benazepril hydrochloride (Lotensin) is prescribed for hypertension. Which is an appropriate nursing action for clients taking this medication? 1 Monitor the EEG. 2 Assess for dizziness. 3 Administer the drug after meals. 4 Assess for dark, tarry stools.

2 Assess for dizziness

A 15-year-old high school student with hay fever has been taking a prescribed long-acting antihistamine/decongestant every 8 hours for the past 2 days. The adolescent tells the nurse, "This medicine is making me sleepy. Can you change it to something else?" How should the nurse respond? 1 "Take half a tablet before school." 2 "Try omitting the early-morning dose." 3 "The drowsiness usually goes away after several days." 4 "I'll ask the doctor for a prescription for another medicine."

3 "The drowsiness usually goes away after several days."

A nurse administers albuterol to a child with asthma. For what common side effect should the nurse monitor the child? 1 Flushing 2 Dyspnea 3 Tachycardia 4 Hypotension

3 Tachycardia

A client with heart failure is to receive digoxin (Lanoxin) and asks the nurse why the medication is necessary. The nurse explains that digoxin: 1 Increases ventricular contractions 2 Reduces edema in extracellular spaces 3 Slows and strengthens cardiac contractions 4 Increases cardiac impulses through the conduction system of the heart

3. Slows and strengthens cardiacs contractions

A nurse teaches a 13-year-old child with hay fever that the prescribed phenylephrine (Neo-Synephrine) nasal spray must be used exactly as directed. What complication may occur if the nasal spray is used incorrectly? 1 Tinnitus 2 Nasal polyps 3 Bleeding tendencies 4 Increased nasal congestion

4 Increased nasal congestion

The nurse reinforces instructions about how to use a nebulizer to a client with chronic obstructive pulmonary disease (COPD). The nurse concludes that additional teaching is needed when the client: 1 Places the tip of the mouthpiece an inch beyond the lips 2 Holds the inspired breath for at least three seconds 3 Exhales slowly through the mouth with lips pursed slightly 4 Inhales with the lips tightly sealed around the mouthpiece of the nebulizer

4 Inhaled with the lips tightly sealed around the mouthpiece of the nebulizer

A client who is receiving a cardiac glycoside, a diuretic, and a vasodilator has been placed on bed rest. The client's apical pulse rate is 44 beats per minute. The nurse concludes that the decreased heart rate most likely is a result of the: 1 Diuretic 2 Vasodilator 3 Bed rest regimen 4 Cardiac glycoside

4 cardiacs glycoside

A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral digoxin (Lanoxin) 0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item should the nurse teach the mother to use when administering the medication? 1 Nipple 2 Calibrated syringe 3 Plastic measuring spoon 4 Bottle containing an ounce of water

Calibrated syringe

Potassium supplements are prescribed for a client receiving diuretic therapy. What client statement indicates that the teaching about potassium supplements is understood? 1 "I will report any abdominal distress." 2 "I should use salt substitutes with my food." 3 "The drug must be taken on an empty stomach." 4 "The dosage is correct if my urine output increases."

1 "I will report any abdominal distress."

A nurse identifies signs of electrolyte depletion in a client with heart failure who is receiving bumetanide (Bumex) and digoxin (Lanoxin). What does the nurse determine is the cause of the depletion? 1 Diuretic therapy 2 Sodium restriction 3 Continuous dyspnea 4 Inadequate oral intake

1 Diuretic therapy

A client is taking furosemide (Lasix) and digoxin (Lanoxin) for heart failure. Why does the nurse advise the client to drink a glass of orange juice every day? 1 Maintaining potassium levels 2 Preventing increased sodium levels 3 Correcting the associated dehydration 4 Limiting the drugs' synergistic effects

1 Maintains potassium levels

A client diagnosed with asthma has received a prescription for an inhaler. The nurse teaches the client how to determine when the inhaler is empty, instructing the client to: 1 Count the number of doses taken 2 Taste the medication when sprayed into the air 3 Shake the canister 4 Place the canister in water to see if it floats

1 Count the number of doses taken

A client with heart failure is digitalized and placed on a maintenance dose of digoxin (Lanoxin) 0.25 mg by mouth daily. What responses does the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved? 1 Diuresis and decreased pulse rate 2 Increased blood pressure and weight loss 3 Regular pulse rhythm and stable fluid balance 4 Corrected heart murmur and decreased pulse pressure

1 Diuresis and decrease pulse rate

The nurse provides medication teaching to a client on diuretic therapy who receives a prescription for potassium supplements. The nurse concludes that the teaching was effective when the client states, "I should: 1 Report any abdominal distress." 2 Use salt substitutes to season food." 3 Take the drug on an empty stomach." 4 Increase the dosage if I have muscle cramps.

