Rhythm practice 2

ATI wants: Take the medication 3 times daily. Correct answer: Expect to have black-colored stools while taking this medication.

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

I should expect dark, tarry stools.

A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?

Apply the transdermal patch in the morning

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?

I have started taking ginger root to treat my joint stiffness.

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?

Protamine

A nurse is caring for a client who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose.

Fab antibody fragments

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Decreased blood pressure

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

Enoxaparin

A nurse is caring for client who is postoperative following hip arthroplasty. The nurse should anticipate which of the following prescriptions for this client?

Warfarin take several days to work, so the IV Heparin will be used until the warfarin reaches a therapeutic level

a nurse is caring for a client who has deep vein thrombosis and has been on Heparin continuous infusion for 5 days. the provider prescribes Warfarin without discontinuing the Heparin the client asks the nurse why both anticoagulants are necessary. which of the following statements should the nurse make?

Vitamin K

a nurse is caring for a client who is on Warfarin therapy for atrial fibrillation. The client INR is 5.2. Which of the following medication should the nurse prepare to administer?

calcium gluconate

A client who is receiving magnesium sulfate has a urine output of 20mL/hr. Which of the following medications should the nurse expect to administer?

The nurse starts the transfusion of another unit of blood product.

A charge nurse is supervising a newly licensed nurse care for a client who is receiving a transfusion of packed RBC. The nurse suspects a possible hemolytic reaction. After stopping the blood transfusion, which of the following actions by the new nurse requires intervention by the charge nurse?

antiplatelet aggregate

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medications?

prevents dysrythmias

a nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving a lidocaine IV at 2 mg/min when the client asks the nurse why he is receiving that medication the nurse should explain that this has which of the following actions?

client report of low back pain

a nurse is assessing a client who is receiving a unit of packed red blood cells. which of the following findings is manifestation of acute hemolytic reaction.

"A headache is an expected adverse effect of the medication"

A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief form the chest pain but not he is experiencing a headache. Which of the following statements should the nurse make?

Increased urine output

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?

Shallow respirations

A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia.

Edema in the palm of the hand

A nurse is assessing an IV infusion side on an infants left hand. Which of the following findings should the nurse identify as an indication of an infiltration?

Anorexia

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

1600

A nurse is caring for a client who has a prescription for 3,000 ml of dextrose 5% of 0.45% sodium chloride to infuse IV over 24 hr. The nurse initiates an IV infusion of 1,000 mL of this fluid at 0800. At what time should the nurse prepare to initiate the second 1,000 mL bag?

I feel nauseated and have no appetite.

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

0.45% sodium chloride

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?

Prothrombin time (PT)

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Remain with the client for the first 15 minutes of the transfusion.

A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse plan to take?

Hypotension

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. for which of the following adverse effects should the nurse monitor when giving this medication?

Check the client's vital signs every hour during the transfusion.

A nurse is preparing to initiate a transfusion of packed RBC for a client who has amemia. Which of the following actions should the nurse plan to take?

Spironolactone

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?

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

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.

Grapefruit Juice

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?

The client has a history of bronchial asthma.

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?

Take this med 3 times daily.

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

Furosemide Telmisartan Duloxetine

A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension?

Heparin does not dissolve clots. It stops new clots from forming

a nurse is caring for a client who has thrombophlebitis and is receiving Heparin by continuous IV infusion. The client asks the nurse how long it will take for the Heparin to dissolve the clot. Which of the following responses should the nurse give?

stopping the transfusion

a nurse is monitoring a client who reports having chills and back pain during the blood transfusion. which of the following actions is the nurses priority?

Feverfew

a nurse is preparing an in-service about the various supplements clients might use. Which of the following herbal supplements should the nurse include as potentially increasing the anticoagulant effects of aspirin and other oral anticoagulants?

eat foods that contain plenty of potassium

a nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instruction should the nurse make?

increase your daily intake of dietary fiber

a nurse is providing discharge teaching to a client who has a new prescription for Verapamil for Angina. Which of the following instruction should the nurse include?

do not use salt substitutes while taking this medication

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?

you should avoid grapefruit juice

a nurse is teaching a client who has a new prescription for Simvastatin. Which of the following instruction should the nurse include.

take this nedicafion 4 hr after other medications

a nurse is teaching a client who has a new prescription for colesevelam to lower his lower density lipoprotein level. which of the following instructions should the nurse include?

enoxaparin subcutaneous

a nurses are leaving a client who is immediately post-operative following hip arthroplasty. which of the following medication should the nurse plan to administer for DVT prophylaxis.