Practice Questions pharm exam 4

The nurse is caring for a patient prescribed aliskiren [Tekturna]. How does this medication lower blood pressure? A. It prevents angiotensin II from binding to its receptors. B. It inhibits the conversion of angiotensinogen into angiotensin I. C. It selectively blocks aldosterone receptors in the kidneys. D. It blocks the conversion of angiotensin I to angiotensinII.

It inhibits the conversion of angiotensinogen into angiotensin I.

The nurse is caring for a patient with bipolar disorder treated with lithium [Eskalith]. The patient has a new prescription for captopril [Capoten] for hypertension. The combination of these two drugs makes which assessment particularly important? A. Potassium level B. Lithium level C. Creatinine level D. Blood pressure

Lithium level

The nurse has just administered the initial dose of enalapril [Vasotec] to a newly admitted patient with hypertension. What is the priority nursing intervention over the next several hours? A. Draw a potassium level. B. Monitor blood pressure. C. Auscultate lung sounds. D. Check the heart rate.

Monitor blood pressure.

The nurse is preparing to administer a daily dose of digoxin [Lanoxin]. What is the priority nursing intervention? A. Check blood pressure. B. Analyze heart rate and rhythm. C. Palpate the pedal pulses. D. Assess for Homans' sign.

analyze heart rate and rhythm.

A nurse is reviewing the serum lab finding for a client who has hypertension and is prescribed hydrochlorothiazide. WHich of the following finding should the nurse report to the provider? a. sodium 136 mEq/l b Potassium 2.3 mEq/L c. chloride 99 mEq/L d. calcium 10 mg/dl

b Potassium 2.3 mEq/L

A nurse is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity? a. "i am gaining weight." b. "my vision seems yellow" c. "i am constipated"

b. "my vision seems yellow"

A nurse is teaching a client who has hypertenstion and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this med? A. bradycardia b tremor c cough d constipation

A. bradycardia

The nurse is evaluating the teaching done with a patient who has a new prescription for fosinopril [Monopril]. Which statement by the patient indicates a need for further teaching A. "I will call if I develop a bothersome cough." B. "I will use a salt substitute to lower my sodium intake." C. "I will call if I notice a rash or wheals on my skin." D. "I can take this medicine with breakfast each morning."

"I will use a salt substitute to lower my sodium intake."

With a patient who has heart failure, what is important to monitor from day to day?

-breath sounds -weight -oxygen saturation -blood pressure

Which drug is the most effective for lowering LDL cholesterol? A. Cholestyramine [Questran] B. Atorvastatin [Lipitor] C. Gemfibrozil [Lopid] D. Ezetimibe [Zetia]

. Atorvastatin [Lipitor]

The nurse is administering intravenous lidocaine [Xylocaine] to a patient with a ventricular dysrhythmia. What is the priority nursing intervention to prevent a potential complication with this drug? A. Monitor the electrocardiogram (ECG). B. Keep naloxone [Narcan] at the bedside. C. Obtain a complete blood count. D. Instruct to report any chest pain.

. Monitor the electrocardiogram (ECG).

Amiodarone [Cordarone] is prescribed for a patient with atrial fibrillation. What is the most important nursing intervention before administering this medication? A. Obtain baseline serum thyroid and liver function studies. B. Explain a dermatologic evaluation is needed. C. Maintain NPO for transesophageal echocardiogram (TEE). D. Document an ophthalmic examination was performed

. Obtain baseline serum thyroid and liver function studies

A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following lab values should the nurse review before administering the med? a. bicarbonate b. carbon dioxide c. potassium d. phosphate

. potassium

A patient with hypertensive emergency is admitted to the hospital. Which medication should the nurse be prepared to administer to this patient? A. Sodium nitroprusside [Nipride] B. Hydralazine [Apresoline] C. Hydralazine and isosorbide dinitrate [BiDil] D. Minoxidil [Loniten]

A. Sodium nitroprusside [Nipride]

A patient is being discharged from the hospital on warfarin [Coumadin] for deep vein thrombosis prevention. Which instructions should the nurse include in the patient's discharge teaching plan? (Select all that apply.) A. Wear a medical alert bracelet. B. Enteric-coated aspirin and any aspirin products can be used unless they cause a gastrointestinal ulcer. C. Do not start any new medication without first talking to. your healthcare provider. D. No laboratory or home monitoring of international normalized ratio (INR) is required after the first 6 months. E. Check all urine and stool for discoloration.

