Practice

A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching? -"Now I will not have to diet to lose weight." -With the new medication, I should experience fewer side effects." -"I will not have to do anything different because it is the same medication." -"The extra letters after the name of medication means it is a stronger dose."

"Now I will not have to diet to lose weight."

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 tablets

A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL should the nurse administer?

0.6mL

A nurse at an urgent care clinic is caring for a client who is experiencing chest pain. While waiting for emergency services to arrive, the nurse administers a total of 3 nitroglycerin (Nitrostat) 0.4 mg tablets sublingually. The nurse should report that the client has received a total of how many mg of nitroglycerin? (Round to the tenth place.)

1.2 mg

A nurse is reviewing the medical record of a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further? -Diet-controlled Type 2 diabetes mellitus -A history of left-sided heart failure -A concurrent prescription for tadalafil -Recently treated bilateral pneumonia

A history of left-sided heart failure

A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is an experiencing an asthma attack. Which of the following actions should the nurse take? A. Infuse the medication with an IV pump. B. Cover the IV container with dark paper. C. Administer a test dose first. D. Infuse the medication at 35 mg/min.

A. Infuse the medication with an IV pump.

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? a. apply the transdermal patch in the same location as the previous patch b. apply a new transdermal patch when chest pains experienced c. apply a new transdermal patch once a week d. applies the new transdermal patch in the mornings

Apply the transdermal patch in the morning.

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? -Asthma -Glaucoma -Depression -Migraines

Asthma

>A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack." B. "Tremors are an adverse effect of this medication." C. "Prolonged use of this medication can cause hyperglycemia." D. "This medication can slow skeletal growth rate."

B. "Tremors are an adverse effect of this medication."

>A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects A. Hyperglycemia B. Adrenocortical insufficiency C. Severe dehydration D. Rebound pulmonary congestion

B. Adrenocortical insufficiency

A nurse is assessing a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse recognize as a therapeutic effect? A. Increased pulse B. Increased urine output C. Decreased blood pressure D. Decreased dysrhythmias

B. Increased urine output

A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication? -Bradycardia -Tremor -Cough -Constipation

Bradycardia

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take? A: Offer the client a light snack. B: Measure the client's blood pressure C: Measure the client's apical pulse. D: Weigh the client.

C: Measure the client's apical pulse.

A nurse is giving discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects? A. Drowsiness B. Constipation C. Oliguria D. Tachycardia

D. Tachycardia

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tab. The client's current vital signs are: blood pressure 144/96, heart rate 54/min, respirations 18/min and temperature 98.6. Which of the following actions should the nurse take? A. Administer digoxin 0.125mg B. Administer digoxin 0.25mg C. Withhold the digoxin dose for elevated blood pressure. D. Withhold the digoxin dose for decreased pulse rate.

D. Withhold the digoxin dose for decreased pulse rate.

A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? - Do not use salt substitutes while taking this medication. - Take the medication with food. - Count your pulse rate before taking the medication. - Expect to gain weight while taking this medication.

Do not use salt substitues while taking this medication.

>>A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the following findings is an adverse effect of this medication? -Weight gain -Increased blood pressure -Hypoglycemia -Leg cramps

Leg cramps

A nurse is reinforcing teaching with a client who has a new prescription for sublingual nitroglycerin. Which of the following instructions should the nurse include in the teaching?

Lie down upon onset of chest pain.

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications? A. Propranolol B. Theophylline C. Montelukast D. Prednisone

Propranolol

>>A nurse is advising a patient about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug prevents bronchospasm because it performs which of the following actions A. Blocks muscarinic receptors B. Increases leukocyte activity C. Causes bronchodilation D. Reduces inflammation

Reduces inflammation

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide? A. "Rinse your mouth after each use of this medication" B. "Limit fluid intake while taking this medication" C. "Increase your intake of vitamin B12 while taking this medication" D. "You can take the medication as needed."

Rinse the mouth after administration.

>A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid inhaled steroid complications? Answers: A Check the pulse after taking the medication. B Take the medication before eating. C Rinse your mouth after inhaling the medicine. D Limit your caffeine intake.

Rinse your mouth after inhaling the medication.

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

Simulates secretion

>A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in teaching?

You should change positions slowly.

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? a. The client holds his breath for 10 seconds after inhaling the medication. b. The client exhales as the medication is released from the inhaler. c. The client takes a quick inhalation while releasing the medication from the inhaler. d. The client waits 10 min between inhalations.

a. The client holds his breath for 10 seconds after inhaling the medication.

