PHARM CH. 32,33,34

A nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting the BUN level is raising?

Withhold the next dose of the drug.

A client presents to the urgent care clinic reporting, severe dizziness. On assessment, the nurse learns the client was recently prescribed losartan and quit taking it, thinking it was responsible for the dizziness. Which assessment should the nurse prioritize?

rebound hypertension

The nurse is preparing to teach a client with hyper lipidemia above prescribed cholestyramine. Which instruction should the nurse prioritize for the client?

"Eat foods high in dietary fiber"

A nursing instructor is teaching a class on the actions of the different classes of diuretics. Which drugs will Instructor as exerting action on the loop of Henley distal, and proximal tubule's? (select all that apply)

- FUROSEMIDE -BUMETANIDE

A nurse is preparing to administer a diarrhetic to a client. The nurse should question administering which drug after noting an allergy to sulfamethoxazole/trimethoprim? (Select all that apply)

-CHLOROTHIAZIDE -CHLORTHELIDONE -METOLAZONE -FUROSEMIDE

The nurse is preparing to administer amiloride to a client. The nurse will exercise caution if the client is diagnosed with which disorders? (select all that apply.)

-Gout -Diabetes -Hepatic disease

A client has been receiving acetazolamide as prescribed. Which substance with a nurse prioritize for monitoring on routine laboratory work? (select all that apply.)

-Sodium -Potassium -Bicarbonate

A nurse is analyzing a medical record of several clients who have come to the clinic for a visit. The nurse determines that the client with which blood pressure readings would be identified as prehypertensive?

120/86 mmHg

A client is prescribed CLONIDINE as a transdermal patch. After instructing the client about this drug, the nurse determines that the teaching was successful in the client states that the patch should remain in place for how long?

7 days

A nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize?

Administer early in the day.

A client prescribed niacin and reports significant skin, flushing and itching, stating "I almost stopped taking the drug." The nurse anticipates the healthcare provider will prescribe which drug to address this issue?

Aspirin

The nurse has finished a teaching session with a client who is prescribed a diarrhetic to be taken twice a day. The nurse determines the session and successful when the client correctly chooses, which times to take the drug.?

At breakfast and mid afternoon.

The nurse is preparing to teach a client with renal insufficiency about recently prescribed bumetanide for hypertension. Which instruction should the nurse prioritize for this client?

Avoid over-the-counter drugs for cold symptoms.

The nurse is teaching a client with hypertension about losartan which healthcare provider has prescribed. The nurse can explain losartan exerts, which action on the body?

Blocks aldosterone receptors

The nursing mentor is supervising a group of nursing students in a clinic. The mentor determines the students are well prepared when they prioritize which assessment with client receiving medication such as doxazosin?

Blood pressure monitoring

After teaching a group of nursing students on the mechanism of action of angiotensinconverting enzyme inhibitor (ACEI) drugs, the instructor determines the session is successful after the students correctly choose which action as the result of aldosterone?

Causes sodium and water retention

A client is admitted to the emergency department with a severe headache, nausea, shortness of breath and blood pressure of 200/120 mmHg. Which response should the nurse prioritize?

Continuously monitor the client status

A client with a history of seizures is admitted to the unit with pulmonary edema. After administering furosemide, which assessment should the nurse prioritize after discovering the client is also prescribed phenytoin!

Decreased diuretic effectiveness

A nurse is administering amiloride to several clients. The nurse should prioritize monitoring the serum potassium levels for clients with noted disorders? (select all that apply)

Diabetes Renal disease

Client with congestive heart failure and currently administer digoxin is not prescribed indapamide for edema. Which intervention should the nurse prioritize?

Frequently monitor the client pulse rate and rhythm.

The healthcare provider has prescribed EZETIMIBE for a client diagnosed with hyperlipidemia. The nurse is preparing to prioritize which assessment to evaluate the drugs effectiveness?

Frequently monitoring blood cholesterol

A nurse is preparing to administer Spironolactone to a client. The nurse would question this order, if which order is noted in the clients history?

Hyperkalemia

A client is receiving a diarrhetic for treatment of hypertension. Which assessment finding on the laboratory report should the nurse prioritize?

Hyponatremia

The nurse is preparing to administer a diuretic to a client. The nurse should question this order, if which disorders is noted in the clients history? (select all that apply.)

Hyponatremia Hypokalemia Anuria

A primary healthcare provider has prescribed a loop diuretic for hypertension in a client with diabetes mellitus. Which assessment should the nurse prioritize?

Increase blood glucose levels

A nurse notes a client has a new prescription for fluconazole who has also been administered losartan for several months. The nurse determines the client should be monitored for which result of this combination?

Increased risk of adverse effects of losartan

The nurse is administering pravastatin and amiodarone to a client with cardiac issues. Which potential interactions will the nurse carefully monitor the client for?

Increased risk of myopathy

A client is admitted in acute renal failure, and prescribed Mannitol. The nurse prepares to administer this drug via which route?

Intravenously

The healthcare provider has prescribed spironolactone for a client. The nurse is prepared to carefully monitor the clients potassium level if the client is also administered which drug?

Lisinopril

A nurse is preparing to administer colesevelam to a client with hyper lipidemia. The nurse determines cautious administration is warranted after noting which condition in the clients history?

Liver disease

The nurse is preparing to administer colestipol to the client. Which method should the nurse prioritize to administer this medication?

Mix the drug in 90 mL of liquid.

The nurse is finishing a teaching session with a client who is prescribed gemfibrozil. The nurse determines the session and successful when the client correctly chooses which instruction?

Observe caution while driving

____ hypotension occurs when the individual has a significant drop in blood pressure (usually 10 mmHg systolic or more) when assuming an upright position

Orthostatic

The nurse is conducting a community presentation on heart disease, cholesterol and risk factors. The nurse determines that the class has been successful when the class correctly chooses, which point as true?

Physical activity raises HDL cholesterol levels.

The nurse Instructor has completed a teaching session, explaining the antihypertensive drugs. The instructor determines additional training as needed when the students choose which drugs as an angiotention-converting enzyme inhibitor?

Pindolol

(Bonus)**Betta blockers and calcium channel blockers our first line treatment to——— anginal attacks

Prevent

The healthcare provider has prescribed fenofibrate for a client discovered to have a very high serum triglyceride levels. The nurse should question this order if the client has a history of which additional disorder?

Primary biliary cirrhosis

A client with cerebral edema is prescribed Mannitol. Which assessment should the nurse prioritize during ongoing assessment?

Response of pupils to light

The client presents for a routine clinic visit to evaluate a long-term use of cholestyramine. The healthcare provider vitamin A and D should be prescribed at this time. The nurse determines which nursing diagnosis is most appropriate at this time?

Risk for imbalanced: less than body requirements.

The nurse is assessing a client with renal disease and discovers the clients. Blood pressure has increased since the last visit. The nurse expect the client has developed which concern?

Secondary hypertension

A client age 60 years is receiving nitroprusside for hypertensive emergency. The nurse would be alert for the development of which reaction?

Significant hypotension

A healthcare provider prescribes diuretic therapy to a client with nephrotic syndrome. The nurse suspects that the client is a hyponatremic based on which assessment finding.?

Tachycardia

The nurse is preparing to administer niacin to a client with hyper lipidemia. Which adverse reaction to the nurse prioritize on ongoing assessment?

Tingling