A. Wear a medical alert bracelet. C. Do not start any new medication without first talking to. your healthcare provider. E. Check all urine and stool for discoloration.

The nurse is teaching a patient with essential hypertension who has a new prescription for verapamil [Calan]. Which statements by the patient indicate that the teaching was effective? (Select all that apply.) A. "I will call my healthcare provider if I notice swelling in my ankles." B. "I will increase my intake of fluid and foods high in fiber." C. "I need to avoid salt substitutes and potassium supplements." D. "I may notice easy bruising and bleeding with this drug."

A. "I will call my healthcare provider if I notice swelling in my ankles." B. "I will increase my intake of fluid and foods high in fiber."

An adult male patient is taking medication for blood pressure management. The patient states to the nurse, "I'm not going to take these drugs anymore, because they are interfering with my sex life." What is the most appropriate response by the nurse? A. "Let's discuss this effect with your prescriber. There are other drugs available to manage your blood pressure that may not have the same adverse effect." B. "It is unfortunate these drugs can cause erectile dysfunction but managing your blood pressure is more important than your sexual performance." C. "I am glad you told me about your experience with this common side effect. Sexual performance can be a difficult subject to discuss." D. "I understand how discouraging it must be to live with this adverse effect, but you could have a stroke if you do not take your blood pressure medications."

A. "Let's discuss this effect with your prescriber. There are other drugs available to manage your blood pressure that may not have the same adverse effect."

The nurse is teaching a patient about the side effects associated with doxazosin [Cardura]. Which statement by the patient indicates an understanding of the nurse's instructions? A. "When getting out of bed in the morning, I will sit on the side of the bed for several minutes before standing." B. "I'll notify the healthcare provider if I develop a persistent cough." C. "I'll make sure I include extra sources of potassium in my diet, such as bananas and baked potatoes." D. "I may experience an increase in hair growth as a side effect."

A. "When getting out of bed in the morning, I will sit on the side of the bed for several minutes before standing."

What is the primary benefit of spironolactone [Aldactone] in patients with heart failure? A. Blockage of aldosterone receptors B. Inhibition of beta activation by norepinephrine C. Stimulation of the renin-angiotensin-aldosterone system D. Increase in diuresis and fluid loss

A. Blockage of aldosterone receptors

Which patient symptoms should cause the nurse to be concerned about digoxin [Lanoxin] toxicity? (Select all that apply.) A. Blurred vision B. Vomiting C. Muscle weakness D. Dizziness E. Fatigue

A. Blurred vision B. Vomiting E. Fatigue

Which are the main types of drugs used to prevent or relieve anginal pain? (Select all that apply.) A. Calcium channel blockers B. Statins C. Nitrates D. Platelet inhibitors E. Beta blockers

A. Calcium channel blockers C. Nitrates E. Beta blockers

The nurse understands patients receiving nitroglycerin are at risk for which adverse effects? (Select all that apply.) A. Dizziness B. Tachycardia C. Wheezing D. Bradycardia E. Headache

A. Dizziness B. Tachycardia E. Headache

Which are beneficial effects that can be derived from simvastatin [Zocor] and other drugs in this class? (Select all that apply.) A. Elevation of HDLs B. Reduction of LDLs C. Reduction of risk of cardiovascular events D. Stabilization of the plaque in coronary arteries E. Improvement of liver function

A. Elevation of HDLs B. Reduction of LDLs C. Reduction of risk of cardiovascular events D. Stabilization of the plaque in coronary arteries

Which medications should be used with caution in a hypertensive diabetic patient? (Select all that apply.) A. Metoprolol [Lopressor] B. Diltiazem [Cardizem] C. Furosemide [Lasix] D. Hydrochlorothiazide [HCTZ] E. Enalapril [Vasotec]

