pharm 2

A nurse is caring for a client who is taking lisinopril (Zestril). Which of the following outcomes should the nurse anticipate 1. Decreased blood pressure 2. Diarrhea 3. Chest pain 4. Impotence

1. Decreased blood pressure

A nurse is preparing to administer atenolol (Tenormin) to a client. Which of the following should prompt the nurse to withhold the medication? 1. Heart rate 56/min 2. Oxygen saturation 90% 3. Respiratory rate 18/min 4. Blood pressure 160/94 mm Hg

1. Heart rate 56/min

A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following manifestations should suggest to the nurse that the client may have taken an overdose of levothyroxine? 1. Insomnia 2. Constipation 3. Drowsiness 4. Hypoactive deep-tendon reflexes

1. Insomnia

A nurse is assessing an older adult client who is receiving digoxin(Lanoxin). To evaluate the client for digoxin toxicity, the nurse should check for which of the following manifestations? 1.Anorexia 2.Ataxia 3.Photosensitivity 4.Jaundice

1.Anorexia

A nurse receives a new prescription from the provider which reads "give 14 units of regular insulin and 28 units of long-acting insulin to be given subcutaneously at the breakfast hour." What is the total number of units of insulin that the nurse will prepare in the insulin syringe? 1. 14 units 2. 28 units 3. 32 units 4. 42 units

4. 42 units

A nurse is to administer subcutaneous short-acting insulin combinedwith long acting insulin to the client before he eats breakfast at 8:00 AM. Which of the following should the nurse do? 1.Give the insulin at 7:00 2.Give the insulin when the breakfast tray arrives. 3.Give the insulin one half hour after breakfast with other routine medicines. 4.Give the insulin at 7:30 AM after checking the blood glucose level results.

4.Give the insulin at 7:30 AM after checking the blood glucose level results.

1. A nursing is planning care for a client who is receiving furosemide iV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) A. Assess for tinnitus. B. Report urine output 50 mL/hr. C. Monitor blood potassium levels. D. Elevate the head of bed slowly before ambulation. E. Recommend eating a banana daily.

A. Assess for tinnitus. C. Monitor blood potassium levels. D. Elevate the head of bed slowly before ambulation. E. Recommend eating a banana daily.

A nurse is reviewing the health record of a client who asks about using propranol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? A. Asthma B. Glaucoma C. Hypertension D. Tachycardia

A. Asthma

1. A nurse is caring for a client who is taking propylthiouracil. Which of the following findings should the nurse monitor for as an adverse effect of this medication? A. Bradycardia B. Insomnia C. Heat intolerance D. Weight loss

A. Bradycardia

4. A nurse is providing teaching for a client who has a new prescription for metformin. Which of the following findings should the nurse instruct the client to report as an adverse effect of metformin? A. Somnolence B. Constipation C. Fluid retention D. Weight gain

A. Somnolence

4. A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication? (Select all that apply.) A. Hypertension B. Widened QRS complex C. Narrowed QT interval D. Easy bruising E. Swollen joints

B. Widened QRS complex D. Easy bruising E. Swollen joints

4. A nurse is completing a nursing history for a client who takes simvastatin. The nurse should identify which of the following disorders as a contraindication to adding ezetimibe to the client's medications? A. History of severe constipation B. History of hypertension C. Active hepatitis C D. Type 2 diabetes mellitus

C. Active hepatitis C

4. A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? A. Furosemide B. Captopril C. Ranolazine D. Metoprolol

D. Metoprolol

3. A nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. Which of the following dosage schedules should the nurse expect for this client? A. The client will start at a high dosage, and the amount will be tapered as needed. B. The client will remain on the initial dosage during the course of treatment. C. The client's dosage will be adjusted daily based on blood levels. D. The client will start on a low dosage, which can be gradually increased.

D. The client will start on a low dosage, which can be gradually increased.

A nurse is caring for a client who was admitted to the hospital with congestive heart failure (CHF) and is taking digoxin (Lanoxin) 0.25 mg daily. The client refused breakfast and is complaining of nausea and generalized weakness. Which of the following actions should the nurse perform first? 1. Check the client's vital signs. 2. Request a dietitian consult. 3. Suggest that the client rests before eating the meal. 4. Request an order for an antiemetic.

