Pharmacology Exam 3

Which advice will the nurse include when teaching a client about digoxin for left ventricular failure? A. Sleep on flat bed B. Follow a low-K diet C. Take the pulse 3x/day D. Report increasing fatigue

D. Report increasing fatigue

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

A. Heart rate decreases

A client w/ supraventricular tachycardia (SVT) has a heart rate of 170 bpm. After treatment w/ diltiazem, which assessment indicates to the nurse that the diltiazem is effective? A. Increased urine output B. BP of 90/60mmHg C. Heart rate of 98bpm D. No longer complaining of heart palpitations

C. Heart rate of 98bpm

A pt has a new prescription for transdermal nitroglycerin patches. The nurse teaches the pt that these patches are most appropriately used for which reason? A. To relieve exertional angina B. To prevent palpitations C. To prevent the occurrence of angina D. To stop an episode of angina

C. To prevent the occurrence of angina

The nurse is administering lidocaine and considers which condition, if present in the pt, is a caution for the use of this drug? A. Tachycardia B. HTN C. Ventricular dysrhythmias D. Renal dysfunction

D. Renal dysfunction

Valsartan, an angiotensin II receptor antagonist, is prescribed for a client. The nurse will monitor the client for which adverse effect? A. Constipation B. Hyperkalemia C. HTN D. Change in visual acuity

B. Hyperkalemia

Sildenafil is prescribed for a man w/ erectile dysfunction. Which side effects of this medication would the nurse mention in teaching? Select all that apply. A. Flushing B. Headache C. Dyspepsia D. Constipation E. HTN

A. Flushing B. Headache C. Dyspepsia

When giving antihypertensive drugs, the nurse will consider giving the first dose at bedtime for which class for drugs? A. Alpha blockers such as doxazosin (Cardura) B. Diuretics such as furosemide (Lasix) C. ACE inhibitors such as captopril (Capoten) D. Vasodilators such as hydralazine (Apresoline)

A. Alpha blockers such as doxazosin (Cardura)

A client's cardiac monitor indicates multiple multifocal premature ventricular complexes (PVCs). Which medication is indicated for treatment of ventricular dysrhythmias? A. Amiodarone B. Epinephrine C. Methyldopa D. Hydrochlorothiazide

A. Amiodarone

Atenolol is prescribed for a client w/ moderate HTN. Which information would the nurse include when teaching the client about this medication? Select all that apply. A. Change to standing positions slowly B. Take the medication before going to bed C. Count the pulse before taking the medication D. Mild weakness and fatigue are common side effects E. It is safe to take OTC medications

A. Change to standing positions slowly C. Count the pulse before taking the medication D. Mild weakness and fatigue are common side effects

While assessing a pt with angina who is to start beta blocker therapy, the nurse is aware that the presence of which condition may be a problem if these drugs are used? Select all that apply. A. Diabetes mellitus B. Essential tremors C. Exertional angina D. Asthma E. HTN

A. Diabetes mellitus D. Asthma

Which assessment findings would indicate the need for atenolol in a client diagnosed w/ hyperthyroidism? Select all that apply. A. Tachycardia B. A-fib C. Distant heart sounds D. Systolic HTN E. Decreased cardiac output

A. Tachycardia B. A-fib D. Systolic HTN

Which assessment finding would the nurse identify as an adverse effect of a client's lidocaine infusion? A. Tremors B. Tachypnea C. Tachycardia D. HTN

A. Tremors

A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? Select all that apply. A. Tremors B. Lethargy C. Palpitations D. Bronchoconstriction E. Decreased pulse rate

A. Tremors C. Palpitations

The nurse is assessing a pt who has been taking quinidine who ask about adverse effects. Which of these are potential adverse effects of quinidine? Select all that apply. A. Muscle pain B. Tinnitus C. Dyspnea D. Diarrhea E. Anorexia

B. Tinnitus D. Diarrhea E. Anorexia

A pt is taking a beta locker as part of the treatment plan for heart failure. The nurse knows that the purpose of the beta blocker for this pt is to A. increase urine output B. prevent stimulation of the heart by catecholamines C. increase the contractility of heart muscle (+ino) D. cause peripheral vasodilation

B. prevent stimulation of the heart by catecholamines

Warfarin is prescribed for a client who has been receiving IV heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the client's concern? A. This permits the administration of smaller doses of each medication B. Giving both medications allows clot dissolution while preventing new clot formation C. Heparin provides anticoagulant effects until warfarin reaches therapeutic levels D. Administration of heparin w/ warfarin provides immediate and maximum protection against clot formation