A. Metoprolol [Lopressor] C. Furosemide [Lasix] D. Hydrochlorothiazide [HCTZ]

A patient with cardiovascular disease is taking rosuvastatin [Crestor]. The nurse is monitoring for potential adverse effects. Which finding indicates a potential adverse effect of this drug?A. Muscle pain and tenderness B. Blood pressure of 140/90 mm Hg C. Wheezing and shortness of breath D. Platelet count of 100 × 103/mm3

A. Muscle pain and tenderness

The nurse is caring for a patient receiving clopidogrel [Plavix] to prevent blockage of coronary artery stents. Which other drug on the patient's medication administration record may reduce the antiplatelet effects of clopidogrel? A. Omeprazole [Prilosec] B. Warfarin [Coumadin] C. Acetaminophen [Tylenol] D. Aspirin [Bayer

A. Omeprazole [Prilosec]

The nurse is teaching a patient prescribed captopril [Capoten] for the treatment of hypertension. Which instructions should the nurse include? (Select all that apply.) A. Report difficulty in breathing immediately. B. Expect a sore throat and fever. C. Avoid potassium salt substitutes. D. Take the medication with food. E. A persistent dry cough may occur.

A. Report difficulty in breathing immediately. C. Avoid potassium salt substitutes. E. A persistent dry cough may occur.

The renin-angiotensin-aldosterone system plays an important role in maintaining blood pressure. Which compound in this system is most powerful at raising the blood pressure? A. Renin B. Angiotensin III C. Angiotensin II D. Angiotensin I

Angiotensin II

What should the nurse include in the discharge teaching for a patient prescribed amiodarone [Cordarone]? (Select all that apply.) A. "Take amiodarone with grapefruit juice." B. "Check your pulse daily and report excessive slowing to your healthcare provider immediately." C. "Wear sunblock and protective clothing when you are outdoors." D. "Immediately notify your healthcare provider of shortness of breath, cough, or chest pain." E. "Take the medication on an empty stomach."

B. "Check your pulse daily and report excessive slowing to your healthcare provider immediately." C. "Wear sunblock and protective clothing when you are outdoors." D. "Immediately notify your healthcare provider of shortness of breath, cough, or chest pain."

The nurse provides discharge instructions to a patient prescribed verapamil [Calan] SR 120 mg PO daily for essential hypertension. Which statement by the patient indicates understanding of the medication? A. "I will take the medication with grapefruit juice each morning." B. "I must make sure I swallow the pill whole." C. "I should expect occasional loose stools from this medication." D. "I'll need to reduce the amount of fiber in my diet."

B. "I must make sure I swallow the pill whole."

The nurse is teaching a patient who has just been prescribed a vasodilator. Which statement by the patient indicates that the teaching was effective?A. "I can take this medication in the morning to reduce nighttime urination." B. "I will rise slowly when changing from a sitting to a standing position." C. "My heart rate may slow down with this drug. I will call if my pulse is below 60." D. "I need to increase my intake of fluids and foods that are high in fiber."

B. "I will rise slowly when changing from a sitting to a standing position."

Calcium channel blockers work by reducing calcium influx into the cells of the heart and blood vessels. Calcium channels are coupled to which type of autonomic nervous system receptors? A. Beta2 B. Beta1 C. Alpha2 D. Alpha1

B. Beta1

A patient is prescribed hydralazine [Apresoline] for the treatment of essential hypertension. Which expected adverse effects should the nurse discuss with the patient? (Select all that apply.) A. Nausea B. Headache C. Fatigue D. Joint pain E. Dizziness

B. Headache C. Fatigue E. Dizziness

The nurse is caring for a patient prescribed digoxin [Lanoxin] for heart failure. Which finding would require immediate attention by the nurse? A. Digoxin level of 0.7 ng/mL B. Vomiting and diarrhea C. Heart rate of 68 beats/min D. Potassium level of 3.7 mEq/L

B. Vomiting and diarrhea

Which classes of medications are prescribed as initial therapy for hypertension after a myocardial infarction (MI)? A. Beta blocker and ACE inhibitor B. Diuretic and beta blocker C. Diuretic and calcium channel blocker D. ACE inhibitor and calcium channel blocker