1. Check the client's vital signs.

A nurse is talking with a client who is about to start taking captopril(Capoten) to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects? 1. Do not use salt substitutes while taking this medication. 2. Eat a meal before taking the medication. 3. Count your pulse rate before taking the medication. 4. Expect to gain weight while taking this medication.

1. Do not use salt substitutes while taking this medication.

A client who is taking digoxin (Lanoxin) develops ECG changes and other indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer? 1. Fab antibody fragments (Digibind) 2. Flumazenil (Mazicon) 3. Acetylcysteine (Mucomyst) 4. Naloxone (Narcan)

1. Fab antibody fragments (Digibind)

A nurse is reviewing the following vital signs: heart rate 86/min, blood pressure 80/40 mm Hg, respirations 28/min with stridor, and temperature 101.5o F (38.6o C). Which of the following actions should the nurse take next? 1. Hold captopril (Capoten) 2. Hold albuterol (Proventil). 3. Administer furosemide (Lasix). 4. Administer erythromycin (Erythrocin).

1. Hold captopril (Capoten)

A nurse is caring for a client in liver failure with ascites who is receiving spironolactone (Aldactone) which of the followingoutcomes should the nurse expect from the client's medication therapy? 1. Increased sodium excretion 2. decrease urinary output 3. Increased potassium excretion 4. Decrease chloride excretion

1. Increased sodium excretion

A nurse is reinforcing teaching to a client who is to start therapy with Regular insulin (Humuin R) and NPH insulin (Humulin N). Which of the following should the nurse include in the teaching? 1. Keep the open vial of insulin at room temperature. 2. Inject the insulin into a large muscle. 3. Aspirate the medication prior to administration. 4. Administer the insulin in two separate injections.

1. Keep the open vial of insulin at room temperature.

A nurse is caring for a client who receives furosemide (Lasix) to treat heart failure. Which of the following laboratory values should the nurse be sure to monitor specifically for this client? 1. Potassium 2. Albumin 3. Chloride 4. Bicarbonate

1. Potassium

A nurse is caring for a 2-year-old child who is receiving phenytoin (Dilantin) in suspension form. Which of the following actions should the nurse take before administering each dose? 1. Shake the container vigorously. 2. Be sure the child has not eaten within the hour. 3. Perform mouth care. 4. Check the child's blood pressure.

1. Shake the container vigorously.

A client who has left ventricular failure and a high pulmonary capillary wedge pressure (PCWP) is receiving dopamine IV to improve ventricular function. Which of the following changes indicates to the nurse that the medication is having a therapeutic effect? 1. Systolic blood pressure increases. 2. QRS width increases. 3. Apical heart rate increases 4. PCWP increases.

1. Systolic blood pressure increases.

A client who has left ventricular failure and a high pulmonary capillary wedge pressure (PCWP) is receiving dopamine IV to improve ventricular function. Which of the following changes indicates to the nurse that the medication is having a therapeutic effect? 1. Systolic blood pressure increases. 2. QRS width increases. 3. Apical heart rate increases. 4. PCWP increases.

1. Systolic blood pressure increases.

A nurse in a clinic is performing a routine examination for a client. The client has a blood pressure of 170/104 mm Hg, and the provider prescribes propranolol (Inderal). The nurse should question the prescription after noting in the client's medical record a history of 1. asthma. 2. glaucoma. 3. depression. 4. migraines.

1. asthma.

A nurse is reinforcing teaching with a client who is taking atorvastatin (Lipitor) daily. Which of the following statements by the client indicates understanding? 1."I will avoid drinking grapefruit juice." 2. "I must take this medication without food." 3."It is best if I take this medication in the morning." 4. "It is not necessary to have any routine lab tests done."

1."I will avoid drinking grapefruit juice."

A nurse is caring for a client who is newly diagnosed with diabetes mellitus and is prescribed glipizide (Glucotrol). When instructing the client about this medication, the nurse should describe its method of action with which of the following statements? 1. "Glucotrol absorbs the excess carbohydrates in your system." 2. "Glucotrol stimulates your pancreas to release adequate insulin." 3. "Glucotrol replaces insulin that is not being produced by your pancreas." 4. "Glucotrol prevents your liver from destroying your insulin."

2. "Glucotrol stimulates your pancreas to release adequate insulin."

