Exam 3 ATIs

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions?

Acute myocardial infarction

A nurse is administering epoietin intravenously to a client who has renal failure. Which of the following actions should the nurse take?

Administered via IV bolus over 1 to 3 minutes NOT: Shake the veil before using dilute the drug first D5W- instead you use .9% sodium chloride save the used file for the next dose

A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs or the nurse have available in the event of a severe adverse reaction?

Aminocaproic acid: it inhibits fibrinolysis and stops excessive fibrinolytic bleeding, a severe adverse effect of alteplase

A nurse is caring for a client who is taking digoxin and develops changes on the ECG tracing and other manifestations that indicate the client has severe digoxin toxicity. Which of the following drugs with the nurse expect to administer to treat this complication?

Antigen binding fragments also known as digoxin immune fab

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pick Taurus. When speaking to the client about the drug, which of the following instruction should the nurse include?

Apply a new patch when you start your day apply the patch to a hairless area and rotate sites remove patches for 10 to 12 hours each day NOT: apply a new patch at the onset of anginal pain: patches are for ongoing prevention and not acute onset

A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors on platelets and can be prescribed to reduce the clients risk for a myocardial infarction?

Clopidogrel: its effects are irreversible and lasts the lifespan of the platelets

A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?

Constipation: nurse should encourage the client to consume adequate amounts of fibers and fluids in their diet NOT: Injection site pain or phlebitis: Ferris sulfate is administered orally. Iron dextran is available for IM

A nurse is caring for a client who is taking ferrous sulfate to treat iron deficiency anemia and develops iron toxicity. Which of the following drugs are the nurse expect to use to treat this complication?

Deferoxamine Exp: signs of iron toxicity include nausea vomiting and diarrhea and can also lead to acidosis in shock. Deferoxamine is a chelating agent that binds to the iron to reduce toxicity

A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?

Dietary modifications: Exp: Warfarin functions by inhibiting the action of vitamin K. Many foods, such as Green leaf he vegetables are rich in vitamin K. The client to maintain a consistent intake of vitamin K to avoid excesses or deficits and ensure the therapeutic effects of warfarin are consistent

A nurse is teaching a client about taking Ferris sulfate to treat iron deficiency anemia. Which of the following instruction should the nurse include? (select all that apply)

Eat iron rich foods Spread the dosage across each day Take the drug on an empty stomach Increase dietary fiber intake- exp: ferris sulfate can cause constipation INCORRECT: Report dark green or black stools. The nurse should tell them this is a possible effect, but they do not need to report it

A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instruction should the nurse include?

Expect lifelong therapy with the drug

Which of the following findings could indicate an adverse reaction to losartan?

Facial edema

A nurse is caring for a client who is taking amiodarone to treat each of fibrillation which of the following should the nurse instruct the client to avoid while taking this drug?

Grapefruit juice

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects? Headache, bronchodilation, Adema, hypertension

Headache Explanation: thrombolytic drugs can cause intracranial bleeding the nurse should monitor for changes in level of consciousness headache one sided weakness and other indications of intracranial bleeding. Could cause hypotension d/t excess bleeding. Could cause bronchospasm. Desmopressin could cause edema.

A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations as a potential adverse effect of this drug?

Headaches Also can cause: orthostatic hypotension

A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective?

Hemoglobin

A nurse is reviewing the medication record of a client who is receiving alteplase following an acute myocardial infarction. Which of the following medication should the nurse expect the client to be taking in addition to the Alteplase?

Heparin Explanation: heparin therapy should be initiated before at the place therapy and continued for at least 48 to 72 hours after the fibrinolytic therapy to reduce the risk of additional clot formation

A nurse is caring for a client who has a new prescription for aliskeren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug?

Hyperkalemia throat swelling cough Also can cause colon diarrhea and headaches NOT: constipation or joint pain

A nurse is caring for a client who is renal failure and is receiving epoietin. The nurse should monitor the client for which of the following adverse effects?

Hypertension

A nurse is administering hydrochlorothiazide to a client who has Gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug?

Hyperuricemia

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antibiotic drug to manage their new diagnosis of type two diabetes. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?

Hypoglycemia Exp: Carvedilol is a beta blocker

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?

Hypokalemia which can also manifest as anxiety, skeletal muscle weakness, hypo active bowel sounds, polyuria, nausea and vomiting Can also have hyperuricemia which can cause joint pain for clients

A nurse is caring for a client who is a new prescription for verapamil to treat atrial fibrillation the nurse should instruct the client to avoid drinking grapefruit juice while taking it because it can cause the client experience which of the following conditions?

Hypotension, increasing the risk for syncope and dizziness NOT Tachycardia, instead it could cause bradycardia dehydration: instead it could cause Adema from fluid retention diarrhea: instead could cause constipation

A nurse is teaching a client who has a new prescription for clonidine. Which is fine statements should the nurse include?

