PrepU - Exam 1
A patient with dementia of Alzheimer's disease is prescribed rivastigmine by the primary health care provider. Which is the correct method of administering rivastigmine to the patient? Intravenously Intramuscularly Orally Subcutaneously
Orally
A client with asthma is prescribed albuterol to dilate the bronchioles. The nurse understands that this drug is likely acting on which receptors? Beta-2 Alpha-1 Alpha-2 Beta-1
Beta-2
A patient with a longstanding diagnosis of chronic renal failure has experienced a significant decline in urine output in recent days, prompting him to seek care at a local clinic. A nurse at the clinic has suggested to a colleague that the administration of a diuretic such as hydrochlorothiazide may improve the patient's urine output. How should the colleague best respond to this suggestion? "That would probably help, but we'd have to do blood work first." "Actually, patients with renal failure usually can't take hydrochlorothiazide." "That would only work if he could come in twice a day to get it intravenously." "Maybe, but hydrochlorothiazide affects the bladder more than the kidneys."
"Actually, patients with renal failure usually can't take hydrochlorothiazide."
A patient is receiving sotalol. Which instruction would be mostimportant for the nurse to provide to the patient to ensure maximum effectiveness of the drug? "Take an antacid at the same time you take the drug." "Be sure to take the drug on an empty stomach." "Eat a large meal and then take the drug." "Take the entire daily dose at one time."
"Be sure to take the drug on an empty stomach."
A nurse is preparing to administer a cholinergic medication. To prepare to administer the medication, the nurses is assessing the client for anticholinergic effects. Cholinergic medications act like which neurotransmitter? Serotonin Dopamine Acetylcholine Norepinephrine
Acetylcholine
What does the body create using choline? Acetylcholine Tyramine Dopamine Cholesterol
Acetylcholine
Which neurotransmitter is involved in pre- and postganglionic activity in the parasympathetic nervous system? Norepinephrine Epinephrine Acetylcholine Dopamine
Acetylcholine
Nicotinic receptors would be found in which location? Adrenal medulla Sweat glands Bladder Gastrointestinal tract
Adrenal medulla
The nurse knows that which class of drugs prevents epinephrine and norepinephrine from occupying receptor sites on the cell membranes? Beta-blocking agonist Beta-adrenergic drugs Beta-helping drugs Beta-adrenergic blocking drugs
Beta-adrenergic blocking drugs
Which effect results from activation of beta2 receptors? Pupil constriction Bronchoconstriction Bronchodilation Decreased heart rate
Bronchodilation
An older adult client has a complex medical history that includes heart failure, type 1 diabetes, and diabetic nephropathy. The nurse has questioned a care provider's prescription for oral spironolactone because the client's health problems would contribute to a high risk of which adverse reaction? metabolic acidosis hypocalcemia hemolytic anemia hyperkalemia
Hyperkalemia
A patient is receiving doxazosin. The nurse would assess the patient for development of which conditions? (Select all that apply.) Hypotension Edema Weakness Constipation Pallor
Hypotension Edema Weakness
A client has received a dose of dopamine intravenously. The client's IV was infiltrated, and the dopamine was injected into the subcutaneous tissues. Which medication will prevent the vasoconstriction and tissue necrosis based on this action? Ticlopidine (Ticlid) Nafcillin sodium Phentolamine mesylate (Regitine) Albuterol (Proventil)
Phentolamine mesylate (Regitine)
What would be most important for the nurse to assess in a client receiving midodrine? Changes in respiratory rate Positional blood pressure changes Changes in urinary output Appetite changes
Positional blood pressure changes
The health care provider discovers a clot in the client's left lower leg. Anticoagulant drugs are prescribed to prevent formation of new clots and to achieve which other effect? Increase coagulation Regulate PTT Regulate PT, INR Prevent extension of clots already present
Prevent extension of clots already present
The nurse would predict which assessment findings after administering a parasympathomimetic medication to the client? Select all that apply. Pupils are constricted bilaterally. Droplets of sweat appear on the forehead and body. Client states, "I am able to empty my bladder easier." Respirations before med: 16 and after med: 22. Pulse before med: 90 and after med: 70.
Pupils are constricted bilaterally. Client states, "I am able to empty my bladder easier." Pulse before med: 90 and after med: 70.