A nurse is reinforcing teaching with a client whose medication was changed from metoprolol (Lopressor) to metoprolol/hydrochlorothiazide (Lopressor HCT). Which of the following statements by the client indicates understanding of the teaching? 1. "Now I will not have to diet to lose weight." 2. "With the new medication, I should experience fewer side effects." 3. "I will not have to do anything different because it is the same medication." 4. "The extra letters after the name of medication means it is a stronger dose."

2. "With the new medication, I should experience fewer side effects."

A nurse is preparing to administer an IV injection of phenytoin (Dilantin) to a client. Which of the following nursing actions is appropriate? 1. Administer the drug rapidly. 2. Administer a saline solution after injection. 3. Hold the injection if seizure activity is present. 4. Dilute the medication with dextrose 5% in water.

2. Administer a saline solution after injection.

A nurse is talking with a client who is about to start using transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. Which of the following is an appropriate instruction for this medication therapy? 1. Apply a new transdermal patch once a week. 2. Apply the transdermal patch in the morning. 3. Apply the transdermal patch below the level of the waist. 4. Wait 24 hr to apply a new patch if the applied patch falls off.

2. Apply the transdermal patch in the morning.

Obtain a capillary glucose level with a glucometer.150. A nurse is caring for a client who has supraventricular tachycardia. In addition to an electrocardiogram, which of the following assessment parameters should the nurse monitor closely during IV administration of verapamil (Calan)? 1. Respiratory rate 2. Blood pressure 3. Urine output 4. Level of consciousness

2. Blood pressure

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide (Lasix). Which of the following instructions should the nurse include? 1. Take aspirin if headaches develop. 2. Eat foods that contain plenty of potassium. 3. Expect some swelling in the hands and feet. 4. Take the medication at bedtime.

2. Eat foods that contain plenty of potassium.

A nurse is preparing to administer lisinopril (Prinivil). Which of the following findings should be reported to the provider immediately? 1. Rash and impaired sense of taste 2. Swelling of the tongue and oral pharynx 3. Decreased blood pressure and pulse rate 4. Low urine output and white blood cell count

2. Swelling of the tongue and oral pharynx

A client who has angina pectoris is experiencing chest pain and has taken three nitroglycerin tablets sublingually. The client reports relief from the chest pain but now reports a headache. The nurse should explain to the client that this symptom 1. could mean an allergy to the medication. 2. is an expected side effect of the medication 3. indicates tolerance to the medication. 4. is probably a result of anxiety about the chest pain.

2. is an expected side effect of the medication

A nurse is caring for a client who takes levothyroxine (Synthroid) 88mcg/day PO, furosemide (Lasix) 100 mg/day PO, acyclovir (Zovirax) 200 mg PO BID, and cimetidine (Tagamet) 300 mg PO QID. Which one of the following medications poses the highest risk for life-threatening adverse effects? 1.Levothyroxine 2.Furosemide 3.Acyclovir 4.Cimetidine

2.Furosemide

A nurse is caring for a client with diabetes mellitus who receives 25 unitsof NPH insulin every morning if her blood glucose level is above 200 mg/dL.The nurse monitors this client for hypoglycemia because NPH insulin peaks how long after administration? 1. 30 min to 1 hr 2. 2 to 3 hr 3. 4 to 12 hr 4. 18 to 24 hr

3. 4 to 12 hr

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. Which of the following scheduled medications should the nurse plan to administer? 1. Lisinopril (Zestril) 2. Digoxin (Lanoxin) 3. Furosemide (Lasix) 4. Potassium iodide (SSKI)

3. Furosemide (Lasix)

A nurse is caring for a client who is prescribed furosemide (Lasix). For which of the following adverse effects should the nurse monitor? 1. Hypervolemia 2. Hypertension 3. Hypokalemia 4. Hypoglycemia

3. Hypokalemia

A nurse is caring for a client who is receiving liothyronine (Cytomel) for treatment of hypothyroidism. Which of the following should the nurse recognized as a therapeutic response? 1. Loss of appetite 2. Increase in daily weight 3. Improvement of overall mood 4. Decrease in body temperature

3. Improvement of overall mood

127. A client has developed agranulocytosis as a result of taking propylthiouracil (PTU) to treat hyperthyroidism. When preparing to counsel the client, the nurse should base her instructions on the fact that the client is at serious risk for which of the following? 1. Excessive bleeding 2. Ecchymosis 3. Infection 4. Hyperglycemia

3. Infection

A nurse is caring for a client who receives digoxin (Lanoxin). Before administering this medication, which of the following actions should the nurse take? 1. Offer the client a light snack. 2. Measure the client's blood pressure. 3. Measure the client's apical pulse. 4. Weigh the client.