Beta blocker and ACE inhibitor

The nurse plans to closely monitor for which clinical manifestation after administering furosemide [Lasix]? A. Decreased pulse B. Decreased blood pressure C. Decreased respiratory rate D. Decreased temperature

Decreased blood pressure

About which patient should the nurse notify the healthcare provider immediately? A. A patient who takes digoxin [Lanoxin] 0.25 mg orally daily with a serum potassium level of 4.0 mEq/L B. A patient who takes oral lisinopril [Zestril] 5 mg daily and digoxin 0.125 mg daily with a serum digoxin levelof 0.5 ng/mL C. A patient who takes oral spironolactone [Aldactone] 25 mg daily and enalapril [Vasotec] 5 mg daily with a serum potassium level of 5.5 mEq/L D. A patient who takes digoxin [Lanoxin] 0.125 mg orally daily with a serum digoxin level of 0.8 ng/mL

C. A patient who takes oral spironolactone [Aldactone] 25 mg daily and enalapril [Vasotec] 5 mg daily with a serum

A patient with an elevated triglyceride level is prescribed a sustained-release form of nicotinic acid [Slo-Niacin]. Which laboratory value is most important for the nurse to monitor for in this patient? A. Blood urea nitrogen (BUN) B. Complete blood count (CBC) C. Alanine aminotransferase (ALT) D. Creatine kinase (CK)

C. Alanine aminotransferase (ALT)

The nurse is caring for several patients. For which patient diagnosis would a prescription for nifedipine [Adalat] be least appropriate? A. Essential hypertension B. Angina pectoris C. Atrial fibrillation D. Vasospastic angina

C. Atrial fibrillation

Which assessment finding is most important for the nurse to obtain before administering hydralazine [Apresoline]? A. Peripheral pulses B. Capillary refill C. Blood pressure D. Homans' sign

C. Blood pressure

The nurse is preparing to administer an oral dose of digoxin [Lanoxin]. The apical pulse rate is 64. What nursing action is most appropriate? A. Assess for signs of digoxin toxicity. B. Notify the healthcare provider. C. Give the medication. D. Obtain a serum digoxin level.

C. Give the medication.

The nurse is caring for a patient receiving hydralazine [Apresoline]. The healthcare provider prescribes propranolol [Inderal]. The nurse knows that a drug such as propranolol often is combined with hydralazine for what purpose? A. To prevent heart failure B. To improve hypotensive effects C. To protect against reflex tachycardia D. To reduce the risk of headache

C. To protect against reflex tachycardia

The nurse is caring for a patient receiving nitrates for relief of angina. What pharmacodynamic action is responsible for the relief of anginal pain with nitrates? A. Influx of calcium ions leads to relaxation of vascular smooth muscle. B. Decreased force of contraction leads to decreased oxygen demand. C. Vasodilation leads to decreased preload, which decreases oxygen demand. D. Vasoconstriction leads to improved cardiac output.

C. Vasodilation leads to decreased preload, which decreases oxygen demand.

A patient is admitted to the hospital with a diagnosis of hypertension. The nurse understands that which medication works by preventing angiotensin II from binding with its receptor sites? A. Eplerenone [Inspra] B. Quinapril [Accupril] C. Aliskiren [Tekturna] D. Candesartan [Atacand]

Candesartan [Atacand]

The nurse knows that diuretics mostly affect which function of the kidneys? A. Maintenance of acid-base balance B. Cleansing and maintenance of extracellular fluid volume C. Excretion of metabolic waste D. Elimination of foreign substances

Cleansing and maintenance of extracellular fluid volume

A nurse is preparing to administer warfarin. WHich of the following info should the nurse recognize prior to admin? a. antidote is protamine b. clients aPTT should be monitored c. Client should be observed for manifestations of hemorrhage

Client should be observed for manifestations of hemorrhage

A patient with angina is being discharged with a prescription for nitroglycerin sublingual tablets. Which instruction should the nurse include? A. "Effects of sublingual nitroglycerin begin in 5 to 10 minutes." B. "Sublingual nitroglycerin tablets are also effective when swallowed whole." C. "The tablets are only good for 1 month after the container is opened." D. "Store the tablets in the original container and tightly close it after use."