A client is prescribed glycopyrrolate preoperatively. The nurse integrates understanding of the drug's action, explaining that this drug will help achieve which effect? Reduction of oral secretions Increase muscle rigidity Relaxation Prolongation of anesthesia
Reduction of oral secretions
A male client has cirrhosis and is receiving diuretic therapy. The nurse knows that what drug will help prevent metabolic alkalosis or hypokalemia in this client? Spironolactone Dyazide Hydrochlorothiazide Bumetanide
Spironolactone
Adrenergic drugs mimic the effects of stimulating what part of the nervous system? parasympathetic sympathetic autonomic central
Sympathetic
A client has been prescribed the nonselective beta-adrenergic blocker, timolol for for the treatment of open angle glaucoma. What instructions should the nurse provide to assure the effectiveness of the medication? Keep the medication refrigerated between administration The proper method for instilling eye drops Be aware that diastolic blood pressure may temporarily rise Medication should be taken with a full glass of fluids
The proper method for instilling eye drops
Why would potassium-sparing diuretics be contraindicated for clients experiencing renal failure? They may cause hyperkalemia. They are the strongest form of diuretics. They promote excretion of potassium. They may cause rebound edema.
They may cause hyperkalemia.
Phentolamine is the agent used to treat extravasation of dobutamine. True or False
True
The functions of the autonomic nervous system (ANS) can be broadly described as: the ability to produce an action potential and to convey electrical impulses. activities designed to maintain a constant internal environment, to respond to stress or emergencies, and to repair body tissues. the ability to regulate and produce acetylcholine. relaying motor impulses from the cortex to the thalamus.
activities designed to maintain a constant internal environment, to respond to stress or emergencies, and to repair body tissues.
When providing medication teaching about to a client prescribed spironolactone, what foods should the client be instructed to avoid? fish apples crackers bananas
bananas
Epinephrine causes relaxation of: bronchioles. smooth muscles in the intestinal wall. superficial blood vessels. sphincter muscles.
bronchioles.
A client has been receiving bethanechol for 1 week. One hour after the dose is administered, the client develops sweating, flushing, abdominal cramps, and nausea. What is the rationale for the development of these symptoms? myasthenic crisis cholinergic overdose anaphylactic reaction pulmonary edema
cholinergic overdose
The nursing instructor is explaining the role of the parasympathetic nervous system in influencing body functions. Which change in a patient's body functions would be directly related to the stimulation of the parasympathetic nervous system? Increased heart rate Poor motility of the gastrointestinal tract Pupil dilation Decreased heart rate
decreased heart rate
Anticholinergic drugs are used in ophthalmology to sedate the patient. dilate the pupils. constrict the pupils. decrease lacrimal secretions.
dilate the pupils
A client is diagnosed with Alzheimer's disease. The nurse should anticipate administering which medication? bethanechol neostigmine donepezil physostigmine salicylate
donepezil
A client who is going on a cruise is concerned about motion sickness and sees the health care provider, who prescribes scopolamine. The nurse informs the client that using scopolamine may cause the client to experience: pupil constriction. drowsiness. diarrhea. urinary incontinence.
drowsiness
A 49-year-old client reports frequent muscle cramps while on hydrochlorothiazide therapy. The nurse would advise the client to do which? drink plenty of fluids. eat potassium-rich foods. take calcium supplements. include high-sodium foods in her diet.
eat potassium-rich foods.
The nurse is teaching a nursing student about anemia and knows that it is important to start by explaining the causes of anemia. Which statement is true about the cause of anemia? "Anemia is a condition caused by reduced amounts of protein, causing less oxygen to be delivered to the tissues." "Anemia is a condition caused by reduced amounts of hematocrit, causing less oxygen to be delivered to the tissues." "Anemia is a condition caused by reduced amounts of hemoglobin, causing less oxygen to be delivered to the tissues." "Anemia is a condition caused by reduced amounts of platelets, causing less oxygen to be delivered to the tissues."
"Anemia is a condition caused by reduced amounts of hemoglobin, causing less oxygen to be delivered to the tissues."
The nurse is educating a client who has been prescribed atropine, an anticholinergic drug. Which instructions should the nurse provide to the client? "Do not drive or operate machinery." "If you experience eye pain, contact the health care provider about increasing the dosage." "Increase your fluid intake and activity level." "Take long, hot showers frequently to relieve uncomfortable side effects."
"Do not drive or operate machinery."
Which patient statement indicates the need for additional teaching about propranolol? "I need to get up slowly after sitting or lying down." "I can stop the drug once my blood pressure is controlled." "I should space activities throughout the day." "I need to report if I have any chest pain or problems breathing."
"I can stop the drug once my blood pressure is controlled."
