Exam 3 practice questions

Amlodipine is prescribed for a client w/ HTN. Which response to the med will the nurse instruct the client to report to the HCP? a. blurred vision b. dizziness on rising c. difficulty breathing d. excessive urination

c. difficulty breathing

Which foods will the nurse discuss when teaching a client who has a new prescription for warfarin? a. dairy products b. high-fiber fruits c. green leafy vegetables d. whole-grain breads and cereals

c. green leafy vegetables

A child w/ iron-deficiency anemia is prescribed oral iron therapy. Anticipatory guidance regarding which side effect would the nurse provide? a. bloody stool b. orange urine c. greenish-black stool d. staining of the mouth

c. greenish-black stool

A client w/ SVT has a heart rate of 170 beats/min. After treatment w/ diltiazem, which assessment indicates to the nurse that the diltiazem is effective? a. increased urine output b. bp of 90/60mmHg c. heart rate of 98 beats/min d. no longer complaining of heart palpitations

c. heart rate of 98 beats/min

A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved? a. resolution of HF b. decreased anginal episodes c. conversion of atrial fibrillation d. deceased bp

a. resolution of HF

Which assessment finding would indicate the need for atenolol in a client diagnosed w/ hyperthyroidism? (SATA) a. tachycardia b. atrial fibrillation c. distant heart sounds d. systolic hypertension e. decreased cardiac output

a. tachycardia b. atrial fibrillation d. systolic hypertension

A client w/ hypertensive heart disease who had an cute episode of HF is to be discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate when metoprolol is administered w/ digoxin? a. headaches b. bradycardia c. hypertension d. junctional tachycardia

b. bradycardia

Metoprolol is prescribed for a client w/ HTN. The nurse monitors the client for which adverse effect? a. hirsutism b. bradycardia c. restlessness d. angina

b. bradycardia

A child being treated w/ cardiac meds developed vomiting, bradycardia, anorexia, and dysrhythmias. The nurse understands which med toxicity is responsible for these symptoms? a. digoxin b. nesiritide c. dobutamine d. spironolactone

a. digoxin

A client w/ rheumatoid arthritis is to begin taking ibuprofen 800mg by mouth three times a day. The nurse provides education about the med's side effects. The nurse concludes that the teaching was effective when the client makes which statements? SATA a. "I need to report any dark tarry stools" b. "I will need to stop taking this med before any scheduled surgery" c. "I should change positions slowly" d. "I will take the med on an empty stomach" e. "I need to stop taking low-dose aspirin while I take this med"

a. "I need to report any dark tarry stools" b. "I will need to stop taking this med before any scheduled surgery"

The client w/ pernicious anemia is prescribed cyanocobalamin (vitamin b12). Which client statement demonstrates an understanding of this treatment? a. "I should have a vitamin b12 injection every month" b. "I'll take vitamin b12 supplements every morning w/ my breakfast" c. "I'll eat a diet high in green vegetables" d. "I will increase my intake of processed foods fortified w/ vitamin b12"

a. "I should have a vitamin B12 injection every month"

When a client w/ a VT is receiving warfarin, which test result would the nurse use to determine whether the daily dose of warfarin is therapeutic? a. INR (International Normalized Ratio) b. aPTT (accelerated partial thromboplastin time) c. bleeding time d. sedimentation

a. INR

An adolescent w/ a hx of asthma is brought to the ED in respiratory distress. The PHCP admits the adolescent. Which is the priority prescription to implement upon the arrival to the unit? a. administering the nebulizer treatment to facilitate breathing b. obtaining a blood specimen to send to the lab for tests c. notifying the respiratory therapist to perform chest physiotherapy d. sending a requisition to central supply for an incentive spirometer

a. administering the nebulizer treatment to facilitate breathing

A client's cardiac monitor indicates multiple multifocal premature ventricular complexes (PVCs). Which med is indicated for treatment of ventricular dysrhythmias? a. amiodarone b. epinephrine c. methyldopa d. hydrochlorothiazide

a. amiodarone

Which assessment will the nurse conduct before administering digoxin to a client? a. apical heart rate b. radial pulse c. difference between carotid and radial pulse d. difference between apical and radial pulse

a. apical heart rate

A client is admitted to the ED w/ crushing chest pain. A diagnosis of acute coronary syndrome is suspected. Which med is indicated to prevent progression to a MI? a. aspirin b. atropine c. gabapentin d. epinephrine

a. aspirin

Atenolol is prescribed for a client w/ moderate HTN. Which information would the nurse include when teaching the client about this med? SATA a. change to standing positions slowly b. take the med before going to bed c. count the pulse before taking the med d. mild weakness and fatigue are common side effects e. it is safe to take otc meds

a. change to standing positions slowly c. count the pulse before taking the med d. mild weakness and fatigue are common side effects