1 Report any abdominal distress

A healthcare provider prescribes a medication to be administered via a metered dose inhaler (MDI) for a young adult with asthma. List in order the steps the nurse teaches the client to follow when using the inhaler. 1. Shake the inhaler for 30 seconds 2. Hold the inhaler upright in the mouth 3. Start breathing in and press down on the inhaler once 4. Exhale slowly and deeply to empty the air from the lungs

1. Shake the inhaler for 30 seconds 2.exhale slowly and deeply to empty the air from the lungs 3.Hold the inhaler upright in the mouth 4. Exhale slowly and deeply to empty the air from the lungs

An older adult with cerebral arteriosclerosis is admitted with atrial fibrillation and is started on a continuous heparin infusion. What clinical finding enables the nurse to conclude that the anticoagulant therapy is effective? 1 A reduction of confusion 2 An activated partial thromboplastin (APTT) twice the usual value 3 An absence of ecchymotic areas 4 A decreased viscosity of the blood

2 An activated partial thromboplastin (APTT) twice the usual value

A client with hypertensive heart disease, who had an acute episode of heart failure, is to be discharged on a regimen of metoprolol (Toprol-XL) and digoxin (Lanoxin). The nurse expects that metoprolol, when administered with digoxin, may: 1 Produce headaches 2 Precipitate bradycardia 3 Increase blood pressure 4 Stimulate nodal conduction

2 Precipitate bradycardia

For what client response must the nurse monitor to determine the effectiveness of amiodarone (Cordarone)? 1 Results of fasting lipid profile 2 Presence of cardiac dysrhythmias 3 Degree of blood pressure control 4 Incidence of ischemic chest pain

2 Presence of cardiac dysrhythmias

A client is admitted to the hospital with a diagnosis of an exacerbation of asthma. What should the nurse plan to do to best help this client? 1 Determine the client's emotional state. 2 Give prescribed drugs to promote bronchiolar dilation. 3 Provide education about the impact of a family history. 4 Encourage the client to use an incentive spirometer routinely.

2 Give prescribed drugs to permits bronchioles dilation

A nurse teaches a client with asthma about her illness during pregnancy. Which statement by the client indicates that the nurse's teaching has been effective? 1 "Prednisone is safe to use during pregnancy." 2 "My asthma will get worse as my pregnancy progresses." 3 "I can use my albuterol inhaler if it's absolutely necessary." 4 "I'll have to have a cesarean to prevent a severe attack during labor."

3 " I can use my albuterol inhaler if it's absolutely necessary."

A client admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease (COPD) has received a prescription for a medication that is delivered via a nebulizer. When teaching about use of the nebulizer, the nurse should teach the client to: 1 Hold the breath while spraying the medication into the mouth 2 Position the lips loosely around the mouthpiece and take rapid, shallow breaths 3 Seal the lips around the mouthpiece and breathe in and out taking slow, deep breaths 4 Inhale the medication from the nebulizer, remove the mouthpiece from the mouth, and then exhale

3 Seal the lips around the mouthpiece and breathe in and out taking slow, deep breaths

A client with a cardiac dysrhythmia is receiving digoxin (Lanoxin) and verapamil (Calan). Because of the combined effect of these two medications, the nurse assesses the client for: 1 Physical agitation 2 Reflex stimulation 3 Myocardial depression 4 Respiratory stimulation

3 Myocardial depression

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention? 1 Having the child rest as much as possible 2 Checking the child's eosinophil count daily 3 Preventing exposure of the child to infection 4 Offering nothing by mouth to the child except oral medications

3 Preventing exposure to the child's esoinophil

An infant with a diagnosis of heart failure is being given furosemide (Lasix) twice a day. Which laboratory value should the nurse report to the health care provider? 1 Sodium of 140 mEq/L 2 Calcium of 2.35 mEq/L 3 Chloride of 102 mEq/L 4 Potassium of 3.0 mEq/L

4 Potassium of 3.0 mEq/L

The nurse is caring for a 6-year-old child admitted from the emergency department after an acute asthma attack. The child has a new order for fluticasone (Flovent). What instructions must the family be given about this drug before the child's discharge? 1 Flovent needs to be taken with food or milk. 2 Flovent is primarily used to treat acute asthma attacks. 3 The child should suck on hard candy to help relieve dry mouth. 4 Watch for white patches in the mouth and report them to the primary care provider.

4 Watch for white patches in the mouth and report them to the primary care provider.