Pharm Exam 1

The nurse is preparing to teach the client newly diagnosed with angina pectoris how to self-administer nitroglycerine (NTG) tablets. What client teaching should the nurse emphasize? Select all that apply. A. "Stop all activities immediately and sit down if chest pain occurs." B. "If the pain is unrelieved after three NTG tablets, continue to rest and call the prescriber." C. "After discharge to home, keep NTG tablets on your bedside table day and night." D. "Immediately after chest pain begins, notify your personal physician." E. "The NTG table should tingle when place under the tongue."

A. "Stop all activities immediately and sit down if chest pain occurs." B. "If the pain is unrelieved after three NTG tablets, continue to rest and call the prescriber." E. "The NTG table should tingle when place under the tongue."

The client is receiving intravenous lidocaine through an infusion pump at a rate of 2 mg per minute. The nurse should discontinue the infusion and notify the HCP immediately if which of the following occurs? Place the elements in order of priority. A. Demonstrates slurred speech B. Regular heart rate of 64/min C. Respiratory rate of 12/min D. Electrocardiogram (ECG) reveals prolonged PR interval

A, D, C, B

The nurse determines that the patient understands an important principle in self-administration of hydralazine (Apresoline) when the patient makes which statement? A. "I should not drive until the response to drug therapy is determined." B. "I can stop taking this medication once I begin to feel better." C."If I experience dizziness, I should take only half the dose." D. "I should avoid air travel while taking this medication."

A. "I should not drive until the response to drug therapy is determined."

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

A. Avoid driving or performing other activities requiring mental alertness until the effects of the drugs are known. B. Maintain adequate fluid and fiber intake to facilitate stool passage. C. Report weight gain of 2 kg per week D. Rise slowly from prolonged periods of sitting or lying down.

Methyldopa (Aldomet) is being initiated for a patient with HTN. Which health teaching would be most appropriate for this drug? A. Avoid hot baths and showers and prolonged standing in one position. B. This drug may discolor the urine a pinkish-brown color. C. You may experience bloating and weight gain D. The tablet should be taken only with food or milk

A. Avoid hot baths and showers and prolonged standing in one position.

Which of the following assessment findings, if discovered in a patient receiving verapamil (Calan) for angina, would be cause for the nurse to withhold the medication? Select all that apply. A. Bradycardia: HR of 40 bpm B. Tachycardia: HR of 126 bpm C. Hypotension: BP 76/46 D. Tinnitus: with hearing loss E. Hypertension: BP 156/92

A. Bradycardia: HR of 40 bpm B. Tachycardia: HR of 126 bpm C. Hypotension: BP 76/46

Before a client receive metoprolol (Lopressor) for hypertension, the nurse should ask the client about a history of which of the following? A. Bronchospasm B. Seizure C. Peripheral vascular disease D. Myasthenia gravis

A. Bronchospasm

The nurse is teaching the patient about the use of an adrenergic agonist nasal spray at home. What patient teaching is needed related to this medications? Select all that apply. A. Do not share the nasal spray with another person B. Only use this drug for 3 to 5 days unless directed by a health care provider. C. Symptoms of excessive use of this drug will result in lethargy and fatigue D. Infants and children should not use this medication unless directed by a health care provider E. This drug can be used safely by individuals with diabetes

A. Do not share the nasal spray with another person B. Only use this drug for 3 to 5 days unless directed by a health care provider. D. Infants and children should not use this medication unless directed by a health care provider

A client asks the nurse to explain why she is receiving lidocaine (Xylocaine) in her IV when her dentist injects it into her gums to numb the teeth before a filling. The nurse includes which information in a response? Select all that apply. A. Drug regulates electrical activity in the heart. B. Drug acts as local anesthetic on nerve endings of the cardiac muscles C. Drug reduces irritability of the cardiac cells D. Drug increases the heart rate E. Drug primarily treats dysrhythmias originating in the ventricles.

A. Drug regulates electrical activity in the heart. C. Drug reduces irritability of the cardiac cells E. Drug primarily treats dysrhythmias originating in the ventricles.