C. Heparin provides anticoagulant effects until warfarin reaches therapeutic levels

A pt w/ heart failure will e starting the beta blocker metoprolol (Lopressor). The nurse will monitor for which expected cardiovascular effects? Select all that apply. A. Increased heart rate B. Increased myocardial contractility C. Delayed AV node conduction D. Reduced heart rate E. Decreased myocardial automaticity

C. Delayed AV node conduction D. Reduced heart rate E. Decreased myocardial automaticity

Which foods will the nurse discuss when teaching a client who has a new prescription for warfarin? A. Dairy products B. High-fiber fruits C. Green leafy vegetables D. Whole-grain breads and cereals

C. Green leafy vegetables

An adolescent w/ a hx of asthma is brought to the ED in respiratory distress. The primary HCP admits the adolescent. Which is the priority prescription to implement upon arrival to the unit? A. Administering the nebulizer treatment to facilitate breathing B. Obtaining a blood specimen to send to the laboratory for tests C. Notifying the respiratory therapist to perform chest physiotherapy D. Sending a requisition to central supply for an incentive spirometer

A. Administering the nebulizer treatment to facilitate breathing

A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved? A. Resolution of heart failure B. Decreased anginal episodes C. Conversion of A-fib D. Decreased BP

A. Resolution of heart failure

A pt w/ angina has been given a prescription for a calcium channel blocker. The nurse knows that this class of drugs is used to treat which type of angina? A. Effort B. Unstable C. Cresendo D. Vasospastic

D. Vasospastic

A client who had a MI has runs of ventricular tachycardia. Which medication will the nurse prepare to administer? A. Digoxin B. Furosemide C. Amiodarone D. Norepinephrine

C. Amiodarone

A client who is receiving atenolol fir HTN frequently reports feeling dizzy. Which effect of atenolol is responsible for this response? A. Depleting acetylcholine B. Stimulating histamine release C. Blocking the adrenergic response D. Decreasing adrenal release of epinephrine

C. Blocking the adrenergic response

When a client w/ a venous thrombosis is receiving warfarin, which test result would the nurse use to determine whether the daily dose of warfarin is therapeutic? A. International Normalized Ratio (INR) B. Accelerated partial thromboplastin (APTT) C. Bleeding time D. Sedimentation rate

A. International Normalized Ratio (INR)

A client who is being treated for pruritus complains of sedation. Which medication would the nurse anticipate being prescribed by the primary HCP to treat this side effect? A. Loratadine B. Hydroxyzine C. Diphenhydramine D. Triamcinolone acetonide

A. Loratadine

A 68 yo male pt has been taking the nitrate isosorbide dinitrate (Isordil) for 2 years for angina. He recently has been experiencing erectile dysfunction and wants a prescription for sildenafil (Viagra). Which response would the nurse most likely hear from the prescriber? A. "He will have to be switched to isosorbide mononitrate if he wants to take sildenafil" B. "Taking sildenafil w/ the nitrate may result in severe hypotension, so a contraindication exists" C. "I'll write a prescription, but if he uses it, he needs to stop taking the isosorbide for one dose" D. "These drugs are compatible w/ each other, and so I'll write a prescription"

B. "Taking sildenafil w/ the nitrate may result in severe hypotension, so a contraindication exists"

A pt w/ a rapid, irregular heart rhythm is being treated in the ED w/ adenosine. During administration of this drug, the nurse will be prepared to monitor the pt for which effect? A. Nausea and vomiting B. A brief period of systole C. Muscle tetany D. HTN

B. A brief period of systole

A client w/ the dx of primary HTN is started on a regimen of hydrocholorothiazide. Which information will the nurse include when providing instructions regarding this medication? A. A common side effect is decreased sexual libido B. One dose should be omitted if dizziness occurs when standing up C. The client should adjust the dosage daily based on the client's BP D. An antihypertensive medication will likely be required for the remainder of life

D. An antihypertensive medication will likely be required for the remainder of life

The nurse is assessing a pt who will be starting antihypertensive therapy w/ an ACE inhibitor. Which condition, if present in the pt, would be a reason for cautious use? A. Asthma B. RA C. Hyperthyroidism D. Renal insufficiency

D. Renal insufficiency

The nurse is assessing a pt who is receiving a milrinone infusion and checks the pt's cardiac rhythm on the heart monitor. What adverse effect is most likely to occur in a pt who is receiving IV milrinone? A. Tachycardia B. Bradycardia C. A-fib D. Ventricular dysrhythmia