Which patient statement indicates to the nurse that the patient is experiencing an adverse effect of hyoscyamine? "I feel like my heart is going to jump out of my chest." "I have urinated twice in the last 6 hours." "Things don't look blurry to me." "I moved my bowels this morning."
"I feel like my heart is going to jump out of my chest."
An older client is taking an anticholinergic agent. After teaching the client about the drug, which client statement indicates the need for additional teaching? "I should make sure that I drink plenty of fluids." "I need to exercise frequently outside in the warm weather." "I should avoid driving if I feel light-headed or dizzy." "I should eat plenty of fiber to prevent constipation."
"I need to exercise frequently outside in the warm weather."
After teaching a patient about the action of spironolactone, the nurse determines that the teaching was successful when the patient states: "I need to make sure I don't eat too many high potassium foods." "I should take the medicine around dinnertime for the best effect." "I need to take the drug on an empty stomach." "I can still use my salt substitute if I want to."
"I need to make sure I don't eat too many high potassium foods."
Which patient should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine? A 47-year-old female with hypertension A 52-year-old male with adult-onset diabetes A 17-year-old female with symptoms of an upper respiratory infection A 62-year-old male with gout
A 47-year-old female with hypertension
Which client is most likely to benefit from the administration of an adrenergic agonist? A man who is in cardiogenic shock following a myocardial infarction A man who has a diagnosis of primary hypertension A woman who has been admitted with a suspected ischemic stroke A woman who is in labor and may require a caesarean section
A man who is in cardiogenic shock following a myocardial infarction
First-dose effect occurs when the client experiences marked hypotension and syncope with sudden loss of consciousness with the first few doses of the sympatholytic. Which intervention might be helpful for the nurse to do to decrease the risk for first-dose effect? Administer the dose at bedtime Administer half the prescribed dose Administer the drug with food Administer the drug at longer intervals than prescribed
Administer the dose at bedtime
Some anticholinergic drugs have the same clinical indications in the pediatric population as in the adult population. Which statement accurately describes a difference between the populations related to the use of anticholinergics? Anticholinergic drugs create different adverse effects in children. Adverse effects tend to be more severe in children. Anticholinergic drugs are more effective in the pediatric population. Adverse effects tend to be less severe in children.
Adverse effects tend to be more severe in children.
A client is experiencing sympathetic stimulation in response to a stressful event. Which substance will most affect the client's sodium and water retention? Aldosterone Thyroid hormone Cortisol Glucose
Aldosterone
A 78-year-old client is about to begin home care and has been prescribed an anticholinergic. What should the home care nurse explain to the client and her family about this medication? The client may benefit from additional fiber and fluids in her diet. The client may need assistance with ambulation. The client may be at increased risk of heat stroke. All the above
All the above
The client has been ordered a nonselective beta-blocking agent called propranolol, PO. Propranolol is used in the treatment of which disorders? Hypertension Angina Arrhythmias All the above
All the above
A 67-year-old man enters the emergency department reporting severe chest pain that is radiating down the left arm. He is diagnosed with a myocardial infarction. What drug does the nurse anticipate the health care provider ordering for this client? Heparin Alteplase Ticlopidine Clopidogrel
Alteplase
The nurse is caring for a client who is receiving an indirect-acting cholinergic medication and knows it is indicated as a treatment for myasthenia gravis as well as which other condition? Muscular dystrophy Musculoskeletal cancer Alzheimer's disease Cerebrovascular dementia
Alzheimer's disease
A client has recently been prescribed a drug that treats hypertension by blocking the sympathetic receptors in the sympathetic nervous system. This action is characteristic of which? an adrenergic antagonist. an adrenergic agonist. a cardiotonic. a neurotransmitter.
An adrenergic antagonist
A patient with chronic renal failure receiving epoetin alfa will be having a total left hip arthroplasty. What supplementation should the patient receive prior to surgery? A protein supplement An iron supplement A blood transfusion A folic acid supplement
An iron supplement
The nurse is teaching a nursing student about anemia and knows that it is important to include why anemia occurs. Which statement is true about why anemia occurs? Anemia occurs due to chronic illnesses or specific deficiencies such as iron. Anemia occurs due to chronic illnesses or specific deficiencies such as vitamin C. Anemia occurs due to chronic illnesses or specific deficiencies such as vitamin A. Anemia occurs due to acute illnesses or specific deficiencies such as vitamin D.
Anemia occurs due to chronic illnesses or specific deficiencies such as iron.
