Nursing fundamentals

A nurse is admitting a client who has atrial fibrillation with a heart rate of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications?

Diltiazem

A nurse is preparing to administer verapamil 5.5 mg via IV bolus to a client who has hypertension. The amount available is verapamil 2.5 mg/1 mL. How many mL should the nurse administer?

2.2ml

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first?

Check the client's apical pulse

A nurse is completing an assessment for a client who has a history of unstable angina. Which of the following findings should the nurse expect?

Chest pain lasts for longer than 15 minutes

A nurse is caring for a client who has hyperlipidemia and is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room?

Grapefruit Juice

A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medications?

Nitroglycerin

A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer?

Nitroglycerin

A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity?

Visual disturbances

A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication?

Hypotension

An RN is preparing assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to a LPN?

Performing tracheostomy suctioning for a client who is stable

A nurse is caring for a client who is receiving lidocaine for localized pain. The nurse should recognize that which of the following actions will help prevent systemic toxicity of this medication?

Apply the medication to intact skin

A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, " What should this medication do?" Which of the following responses should the nurse make?

"It can reduce your risk of having a stroke"

A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during the administration of adenosine?

Dyspnea

A nurse is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?

I can place the patch on any area of my body w/o hair

A nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "My brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" Which of the following responses should the nurse make?

Verapamil is used to treat both high blood pressure and angina

A nurse in the ED is assessing an infant who recently started taking digoxin to treat SV arrhythmia. Which of the following findings should the nurse identify as an indication of digoxin toxicity?

Vomiting

A nurse is reviewing the morning lab results of an infant who is receiving digoxin and furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider?

Potassium 3.2 mEq/L

A nurse is providing teaching to a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching?

Pravastatin can be taken with grapefruit juice

A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take?

Apply the ointment using a dose-measuring applicator

A nurse is teaching a client who is using topical lidocaine about preventing systemic toxicity. Which of the following pieces of information should the nurse include about the application of topical lidocaine?

Apply topical lidocaine to affected areas that are intact

A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of following actions should the nurse take first?

Assess the clients apical pulse

A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of this medication?

Current use of isosorbide to treat heart rate

A nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions?

Delay systemic absorption of the anesthetic properties of lidocaine

A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure?

Diltiazem

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation?

Diltiazem

A nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through a transdermal patch. Which of the following client statements indicates an understanding of the teaching?

I need to rotate the location of my patch every few days

A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?

I will eat fruits and vegetables that have a high potassium content every day

A nurse is assessing a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately?

My legs feel weak and achy

A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. What sequence of instructions should the nurse tell the client to use if he experiences chest pain?

Stop activity; place tab under tongue; wait 5 minutes; call 911 if pain isn't relieved

A nurse is providing teaching to the parent of an infant who has heart failure and a new prescription for digoxin elixir. Which of the following pieces of information should the nurse include?

Withhold the medication if the infants heart rate is less than 110/min

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching?

Hypotension is an adverse effect of spinal anesthesia

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contrainidication to the client receiving this medication?

Heart Rate 51/min

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem?

Hypotension