3. Measure the client's apical pulse.

142. A nurse is caring for a client who has a diagnosis of diabetes mellitus and hypertension and recently began taking propranolol (Inderal). When the client reports dizziness upon standing, the nurse should perform which of the following actions? 1. Auscultate lung sounds bilaterally. 2. Check the heart rate and capillary refill. 3. Monitor blood pressure lying, sitting, and standing

3. Monitor blood pressure lying, sitting, and standing

A nurse is caring for a client who is to begin therapy (furosemide) Lasix. The nurse notes that the client has not been receiving supplementalelectrolytes. Which laboratory value is a priority for the nurse to check before administering furosemide? 1. Bicarbonate 2. Chloride 3. Potassium 4. Phosphate

3. Potassium

A nurse is talking with a client who has type 2 diabetes mellitus that has responded well to oral hypoglycemic medication. The client reports morning fasting blood glucose levels above 180 mg/dL for the past week. In reviewing the client's medication history, the nurse should identify which of the following medications as a possible contributing factor to the recent change in glycemic control? 1. Ranitidine (Zantac) 2. Cephalexin (Keflex) 3. Prednisone. (Deltasone) 4. Levothyroxine (Synthroid)

3. Prednisone. (Deltasone)

A nurse is providing teaching to a client who has hypothyroidism andhas a new prescription for levothyroxine (Synthroid). The nurse should instruct the client to avoid which of the following herbal supplements? 1. Saw palmetto 2. Cranberry 3. Soy isoflavones 4. Garlic

3. Soy isoflavones

A client provides a nurse with a list of home medications. Which of the following should the nurse recognize as incompatible?- 1. Furosemide and digoxin 2. Alprazolam and zolpidem 3. Warfarin solution and multivitamins 4. Gentamicin sulfate and fluconazole

3. Warfarin solution and multivitamins

A nurse is teaching a client who has angina pectoris about starting therapy with nitroglycerin (Nitrostat) tablets. The nurse should instruct the client to take the medication 1. after each meal and at bedtime. 2. every 15 min during an acute attack. 3. at the first indication of chest pain 4. with 8 oz of water.

3. at the first indication of chest pain

A client is telling the nurse in the clinic that he gets a headache after he takes sublingual nitroglycerin (Nitrostat) for his angina pain. Which of the following should the nurse instruct the client to do? 1.Reduce the nitroglycerin dose. 2.Ask the provider to prescribe a strong analgesic. 3.Lie down in a cool environment and rest. 4.Ask the provider to prescribe a different medication

3.Lie down in a cool environment and rest.

A nurse is reinforcing teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following client statements indicates a need for further teaching? 1. "I will change the needle every 3 days." 2. "I should store all unused insulin in the refrigerator." 3. "If I skip lunch, I will skip my mealtime dose of insulin."' 4. "I will adjust my dosages of Lantus insulin according to my blood glucose Results."

4. "I will adjust my dosages of Lantus insulin according to my blood glucose Results."

. A nurse is reinforcing medication instruction to a group of clients. Which of the following statements indicates a need for further clarification? 1. "I will take ibuprofen for arthritis." 2. "I will take morphine sulfate during sickle cell crisis." 3. "I will take propranolol hydrochloride to manage high blood pressure." 4. "I will take aspirin for headaches like I did when I had a stroke."

4. "I will take aspirin for headaches like I did when I had a stroke."

A nurse is teaching a client who has angina pectoris about startingtherapy with nitroglycerin (Nitrostat) sublingual tablets. The nurse verifies the client's understand when the client states which of the following? 1. "I'll dial 911 if I still have pain after taking three tablets 5 minutes apart." 2."I'll dial 911 if I still have pain after taking four nitroglycerin tablets over a 20- minute period." 3. "I'll dial 911 when I have pain and then take the nitroglycerin tablets." 4. "I'll dial 911 if one tablet does not relieve my pain and then take up to two more 5 minutes apart while waiting.

