ATI pharm book Ch 18-23 questions

a nurse is reinforcing teaching with a client who is taking Digoxin and has a new prescription for colesevelam. which of the following instruction should the nurse include?

take colesevelam with food and at least 8 oz of water.

a nurse in a provider's office is monitoring the electrolyte levels of for older adult client to take digoxin. Which of the following electrolyte values should the nurse identify as increasing the risk for developing cardiotoxicity?

potassium 3.4 mEq/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

a nurse is reinforcing teaching with a client who has a prescription for nitroglycerin transdermal patches to treat angina pectoris. Which of the following instructions should the nurse include?

remove the patch evening

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 interactions should the nurse include?

take this medication in evening

a nurse is caring for an older adult client who has a new prescription for digoxin and take several other medication. Concurrent use of which of the following medication places a client at risk for digoxin toxicity?

verapamil

a nurse is reinforcing teaching with a client who has angina pectoris and is learning how to create a acute angina attacks. the client asks, " what is my next step if I take one tablet, wait five minutes, but still have anginal pain?" which of the following response should the nurse make?

"call the emergency response team"

a nurse is reviewing the current med 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 meds?

Acetaminophen

A nurse is collecting data from a client who has chronic neutropenia and who has been receiving filgastim. 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 preparing to administer filgastim 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 monitoring a client who is receiving epoetin alfa for adverse effects. Which of the following are adverse effects to this medication?

Hypertension Blurred vision

a nurse is preparing to administer a prefilled syringe of enoxoparin 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

A nurse is caring for a client who has atrial fibrillation and has a new prescription for dabigatran to prevent development of thrombosis. Which of the following medications is the provider likely to prescribe concurrently to treat an adverse effect of dabigatran?

Omeprazole

a nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instruction should the nurse include?

contact the provider for heart rate less than 60/min

a nurse in an acute care facility is caring for a client who is receiving IV Nitroprusside for hypertension 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?

digoxin simvastatin verapamil

a nurse is assisting with the care of a client who has increased intracranial pressure and is for Mannitol. which of the following findings should the nurse report to the provider?

dyspnea

a nurse is reinforcing teaching with a client who has a 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 diplopia

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

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 meds should the nurse expect the RN to administer?

Protamine

A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following lab values should the nurse monitor to determine the effectiveness of this med?

Platelet count

a nurse is collecting data from a client who has severe heart failure and is receiving a low dose of dopamine infusion. Which of the following findings is an adverse effects of dopamine?

angina

a nurse is reviewing the health record of a client who has asked about taking Propranolol to treat hypertension. Which of the following is a contraindication for taking propranolol?

asthma

a nurse is planning to administer a first 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 take you which of the following medications?

hydrochlorothiazide clonidine aliskiren

a nurse is contributing to the plan of care for a client who is on a new prescription for torsemide. the nurse is suggest monitoring for which of the following as adverse effects of this medication? Select all that apply

hypokalemia hypotension ototoxicity dehydration

a nurse is reinforcing teaching with a client who has a new prescription for Verapamil to control hypertension. Which of the following instruction should the nurse include?

increase the amount of dietary fiber in the diet

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

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