The nurse is caring for a patient receiving gemfibrozil (Lopid) for hyperlipidemia. The nurse would validate the order with the prescriber if the patient reported a history of which of the following? Select all that apply. A. Gallbladder disease B. Angina C. Hypertension D. Diabetes E. Renal disease

A. Gallbladder disease D. Diabetes E. Renal disease

A beta-adrenergic agonist is prescribed for each of the following conditions. A nurse would question the order for which patient? Select all that apply. A. Hyperthyroidism B. Asthma C. Shock D. Dysrhythmias E. HF

A. Hyperthyroidism D. Dysrhythmias

The nurse is evaluating the therapeutic effects of milrinone (Primacor). The nurse knows that this drug is given to: A. Increase the force of cardiac contractions and improve CO. B. Decrease the volume of the CO to reduce HTN. C. Relax the myocardial muscle, decreasing myocardial oxygen requirements D. Inhibit cardiac irregularities, decreasing the sensation of palpitations.

A. Increase the force of cardiac contractions and improve CO.

A patient takes a dose of albuterol (Ventolin) prior to bedtime. Which effect would the nurse consider normal for this drug? A. Insomnia B. Sleepiness C. Urticaria D. Tinnitus

A. Insomnia

A patient who uses over-the-counter phenylephrine (Neo-Synephrine) nasal spray asks the nurse how the medication works. The nurse's response would be: A. It helps to shrink the swelling in your nose by tightening the blood vessels there B. It works to locally destroy invading organisms that cause colds and flu C. It coats the nasal passages to reduce swelling D. It is absorbed after you swallow it to act as a decongestant

A. It helps to shink the swelling in your nose by tightening the blood vessels there

The patient is started on propranolol (Inderal). Which is the most important action to be included in the plan of care for this patient related to this medication? A. Monitor apical pulse and blood pressure B. Elevate the head of the bed during meals C. Take the medication after meals D. Consume foods high in potassium

A. Monitor apical pulse and blood pressure

A patient who is taking an adrenergic antagonist for HTN reports being dizzy when first getting out of bed in the morning. The nurse should advise the patient to: A. Move slowly from the recumbent to upright position B. Drink a full glass of water before rising to increase vascular circulatory volume C. Avoid sleeping in a prone position D. Stop taking the medication

A. Move slowly from the recumbent to upright position

The provider orders colestipol (Colestid) in combination with atorvastatin (Lipitor) for a patient with elevated low-density lipoprotein levels. The nurse collaborates with the prescriber about which data related to the patient? A. Past history of peptic ulcer disease B. Recent myocardial infarction C. Laboratory value for serum sodium of 136 mEq/L D. Allergies to foods high in tyramine

A. Past history of peptic ulcer disease

The nurse should prepare which of the following medications for chemical cardioversion of a client in atrial fibrillation? A. Quinidine (Quinidex) B. Verapamil (Calan) C. Nifedipine (Procardia) D. Lidocaine (Xylocard)

A. Quinidine (Quinidex)

Patients prescribed spironolactone (Aldactone) are often at risk for electrolyte imbalance. The nurse assesses for this adverse effect because this drug may cause the body to: A. Retain potassium B. Release magnesium C. Excrete potassium D. Bind calcium

A. Retain potassium

The patient taking atorvastatin (Lipitor) reports weakness and fatigue, pain in the shoulders, and aching joints. The nurse initially assess the patient for which condition? A. Rhabdomyolysis B. Renal failure C. Rheumatoid arthritis D. Hepatic insufficiency

A. Rhabdomyolysis

Irbesartan (Avapro) is prescribed for each of the following patients. A nurse should question the order for which patient? A patient who has: A. Severe dehydration from diuretic therapy B. Long-term DM C. A systolic BP of 162 D. A 5-year history of HF

A. Severe dehydration from diuretic therapy

A patient will begin taking carvediol (Coreg) for HF. Before teaching the patient about this drug, the nurse will discuss the strategy for drug dosage with the HCP because of what recommended routine for beta-adrenergic blockers in HF? A. Significantly lower dosages are used first and gradually increased to a target dose. B. A loading dose that is higher than the subsequent daily dose must be given C. The beta-adrenergic blocker dosage must be lowered if the patine is also on ACE inhibitors. D. Beta-adrenergic blockers are almost never used in HF and the order must be confirmed

A. Significantly lower dosages are used first and gradually increased to a target dose.

The patient asks how atenolol (Tenormin) helps angina. The response provided by the nurse is based on which concept? This medication: A. Slows the HR and reduces contractility B. Increases the HR and diminishes contractility C. Blocks Na channels and elevates depolarization D. Decreases BP and blocks the alpha2 receptors