A 4-year-old girl is brought to the emergency department by her mother. The mother reports the child has been vomiting, The nurse notes the child's face is flushed and is diaphoretic. The mother thinks the child may have swallowed carbachol drops. A diagnosis of cholinergic poisoning is made. Which drug would be administered? Acetylcholine Atropine Cevimeline Nicotine
Atropine
A client is reporting diarrhea, rigidity and spasm after receiving pyridostigmine. Which medication is appropriate to suggest to the prescriber? alprazolam morphine sulfate atropine loperamide
Atropine
Which would be most important to have readily available for a client who is receiving an indirect-acting cholinergic agonist and develops a severe reaction? Edrophonium Atropine Phentolamine Naloxone
Atropine
A patient is admitted to the emergency room after a car accident. Based on the experience of the emergency room nurse, what system will affect a response to the emergency? Central nervous system Autonomic nervous system Endocrine system Cardiovascular system
Autonomic nervous system
A client is experiencing urinary retention. The client has been prescribed terazosin (Hytrin). What condition contributes to the urinary retention? Bladder cancer Benign prostatic hypertrophy Urinary tract infection Kidney cancer
Benign prostatic hypertrophy
When explaining the use of an alpha-1 selective adrenergic blocker to a patient, what would the nurse need to keep in mind? Reflex tachycardia may occur. Bladder relaxation leads to improved urine flow. The overall vascular tone increases. Blood pressure decreases due to vasoconstriction.
Bladder relaxation leads to improved urine flow.
A client taking warfarin after open heart surgery reports pain in both knees that began this week. The nurse notes bruises on both knees. Based on the effects of the medications and the report of pain, what should the nurse suspect is the cause of the pain? Joint thrombosis Torn medial meniscus Degenerative joint disease caused by her medication Bleeding
Bleeding
A client with a diagnosis of renal failure is being treated for anemia with epoetin alfa. Frequent assessment of which laboratory values should be prioritized before and during treatment? AST C-reactive protein CBC ALT
CBC
A client has been admitted to the cardiac unit for heart failure and has been ordered carvedilol (Coreg). The client's blood pressure is 80/50. What should the nurse do? Give the medication so that the blood pressure will increase. Call the provider and advise them of the client's blood pressure prior to administering the medication. Continue to take the client's blood pressure using different BP machines until a better blood pressure is obtained. Call the provider after giving the medication, informing the provider of client's blood pressure when the medication was administered.
Call the provider and advise them of the client's blood pressure prior to administering the medication
A patient has been administered dobutamine HCL. Which adverse reactions should the nurse monitor for in the patient? Cardiac arrhythmias Urinary retention Elevated temperature Sleeplessness
Cardiac arrhythmias
A client calls the cardiology office and reports fatigue and drowsiness since starting a new medication. The nurse knows that which medications has these as common side effects? Norepinephrine Epinephrine Carvedilol Lisinopril
Carvedilol
A nurse is caring for an elderly patient who is to be administered isoproterenol. Which change monitored in the patient should the nurse report immediately to the primary health care provider? Changes in glucose level Changes in appetite Changes in temperature Changes in pulse rate
Changes in pulse rate
A client has been prescribed a beta blocker. The nurse knows that beta blockers can have which effect on the heart? Decrease the heart rate Increase the heart rate Prevent normal sinus rhythm Constrict the heart
Decrease the heart rate
While preparing a client for an eye examination, the nurse explains that the eyedrops, an ophthalmic anticholinergic preparation, will cause what pupil reaction? constriction brisk response dilatation temporary fixation
Dilation
A female client is taking cholinergic medication to control bladder retention. She presents to the emergency department with confusion, shortness of breath, and an apical pulse of 42 beats per minute and irregular. What action would the nurse expect the health care provider to take? Increase the cholinergic medication to increase cardiac contractility. Increase the cholinergic medication to increase oxygenation to the heart through vasodilation. Decrease the cholinergic medication to alleviate the symptom of confusion. Discontinue the cholinergic medication secondary to the diagnosis of bradycardia.
Discontinue the cholinergic medication secondary to the diagnosis of bradycardia.
