Hesi EAQs

How would the nurse determine if a client is experiencing the therapeutic effect of valsartan? A.) Check a lipid profile B.) Assess an apical C.) Measure urinary output D.) Check the blood pressure

Check the blood pressure.

Which technique will the nurse employ to prevent excessive bruising when administering subcutaneous heparin? A.) Administer the injection via the Z-track technique B.) Avoid massaging the injection site after the injection C.) Use 2 mL of sterile normal saline to dilute the heprain D.) Inject the medication into the vastuc lateralis muscle in the thigh

Avoid massaging the injection site after the injection.

Which of the prescribed medications would be withheld and the health care provider notified for a client who reports nausea and loss of of appetite one week after being hospitalized for an acute myocardial infarction? A.) Digoxin B.) Propranolol C.) Furosemide D.) Spironolactone

Digoxin.

Which adverse effect of valsartan, an angiotensin II receptor antagonist, will a nurse monitor for when prescribed for a client? A.) Constipation B.) Hyperkalemia C.) Hypertension D.) Change in visual acuity

Hyperkalemia.

Which action will the nurse take when it is time administer vancomycin to a client with a continuous intravenous (IV) heparin drip? A.) Stop the heparin, flush the line with normal saline, and administer the vancomycin B.) Administer the vancomycin into the heparin line using an IV piggyback set C.) Start a second IV line for the vancomycin and continue teh heparin as prescribed D.) Hold the vancomycin and tell the health care provider that the medication is incompatible with heparin

Start a second IV line for the vancomycin and continue teh heparin as prescribed.

Which instruction would the nurse include when teaching about hydrochlorothiazide given to a client diagnosed with a transient ischemic attack (TIA) related to hypertension? A.) "Resume regular eating habits." B.) "Drink a protein supplement daily." C.) "Avoid eating foods high in insoluble fiber." D.) "Increase the intake of potassium rich foods."

"Increase the intake of potassium rich foods."

Which instruction will the nurse include when educating the client about enalapril maleate? A.) "Take the medication with orange juice." B.) "When standing up, change position slowly." C.) "Check your pulse before taking the medication." D.) "Weekly basic metabolic panels need to be drawn."

"When standing up, change position slowly."

Which effect of atenolol is responsible for frequent dizziness in a client with hypertension? A.) Depleting Acetylcholine B.) Stimulating Histamine Release C.) Blocking the adrenergic response D.) Decreasing adrenal release of epinephrine

Blocking the adrenergic response.

Which symptom would the nurse include when teaching a client with arthritis who takes large doses of aspirin about the clinical manifestations of aspirin toxicity? A.) Feelings of drownsiness B.) Disturbances in hearing C.) Intermittent constipation D.) Metallic taste in the mouth

Disturbances in hearing.

Which adverse effect would a nurse monitor for in a client taking clopidogrel? A.) Nausea B.) Epistaxis C.) Chest pain D.) Elevated temperature

Epistaxis.

Which diuretic would the nurse anticipate administering to a client admitted with acute pulmonary edema? A.) Furosemide B.) Chlorothiazide C.) Spironolactone D.) Acetazolamide

Furosemide.

Which symptom in a client receiving hydrochlorothiazide would cause a nurse to notify the health care provider? A.) Insomnia B.) Nasal Congestion C.) Increased thirst D.) Generalized weakness

Generalized weakness.

Which food would the nurse instruct a client diltiazem to avoid? A.) Alcohol B.) Grapefruit Juice C.) Cheddar Cheese D.) Summer Sausage

Grapefruit Juice.

Which action describes a therapeutic effect of atenolol? A.) Heart rate decreases B.) Blood pressure increases C.) Bronchospasm is relieved D.) Pulse oximetry improves

Heart rate decreases .

Which adverse medication effect will a nurse monitor for in a client with cirrhosis of the liver who develops ascites and is prescribed spironolactone? A.) Bruising B.) Tachycardia C.) Hyperkalemia D.) Hypoglycemia

Hyperkalemia.

Which mechanism of action explains how hydrochlorothiazide increases output? A.) Increases the excretion of sodium B.) Increases the glomerular filtration rate C.) Decreases the reabsorption of potassium D.) Increases renal perfusion

Increases the excretion of sodium.

Which clinical indicator would be related to a client receiving aspirin therapy? A.) Urinary Calculi B.) Atrophy of the liver C.) Prolonged bleeding time D.) Premature erythrocyte destruction

Prolonged bleeding time.

Which outcome would the nurse use to determine the effectiveness of sublingual nitroglycerin? A.) Relief of anginal pain B.) Improved cardiac output C.) Decreased blood pressure D.) Ease in respiratory effort

Relief of anginal pain.

Which instruction will the nurse teach the client who had a femoropoliteal bypass graft and is receiving clopidogrel postoperatively? 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 medication on an empty stomach

Report any occurrence of multiple bruises.

Which subjective clinical manifestation in a client would lead the nurse to suspect that Furosemide is infusing too rapidly? Select All That Apply. A.) Hunger B.) Tinnitus C.) Weakness D.) Leg Cramps E.) Excess Salivation

Tinnitus Weakness Leg Cramps

Which client statement indicates that the teaching about Furosemide is understood? Select All That Apply. A,) "It may take 2 or 3 days for this medication to take effect." B.) "I should wear dark glasses when outdoors during the day." C.) "I should avoid lying flat in bed." D.) "I need to change my position slowly." E.) "I should eat more food that is high in potassium."

"I need to change my position slowly." "I should eat more food that is high in potassium."

Within which period of time would a nurse advise the client to anticipate pain relief will begin when nitroglycerin sublingual tablets are prescribed for a client with diagnosis of angina? A.) 1 to 3 minutes B.) 4 to 5 seconds C.) 30 to 45 seconds D.) 10 to 15 minutes

1 to 3 minutes.

Which potential side effect will the nurse mention when instructing the client with angina who is prescribed atenolol? A.) Headache B.) Tachycardia C.) Constipation D.) Hypotension

Hypotension.

Which nursing action is important when a health care provider prescribes enalapril for a client? A.) Assess the client for hypokalemia B.) Monitor for adverse effects on renal function C.) Monitor the client's BP during therapy D.) Assess the client for hypokalemia

Monitor the client's BP during therapy.

Which important nursing action would be taken after a health care provider prescribes losartan for a client? A.) Assess the client for hypokalemia. B.) Administer the medication with food. C.) Monitor the client's blood pressure. D.) Monitor serum glucose levels.

Monitor the client's blood pressure.