A. Slows the HR and reduces contractility

When planning patient education, the nurse knows that patient adherence to beta-adrenergic blocker therapy in HF may be difficult to achieve despite the usefulness of these drugs. What will the nurse need to address in the teaching plan? Select all that apply. A. The dosage must be gradually adjusted over time to a beneficial dose. B. The patient may not notice significant improvement during early therapy C. The drug may require changes to many other medications the patient is taking. D. The drug has significant benefit in reducing mortality from HF E. The drug will require extensive lifestyle changes

A. The dosage must be gradually adjusted over time to a beneficial dose. B. The patient may not notice significant improvement during early therapy D. The drug has significant benefit in reducing mortality from HF

The patient states, "I always keep my lisinopril (PRinivil) on my kitchen window sill. It helps me to remember to take it." The nurse's response would be based on which pharmacologic concept about heat and moisture? A. They cause the medicine to break down B. They enhance the strength of the drug C. They crystallize the medication D. They convert the medicine to toxic metabolites

A. They cause the medicine to break down

To avoid the first-dose phenomenon, the nurse knows that the initial dose of prazosin (Minipress) should be: A. Very low and given at bedtime B. Doubled and given before breakfast C. The usual dose and given before breakfast D. Doubled and given immediately after breakfast

A. Very low and given at bedtime

Nifedipine (Procardia) is being initiated for a patient with elevated BP. What health teaching would be most appropriate? The patient should: A. Weigh daily at the same time each day B. Avoid crowds while taking this medication C. Increase intake of calcium-containing foods D. Take this medication only when feeling that BP is elevated

A. Weight daily at the same time each day

The nurse would monitor a client beginning drug therapy with sotalol (Betapace) for which of the following life-threatening manifestations of an adverse drug reaction? A. Atrioventricular (AV) block, hypotension B. Early signs of cerebrovascular accident (CVA) C. Hives and wheezing D. Bradycardia, chest pain, dyspnea

D. Bradycardia, chest pain, dyspnea

A nurse assesses a 75-year-old client for side effects of verapamil (Calan-SR). Which of the following side effects would be of most concern regarding this client? A. HTN B. Angina C. Skin rash D. Constipation

D. Constipation

The client hospitalized for heart failure is receiving digoxin (Lanoxin) IV push. The nurse obtains the following data on the client. Place the data in order from that of highest concern to least concern to the nurse. A. Potassium (K+) level is 3.2 mEq/L B. Apical pulse is 53 beats per minute C. Client has been taking furosemide (Lasix) 20mg daily for 2 days D. Client enjoys orange juice with breakfast

B, A, C, D

The nurse determines that the patient understands the important principle in self-administration of nifedipine (Procardia) when the patient makes which statement? A "The use of antacids when taking the medication will enhance absorption." B. "Grapefruit juice may enhance the absorption of nifedipine." C. "If I miss a dose, I should take two nifedipine capsules when I remember." D. "This drug will make my birth control pills ineffective."

B. "Grapefruit juice may enhance the absorption of nifedipine."

The nurse provides discharge instructions to a client about the use of amiodarone (Cordarone). Which of the following statements indicates that the client has the knowledge necessary to safely self-administer the drug? A. "As soon as the physician says I can stop taking this medication, I will be able to enjoy the sun again." B. "The side effects of this medication may not begin to show up for several weeks or even months after I start taking it." C. "If my pulse drops below 100 beats per minute, I should call the physician right away." D. "If I miss a dose of medication, I should take it as soon as I remember it."

B. "The side effects of this medication may not begin to show up for several weeks or even months after I start taking it."

A patient is receiving cholestyramine (Questran) for elevated low-density lipoprotein levels. Which adverse effect should the nurse include in the care plan to monitor the patient? A. Orange-colored urine B. Abdominal pain C. Sore throat and fever D. Decreased capillary refill

B. Abdominal pain

To evaluate the effectiveness of high-dose dopamine (Intropin, DopaStat), the nurse would assess the: A. Pupillary response B. BP C. Level of consciousness D. Gag reflex

B. BP

A 65-year-old Caucasian patient has been newly diagnosed with HTN with an average BP of 164/92. Which of the following drug groups will potentially be ordered initially? Select all that apply. A. Beta blockers B. CCB's C. Thiazide diuretics D. ACE inhibitors or ARBs E. Direct-acting vasodilators