D. "Store the tablets in the original container and tightly close it after use."

The nurse is caring for a patient prescribed a cholesterol- lowering drug. Which drug is least likely to cause systemic side effects? A. Gemfibrozil [Lopid] B. Nicotinic acid [Niaspan] C. Simvastatin [Zocor] D. Colesevelam [Welchol]

D. Colesevelam [Welchol]

The nurse is monitoring a patient receiving a heparin infusion for the treatment of pulmonary embolism. Which assessment finding most likely relates to an adverse effect of heparin? A. Inspiratory wheezing B. Blood pressure of 160/88 mm Hg C. Heart rate of 60 beats/min D. Discolored urine

D. Discolored urine

The healthcare provider prescribes an intravenous dose of diltiazem [Cardizem] for treatment of a patient with atrial fibrillation. What is the priority nursing intervention? A. Assess for increased urinary output. B. Obtain baseline coagulation studies. C. Assist with cardioversion. D. Monitor electrocardiogram.

D. Monitor electrocardiogram.

The nurse reviews the medication treatment regimen for a patient with chronic hypertension. To promote optimal medication adherence, which frequency of drug dosing should the nurse advocate for this patient? A. Three times a day B. Every 8 hours C. Four times a day D. Once a day

D. Once a day

The nurse is caring for a patient who takes spironolactone [Aldactone] and quinapril [Accupril] for treatment of heart failure. What finding indicates a potential interaction between these two drugs? A. Heart rate of 58 beats/min B. Elevated serum quinapril level C. Glucose level of 180 mg/dL D. Potassium level of 5.7 mEq/L

D. Potassium level of 5.7 mEq/L

The nurse is caring for a pregnant patient experiencing anew episode of hypertension. Which medication does the nurse anticipate will be prescribed for this patient? A. Methyldopa [Aldomet] B. Captopril [Capoten] C. Valsartan [Diovan] D. Propranolol [Inderal]

D. Propranolol [Inderal]

The nurse is caring for a patient receiving amiodarone [Cordarone]. Which body system should the nurse assess for serious adverse effects of this medication? A. Integumentary B. Musculoskeletal C. Gastrointestinal D. Respiratory

D. Respiratory

A patient is prescribed lisinopril [Prinivil] 40 mg by mouth once a day for hypertension. For which therapeutic effect will the nurse monitor? A. Symptoms such as dizziness and fainting B. Slowing of the heart rate C. Pulse oximetry oxygen saturation of 100% D. Decrease in blood pressure

Decrease in blood pressure

The nurse should monitor for which adverse effect after administering hydrochlorothiazide [HydroDIURIL] and digoxin [Lanoxin] to a patient? A. Decreased diuretic effect B. Dehydration C. Digoxin toxicity D. Heart failure

Digoxin toxicity

Which medication is most likely to cause the side effect of constipation? A. Nifedipine [Adalat] B. Isradipine [DynaCirc] C. Diltiazem [Cardizem] D. Amlodipine [Norvasc]

Diltiazem [Cardizem]

The nurse is caring for a patient who has diabetes and hypertension. Which medication is most likely to be prescribed to treat this patient's hypertension? A. Propranolol [Inderal] B. Methyldopa [Aldomet] C. Enalapril [Vasotec] D. Hydrochlorothiazide [HCTZ]

Enalapril [Vasotec]

A patient with deep vein thrombosis receiving an intravenous (IV) heparin infusion asks the nurse how this medication works. What is the nurse's best response? A. Heparin prevents the activation of vitamin K and thus blocks synthesis of some clotting factors. B. Heparin inhibits the enzyme responsible for platelet activation and aggregation within vessels. C. Heparin suppresses coagulation by helping antithrombin perform its natural functions. D. Heparin works by converting plasminogen to plasmin, which in turn dissolves the clot matrix.

Heparin suppresses coagulation by helping antithrombin perform its natural functions.

The nurse caring for a patient taking furosemide [Lasix] is reviewing the patient's most recent laboratory results, which are: sodium, 136 mEq/L; potassium, 3.2 mEq/L; chloride, 100 mEq/L; blood urea nitrogen, 15 mg/dL. What is the nurse's best action? A. Place the patient on a cardiac monitor. B. Administer Lasix as ordered. C. Begin a 24-hour urine collection. D. Hold the Lasix and notify the physician.