Which agent would be most appropriate to administer to a client with Alzheimer's disease? Pyridostigmine Neostigmine Ambenonium Donepezil
Donepezil
Which would the nurse identify as a naturally occurring catecholamine? Dobutamine Dopamine Ephedrine Metaraminol
Dopamine
An instructor is preparing a teaching plan for a group of students about adrenergic agonists. Which would the nurse include as an alpha- and beta-adrenergic agonist? Epinephrine Phenylephrine Albuterol Terbutaline
Epinephrine
Which would the nurse expect to be prescribed to a client experiencing acute bronchospasm? Epinephrine Dopamine Metaraminol Norepinephrine
Epinephrine
A 57-year-old female client has a history of two myocardial infarctions in the past 3 years. She presents to the health care provider's office with symptoms of an overactive bladder. She requests an anticholinergic medication that she saw advertised on television. What does the nurse expect the provider to do for this client? Order the anticholinergic medication Order blood work to rule out a urinary tract infection and order the medication Order a urinalysis to rule out a urinary tract infection and order the medication Explain to the client that the medication is contraindicated because of her medical history
Explain to the client that the medication is contraindicated because of her medical history
An increased dosage of digoxin would be needed if the patient is also taking midodrine. True or false
False
A patient with dementia of Alzheimer's disease is administered donepezil HCL. What are the actions associated with cholinesterase inhibitors? Increase in the level of acetylcholine in CNS Decrease in the level of neurotoxins in the brain Increase in the level of cholinesterase in the blood Increase in the level of adenosine tri-phosphate in the blood
Increase in the level of acetylcholine in CNS
An adrenergic drug would be prescribed to produce what physiological effect? decreased respiratory rate increased heart rate urine concentration decreased blood pH
Increased heart rate
Which is expected after the administration of an adrenergic medication such as epinephrine? (Select all that apply.) Increased heart rate Vasoconstriction Decreased heart rate Vasodilation Hypotension
Increased heart rate Vasoconstriction
The nurse administers a drug that will increase micturition. What should the nurse assess for a therapeutic effect? Increased bladder tone Increased tears Increased gastric motility Increased voiding
Increased voiding
Which would a nurse identify as the primary issue associated with anemias? Defective white blood cells Increased plasma proteins Ineffective red blood cells Lack of vitamin B12
Ineffective red blood cells
Which observation might indicate that timolol is achieving the desired effect in a client? blood pressure increases intraocular pressure decreases heart rate increases temperature decreases
Intraocular pressure decreases
A direct thrombin inhibitor (DTI) has been added to a client's medication regimen to treat the onset of acute coronary syndrome. The nurse should anticipate administration by what route? Select all that apply. intravenous intramuscular subcutaneous transdermal oral
Intravenous Oral
A client is administered atropine to increase the heart rate. What is the action of atropine? It blocks the parasympathetic vagal stimulation. It exacerbates the parasympathetic vagal stimulation. It provides long-acting antihistamine blockage. It blocks cell wall synthesis of gram-negative bacilli.
It blocks the parasympathetic vagal stimulation.
Jack Thomas is a 45-year-old automobile mechanic with a history of throat cancer. Jack has just undergone radical neck resection. As a result of the surgery, Jack suffers from xerostomia, a dry mouth condition. He is prescribed pilocarpine therapy. What advice should you give Jack regarding the drug therapy? Jack should be encouraged to consume more caffeine-containing beverages because that cuts the craving for smoking. Jack should be cautioned about blurred vision and its hazards. Jack should be instructed about the Ocusert system. Jack should be near a urinal at all times.
Jack should be cautioned about blurred vision and its hazards.