B. CCB's C. Thiazide diuretics D. ACE inhibitors or ARBs

A client taking atenolol (Tenormin) for hypertension tells the nurse, "Since I have been taking that medicine I feel so tired." The nurse formulates which most appropriate nursing diagnosis? A. At risk for activity intolerance B. Decreased CO C. Ineffective health maintenance D. Self-care deficit

B. Decreased CO

A client is admitted to the Emergency Department in acute heart failure. BP is 116/86 and heart rate is 98. The nurse ensures that which of the following medications is available for immediate use once it is ordered. A. Atropine sulfate B. Digoxin (Lanoxin) C. Propranolol (Inderal) D. Verapamil (Calan)

B. Digoxin (Lanoxin)

A nurse is assigned to the care of a client who will be starting drug therapy with amlodipine (Norvasc) for chronic stable angina. The nurse should include which appropriate information in the teaching plan? A. This drug has also been utilized for relief of migraine headaches. B. Dizziness may occur if rising from a sitting position too rapidly. C. Report urinary retention if it occurs D. Call the prescriber if the respiratory rate slows excessively

B. Dizziness may occur if rising from a sitting position too rapidly.

The nurse is caring for a patient with chronic HTN. The patient is receiving losartan (Cozaar) daily. Which patient manifestations would the nurse conclude is an adverse effect of this medication? A. Irritability and tremors B. Headache and dizziness C. Sleepiness and slurred speech D. Pruritus and rash

B. Headache and dizziness

The patient who is receiving bumetanide (Bumex) is instructed to watch for symptoms associated with electrolyte imbalances. Which condition would the patient most likely experience? A. Hypernatermia B. Hypokalemia C. Hyperkalemia D. Hypocalcemia

B. Hypokalemia

The nurse is caring for a patient with chronic hypertension. The patient is receiving a beta-adrenergic blocker daily. Which patient manifestations would the nurse conclude are adverse effects of this medication? Select all that apply. A. Anorexia B. Increased serum triglycerides C. Hypoglycemia D. Decreased libido E. Thrombocytopenia

B. Increased serum triglycerides C. Hypoglycemia D. Decreased libido

Which assessment findings discovered by the nurse would be an expected adverse effect associated with niacin therapy? Select all that apply. A. Fever and chills B. Intense flushing and hot flashes C. Tingling of the fingers and toes D. Dry mucous membranes E. Hypoglycemia

B. Intense flushing and hot flashes C. Tingling of the fingers and toes

A patient newly diagnosed with HF following an acute MI has a prescription for enalapril (Vasotec). This drug class is frequently used in early HF because of what clinical improvement? A. It strengthens the force of myocardial contraction to improve CO. B. It decreases peripheral resistance, increasing CO C. It slows the HR, improving filling time and increasing CO D. It has diuretic effects, decreasing peripheral edema and pulmonary congestion.

B. It decreases peripheral resistance, increasing CO

After a healthcare provider prescribed propranolol (Inderal) for a client with frequent premature ventricular contractions (PVSc), the nurse should include which of the following in the care plan? A. Inform client that excessive respiratory response to activity should gradually decrease. B. Measure HR daily before taking dose C. Client will have increased resistance to infection D. Current skin eruptions will improve within 30 days

B. Measure HR daily before taking dose

In providing the patient with HF information prior to discharge, the nurse will discuss digoxin (Lanoxin) therapy. Which point would the nurse include in the patient's teaching? A. Take the drug in the morning before rising. B. Monitor the pulse daily prior to taking the drug C. Discontinue the drug if the pulse rate is 70 beats per minute D. Eat a diet high in bran fiber and Ca

B. Monitor the pulse daily prior to taking the drug

The nurse is teaching a group of patients with cardiac conditions who are taking diuretic therapy. The nurse explains that individuals prescribed furosemide (Lasix) should A. Avoid consuming large amounts of cabbage, cauliflower, and kale B. Rise slowly from sitting or lying positions C. Count their pulse for 1 full minute before taking the medication D. Restrict fluid intake to no more than 1,000mL in a 24-hour period

B. Rise slowly from sitting or lying positions

After initiating a continuous infusion of nitroglycerin (Nitrostat) intravenously, the nurse would use which data to conclude that the client is experiencing an unintended effect? Select all that apply. A. Pulmonary capillary wedge pressure (PCWP) failue from 13 to 11 mm HG. B. Tachycardia C. HR falling from 96 to 78 D. BP falling from 130/80 to 90/64 E. Headache