Hold the Lasix and notify the physician.

The nurse is reviewing the home medication list with the patient. The nurse recognizes that hydrochlorothiazide is used primarily for which condition? A. Edema B. Protection against postmenopausal osteoporosis C. Diabetes insipidus D. Hypertension

Hypertension

The nurse is teaching a patient who has a new prescription for spironolactone [Aldactone]. Which statement by the patient indicates that the teaching was effective? A. "I will increase my intake of foods that are high in potassium." B. "I will use salt substitutes to lower my sodium intake." C. "I will call my doctor if I begin having menstrual irregularities." D. "I will take this medication at bedtime each evening."

I will call my doctor if I begin having menstrual irregularities."

The nurse is providing discharge teaching for a patient with a new prescription for a nitroglycerin transdermal patch. Which statement by the patient indicates a need for further teaching? A. "I will not use Viagra as long as I am on nitroglycerin." B. "I will move slowly when changing positions." C. "I will limit my alcohol to one drink per day." D. "I will remove my patch at bedtime each evening."

I will limit my alcohol to one drink per day."

What is the most appropriate nursing consideration for a patient who is prescribed verapamil [Calan] and digoxin [Lanoxin]? A. Hold the medications if the heart rate is greater than 110 beats/min. B. Notify the healthcare provider of nausea, vomiting, and visual changes. C. Take an apical pulse for 30 seconds before administration. D. Restrict intake of oral fluids and high-fiber food.

Notify the healthcare provider of nausea, vomiting, and visual changes.

The nurse is monitoring a patient receiving ranolazine [Ranexa] for angina. Which assessment finding indicates an adverse effect of this drug? A. Blood pressure of 90/50 mm Hg B. QT prolongation on the electrocardiogram C. Frequent bloody stools D. Respiratory rate of 11 breaths per minute

QT prolongation on the electrocardiogram

The nurse is caring for a patient with heart failure who needs a diuretic. Which agent is likely to be chosen, because it has been shown to greatly reduce mortality in patients with heart failure? A. Mannitol [Osmitrol] B. Furosemide [Lasix] C. Hydrochlorothiazide [HydroDIURIL] D. Spironolactone [Aldactone]

Spironolactone [Aldactone]

A nurse is assessing a client after administering a dose of losartan. The client has a hoarse voice, and swollen lips and tongue. I which order should the nurse take action?

The nurse should first assess the client's airway and oxygen saturation to determine the need for respiratory support. Intubation or tracheotomy is considered if adequate oxygenation is not maintained. The second step the nurse should take is to call the rapid response team to provide emergency treatment in case of cardiac or respiratory arrest. Next, the nurse should apply high-flow oxygen to increase oxygenation and then initiate an IV site, if one is not present, and administer isotonic IV fluids to prevent hypotension and provide access for IV medications. The nurse should then administer IV epinephrine to constrict blood vessels, dilate bronchioles, and increase cardiac function. And finally, the nurse should administer IV antihistamines and corticosteroids to block the effects of histamine and decrease edema.

A nurse is teaching a client with a histpry of diabetees on insulin who has a new prescription for colesevelam to lower his low density lipoprotein level. Which of the following instrucations should the nurse include? a. "monitor blood sugar carefully, colesevelam can cause hypoglycemia b. reduce fluid intake c. take med on empty stomach d. chew tablets before swallowing

a "monitor blood sugar carefully, colesevelam can cause hypoglycemia

A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in teaching? a monitor for cough b. hold medication for HR less than 60/min c. take med with food d. avoid grape fruit juice

a monitor for cough

A nurse is reviewing the labratory results of a client who has liver failure with ascites and is receiving spironolactione. which of the following findings should the nurse expect? a. "decreased sodium level" b. "decreased phosphate level" c. "decreased potassium level"

a. "decreased sodium level"

a nurse is teaching a client who is taking atorvastatin daily. which of the following statements by the client indicates an understanding of the teaching? a. "i will avoid drinking grapefruit juice" b. "i should take it with food" c. "i should expect my stools to change color"

a. "i will avoid drinking grapefruit juice"