D. Ventricular dysrhythmia

A client is admitted to the ED w/ crushing chest pain. A dx of acute coronary syndrome is suspected. Which medication is indicated to prevent progression to a MI? A. Aspirin B. Atropine C. Gabapentin D. Epinephrine

A. Aspirin

When teaching the pt about signs and symptoms of cardiac glycoside toxicity, the nurse should alert the pt to watch for which of these? Select all that apply. A. Dizziness B. Visual changes such as halos around lights C. Headaches D. Increased urine output E. Dark stools

A. Dizziness B. Visual changes such as halos around lights C. Headaches

During assessment of a pt who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as A. apical pulse rate of 62 bpm B. digoxin level of 1.5 ng/mL C. serum K level of 2.0 mEq/L D. serum calcium level of 9.9 mEq/L

C. serum K level of 2.0 mEq/L Extra info: <60 would have been bad digoxin levels have a very narrow therapeutic index @ 1.5-2.0 ng/mL normal serum K levels are between 3.7-5.2 mEq/L normal serum calcium levels are between 8.6-10.5 mg/dL

In assessing a pt who has been taking amiodarone for 6 months, the nurse monitors for which potential adverse effect? A. Hyperglycemia B. Dysphagic C. Photophobia D. Urticaria

C. Phtophobia

A client is admitted to the hospital w/ a dx of DVT, and IV heparin sodium is prescribed. If the client experiences excessive bleeding, which medication will the nurse be prepared to administer? A. Vitamin K B. Oprelvekin C. Warfarin sodium D. Protamine sulfate

D. Protamine sulfate

Which OTC medication would the nurse teach a client taking antihypertensive medication to avoid? A. Omeprazole B. Acetaminophen C. Docusate sodium D. Pseudoephedrine

D. Pseudoephedrine

Metoprolol is prescribed for a client w/ hypertension. The nurse monitors the client for which adverse effect? A. Hirsutism B. Bradycardia C. Restlessness D. Angina

B. Bradycardia

A nurse w/ adequate knowledge about the administration of IV nitroglycerin will recognize that which statement is correct? A. The IV form is given by IV push injection B. B/c the IV forms are short-lived, the dosing must be q2hr C. IV nitroglycerin must be protected from exposure to light through use of special tubing D. IV nitroglycerin can be given via gravity drip infusions

C. IV nitroglycerin must be protected from exposure to light through use of special tubing

When the intentional normalized ratio (INR) for a client receiving warfarin for venous thrombosis is 4.6, which action will the nurse take? A. Administer the scheduled dose of warfarin B. Offer the client foods that are high in vitamin K C. Notify the HCP of the lab results D. Warn the client about risk for spontaneous hemorrhage

C. Notify the HCP of the lab results

The client w/ pernicious anemia is prescribed cyan0cobalamin (vitamin B12). Which client statement demonstrates an understanding of this treatment? A. "I should have a vitamin B12 injection every month." B. "I'll take vitB12 supplements every morning w/ my breakfast." C. "I'll eat a diet high in green vegetables." D. "I will increase my intake of processed foods fortified w/ vitB12

A. "I should have a vitamin B12 injection every month."

Which assessment will the nurse conduct before administering digoxin to a client? A. Apical heart rate B. Radial pulse C. Difference between carotid and radical pulses D. Difference between apical and radial pulses

A. Apical heart rate

A child being treated w/ cardiac medications developed vomiting, bradycardia, anorexia, and dysrhythmias. The nurse understands which medication toxicity is responsible for these symptoms? A. Digoxin B. Nesiritide C. Dobutamine D. Spironolactone

A. Digoxin

Digoxin is prescribed for a client w/ heart failure. The nurse will assess for which signs and symptoms that indicate digoxin toxicity? Select all that apply. A. Nausea B. Yellow vision C. Irregular pulse D. increased urine output E. HR of 64bpm

A. Nausea B. Yellow vision C. Irregular pulse

Sublingual nitroglycerin has been prescribed for a client w/ unstable angina. Which client response indicates that nitroglycerin is effective? A. Pain subsides as a result of arteriole and venous dilation B. Pulse rate increases b/c the cardiac output has been stimulated C. Sublingual area tingles b/c sensory nerves are being triggered D. Capacity for activity improves as a response to increased collateral circulation