B. Tachycardia D. BP falling from 130/80 to 90/64 E. Headache

A patient with chest pain is receiving sublingual nitroglycerin. The nurse would include in the care plan to monitor the patient for which adverse effect? A. Photosensitivity B. Elevated BP C. Vomiting and diarrhea D. Decreased BP

D. Decreased BP

While preparing a patient for discharge, which of the following statements should the nurse include in the instructions regarding the patient's new prescription of hydrochlorothiazide (Microzide)? A. "There are no limitations on the amount of salt and fluid intake." B. "Ingest vitamin K-rich foods daily, such as green,leafy vegetables and broccoli C. "Report muscle cramps or weakness to the HCP." D. "AntiHTN drugs taken concurrently may produce sleepiness."

C. "Report muscle cramps or weakness to the HCP."

The client states, "I always put on my nitroglycerin (NTG) patch in the same place so I do not forget to take it off." Which of the following is the best response by the nurse? A. "Change the patch every 24 hours." B. "Massage into the skin if ointment comes in contact with your hands." C. "Rotate the NTG patch to a different hairless area each day." D. "After removing the patch, scrub the area vigorously with soap and water."

C. "Rotate the NTG patch to a different hairless area each day."

The nurse determines that the patient does not understand an important principle in self-administration of benazepril (Lotensin) when the patient makes which statement? A. "I will learn to monitor my own BP and write down all my daily measurements." B. "While taking this medication. I should avoid over-the-counter medications for colds, sinus, or appetite control." C. "This drug will not impair thinking and reaction time. I don't need to wait to start driving my car." D. "Drinking alcohol while on this medication can lower my BP and lead to dizziness and faintness."

C. "This drug will not impair thinking and reaction time. I don't need to wait to start driving my car."

A HCP has ordered nifedipine (Procardia XL) for each of these patients. A nurse will most closely monitor which patient for drug-related problems? A. A patient who is admitted for an appendectomy in the morning. B. A patient who is receiving renal dialysis three times per week C. A patient who develops pulmonary edema in the ICU. D. A patient who receives psychotropic drugs for bipolar disease

C. A patient who develops pulmonary edema in the ICU.

The nurse has just administered a dose of hydralazine (Apresoline) intravenously to a client. After the initial dose, which of the following assessments is a priority? A. Cardiac rhythm B. Oxygen saturation C. BP D. Respiratory rate

C. BP

A client is taking digoxin (Lanoxin) and furosemide (LAsix) to manage congestive heart failure (CHF). The nurse determines that the client understands diet therapy as it applies to these medications when the client makes which meal choice from a sample menu? A. Vegetable beef soup, macaroni and cheese, and a dinner roll B. Beef ravoli, spinach souffle, and Italian bread C. Baked white fish, mashed potatoes, and carrot-raisin salad D. Roasted chicken breast, brown rice, and stewed tomatoes

C. Baked white fish, mashed potatoes, and carrot-raisin salad

A HCP orders nitroglycerin (NTG) to be administered by IV drip. The nurse carrying out the order would monitor for which of the following as a priority? A. Shortness of breath when raising the head of the bed B. Urine output C. Blood pressure and heart rate D. Headache and facial flushing

C. Blood pressure and heart rate

A client with a history of mild congestive heart failure (CHF) is receiving diltiazem (Cardizem) for HTN. The nurse should give priority to which of the following assessments? A. Tachycardia and rebound HTN B. Weight loss and euphoria C. Bradycardia and peripheral edema D. Increased ability to perform activities of daily living (ADLs)

C. Bradycardia and peripheral edema

The nurse is caring for a patient with chronic angina pectoris. The patient is receiving isosorbide dinitrate (Isordil) oral tablets. Which patient manifestations would the nurse conclude are common adverse effects of this medication? A. Flushing and headache B. Tremors and anxiety C. Lightheadedness and dizziness D. Sleepiness and lethargy

C. Lightheadedness and dizziness

A patient is hospitalized for uncontrollable hypertension and is receiving enalapril (Vasotec). The nurse should notify the HCP if the patient exhibits: A. Dry mucous membranes B. A decline in systolic BP C. Nonproductive cough D. A reduction of diastolic BP