A nurse is caring for a client who has deep vein thrombosis and has been on heparin continous infusion for 5 days. The provider prescribes warfarin PO W/O discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. WHich of the following statements should the nurse make? a. "warfarin takes several days to work, so the IV heprin will be used until the warfarin reaches a therapuetic level" b. both heparin and warfarin work together to dissolve clots c. "the iv heparin increases the effects of warfarin and decreases length of hospital stay"

a. "warfarin takes several days to work, so the IV heprin will be used until the warfarin reaches a therapuetic level"

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following finding is a priority to report? a. dry cough b. swelling of tongue c. nausea d. nasal congestion

b. swelling of tongue

A nurse is assessing an older adult who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin tocicity? a. anorexia b. ataxia c. photosenstitivity d. jaundice

a. anorexia

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? a. asthma b. glaucoma c. depression

a. asthma

A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following? a. cabbage b. melons c. green beans d. white beans

a. cabbage

A nurse in a providers office is reviewing the lab results of a client who takes furosemide for hypertension. The nurse notes that the clients potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following? a. cardiac dysrhythmias b. hypoglycemia c. seizures d. neurogenic shock

a. cardiac dysrhythmias

A nurse is caring for a client who has heart failure and a potassium level of. 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the clients low potassium level? a. furosemide b. nitroglycerin c. metoprolol d. spironolactone

a. furosemide

A nurse is teaching about necessary baseline examinations with a female client who is to start taking atorvastatin. Which of the following baselines examinations should the nurse include in the teaching? a. liver function test b. hearing test c. dental exam

a. liver function test

A nurse is caring for a client who receives furosemide to treat heart failure. which of the following laboratory values should the nurse monitor for this client due to this medication? a. potassium b. albumin c. cortisol d. bicarbonate

a. potassium

A nurse is planning to administer digoxin to a client who has heart failure. Which of the following lab results is the priority for the nurse to review before admin? a. potassium b. hemoglobin c.creatinine d. blood urea nitrogen

a. potassium

A nurse is reviewing the laboratory results of a client who takes furosemide. Which of the following results should the nurse identify as the priority finding? a. potassium 2.9 mEq/L b. phosphorus 4.5 mEq/L c. sodium 145 mEq/L

a. potassium 2.9 mEq/L

A nurse in a coronary care unit if admitting a client who has had CPR following a cardiac arrest. The client is recieving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? a. prevents dysrhythmias b. slows intestinal motility c. dissolves blood clots

a. prevents dysrhythmias

A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication? a. reduce edema of the brain b. provide fluid hydration c. increase cell size in the brain d. expand extracellular fluid volume

a. reduce edema of the brain

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? a. i can walk a mile a day b. ive had a backache for several days c. i feel nauseated and have no appetite

c. i feel nauseated and have no appetite

A client who has a history of myocardial infarction is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following action of the medications? a. analgesis b. antiplatelet aggregate c. analgesic

b. antiplatelet aggregate

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? a. notify the clients provider b. check the clients vital signs c. fill out an occurrence form d. administer the medication to the correct client

b. check the clients vital signs

A nurse is providing teaching to a client who has hypertension and a new prescription for catopril. Which of the following instructions should the nurse provide? a. take the medication with food b. do not use salt substitutes while taking this medication c. count your pulse rate before taking

b. do not use salt substitutes while taking this medication

A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for hwich of the follwoing electrolyte imbalances? a. hypernatremia b. hyperuricemia c. hypercalcemia d. hyperchloremia

b. hyperuricemia

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor? a. hyperthermia b. hypotension c. ototoxicity d.muscle pain

b. hypotension

A nurse at a providers office receives a phone call from a client who reports nausea and unrelieved chest pain after taking nitroglycerin tablet 5 mins ago. Which of the follwoing is an appropriate response by the nurse? a. tell the client to take an antiacid b. instruct client to call 911 c. tell client to take another tablet in 15 mins d. advise the client to come to office

b. instruct client to call 911

A nurse is assessing a client who has hypercholesterolemia and is receiving simvastatin. which of the following findings should the nurse recognize as a adverse effect? a. urinary retention b. muscle weakness c. orthostatic hypotension d. blurred vision