4. "I'll dial 911 if one tablet does not relieve my pain and then take up to two more 5 minutes apart while waiting.

A nurse in the emergency department is assessing a client. The client's laboratory values are obtained, and she is now requesting an alcoholic beverage. After reviewing the client's admission laboratory results, which of the following medication prescriptions should the nurse question? Sodium 144 mEq/L Potassium 3.5 mEq/L Chloride 106 mEq/L Carbon dioxide 32 mEq/L BUN 55 mg/dL Glucose 468 mg/dL Creatinine 5 mg/dL 1. Oxazepam (Serax) 2. Glipizide (Glucotrol) 3. Regular insulin (Humulin R) 4. Amphotericin B (Fungizone)

4. Amphotericin B (Fungizone)

A nurse is preparing to teach a client how to draw up regular insulin and neutral protamine hagedorn (NPH) insulin into the same syringe. Which of the following instructions is appropriate for the nurse to provide? 1. Draw up the NPH insulin into the syringe first. 2. Inject air into the regular insulin first. 3. Shake the NPH insulin until it is well mixed. 4. Discard any regular insulin that appears cloudy.

4. Discard any regular insulin that appears cloudy.

A nurse is preparing to administer digoxin (Lanoxin) to a client who has heart failure. Which of the following actions is appropriate? 1. Withholding the medication if the heart rate is above 100/min 2. Instructing the client to eat foods that are low in potassium 3. Measuring apical pulse rate for 30 seconds before administration 4. Evaluating the client for nausea, vomiting, and anorexia

4. Evaluating the client for nausea, vomiting, and anorexia

A nurse is caring for a client that is experiencing Cushing's Triadfollowing a subdural hematoma. The client exhibits a widening pulse pressure (increased systolic and decreased diastolic blood pressure), a decrease in pulse rate, and altered respiratory pattern. Which of the following should the nurse administer? 1. Albumin 25 2. Dextran 70 3. Hydroxyethyl glucose (Hetastarch or Hespan) 4. Mannitol 25%

4. Mannitol 25%

A nurse is giving a presentation about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? 1. Furosemide (Lasix) 2. Hydrochlorothiazide (HCTZ) 3. Mannitol (Osmitrol) 4. Spironolactone (Aldactone)

4. Spironolactone (Aldactone)

A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules (Nitro-Time). Which of the following instructions should the nurse include? 1. Take one capsule at the onset of anginal pain. 2. Stop taking the medication if side effects are troublesome. 3. Take the medication with meals. 4. Swallow the capsules whole.

4. Swallow the capsules whole.

A nurse is talking with a client who has hypertension and stable angina pectoris and is about to start taking verapamil (Calan). The nurse should instruct the client to avoid taking this medication with 1. milk. 2. orange juice. 3. coffee. 4. grapefruit juice.

4. grapefruit juice.

A nurse is caring for a client who has been on levothyroxine (Synthroid) for several months. If the dose of this medication has been adequate, the nurse should expect to see a decrease in the 1. thyroxine (T 4 ). 2. free thyroxine (FT 4 ). 3. tri-iodothyronine (T 3 ). 4. thyroid stimulating hormone (TSH).

4. thyroid stimulating hormone (TSH).

A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which of the following instructions? A. "Remove the prior dose before applying a new dose. B. "Rub the ointment directly into your skin until it is no longer visible. C. "Cover the applied ointment with a clean gauze pad." D. "Apply the ointment to the same skin area each time."

A. "Remove the prior dose before applying a new dose.

A nurse is admitting a client for a total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following actions is the nurse's priority? A. Administering a supplemental dose of hydrocortisone B. Instructing the client about coughing and deep breathing C. Collecting additional information about the client's history of Addison's disease D. Inserting an indwelling urinary catheter

A. Administering a supplemental dose of hydrocortisone

A nurse is caring for a client who received IV verapamil to treat supraventricular tachycardia (SVT). The client's pulse rate is now 98/ min and the blood pressure is 74/44 mg Hg. The nurse should expect a prescription for which of the following IV medications? A. Calcium gluconate B. Sodium bicarbonate C. Potassium chloride D. Magnesium sulfate

A. Calcium gluconate

5. A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? A. Contact provider if heart rate is less than 60/min. B. Check pulse rate for 30 seconds and multiply result by 2. C. Increase intake of sodium. D. Take with food if nausea occurs.

