Pharm EAQ #2

A client is receiving intravenous mannitol after sustaining a critical head injury. What assessment will the nurse perform that is specific to the safe administration of the medication?

Urine output hourly

The client who takes furosemide and digoxin reports that everything looks yellow. How will the nurse respond?

"I will hold the medication until I consult with your healthcare provider."

Furosemide has been prescribed as part of the medical regimen for a client with hypertension. Which client statement indicates a need for drug education?

"This can decrease my vitamin K level."

The nurses in a health care facility have developed a new care plan to prevent the risk of infection in clients with an indwelling urinary catheter in place. To determine if the changes prevent infections, the nurse manager uses the plan-do-study-act (PDSA). What is the order of steps that the nurse manager would follow to evaluate the changes?

1. Plan to test the change 2. Try out the change 3. Analyze what happened from the change 4. Determine what was learned

A client is to receive 0.25 mg of digoxin intramuscularly. The ampule is labeled 0.5 mg = 2 mL. How many mL should the nurse administer? Record your answer using a whole number. ___ mL

1mL

A client with the diagnosis of primary hypertension is started on a regimen of hydrochlorothiazide. The nurse is providing instructions regarding this medication. What information should the nurse include?

An antihypertensive medication will likely be required for the remainder of life.

What dietary choices should the nurse instruct the client taking spironolactone to avoid increasing? Select all that apply.

Cantaloupe Potatoes

The primary healthcare provider prescribes 80 mg of furosemide by mouth daily. Before administering the furosemide, which action is the priority?

Check the potassium lab results

After a short hospitalization for an episode of a transient ischemic attack (TIA) related to hypertension, a client is discharged on a regimen that includes chlorothiazide. What will the nurse instruct the client to do regarding nutrition? Select all that apply

Eat more dark green leafy vegetables such as spinach Increase intake of beans

A client has been admitted with a diagnosis of intractable vomiting and can only tolerate sips of water. The initial blood work shows a sodium level of 122 mEq/L (122 mmol/L) and a potassium level of 3.6 mEq/L (3.6 mmol/L). Based on the lab results and symptoms, what is the client experiencing?

Hyponatremia

A healthcare provider prescribes losartan for a client. Which is the most important nursing action?

Monitor the client's blood pressure during therapy.

An infant with a diagnosis of heart failure is being given furosemide twice a day. Which laboratory value will the nurse report to the healthcare provider?

Potassium of 3.0 mEq/L (3.0 mmol/L)

A nurse is monitoring a client who is receiving an intravenous (IV) infusion of normal saline. What is a serious complication of IV therapy?

Shortness of breath with crackles

A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. Why did the provider add spironolactone to the client's medication regimen?

To help prevent potassium loss

A nurse is reviewing medication instructions with the parents of an infant who is receiving digoxin and spironolactone. What parental response concerning their infant's care indicates that the instructions have been understood?

Vomiting should be reported to the healthcare provider.

A nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. For what sign of digoxin toxicity will the nurse assess the child?

Vomitting

The nurse is preparing discharge instructions for a client who was prescribed enalapril for treatment of hypertension. Which instruction is appropriate for the nurse to include in the client's teaching?

Do not change to a standing position suddenly

A healthcare provider prescribes mannitol for a client with a head injury. The nurse concludes that the purpose of the medication is to relieve cerebral edema by which mechanism?

Drawing fluid from brain cells into the bloodstream

A nurse is caring for a client who is receiving serum albumin. What indicates that the albumin is effective?

Effective cardiac output

A client with a diagnosis of uncontrolled diabetes began receiving furosemide 2 days ago. The nurse reviews the morning lab results and discovers that the client's potassium level is 2.8 mEq/L (Canada: 2.8 mmol/L). What is the most appropriate action for the nurse to take?

Notify the primary healthcare provider of the critically low result.