Ati and book questions adv pharm 3
A nurse is contributing to the plan of care for a client who is has a new prescription for torsemide. The nurse should suggest monitoring for which of the following as adverse effects of this medication? (Select all that apply.)
Hypokalemia Hypotension Ototoxicity Dehydration
Class II
Inderal
propranolol
Inderal
isosorbide
Isorodil
dalteparin
Fragmin
As the client makes breakfast which of the following items should selections for tomorrow, the nurse recognize as a potential problem food?
Grapefruit juice
"Which of the following points is important for the nurse to tell the client when teaching about drug and diet therapy for hyperlipidemia?
Medication alone will not lower cholesterol
A nurse is contributing to the plan of care for a client who is receiving furosemide to treat peripheral edema. Which of the following interventions should the nurse suggest for inclusion in the plan of care? (Select all that apply.)
Monitor for tinnitus. Monitor potassium levels. Elevate the head of the bed slowly before ambulation. Recommend eating a banana daily.
teaching with A nurse is reinforcing a client who has a new prescription for nitroglycerin transdermal patches to treat angina pectoris. Which of the following instructions should the nurse include?
Remove the patch each evening.
moexipril
Univasc
*When a client is given mannitol for increased intra- cranial pressure, which of the following findings would be most important for the nurse to report?
Urine output of 20 mL for the last 2 hours
*When client is given mannitol for increased intra- cranial pressure, which of the following findings would be most important for the nurse to report?
Urine output of 20 mL for the last 2 hours
A nurse is caring for an older adult client who has a new prescription for digoxin and takes several other medications. Concurrent use of which of the following medications places the client at risk for digoxin toxicity?
Verapamil
A client taking bile acid resins can become vitamin deficient in which of the following? Select all that apply.
Vitamin A Vitamin D Vitamin E
*The nurse is seeing a client in the clinic 1 week after the client began taking a diuretic. Which finding would make you suspect that the client is not taking the diuretic?
Weight gain of 4 lb since last week
thrombolytic
dissolves existing thrombi
When a clot detaches from the vessel wall and begins to travel, this is termed
embolus
During the preadministration assessment of a client prescribed an antihypertensive drug, the nurse
takes the client's blood pressure
The best description of how antihypertensives work is that they:
vasodilate vessels to reduce pressure
If bleeding is noted while a client is receiving a throm- bolytic drug, the client may receive
whole blood or fresh frozen plasma
Hemostasis is best defined as
events forming a clot, stopping bleeding
A nurse is reinforcing teaching with a client who has angina pectoris and is learning how to treat acute anginal attacks. The client asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make?
"Call the emergency response team."
*The clinic nurse prepares teaching materials to give a client using Coumadin. Which statement would cause her to contact the primary health care provider immediately?
"I noticed my bowel movements were black yesterday."
Which of the following statements if made by the client taking a nitrate would indicate that he needs to be seen immediately by an urgent response team?
"My heart feels worse after putting three of those little heart pills under my tongue."
A nurse is reinforcing teaching with a client who is taking digoxin and has a new prescription for colesevelam. Which of the following instructions should the nurse include?
"Take colesevelam with food and at least 8 ounces of water."
Class IV
Calan
verapamil
Calan
Which class of drug is used for the prevention of anginal pain?
Calcium channel blockers
When a diuretic is being administered for HF, which of the following would be most indicative of an effective response to diuretic therapy?
Daily weight loss of 2 lb
acetazolamide
Diamox
Class V
Digoxin
trandolapril
Mavik
ranolazine
Ranexa
Class I
Xylocaine
metolazone
Zaroxolyn
simvastatin
Zocor
Best placement of a nitroglycerin transdermal system would be Select all that apply.
abdomen thigh chest
Treat altitude sickness
acetazolamide
When administering nitroglycerin ointment, the nurse
applies the ointment to a clean, dry area
A client taking niacin reports flushing after each dose of the niacin. Which of the following drugs would the nurse expect to be prescribed to help alleviate the flushing?
aspirin
Optimal INR during therapy is
between 2 and 3
To avoid symptoms associated with orthostatic hypo- tension, the nurse advises the client to
change position slowly
When assessing a client taking cholestyramine for vitamin K deficiency, the nurse would
check the client for bruising
Select the most common adverse reaction in a client taking a bile acid resin:
constipation
*Nifedipine extended-release tablets are prescribed. A nasogastric (NG) tube has recently been placed in the client. The nurse should:
contact the primary health care provider for a new order
When evaluating the effectiveness of chlorothiazide, the nurse questions the client about
daily weight
Antihyperlipidemia drugs work to:
decrease cholesterol and triglycerides
A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of the following manifestations as adverse effects of daily aspirin therapy? (Select all that apply.)
Coffee-ground emesis Tinnitus Nausea
*The nurse suspects a client is experiencing digoxin toxicity. Which of the following symptoms would the client have reported to make the nurse suspicious of a toxic reaction?
Constipation
A nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?
Contact the provider for heart rate less than 60/min.
The nitrates for anginal pain are used to dilate which of the following vessels?