A. Pain subsides as a result of arteriole and venous dilation

A client is taking warfarin. If an antidote is needed, which agent will be used? A. Vitamin K B. Fibrinogen C. Prothrombin D. Protamine sulfate

A. Vitamin K

A client w/ hypertensive heart dx who had an acute episode of heart failure is to be discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate when metoprolol is administered w/ digoxin? A. Headache B. Bradycardia C. HTN D. Junctional tachycardia

B. Bradycardia

Which statement by the pt reflects the need for additional pt education about the calcium channel blocker diltiazem (Cardizem)? A. "I can take this drug to stop an attack of angina" B. "I understand that food and antacids alter the absorption of this oral drug" C. "When the long-acting forms are taken, the drug cannot be crushed" D. "This drug may cause my BP to drop, so I need to be careful when getting up"

A. "I can take this drug to stop an attack of angina"

When monitoring a pt who is receiving an IV infusion of nesiritide (Natrecor), the nurse will look for which adverse effect? A. Dysrhythmia B. Proteinuria C. Hyperglycemia D. HTN

A. Dysrhythmia

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

B. Disturbances in hearing

A client with HTN is prescribed an angiotensin II receptor blocker (ARB). Which instructions will the nurse provide about this medication? Select all that apply. A. "Monitor the BP daily" B. "Stop treatment if a cough develops" C. "Stop the medication if swelling of the mouth, lips, or face develops" D. "Have blood drawn for K levels 2 wks after starting the medication" E. "Do not take nonsteroidal anti-inflammatory drugs (NSAIDs) concurrently w/ this medication"

C. "Stop the medication if swelling of the mouth, lips, or face develops" D. "Have blood drawn for K levels 2 wks after starting the medication"

When a client is seen in the ED w/ sudden onset severe dyspnea, coughing, and wheezes, which prescribed treatment would the nurse administer first? A. Inhaled corticosteroid B. Normal saline infusion C. Albuterol per nebulizer D. Intravenous methylprednisolone

C. Albuterol per nebulizer

The nurse is preparing to discharge a client who presented to the ER for an acute asthma attack. The nurse notes that upon discharge the HCP has prescribed theophylline 300mg orally to be take daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule? A. One hour before or 2 hours after eating B. At bedtime C. At the specific time prescribed D. Daily until symptoms are gone

C. At the specific time prescribed

Amlodipine is prescribed for a client w/ HTN. Which response to the medication will the nurse instruct the client to report to the HCP? A. Blurred vision B. Dizziness on rising C. Difficulty breathing D. Excessive urination

C. Difficulty breathing

Which client statement indicates understanding of the side effects of nitroglycerin ointment? A. "I may experience a headache" B. "Confusion is a common adverse effect" C. "A slow pulse rate in an expected side effect" D. "Increased BP readings may occur initially"

A. "I may experience a headache"

A client w/ RA is to begin taking ibuprofen 800mg PO TID. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statements? Select all that apply. A. "I need to report any dark tarry stools." B. "I will need to stop taking this medication before any scheduled surgery." C. "I should change positions slowly." D. "I will take the medication on an empty stomach." E. "I need to stop taking low-dose aspirin while I take this medication."

A. "I need to report any dark tarry stools." B. "I will need to stop taking this medication before any scheduled surgery."

A pt is in the clinic for a follow-up visit. He has been taking amiodarone (Cordarone) for almost 1 year, and today he tells the nurse, "I am noticing some blue color around my face, neck, and upper arms. Is that normal?" Which is the nurse's correct response? A. "This is an expected side effect and should go away soon" B. "this is a harmless effect. As long as the medication is working, we'll just monitor your skin" C. "This can happen w/ amiodarone. I will let your doctor know about it right away" D. How much sun exposure have you had recently?"

C. "This can happen w/ amiodarone. I will let your doctor know about it right away"

A client reports nasal discharge, sneezing, lacrimation, and itching all over the body. During an assessment, the client reports exposure to dust and molds. The nurse observes swelling and a pink color at the itching site. Which class of medications would the nurse anticipate administering to treat this client's condition? A. Medications containing antihistamines B. Antipruritic medications C. Mast cell-stabilizing medications D. Leukotriene receptor antagonists

A. Medications containing antihistamines

A client who has type 1 diabetes and chronic bronchitis is prescribed atenolol for the management of angina pectoris. Which clinical manifestation will alert the nurse to the fact that the client may be developing a life-threatening response to the medication? A. Paroxysmal nocturnal dyspnea B. Supraventricular tachycardia C. Malignant HTN D. Hyperglycemia

A. Paroxysmal nocturnal dyspnea

A HCP prescribes enoxaparin 30mg SQ daily. Which measure would the nurse take when administering this medication? A. Push over 2 min B. Administer in the abdomen C. Massage site after administration D. Remove air pocket from prepackaged syringe before administration.