A client presents to the emergency department reporting rapid heart rate, severe headache, and pounding in the chest. While obtaining the clients history, the nurse learns the client stopped taking medications because the prescriptions ran out and had no funds to refill them. The nurse knows that which medications being abruptly stopped could be causing these symptoms? Labetalol An antidepressant Tylenol PM Reglan
Labetalol
Which would the nurse expect the health care provider to prescribe for a client receiving methotrexate? Cyanocobalamin Leucovorin Hydroxyurea Iron sucrose
Leucovorin
When describing where bumetanide acts, what would the nurse include? Proximal convoluted tubule Loop of Henle Collecting tubule Glomerulus
Loop of Henle
Epinephrine can be administered by multiple routes. Which is not an appropriate route? Oral Intramuscular Intravneous Subcutaneous
Oral
A client with renal impairment is in need of a diuretic. Because of the renal problem, potassium-sparing diuretics are contraindicated but may be used if there is no other option. If they are used at all, what nursing intervention would be most important for this client? Administration of concurrent potassium Monitoring of serum electrolytes, creatinine, and BUN Administration of a thiazide diuretic Monitoring of CBC and serum albumin
Monitoring of serum electrolytes, creatinine, and BUN
For which category of patients should the nurse take precautions when administering anti-adrenergic drugs? Patients with diabetes Patients with chronic bronchitis Patients with renal function impairment Patients with impaired hepatic function
Patients with renal function impairment
The nurse is caring for a client with asthma who has been experiencing shortness of breath and who has been administered a medication to cause bronchodilation. What aspect of autonomic nervous function has the nurse most likely influenced? Stimulation of beta-adrenergic receptors Reuptake of acetylcholine Synthesis of acetylcholinesterase Inhibition of alpha-adrenergic receptors
Stimulation of beta-adrenergic receptors
The nurse assessed a client at 0800 and obtained a blood pressure of 111/70 mmHg. Two hours later, the client's blood pressure is 130/81 mmHg. The nurse should attribute this change to what action within the autonomic nervous system? Stimulation of beta-receptors Antagonism of alpha-receptors Decreasing levels of acetylcholinesterase Stimulation of nicotinic receptors
Stimulation of beta-receptors
The adrenergic branch of the autonomic nervous system is also known by which name? Sympathetic nervous system Parasympathetic nervous system Central nervous system Somatic nervous system
Sympathetic nervous system
A nurse is monitoring the vital signs of a patient who has been administered epinephrine. Which of the readings should nurse report immediately to the primary health care provider? Systolic blood pressure below 100 mm Hg Temperatures reading of 97.6°F Pulse rate of 60 beats per minute A diastolic blood pressure of 75 mm Hg
Systolic blood pressure below 100 mm Hg
A client is being sent home with subcutaneous heparin after a total hip replacement. The nurse understands what symptom would indicate a serious drug reaction? Tarry stools Headache Stomach pain Hypotension
Tarry stools
The nurse is assessing a client. What assessment finding is the clearest indicator of autonomic function? The client's respiratory rate is 22 breaths per minute The client's hearing is intact The client's muscle strength is equal bilaterally The client can discern hot sensation from cold
The client's respiratory rate is 22 breaths per minute
What is the defining criterion of an adrenergic nerve? The nerve can produce epinephrine The nerve promotes cardiac conduction The nerve arises from the adrenal medulla The nurse is continuously stimulated
The nerve can produce epinephrine
A client tells the nurse, "I feel like I'm constantly running to the bathroom. It's like my bladder is working overtime." The client is diagnosed with an overactive bladder. Which agent might the nurse identify as being appropriate? Trospium Dicyclomine Glycopyrrolate Methoscopolamine
Trospium
There is a risk of antibody production with the use of epoetin. True False
True
Norepinephrine is made by nerve cells using which substance? Choline Tyrosine Decarboxylase Glycogen
Tyrosine
A nursing instructor is teaching students about the myelin sheath of the central nervous system (CNS). The nurse knows that teaching has been effective when a student identifies which vitamin as necessary for the formation of the myelin sheath in the CNS? Vitamin C Folic acid Vitamin B12 Vitamin D
Vitamin B12
A client who is receiving warfarin has blood in the urinary drainage bag. What medication will likely be prescribed by the health care provider? Aminocaproic acid Platelets Protamine sulfate Vitamin K
Vitamin K
A hospital client demonstrating peripheral edema has been prescribed furosemide. How should the nurse best determine the extent of the client's desired fluid loss? Assess the client's skin turgor on a daily basis. Test the osmolarity of the client's urine regularly. Weigh the client daily. Auscultate the client's chest each morning.
Weigh the client daily
The nursing student correctly identifies the transmitter in the cholinergic neuropathways that appears insufficient in clients with Alzheimer's disease is which? epinephrine. acetylcholine. norepinephrine. memantine.
acetylcholine
Which diuretic will most likely be the initial drug of choice when a client demonstrates dyspnea related to pulmonary edema? furosemide hydrochlorothiazide spironolactone mannitol
furosemide
A health care provider prescribes spironolactone, a potassium-sparing diuretic, for a client with cirrhosis. For which category of clients is the use of potassium-sparing diuretics contraindicated? hyperkalemia liver disease gout diabetes
hyperkalemia
A health care provider has prescribed triamterene to a male client with renal disease. The client informs the nurse that he is taking potassium supplements to address some heart problems. The nurse would be alert for: increased risk of hyperkalemia. increased risk of bleeding. decreased diuretic effectiveness. increased risk of arrhythmias.
increased risk of hyperkalemia.
A client has been diagnosed with genital warts. Which medication would the nurse anticipate being prescribed? epoetin alfa pegfilgrastim darbepoetin alfa interferon alfa-2b
interferon alfa-2b
