Med surge med questions

Amlodipine is prescribed for hypertension which response to the medication should the nurse instruct the client to report to the health care provider

Difficulty breathing , dyspnea may indicate development of pulmonary edema which is life threatening

What specifically should the nurse monitor when a client is receiving a platelet aggregation inhibitor such as clopidogrel

Epistaxis

Atenolol by mouth is prescribed for a client with hypertension each tablet contains 50 milligrams dose ordered is a hundred and 50 milligrams how many tablets should be administered

3

A client is in cardiogenic shock what explanation of cardiogenic shock should the nurse include corresponding to a family member about the condition

A failure of the circulatory pump shock may have different ideologies but always involves a drop in blood pressure and failure of the peripheral circulation because of sympathetic nervous system involvement in cardiogenic shock the failure of peripheral circulation is caused by the ineffective pump action of the heart

A client with left ventricular heart failure is taking digoxin what changes does the nurse expect to find if this medication is therapeutically effective? Sata: A. diuresis B. Tachycardia C. Decreases edema D. Decreases pulse rate E. Reduced heart murmur F. Jvd

A, C, D

A client being treated for hypertension reports having a persistent hacking cough what class of antihypertensive should the nurse identify as a possible cause of this response when reviewing the list of medications the client takes?

Ace Inhibitors, angiotensin converting enzyme increases the sensitivity of the cough reflex leading to the common adverse effect sometimes referred to as an ACE Cough.

What is the therapeutic effect of valsartan

Angiotensin 2 receptor blockers lower the blood pressure they block the receptor sites in smooth muscle and adrenal glands so vasoconstriction is prevented

Which instructions should the nurse include in the teaching plan for a client who will be taking simvastatin when discharged

Avoid prolonged exposure to the Sun, increase photosensitivity. schedule regular ophthalmic examinations, due to glaucoma and cataract. contact your health-care provider if skin becomes gray bronze may cause rhabdomyolyosis, life threatening disintegration of muscles.

What instructions about the use of nitro glycerine should the nurse provide to a client with angina

Before physical activity place one tablet under the tongue and repeat the dose in 5 minutes if pain occurs

What client response indicates to the nurse that a vasodilatador medication is effective

Blood pressure changes from 150/90 to 126 / 72 vasodilation lowers blood pressure

Which instructions should the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine?

Causes constipation increase your intake of fiber and fluids.

Unearth identifies signs of electrolyte depletion in a client with heart failure who is receiving bumetanide and digoxin what does the nurse determine is the cause of the depletion

Diuretic therapy that affects the loop of Henle generally involve the use of drugs such as bumetanide that directly or indirectly increases urinary sodium chloride and potassium excretion

The client is receiving warfarin which test results should the nurse used to determine if the daily dose of this anti coagulant is therapeutic

INR