A. Contact provider if heart rate is less than 60/min.

3. A nurse is taking a medication history from a client who has angina and is to begin taking ranolazine. The nurse should report which of the following medications in the client's history that can interact with ranolazine? (Select all that apply.) A. Digoxin B. Simvastatin C. Verapamil D. Amlodipine E. Nitroglycerin transdermal patch

A. Digoxin B. Simvastatin C. Verapamil

4. A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects is a manifestation of digoxin toxicity? (Select all that apply.) A. Fatigue B. Constipation C. Anorexia D. Rash E. Blurred vision

A. Fatigue C. Anorexia E. Blurred vision

2. A nurse is teaching a client who has a new prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include? A. Remove the patch each evening. B. Cut each patch in half if angina attacks are under control. C. Take off the nitroglycerin patch for 30 min if a headache occurs. D. Apply a new patch every 48 hr.

A. Remove the patch each evening.

A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting repaglinide. Which of the following statements by the client indicates understanding of the administration of this medication? A. "lIl take this medication after I eat." B. "I'll take this medicine 30 minutes before I eat." C. "I'll take this medicine just before I go to bed." D. "I'll take this medication at least 1 hour before I eat."

B. "I'll take this medicine 30 minutes before I eat."

A nurse is planning to administer a first dose of captopril to a client who has hypertension. Which of the following medications can intensify firstdose hypotension? (Select all that apply.) A. Simvastatin B. Hydrochlorothiazide C. Phenytoin D. Clonidine E. Aliskiren

B. Hydrochlorothiazide D. Clonidine E. Aliskiren

5. A nurse is planning care for a client who has a new prescription for torsemide. The nurse should plan to monitor for which of the following conditions as potential adverse reactions of this medication? (Select all that apply.) A. Respiratory acidosis B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias

B. Hypokalemia C. Hypotension D. Ototoxicity E. Ventricular dysrhythmias

3. A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. Lowered heart rate B. Increased urine output C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessels

B. Increased urine output

5. A nurse is caring for a client who has a new prescription for alirocumab to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of alirocumab? (Select all that apply.) A. Muscle aches B. Vasculitis C. Hearing loss D. Urticaria E. Jaundice

B. Vasculitis D. Urticaria E. Jaundice

2. A nurse is caring for a client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? A. Phenytoin B. Verapamil C. Warfarin D. Aluminum hydroxide

B. Verapamil

2. A nurse is teaching a client who has Grave's disease and a new prescription for propranolol. Which of the following client statements indicates effective teaching? A. "Propranolol helps increase blood flow to my thyroid gland." B. "Propranolol is used to prevent excess glucose in my blood." C. "Propranolol will decrease my tremors and fast heart beat." D. "Propranolol promotes a decrease of thyroid hormone in my body

C. "Propranolol will decrease my tremors and fast heart beat."

A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take? A. Hold propranolol for an apical pulse greater than 100/min. B. Administer propranolol to increase the client's blood pressure. C. Assist the client when sitting up or standing after taking this medication. D. Check for hypokalemia frequently due to the risk for propranolol toxicity.

C. Assist the client when sitting up or standing after taking this medication.

3. A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? A. Blood sodium 144 mEq/L B. Urine output 120 mL in 4 hr C. Blood potassium 5.2 mEq/L D. Blood pressure 140/90 mm Hg

C. Blood potassium 5.2 mEq/L

4. A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. Which of the following conditions should the nurse monitor the client for as an adverse effect of this medication? A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia

C. Delirium

4. A nurse is caring for a client who has increased intracranial pressure and is receiving mannitol. Which of the following findings should the nurse report to the provider? A. Blood glucose 150 mg/dL B. Urine output 40 mL/hr C. Dyspnea D. Bilateral equal pupil size

C. Dyspnea

2. A nurse is collecting data from a client who is taking gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse effect of this medication? A. Mental status changes B. Tremor C. Jaundice D. Pneumonia

C. Jaundice

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 as an adverse effect of this medication? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Bradycardia

C. Neutropenia

1.A nurse in a provider's office is monitoring blood electrolytes for four clients who take digoxin. Which of the following electrolyte values Increases a client's risk for digoxin toxicity? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEg/L D. Potassium 4.8 mEq/L