Coronary arteries
warfarin
Coumadin
rosuvastatin
Crestor
The patient is to begin oral anticoagulant drug therapy. Before administering the drug, the nurse
sees that blood has been drawn for a baseline PT evaluation
Which of the following serum digoxin levels in an adult would be most indicative that the client may be experiencing digoxin toxicity?
0.5 ng/mL
Which of the following pressures is considered prehypertension?
136/84
0.25 mg/mL. Digoxin 0.5 mg orally via an enteral feeding tube is prescribed. The drug is available in a solution of How many milliliters will the nurse prepare?
2 mL
The client is prescribed 5000 units of heparin. The drug is available as a solution of 2500 units/ml. The nurse administers
2 mL
A client is prescribed 10-mg simvastatin orally daily for high cholesterol. The drug is available in 5-mg tablets. The nurse administers
2 tablets
Disopyramide 200 mg orally is prescribed. The pharmacy sends disopyramide (Norpace) 100-mg tablets to the nursing facility. The nurse administers
2 tablets
Oral nadolol 80 mg is prescribed. The drug is available in 40-mg tablets. The nurse administers
2 tablets
Oral warfarin 5 mg is prescribed. On hand are 2.5-mg tablets. The nurse administers
2 tablets
The primary health care provider prescribes spironolac- tone (Aldactone) 100 mg orally. The drug is available in 50-mg tablets. The nurse administers
2 tablets
The primary health care provider prescribes verapamil 80 mg orally. The drug is available in 40-mg tablets. The nurse prepares
2 tablets
Furosemide (Lasix) 20-mg oral solution is prescribed. The oral solution is available in a concentration of 40 mg/5 mL. The nurse administers into the nasogastric tube
2.5 mL
Nifedipine 10-mg capsules are available. How many capsules will the client be instructed to take when the dose is 30 mg?
3 capsules
Lipitor comes in both 20- and 40-mg tablets. To use the least number of pills, what strength of tablet should be used for a client prescribed 80-mg orally daily?
40 mg, dose requirement = four 20-mg tablets or two 40-mg tablets; the 40-mg tablet size is less in number
When teaching a client about prescribed sublingual nitroglycerin, the nurse informs the client that if pain is not relieved, the dose can be repeated in minute(s).
5
When administering quinidine, the nurse immediately reports a blood level greater than
6 mcg/mL
When ordered two times daily, the best schedule for taking furosemide would be
8 AM and 2 PM
Diltiazem 180 mg is prescribed. The drug is available in 60-mg, 90-mg, and 120-mg tablets. o6ün Which tablet should you select as it is least likely to cause drug errors? How many tablets would you administer?
90-mg tablets and give 2 tablets
Which of the following statements would the nurse include in a teaching plan for the client taking an antiarrhythmic drug on an outpatient basis?
Avoid drinking alcoholic beverages unless approved by the primary health care provider.
A nurse is reviewing the current medication list in the medical record of a client who has a new prescription for warfarin. To reduce the risk for hemorrhage, the client should stop taking which of the following medications?
Acetaminophen
spironolactone
Aldactone
ramipril
Altace
lovastatin
Altoprev
A nurse is collecting data from a client who has severe heart failure and is receiving a low-dose dopamine infusion. Which of the following findings is an adverse effect of dopamine?
Angina
A nurse is collecting data from a client who has chronic neutropenia and who has been receiving filgrastim. Which of the following actions should the nurse take to evaluate the client for an adverse effect of filgrastim?
Ask about bone pain.
A nurse is reviewing the health record of a client who asks about taking propranolol to treat hypertension. Which of the following is a contraindication for taking propranolol?
Asthma
An irregular, rapid atrial contraction resulting in quiv- ering atria is best described as which of the following arrhythmias?
Atrial fibrillation
Remove fluid, spare potassium
spironolactone
Which of the following antiarhythmic drugs are also used as antihypertensives?
Beta-adrenergic and calcium channel blockers
Class III
Betapace
sotalol
Betapace
ticagrelor
Brilinta
Which of the following drugs should not be taken with food? Select all that apply.
Captopril Моехipril
A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions?
Delirium
A nurse is taking a medication history from a client who has angina and a new prescription for ranolazine. Which of the following medications in the client's history can interact with ranolazine? (Select all that apply)
Digoxin Simvastatin Verapamil
A nurse is preparing to administer filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following actions should the nurse take?
Discard the vial after removing one dose of the medication.
A nurse is assisting with the care of a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider?
Dyspnea
Which of the following is commonly associated with cardiomyopathy?
Ejection fraction below 40%
The nurse gives the following when discontinuing use of an instruction to the client antihypertensive drug:
Expect to taper the dosage of the drug over a period of 2 weeks to avoid a return of hypertension
A nurse is reinforcing teaching with a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects as a manifestation of digoxin toxicity? (Select all that apply.)
Fatigue Anorexia Blurred vision
*Which of the following adverse reactions, if observed in a client prescribed propafenone, would indicate that the patient may be developing agranulocytosis?