B. Administer in the abdomen

Which client response must the nurse monitor to determine the effectiveness of amiodarone? A. Absence of ischemic chest pain B. Decrease in cardiac dysrhythmias C. Improvement in fasting lipid profile D. Maintenance of BP control

B. Decrease in cardiac dysrhythmias

The nurse is administering antihypertensive drugs to older adult pts. The nurse knows that which adverse effect is of most concern for these pts. A. Dry mouth B. Hypotension C. Restlessness D. Constipation

B. Hypotension

The HCP prescribes isosorbide dinitrate 10mg for a client w/ chronic angina pectoris. The client asks the nurse why the isosorbide dinitrate is prescribed. How will the nurse respond? A. "It prevents excessive blood clotting" B. "It suppresses irritability in the ventricles" C. "It decreases cardiac oxygen demand" D. "The inotropic action increases the force of contraction of the heart"

C. "It decreases cardiac oxygen demand"

A child w/ iron-deficiency anemia is prescribed oral iron therapy. Anticipatory guidance regarding which side effect would the nurse provide? A. Bloody stool B. Orange urine C. Greenish-black stool D. Staining of the mouth

C. Greenish-black stool

A client who had a femoropopliteal bypass graft is receiving clopidogrel postoperatively. Which instruction will the nurse teach the client related to the medication? 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

C. Report any occurrence of multiple bruises

Which action would the nurse perform when administering fluticasone propionate to a client w/ asthma? A. Assessing heart rate and rhythm B. Monitoring liver function blood tests C. Rinsing the oral cavity w/ water after use D. Obtaining bg levels before meals E. Giving stool softeners to prevent constipation

C. Rinsing the oral cavity w/ water after use

The nurse is providing discharge medication teaching to a client who will be taking furosemide and digoxin after discharge from the hospital. Which information is important for the nurse to include in the teaching plan? A. Maintenance of a low-K diet B. Avoidance of foods high in cholesterol C. Signs and symptoms of digoxin toxicity D. Importance of monitoring output

C. Signs and symptoms of digoxin toxicity

The nurse is reviewing drug interactions w/ a male pt who has a prescription for isosorbide dinitrate (Isordil) as treatment for angina symptoms. Which substances listed below could potentially result in a drug interaction? Select all that apply. A. A glass of wine B. Thyroid replacement hormone C. Tadalafil (Cialis), an erectile dysfunction drug D. Metformin (Glucophage), an antidiabetic drug E. Carvedilol (Coreg), a beta blocker

A. A glass of wine C. Tadalafil (Cialis), an erectile dysfunction drug E. Carvedilol (Coreg), a beta blocker

A client w/ HTN has received a prescription for metoprolol. Which information will the nurse include when teaching this client about metoprolol? A. Do not abruptly discontinue the medication B. Consume alcoholic beverages in moderation C. Report a heart rate of less than 70 bpm D. Increase the medication dosage if chest pain

A. Do not abruptly discontinue the medication

A client w/ HTN has received a prescription for metoprolol. Which information will the nurse include when teaching this client about metoprolol? A. Do not abruptly discontinue the medication B. Consume alcoholic beverages in moderation C. Report a heart rate of less than 70 bpm D. Increase the medication dosage if chest pain occurs

A. Do not abruptly discontinue the medication

When a pt is being taught about the potential adverse effects of an ACE inhibitors, which of these effects should the nurse mention as possibly occurring when this drug is taken to treat HTN? Select all that apply. A. Fatigue B. Nausea C. Dry, nonproductive cough D. Diarrhea E. Dizziness

A. Fatigue C. Dry, nonproductive cough E. Dizziness Including: impaired taste 2-3 months after drug is discontinued, Orthostatic HTN, renal impairment/failure Pt is normally switched to an ARB is a dry non-productive cough is present

The nurse is administering an IV infusion of a phosphodiesterase inhibitor to a pt who has heart failure. The nurse will elevate the pt for which therapeutic effects? Select all that apply. A. Positive inotropic effects (contractility) B. Vasodilation C. Decreased heart rate (chrono) D. Increased BP E. Positive chronotropic effects