C. Potassium 3.4 mEg/L

A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the following findings is a manifestation of amiodarone toxicity? A. Light yellow urine B. Report of tinnitus C. Productive cough D. Blue-gray skin discoloration

C. Productive cough

A nurse is teaching clients about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hr after administration? A. Insulin glargine B. NPH insulin C. Regular insulin D. Insulin lispro

C. Regular insulin

4. A nurse is caring for a client who is taking for somatropin to stimulate growth. The nurse should plan to monitor the client's urine for which of the following? A. Bilirubin B. Protein C. Potassium D. Calcium

D. Calcium

A nurse is reviewing the medical record of a client who takes desmopressin for diabetes insipidus. Which of the following findings is an adverse effect of desmopressin? A. Hypovolemia B. Hypercalcemia C. Agitation D. Headache

D. Headache

A nurse is caring for a client who has been taking acarbose for type 2 diabetes mellitus. Which of the following laboratory tests should the nurse plan to monitor? A. WBC B. Amylase C. Platelet count D. Liver function tests

D. Liver function tests

A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity? A. Bruising B. Report of metallic taste C. Muscle pain D. Report of anorexia

D. Report of anorexia

A nurse on a medical unit is caring for a client who has angina pectoris and reports chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers sublingual nitroglycerin (Nitrostat). After 5 min, the client states that his chest pain is now a 2. Which of the following actions should the nurse take? 1. Administer another nitroglycerin tablet. 2. Measure the client's blood pressure. 3. Check the client's apical heart rate. 4. Obtain an ECG

1. Administer another nitroglycerin tablet

A client has a new prescription for transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. When talking with the patient about using this drug, the nurse should include which of the following instructions? (Select all that apply.) 1. Apply the patch to a hairless area and rotate sites. 2. Apply a new patch each morning. 3. Remove the patch for 10 to 12 hr daily. 4. Apply the patch to dry skin and cover the area with plastic wrap. 5. Apply a new patch at the onset of anginal pain.

1. Apply the patch to a hairless area and rotate sites. 2. Apply a new patch each morning. 3. Remove the patch for 10 to 12 hr daily.

A nurse is caring for client who has a prescription for phenytoin (Dilantin). For which of the following findings should the nurse instruct the client to notify the provider? 1. Headache 2. Insomnia 3. Skin rash 4. Gastric discomfort

3. Skin rash

A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include? A. Increase the amount of fiber in the diet. B. Drink grapefruit juice daily to increase vitamin C intake. C. Decrease the amount of calcium in the diet. D. Withhold food for 1 hr after the medication is taken.

A. Increase the amount of fiber in the diet.

2. A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? A. Take the medication with food. B. Plan to take the medication at bedtime. C. Expect increased swelling of the ankles. D. Fluid intake should be limited in the morning.

A. Take the medication with food.

A nurse is providing teaching to a client who is starting Simvastatin. Which of the following information should the nurse include in the teaching? A. Take this medication in the evening. B. Change position slowly when rising from a chair. C. Maintain a steady intake of green leafy vegetables. D. Consume no more than 1 L/day of fluid.

A. Take this medication in the evening.

A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make? A. "Take two more sublingual tablets at the same time." B "Call the emergency response team." C. "Take a sustained-release nitroglycerin capsule." D."Wait another 5 minutes then take a second sublingual tablet.

B "Call the emergency response team."

A nurse is providing teaching to a client who has a prescription for pramlintide for type 1 diabetes mellitus. Which of the following should the nurse include in the teaching? (Select all that apply.) A."Take oral medications 30 min before injection." B."Use upper arms as preferred injection sites." C. "Mix pramlintide with the breakfast dose of insulin." D. "Inject pramlintide just before a meal." E. "Discard open vials after 28 days."

D. "Inject pramlintide just before a meal." E. "Discard open vials after 28 days."

3. A nurse is teaching a client who is taking digoxin and has a new prescription for colesevelam. Which of the following instructions should the nurse include in the teaching? A. "Take digoxin with your morning dose of colesevelam." B. "Your sodium and potassium levels will be monitored periodically while taking colesevelam." C. "Watch for bleeding or bruising while taking colesevelam." D. "Take colesevelam with food and at least one glass of water."

D. "Take colesevelam with food and at least one glass of water."