Pharmacology Exam 1: ANS, Respiratory, Cardiac
The anticholinesterase medication pyridostigmine is prescribed for the client with myasthenia gravis. When providing medication teaching, the nurse explains that the client should expect a decrease in which function?
Heart rate
A client with supraventricular tachycardia (SVT) has a heart rate of 170 beats/minute. After treatment with diltiazem, which assessment indicates to the nurse that the diltiazem is effective?
Heart rate of 98 beats/minute
The nurse is caring for a client who received tenecteplase to open an occluded coronary artery. Which finding should be of highest concern for the nurse?
Hematemesis
A client with a partial occlusion of the left common carotid artery is to be discharged while still receiving warfarin. Which adverse effect will the nurse identify as a reason for the client to seek medical consultation? Select all that apply. One, some, or all responses may be correct.
Hematuria, Hemoptysis, Vomiting coffee-ground emesis
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to drink a glass of orange juice every day?
Maintaining potassium levels
A client who was prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client?
Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect.
Which action will a nurse take when a male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently?
Perform a finger stick to test the client's blood glucose level.
When teaching a client about digoxin, which symptom will the nurse include as a reason to withhold the digoxin?
Yellow vision
) A client is admitted to the hospital for an adrenalectomy. When teaching the client about the prescribed medications, which advice will the nurse emphasize?
Salt intake may have to be restricted.
The nurse is assessing a client with hypertension who reports experiencing dizziness after taking prescribed diltiazem. It is most important that the nurse assesses for which client characteristic?
Schedule for taking medication
A health care provider in the emergency department identifies that a client is in cardiogenic shock. Which type of medication is indicated for management of this condition?
Sympathomimetic
The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child?
Tachycardia
The nurse is assessing an adolescent after the administration of epinephrine. Which side effect is most important for the nurse to identify?
Tachycardia
A client with Parkinson's disease is prescribed benztropine (Cogentin). For which of the following should the nurse call the health care provider immediately?
The client has a history of primary angle-closure glaucoma.
Which information from the client's history would the nurse identify as a risk factor for developing osteoporosis?
Receives long-term steroid therapy
The nurse is reviewing medication instructions with parents of an infant receiving digoxin and spironolactone. Which parental response indicates instructions have been understood?
Vomiting should be reported to the health care provider.
The nurse is caring for a child receiving prednisone. Which consideration is most important for the nurse to remember when administering adrenocorticosteroid therapy?
It suppresses inflammation.
A client is receiving furosemide to relieve edema. The nurse will monitor the client for which adverse effect?
Hypokalemia
The nurse is caring for a client with a sore throat who developed urticaria after the administration of prescribed antibiotics. The client is now receiving cetirizine. Which finding indicates that the cetirizine is having the intended effect?
The client reports less itching.
Which assessment finding would the nurse identify as an adverse effect of a client's lidocaine infusion?
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. One, some, or all responses may be correct.
Tremors, Palpitations
Which medication class includes amitriptyline?
Tricyclics
A client with chronic liver disease reports, 'My gums have been bleeding spontaneously.' The nurse identifies small hemorrhagic lesions on the client's face. The nurse concludes that the client needs which additional supplement?
Vitamin K
The laboratory report establishes that the client has a warfarin overdose. Which antidote would the nurse anticipate administering?
Vitamin K
The nurse is teaching a client about precautions while taking warfarin. The nurse should instruct the client to avoid foods with excessive amounts of which nutrient?
Vitamin K
Which antidote would the nurse anticipate administering to a client whose laboratory report establishes a warfarin overdose?
Vitamin K
A client is receiving clonidine for hypertension. Which side effect of clonidine will the nurse include when providing medication education?
Xerostomia
A client develops a deep vein thrombophlebitis in her leg 3 weeks after giving birth and is admitted for anticoagulant therapy. The nurse would anticipate developing a teaching plan for which anticoagulant?
Heparin
When a client's cells are deprived of oxygen during a cardiac arrest, which medication corrects for deleterious effects of anaerobic energy production?
Sodium bicarbonate
Which adverse effect of imipramine requires further assessment and possible immediate medical intervention?
Urinary hesitancy
Which nursing assessment would performed by a nurse before administering intravenous (IV) infusion of potassium chloride (KCl) 40 mEq in 100 mL of 5% dextrose and water to be infused over 2 hours? Select all that apply. One, some, or all responses may be correct.
Urinary output Last serum potassium level Patency of the intravenous access
A client is prescribed 1 mcg/kg/min of dobutamine hydrochloride via IV infusion. Which client's condition would benefit the most from an administration of dobutamine hydrochloride?
Heart failure.
A client is discharged with a prescription for sustained-release nitroglycerin. Which information will the nurse provide to the client?
Swallow the capsule whole.
The nurse is assessing a postpartum client who is taking labetalol. Which client report should the nurse identify as a potential adverse effect of the medication?
Dizziness
The health care provider prescribes atenolol for a client with angina. Which potential side effect will the nurse mention when instructing the client about this medication?
Hypotension
The nurse is reinforcing the correct use of a metered-dose inhaler (MDI) for a client newly-diagnosed with asthma. The client asks, "how will I know the canister is empty?" What is the best response by the nurse?