A client w/ HTN has received a prescription for metoprolol. Which information will the nurse include when teaching this client about metoprolol? a. do not abruptly discontinue the med b. consume alcoholic beverages in moderation c. report a heart rate of less than 70 beats per minute d. increase the med dosage if chest pain occurs

a. do not abruptly discontinue the med

Which action describes a therapeutic effect of atenolol? a. heart rate decreases b. cardiac output increases c. bronchospasm is relieved d. pulse oximetry improves

a. heart rate decreases

Which action describes a therapeutic effect of atenolol? a. heart rate decreases b. cardiac output increases c. bronchospasm is relieved d. pulse oximetry improves

a. heart rate decreases

Which client statement indicates understanding of the side effects of nitroglycerin ointment? a. i may experience a headache b. confusion is a common adverse effect c. a slow pulse rate in an expected side effect d. increased bp readings may occur initially

a. i may experience a headache

A client who is being treated for pruritus complains of sedation. Which med would the nurse anticipate being prescribed by the PHCP to treat this side effect? a. loratadine b. hydroxyzine c. diphenhydramine d. triamcinolone acetonide

a. loratadine

Which assessment finding would the nurse identify as an adverse effect of a client's lidocaine infusion? a. tremors b. tachypnea c. tachycardia d. HTN

a. tremors

A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? SATA a. tremors b. lethargy c. palpitations d. bronchoconstriction e. decreased pulse rate

a. tremors c. palpitations

Which instructions regarding the use of fluticasone nasal spray are appropriate for client teaching? SATA a. use the med on a regular basis, not PRN b. clear the nasal passages before using the med c. discontinue use of the med is nasal infection develops d. remember that driving may be dangerous bc of the med's sedative effect e. begin taking the med 2 weeks before pollen season starts, and use it throughout the season

a. use the med on a regular basis, not PRN b. clear the nasal passages before using the med c. discontinue use of the med is nasal infection develops

The nurse instructs a client who had an endarterectomy on the administration of clopidogrel. The nurse concludes that teaching was effective when the client makes which statement? a. "clopidogrel will limit inflammation around my incision" b. "taking this med will help prevent further clogging of my arteries" c. "the med will lower the slight fever i have had since surgery" d. "i will take this med to reduce the discomfort I feel at the surgical incision"

b. "taking this med will help prevent further clogging of my arteries"

The HCP prescribes enalapril maleate. Which instruction will the nurse include when educating the client about the new medication? a. "take the med w/ orange juice" b. "when standing up, change positions slowly" c. "check your pulse before taking the med" d. "weekly basic metabolic panels need to be drawn"

b. "when standing up, change positions slowly"

Which OTC med would the nurse teach a client taking antihypertensive medication to avoid? a. omeprazole b. acetaminophen c. docusate sodium d. pseudoephedrine

d. pseudoephedrine

The HCP prescribes isosorbide dinitrate 10mg for a client w/ chronic angina pectoris. The client asks the nurse why the isosorbide dinitrate is prescribed. How will the nurse respond? a. "it prevents excessive blood clotting" b. "it suppresses irritability in the ventricles" c. "it decreases cardiac oxygen demand" d. "the inotropic action increases the force of contraction of the heart"

c. "it decreases cardiac oxygen demand"

When a client is seen in the ED w/ sudden onset severe dyspnea, coughing, and wheezes, which prescribed treatment would the nurse administer first? a. inhaled corticosteroids b. normal saline infusion c. albuterol per nebulizer d. IV methylprednisolone

c. albuterol per nebulizer

A client who has a MI has runs of ventricular tachycardia. Which med will the nurse prepare to administer? a. digoxin b. furosemide c. amiodarone d. norepinephrine

c. amiodarone

The nurse is preparing to discharge a client who presented to the ER for an acute asthma attack. The nurse notes that upon discharge the HCP has prescribed theophylline 300mg PO to be taken daily at 9:00 AM. The nurse will teach the client to take the med on which schedule? a. one hour before or 2 hours after eating b. at bedtime c. at the specific time prescribed d. daily until symptoms are gone

c. at the specific time prescribed

Which instructions about the use of nitroglycerin to prevent angina will the nurse to provide to a client? a. at the point when pain first occurs, place two tablets under the tongue b. place one tablet under the tongue before activity, and swallow another if pain occurs c. before physical activity, place one tablet under the tongue, and repeat the dose in 5 min if pain occurs d. place one tablet under the tongue when pain occurs and use an additional tablet after the attack to prevent recurrence

c. before physical activity, place one tablet under the tongue, and repeat the dose in 5 min if pain occurs