Fever
When administering the nitrates for angina, the nurse monitors the client for which common adverse reaction?
Headache
Which of the following blood elements has a protective property for heart disease?
High-density lipoproteins
A nurse is planning to administer a first dose of captopril to a client who has hypertension. The nurse should monitor the client for an intensification of first-dose hypotension if the client is also taking which of the following medications? (Select all that apply.)
Hydrochlorothiazide Clonidine Aliskiren
When administering spironolactone (Aldactone), the nurse monitors the client for which of the following electrolyte imbalances?
Hyperkalemia
A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. Which of the following findings are adverse effects of this medication? (Select all that apply)
Hypertension Headache
Which electrolyte imbalance would the patient taking a loop or thiazide diuretic most likely develop?
Hypokalemia
The client has just been discharged with sublingual nitrate. He is experiencing chest tightness and has taken one tablet 4 minutes ago with minimal relief. He is calling confused about taking two more doses. When can he take those two additional doses?
In 1 minute, and then again in 5 more minutes
A nurse is reinforcing teaching with a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include?
Increase the amount of dietary fiber in the diet.
A nurse is preparing to administer a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take?
Insert the needle completely into the client's tissue.
Reduce hypertension
Lasix
furosemide
Lasix
atorvastatin
Lipitor
There is an increased risk for bleeding when the client receiving heparin is also taking.
NSAIDS
A nurse is caring for a client who has a new prescription for captopril for hypertension. The nurse should monitor the client for which of the following adverse effects?
Neutropenia
amlodipine
Norvasc
A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran to prevent the development of thrombosis. Which of the following medications is the provider likely to prescribe concurrently to treat an adverse effect of dabigatran?
Omeprazole
Digoxin (Lanoxin) is prescribed for a client with heart failure. The primary health care provider prescribes digoxin (Lanoxin) 0.75 mg orally as the initial dose. Available are digoxin tablets of 0.5 and 0.25 mg. The nurse administers
One 0.5-mg tablet and one 0.25-mg tablet
A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following laboratory values should the nurse monitor to determine the effectiveness of this medication?
Platelet count
clopidogrel
Plavix
A nurse in a provider's office is monitoring the electrolyte levels of four older adult clients who take digoxin. Which of the following electrolyte values should the nurse identify as increasing the risk for developing cardiotoxicity?
Potassium 3.4 mEg/L
A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider?
Potassium 5.2 mEq/L
Which of the following foods would the nurse most likely recommend the client include in the daily diet to prevent hypokalemia? Select all that apply.
Potatoes Apricots Corn
lisinopril
Prinivil
nifedipine
Procardia
A nurse is caring for a client who is receiving heparin to treat deep-vein thrombosis. The client begins vomiting blood. After stopping the heparin infusion, which of the following medications should the nurse expected the RN to administer?
Protamine
In which of the following situations would the nurse withhold a dose of digoxin and notify the primary health care provider?
Pulse rate of 87 bpm
Which of the following drugs, when given with diso- pyramide (Norpace), would possibly increase the serum disopyramide levels?
Quinidine
*A client has seen his primary health care provider for his heart condition. The provider gives you the prescription for sublingual nitrate to fax to the phar- macy. The client hands you more prescriptions from another provider to refill. Which one should you review with the primary health care provider first?
Sildenafil
Which of the following adverse reactions of lidocaine (Xylocaine) should be reported immediately to the primary health care provider?
Sudden change in mental status
Clients on blood-thinning medications should be moni- tored for bleeding. Which of the following may indicate internal bleeding? Select all that apply.
Sudden decrease in blood pressure Multiple red spots on skin Black, tarry stool
A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include?
Take the medication with food.
A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?
Take this medication in the evening.
In which of the following situations would the nurse expect dalteparin to be prescribed?
To prevent a DVT
lidocaine
Xylocaine
The primary health care provider prescribes fenofi- brate for the treatment of hypertriglyceridemia. The client is now taking 200 mg/day orally. Is this an appropriate dosage? If not, what action would you take? If the dose is appropriate, how many capsules would you administer if the drug is available in 67-mg capsules?
Yes, 200 mg is an appropriate dosage. However, if the client requires 200 mg, it is preferable to give a 200-mg capsule rather than three 67-mg capsules. The nurse should notify the primary health care provider that only 67-mg capsules are available.
The best description of how diuretic medications work is that they:
inhibit reabsorption of sodium in the nephron
Common adverse reactions of the antiarrhythmic drugs include
lightheadedness, hypotension, and weakness
A client taking a calcium channel blocker experiences orthostatic hypotension. The nurse instructs the client with orthostatic hypotension to
make position changes slowly to minimize hypo- tensive effects
Reduce cerebral edema
mannitol
Lovastatin is best taken
once daily, preferably with the evening meal
The nurse instructs the client using the transdermal system Catapres-TTS to
place the patch on the upper arm or torso and keep it in place for 7 days
Before the first dose of an ACEI, the nurse assesses a female client for
positive pregnancy test
antiplatelet
prevents cell aggregation
anticoagulant
prevents formation of new thrombi