Monitor your pulse rate and report changes Also Can cause: urinary retention and increase digoxin levels

A nurse is providing teaching to a client who is taking Simba Staten. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that could require discontinuing drug therapy?

Muscle pain: statins can cause myopathy or pain in muscles and joints that can progress to rhabdomyolysis which can result in kidney damage

A nurse is caring for a client who is taking atorvastatin and has a new prescription for Gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects?

Myopathy

A nurse is caring for a client who has a new prescription for propranolol to treat a Tachydysrhythmia. The nurse instruct the client to avoid taking which of the following types of over the counter drugs while taking propranolol?

NSAIDs Exp: NSAIDs can interact with propranolol and decrease the antihypertensive action because vasoconstriction can occur in some COX-2inhibitor's

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drug the nurse expect to administer?

Out of place because it can dissolve existing thrombi. It should be administered within 3 hours of the original onset of symptoms

A nurse should identify that clopidogrel is contra indicated for clients who have which of the following conditions?

Peptic ulcer disease Exp: It can cause gastric bleeding

A nurse is caring for a client who is taking spironolactone to treat hypertension. The nurse should recognize that which of the client laboratory values requires immediate intervention?

Potassium >5 mEq/L

A nurse should identify that which of the following drugs is used only for the short term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use?

Procainamide Exp: it's serious adverse effects include cardiotoxicity and arterial embolism NOT: Quinidinecolon can be used on a long-term basis nitroglycerin: not used for cardiac dysrhythmias verapamil can be used on a long-term basis without causing severe side effects but can cause bradycardia and dizziness

A nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contra indicated for this client?

Reserpine Exp: some adverse effects of adrenergic neuron blockers or severe depression and an increased risk for suicide due to the depletion of serotonin and norepinephrine NOT: Captopril, hydralazine, or eplerenone

A nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic anemia. The nurse should monitor which of the following laboratory values to determine therapeutic effectiveness?

Reticulocyte count: this measures the amount of immature RBCs. Other labs that will be monitored at baseline then periodically are serum fully, hemoglobin, hematocrit, RBC account

A nurse is caring for a client who has a new prescription for verapamil the nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?

Second- degree AV block, or third degree Exp: it IS indicated for hypertension, angina pectoris, and the management of a flutter or of a fib or management of migraine headaches

A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that would do the following drugs is prescribed to treat hyper cholesterolemia?

Simvastatin

A nurse is caring for a client who is about to begin taking PTU to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects

Sore throat joint pain bradycardia rash

A nurse is caring for a client who is the glomerular filtration rate of 10 mi./min. and have reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug?

The drug does not promote diuresis for clients who have renal insufficiency

A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions?

Thrombocytopenia: clopidogrel can cause thrombotic thrombocytopenic Purpura (TTP). The nurse should monitor the patient's platelet count and also monitor for bruising, bleeding gums, and petechiae NOT Hyperuricemia - Filgrastim may cause this hyponatremia - Desmopressin may cause this lymphocytopenia

A nurse in an emergency department is assessing a client has been taking warfarin and is experiencing rectal bleeding. Which of the following drug the nurse expect to administer to the client?

Vitamin K

A nurse is caring for a client who is taking PTU and reports weight gain, drowsiness, and depression. The nurse should identify that the client is experiencing which of the following adverse reactions to the drug?

Hypothyroidism Also could see edema and bradycardia

A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of cardiovascular event. The nurse should identify that the drug in his platelet aggregation by which of the following mechanisms?

Inhibiting cyclooxygenase action and platelets

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in her diet to increase potassium intake?

Raisins and other dried fruits, artichokes and potatoes, chocolate milk and yogurt, nuts and fish and soy

A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage?

Rapid pulse: due to hypotension, tachycardia is a compensatory mechanism of the heart that can be detected through the pulse

A nurse is caring for a client who is to begin captopril therapy. Which of the following adverse effects with the nurse instruct the client to report because it can indicate a need to discontinue drug therapy?

Rash distorted taste Swelling of the tongue dry cough

A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contra indication for this drug?

Recent myocardial infarction Exp: level thyroxine can cause tachycardia, palpitations, and hypertension

A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily, including this morning. The nurse should identify that this place the client at risk for which of the following complications?

Uncontrolled bleeding

The nurse should assess a client who is megaloblastic anemia for indications of which of the following vitamin deficiencies?

Vitamin B 12 Explanation: patients with megaloblastic anemia have a deficiency in vitamin B12, folic acid, or both. Cyanocobalamin treats moderate deficiencies. Severe deficiencies should be treated with cyanocobalamin and folic acid