b. muscle weakness

A nurse is caring for a client who has thombophlebitis and is receiving a continous heparin infusion. Which of the following meds should the nurse have available to reverse heparins effects? a. vit K b. protamine sulfate c. acetylcysteine d. deferasirox

b. protamine sulfate

A nurse is teaching with a group of nurses abt the admin of nitroglycerin. Which of the following routes of admin provides the most rapid onset? a. transdermal patch b. sublingual c. suspended release d. topical ointment

b. sublingual

A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching? a. "its okay to have a couple classes of win with dinner." b. "ill be sure to eat foods with vitamin K." c. "ill use my electric razor for shaving"

c. "ill use my electric razor for shaving"

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? a. "weigh weekly to monitor effects." b. "take medication on empty stomach" c. "take medication in the AM" d. "muscle pain is expected."

c. "take medication in the AM"

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? a. hypervolemia b. hypertension c. hypokalemia

c. hypokalemia

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? a. limit your fluid intake to meal times b. do not take this medication on an empty stomach c. increase your daily intake of dietary fiber d. you can expect swelling of the ankles

c. increase your daily intake of dietary fiber

A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurses priority? a. clients ECG tracing shows irregular heart with out P waves b. the client has a PTT of 80 seconds c. the client experiences sudden weakness of one arm and leg

c. the client experiences sudden weakness of one arm and leg

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 statements should the nurse make? a. take only one dose of nitroglycerin to reduce the risk of getting a headache b. theres nothing that can be done to relieve the headaches that nitroglycerin causes c. try taking a mild analgesic to relieve the headache

c. try taking a mild analgesic to relieve the headache

A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse administer? a. albumin 25% b. dextran 70 c. hydroxyethyl glucose d. Mannitol 25%

d. Mannitol 25%

A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate? a. withhold the med if HR is above 100/min b. instruct the client to eat low potassium foods c. measure apical pulse rate for 30 sec before admin d. evaluate the client for nausea, vomiting and anorexia

d. evaluate the client for nausea, vomiting and anorexia

Which of the following beverages should the nurse tell the client to avoid while taking verapamil? a. milk b. orange juice c. coffee d. grapefruit juice

d. grapefruit juice

A 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? a. ill dial 911 if I still have pain after taking 3 nitroglycerin tablets 5 minutes apart. b. ill dial 911 if i still have pain after taking 4 nitroglycerin tablets over a 20 minute period c. ill dial 911 when I have pain and then take nitroglycerin tablets d. ill dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting

d. ill dial 911 if 1 nitroglycerin tablet does not relieve my pain, and then take up to 2 more tablets 5 minutes apart while waiting

A nurse is providing instructions 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 hypoatremia? a. furosemide b. hydrochlorothiazide c. metolazone d. spironolactone

d. spironolactone

a nurse is caring for a client who is on warfarin therapy for atrial fibrillation. the clients INR is 5.2. Which of the following medications should the nurse prepare to administer? a. epinephrine b. atropine c. protamine d. vitamin K

d. vitamin K

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is Digoxin 0.125mg tab. The clients current vital signs are: BP- 144/96, HR- 54/min, RR- 18/min, and TEMP- 98.6 ºF. Which action should the nurse take? a. administer digoxin 0.125 mg b. administer digoxin 0.25 mg c. withhold the digoxin dose for elevated BP d. withhold the digoxin dose for decreased pulse rate

d. withhold the digoxin dose for decreased pulse rate

A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates therapeutic response to epinephrine. a. respirations are unlabored b. client reports decreased groin pain c. the clients blood pressure when arising from a resting position is at premed level

respirations are unlabored

A nurse is providing teaching to a client who is taking warfarin about monitoring its therapeutic effect. which of the following explanations hsould the nurse provide about the INR test? a. the INR also monitors heparin therapy b. the INR is the only available test for anticoagulant therapy monitoring c. you will only need test 2 per month d. the INR is a standardized test that eliminates the variations between lab reports in prothrombin times

the INR is a standardized test that eliminates the variations between lab reports in prothrombin times