A. Positive inotropic effects (contractility) B. Vasodilation E. Positive chronotropic effects

Which instructions regarding the use of fluticasone nasal spray are appropriate for client teaching? Select all that apply. A. Use the medication on a regular basis, not PRN B. Clear the nasal passages before using the medication C. Discontinue use of the medication if nasal infection develops D. Remember that driving may be dangerous b/c of the medication's sedative effect E. Begin taking the medication 2wks before pollen season starts, and use it throughout the season

A. Use the medication on a regular basis, not PRN B. Clear the nasal passages before using the medication C. Discontinue use of the medication if nasal infection develops

Which instructions about the use of nitroglycerin to prevent angina will the nurse provide to a client? A. "At the point when pain first occurs, place two tablets under the tongue." B. "Place one tablet under the tongue before activity, and swallow another if pain occurs." C. "Before physical activity, place one tablet under the tongue, and repeat the dose in 5 min if pain occurs." D. "Place one tablet under the tongue when pain occurs and use an additional tablet after the attack to prevent recurrence."

B. "Before physical activity, place one tablet under the tongue, and repeat the dose in 5 min if pain occurs."

When the nurse is teaching a pt about taking an antidysrhythmic drug, which statements by the nurse are correct? Select all that apply. A. "Take the medication w/ an antacid if stomach upset occurs" B. "Do not chew sustained-release capsules" C. "if a weight gain of 5lbs occurs w/in 1 week, notify your physician at the next office visit" D. "If you experience severe adverse effects, stop the drug and notify your physician" E. "If stomach upset occurs, you may take the medication w/ food"

B. "Do not chew sustained-release capsules" E. "If stomach upset occurs, you may take the medication w/ food"

The nurse instructs a client who had an endarterectomy on the administration of clopidogrel. The nurse concludes that teaching was effective when the client makes which statement? A. "Clopidogrel will limit inflammation around my incision" B. "Taking this medication will help prevent further clogging of my arteries" C. "The medication will lower the slight fever I have had since surgery" D. "I will take this medication to reduce the discomfort I feel at the surgical incision"

B. "Taking this medication will help prevent further clogging of my arteries"

A 46-yo man started antihypertensive drug therapy 3 months earlier and is in the office for a follow-up visit. While the nurse is taking his BP, he informs the nurse that he has had some problems w/ sexual intercourse. Which is the most appropriate response by the nurse? A. "Not to worry. Eventually tolerance will develop" B. "The physician can work w/ you on changing the dose and/or drugs" C. "Sexual dysfunction happens w/ this therapy, and you will learn to accept it" D. "This is an unusual occurrence, but it is important to stay on your medications"

B. "The physician can work w/ you on changing the dose and/or drugs"

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

B. "When standing up, change positions slowly"

A pt has a new prescription for an ACE inhibitor. During a review of the pt's list of current medications, which would cause concern for a possible interaction w/ this new prescription? Select all that apply. A. A benzodiazepine taken prn for allergies B. A K supplement taken daily C. A PO anticoagulant taken daily D. An opioid used for occasional severe pain E. An NSAID taken prn for headaches

B. A K supplement taken daily E. An NSAID taken prn for headaches

A pt calls the family practice office to report that he has seen his pills in his stools when he has a bowel movement. How will the nurse respond? A. "The pills are not being digested properly. You need to take them on an empty stomach" B. "The pills are not being digested properly. You need to take them w/ food" C. "What you are seeing is the wax matric that contained the medication, but the drug has been absorbed" D. "This indicates that you are not tolerating this medication and will need to switch to a different form"

C. "What you are seeing is the wax matric that contained the medication, but the drug has been absorbed"

Sublingual nitroglycerin is prescribed for a client w/ a hx of a MI and atrial tachycardia. The nurse instructs the client about the prophylactic use of the of these tablets. Which statement by the client indicates the teaching was effective? A. "I should take the medicine three times a day" B. "I will be sure to take my pulse after I have exercised" C. "It will be important to avoid activities that can cause angina" D. "I should take one tablet before attempting activity that has caused angina"

D. "I should take one tablet before attempting activity that has caused angina"

A client taking multiple medications for HTN develops a persistent, hacking cough. Which antihypertensive medication class would the nurse identify as the likely cause of the cough? A. Thiazide diuretics B. Calcium channel blockers C. Direct renin inhibitors D. Angiotensin-converting enzyme (ACE) inhibitors

D. Angiotensin-converting enzyme (ACE) inhibitors