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication? Select one: a. sedation b. constipation c. hypertension d. bradycardia

a. sedation

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.) - The medication will stimulate the flow of mucus. - The medication will prevent wheezing. - The medication will open the airways. - The medication will reduce inflammation. - The medication will decrease coughing episodes.

- The medication will prevent wheezing. - The medication will open the airways. - The medication will decrease coughing episodes.

>A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer?

0.8 mL

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? A. Decreased BP B. Increase of HDL cholesterol C. Prevention of bipolar maniac episodes. D. Improved sexual function

A. Decreased BP

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? A. Systolic blood pressure is increased B. Cardiac output is reduced C. Apical heart rate is increased D. Urine output is reduced

A. Systolic blood pressure is increased

>A nurse is caring for a client who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

Administer a short acting B2- agonist (SABA)

A nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 on a 0-10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the client states that his chest pain is now a severity of 2. Which of the following actions should the nurse take? - Admin another nitroglycerin tablet - Initiate a peripheral IV - Call the Rapid Response Team - Obtain an ECG

Administer another nitroglycerin tablet.

A nurse is assessing an older client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity? A. Anorexia B. Ataxia C. Photosensitivity D. Jaundice

Anorexia

A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide? A. Weigh weekly to monitor therapeutic effect B. Take the medication on an empty stomach. C. Take the medication early in the day. D. Muscle pain is an expected adverse effect.

C. Take the medication early in the day.

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? A. Sedation B. Increased appetite C. White coating in the mouth D. Dry oral mucous membranes

C. White coating in the mouth

>A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first? -Check the client's vital signs. -Request a dietitian consult. -Suggest that the client rests before eating the meal. -Request an order for an antiemetic.

Check the client's vital signs.

>A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following statements by the nurse indicates an understanding of the teaching? A. I should increase my intake of potassium rich foods B. I should expect to have facial swelling when taking this medication. C. I should take this medication with food. D. I should report a cough to my provider.

D. I should report a cough to my provider .

>A nurse is teaching a client on prednisone. The nurse should inform the client that which of the following is a therapeutic effect?

Decreases inflammation

A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid while taking this medication? -Milk -Orange juice -Coffee -Grapefruit juice

Grapefruit juice

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication? A. Heart rate 46/min B. Oxygen saturation 95% C. Respiratory rate 18/min D. Blood pressure 160/94 mmHg

Heart rate 46/min

A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? Suppresses the cough stimulus Reduces surface tension Reduces inflammation Dries mucous membranes

Reduces surface tension.

A nurse is providing instruction to a new nurse 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? -Furosemide -Hydrochlorothiazide -Metolazone -Spironolactone

Spironolactone

A nurse is teaching a client who has a new prescription for captopril. Which of the following instructions should the nurse include in the teaching? -Monitor for a cough. -Hold medication for heart rate less than 60/min. -Take this medication with food. -Avoid grapefruit juice.

-Monitor for a cough.

The nurse is providing teaching for the client newly prescribed hydrochlorothiazide. Which of the following instructions should the nurse include? 1. Take the medication in the morning 2. The medication must be taken on an empty stomach 3. Muscle pain is an expected side effect 4. Report your weight monthly to the clinic

1. Take the medication in the morning

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack? A. Beclomethasone B. Salmeterol C. Formoterol D. Albuterol

Albuterol

A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide? a) Consume a high-protein diet. b) Administer the medication with food. c) Avoid caffeine while taking this medication. d) Increase fluids to 1L/per day.

Avoid caffeine while taking this medication.

A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? A. "Take this medication before bedtime." B. "Monitor for leg cramps." C. "Avoid grapefruit juice.' D. "Reduce intake of potassium-rich foods."

B. "Monitor for leg cramps."

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patient

Check the client's vital signs.

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth? - "administer the med w/ food" - "chew on sugarless gum or suck on hard, sour candies" - "place a humidifier at your bedside every evening" - "discontinue the med and notify provider"

Chew on sugarless gum or suck on hard, sour candies.

A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to the epinephrine? -Respirations are unlabored. -Client reports decreased groin pain of 3 on a 1 to 10 scale. -The client's blood pressure when arising from resting position is at premedication levels. -The client tolerates a second dose of medication with no greater than 1+ peripheral edema.

Respirations are unlabored.

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication? A. "Take this medication after each meal and at bedtime." B. "Take one tablet every 15 min during an acute attack." C. "Take one tablet at the first indication of chest pain." D. "Take this medication with 8 ounces of water."

Take one tablet at the first indication of chest pain.