When the INR for a client receiving warfarin for venous thrombosis is 4.6, which action will the nurse take? a. administer the scheduled dose of warfarin b. offer the client foods that are high in vitamin K c. notify the HCP of the lab results d. warn the client about risk for spontaneous hemorrhage

c. notify the HCP of the lab results

A client who had a femoropopliteal bypass graft is receiving clopidogrel post-op. Which instruction will the nurse teach the client related to the med? a. eliminate starches and red meats from the diet b. eat more roughage if constipation occurs c. report any occurrence of multiple bruises d. take the med on an empty stomach

c. report any occurrence of multiple bruises

Which action would the nurse perform when administering fluticasone propionate to a client w/ asthma? SATA a. assessing heart rate and rhythm b. monitoring liver function blood tests c. rinsing the oral cavity w/ water after use d. obtaining bg levels before meals e. giving stool softeners to prevent constipation

c. rinsing the oral cavity w/ water after use

The nurse is providing discharge med teaching to a client who will be taking furosemide and digoxin after discharge from the hospital. Which information is important for the nurse to include in the teaching plan? a. maintenance of a low-potassium diet b. avoidance of foods high in cholesterol c. s/s of digoxin toxicity d. importance of monitoring output

c. s/s of digoxin toxicity

Sublingual nitroglycerin is prescribed for a client w/ a hx of a MI and atrial tachycardia. The nurse instructs the client about the prophylactic use of these tablets. Which statement by the client indicates the teaching was effective? a. "i should take the med three times a day" b. "i will be sure to take my pulse after i have exercised" c. "it will be important to avoid activities that can cause angina" d. "i should take one tablet before attempting activity that has caused angina"

d. "i should take one tablet before attempting activity that has caused angina"

A client taking multiple meds for HTN develops a persistent, hacking cough. Which antihypertensive med class would the nurse identify as the likely cause of the cough? a. thiazide diuretics b. calcium channel blockers c. direct renin inhibitors d. ACE inhibitors (angiotensin-converting enzyme)

d. ACE inhibitors

A client is admitted to the hospital w/ a diagnosis of deep vein thrombosis, and IV heparin sodium is prescribed. If the client experiences excessive bleeding, which med will the nurse be prepared to administer? a. phytonadione (vitamin K) b. oprelvekin c. warfarin sodium d. protamine sulfate

d. protamine sulfate

Warfarin is prescribed for a client who has been receiving IV heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both meds are needed at the same time. Which rationale would the nurse include to address the client's concern? a. this permits the administration of smaller doses of each med b. giving both meds allows clot dissolution while preventing new clot formation c. heparin provides anticoagulant effects until warfarin reaches therapeutic levels d. administration of heparin w/ warfarin provides immediate and maximum protection against clot formation

c. heparin provides anticoagulant effects until warfarin reaches therapeutic levels

Which advice will the nurse include when teaching a client about digoxin for left ventricular failure? a. sleep flat in bed b. follow a low-potassium diet c. take the pulse three times a day d. report increasing fatigue

d. report increasing fatigue

A client reports nasal discharge, sneezing, lacrimation, and itching all over the body. During an assessment, the client reports exposure to dust and molds. The nurse observes swelling and a pink color at the itching site. Which class of meds would the nurse anticipate administering to treat this client's condition? a. meds containing antihistamines b. antipruritic meds c. mast cell-stabilizing meds d. leukotriene receptor antagonists

a. meds containing antihistamines

Digoxin is prescribed for a client w/ HF. The nurse will assess for which s/s that indicate digoxin toxicity? SATA a. nausea b. yellow vison c. irregular pulse d. increased urine output e. heart rate of 64 beats/min

a. nausea b. yellow vision c. irregular pulse

Sublingual nitroglycerin has been prescribed for a client w/ unstable angina. Which client response indicates that nitroglycerin is effective? a. pain subsides as a result of arteriole and venous dilation b. pulse rate increases bc the cardiac output has been stimulated c. sublingual area tingles bc sensory nerves are being triggered d. capacity for activity improves as a response to increased collateral circulation

a. pain subsides as a result of arteriole and venous dilation

A client who has T1D and chronic bronchitis is prescribed atenolol for the management of angina pectoris. Which clinical manifestation will alert the nurse to the fact that the client may be developing a life-threatening response to the med? a. paroxysmal nocturnal dyspnea b. SVT c. malignant htn d. hyperglycemia

a. paroxysmal nocturnal dyspnea

A client is taking warfarin. If an antidote is needed, which agent will be used? a. phytonadione (vitamin K) b. fibrinogen c. prothrombin d. protamine sulfate

a. phytonadione (vitamin K)

A HCP prescribes enoxaparin 30mg SQ daily. Which measure would the nurse take when administering this med? a. push over 2 min b. administer in the abdomen c. massage site after administration d. remove air pocket from prepackaged syringe before administration

b. administer in the abdomen

A client w/ arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity? a. feelings of drowsiness b. disturbances in hearing c. intermittent constipation d. metallic taste in the mouth

b. disturbances in hearing

A client who is receiving atenolol for HTN frequently reports feeling dizzy. Which effect of atenolol is responsible for this response? a. depleting acetylcholine b. stimulating histamine release c. blocking the adrenergic response d. decreasing adrenal release of epinephrine

c. blocking the adrenergic response