C. Nonproductive cough

Nitroglycerin topical ointment is being initiated for a patient with angina. Which health teaching would be most appropriate? A. Keep the medication in the refrigerator B. Only take this medication when chest pain is severe C. Remove the old paste before applying the next dose D. Apply the ointment on the chest wall only

C. Remove the old paste before applying the next dose

The patient is receiving hydralazine with isosorbide (BiDil) for HF. The nurse should monitor this patient for: A. Confusion and agitation B. Bleeding C. Tingling or cramping in the legs D. Dizziness and rapid HR

D. Dizziness and rapid HR

The nurse is scheduled to administer a dose of digoxin (Lanoxin) to an adult client with atrial fibrillation. The client has a potassium level of 4.3 mEq/L. The nurse should perform which of the following activities next? A. Withhold dose only for that day B. Obtain order for dose of potassium before giving digoxin C. Withold dose and notify prescriber D. Administer dose as ordered

D. Administer dose as ordered

The community health nurse visits a patient who has been prescribed lovastatin (Mevacor). Which statement, if made by the patient indicates that further teaching is necessary concerning this drug therapy? A. "I should try to maintain my body weight at an optimal level." B. "Most patients with lipid disorders don't have any symptoms." C. "The best time for me to take this medication is before I got to bed." D. "I will take my drug with beverages that contain grapefruit juice."

D. "I will take my drug with beverages that contain grapefruit juice."

The community health nurse teaches a patient at home Lisinopril(Prinivil) has been prescribed for the patient. Which statement, if made by the patient, indicates that further teaching is necessary? A. "I should notify my HCP of symptoms of hypotension such as dizziness or fainting. B. "I should avoid the use of salt substitutes containing potassium." C. "If a dose is missed, I will take it as soon as possible but not too close to the next dose." D. "Too much calcium in my diet will elevate my blood pressure."

D. "Too much calcium in my diet will elevate my blood pressure."

The HCP prescribes epinephrine (adrenalin) to a patient who was stung by several wasps 30 minutes ago. The nurse knows that the primary purpose of this medication for this patient is to: A. Stop the systemic release of histamine produced by the mast cells B. Counteract the formation of antibodies in response to an invading antigen C. Increase the number of WBC's produced to fight the primary invader D. Increase a declining BP and dilate constricting bronchi associated with anaphylaxis

D. Increase a declining BP and dilate constricting bronchi associated with anaphylaxis

A patient with primary hypertension has started therapy with verapamil (Calan). The nurse performs what important intervention during the initial course of this treatment? A. Uses an electric razor to shave the patient B. Monitors the patient for increased thrombocyte levels C. Administers the medication only during waking hours D. Measures intake and output ratio and daily weight

D. Measures intake and output ratio and daily weight

Which of the following should the nurse instruct a patient with diabetes who is prescribed a beta-adrenergic blocker for the treatment of HTN to do? A. Increase insulin intake by 2 to 3 unites daily each morning B. Decrease the intake of carbohydrates while on the antihypertensive medications C. Elevate the lower extremities to promote venous drainage D. Monitor blood glucose levels frequently and report hypoglycemia

D. Monitor blood glucose levels frequently and report hypoglycemia

A patient is receiving hydralazine (Apresoline) for elevated BP levels. The nurse would include in the care plan to monitor the patient for which adverse effects? A. Atelectasis B. Crystalluria C. Photosensitivity D. Orthostatic hypotension

D. Orthostatic hypotension

A patient is receiving felodipine for hypertension. In the care plan, the nurse includes the need to monitor the patient for which adverse effect? A. Rash and chills B. Increased urinary output C. Weight loss D. Reflex tachycardia

D. Reflex tachycardia

The patient states, "I always put my nitroglycerin patch in the same place so I do not forget to take it off." The nurse's response would be based on which of the following physiological concepts? A. Patients are more likely to remember to apply the patch if the same site is used daily B. Repeated use of the same application site will enhance medication absorption C. Rebound phenomenon is likely to occur when the same site is used more than once D. Skin irritation due to nitroglycerin ointment can occur if the same site is used repeatedly

D. Skin irritation due to nitroglycerin ointment can occur if the same site is used repeatedly

A HCP has ordered an alpha-1 adrenergic antagonist for each of these patients. A nurse should question the order for the patient with which disorder? A. BPH B. Pheochromyctoma C. Raynaud's disease D. Tachycardia

D. Tachycardia