"Count the number of doses as the inhaler is used."
A client is being discharged with a prescription for warfarin. The client asks "May I take aspirin with this medication? It helps my arthritis." Which response by the nurse is appropriate to address the client's concern?
"Avoid aspirin because it can increase the bleeding effects of warfarin."
The nurse is teaching a client diagnosed with asthma about the medication albuterol. Which statement by the nurse demonstrates appropriate teaching?
"Call your doctor's office if you need to use the drug more often."
Which statement about appropriate foods to consume when taking warfarin would indicate that the client needs further teaching?
"Dark green leafy vegetables are high in vitamin K, so I should eat them more often."
Which instruction regarding nutrition will the nurse give a client discharged after a short hospitalization for an episode of a transient ischemic attack (TIA) related to hypertension who is on a regimen that includes chlorothiazide?
"Eat more dark green, leafy vegetables such as spinach."
) A client is started on long-term corticosteroid therapy for an autoimmune disorder. Which statement by the client indicates the need for more teaching by the nurse?
"For 1 week each month I will stop taking the medication."
The nurse is providing information to a client about propranolol. Which statement by the client indicates the teaching has been effective?
"I can have a heart attack if I stop this medication suddenly."
A client with angina has been instructed about the use of sublingual nitroglycerin. Which statement by the client indicates the need for additional teaching?
"I can swallow two or three tablets at once if I have severe pain."
A client who had surgery is discharged on warfarin. Which statement by the client is incorrect and indicates a need for further teaching?
"I know I must avoid crowds."
A client has been taking rosuvastatin for six weeks as part of a treatment plan to reduce hyperlipidemia. The clinic nurse is reviewing and reinforcing information about the medication with the client. Which statements by the client indicates an understanding about the medication? Select all that apply.
"I will need to call my doctor if I have any muscle weakness or pain, especially in my legs." "I will need to come back to have my liver and kidney labs checked." "I add some nuts and fresh fruit to my oatmeal in the morning and I can't remember when I last ate a steak."
The nurse is providing discharge education to a client diagnosed with coronary artery disease. The client is prescribed to use a nitroglycerin transdermal patch at home. Which statement by the client indicates a correct understanding of safe medication administration?
"I will remove the old patch and cleanse the area before applying a new patch."
The nurse is educating a client with end stage chronic obstructive pulmonary disease (COPD) about medication management. Which statement by the client indicates an understanding of the teaching?
"I will use the albuterol in the nebulizer before my other inhalers each morning."
A 42-year-old male client diagnosed with hypertension tells the nurse he no longer wants to take the prescribed propranolol. Which client statement best explains the reason why he does not want to take this medication?
"I'm experiencing decreased sex drive."
The nurse has provided instructions to a client on the use of warfarin. Which statement by the client requires further teaching?
"If I develop a headache, I should take ibuprofen to help my pain."
The nurse is discharging a client who is at risk for venous thromboembolism (VTE). The client is prescribed enoxaparin. Which instruction should the nurse provide to this client?
"Notify your health care provider if your stools appear tarry or black."
Which information would the nurse include when preparing a teaching plan for a client prescribed sublingual nitroglycerin?
"Place the tablet under the tongue or between the cheek and gums."
Which information would the nurse provide when administering the first dose of prednisone prescribed to a client with an exacerbation of colitis?
"Prednisone is not curative but does cause a suppression of the inflammatory process."
A nurse is teaching a client with stable angina about newly prescribed SL nitroglycerin. Which statement should the nurse include in the teaching?
"Take one tablet immediately when you experience chest pain."
The nurse is talking with a client who was admitted with an acute myocardial infarction due to coronary artery disease. The clients asks what the purpose for the prescribed carvedilol is. How should the nurse respond?
"This drug will decrease the workload on your heart."
Which instruction will the nurse include when performing discharge teaching to a client now receiving hydrocortisone by mouth after stabilization of an acute adrenal insufficiency?
"Take the medication with food."
Which information is most important for the nurse to teach a client prescribed an antihypertensive medication to be taken once in the morning and a 2-gram sodium diet?
"Take your medicine exactly as prescribed."
Which statement by a client who had an endarterectomy that is prescribed clopidogrel would cause the nurse to conclude that teaching was effective?
"Taking this medication will help prevent further clogging of my arteries."
Which statement regarding mealtime administration by a client who has arthritis and is prescribed corticosteroid medication indicates that the teaching was effective?
"This will decrease gastric irritation."
The nurse is teaching a school-aged child and family members about the use of inhalers prescribed for asthma. Which statement made by a family member indicates an understanding of the nurse's instructions?
"We will keep a chart of daily peak flow meter results."
A client at risk for a stroke has been prescribed clopidogrel. Which information is most important for the nurse to reinforce with the client?
"You must stop the medication a week before your surgery."
The nurse teaches the client about appropriate foods to consume when taking warfarin. The nurse evaluates that the client needs further teaching when the client makes which statement?
'Dark green leafy vegetables are high in vitamin K, so I should eat them more often.'
Hydrochlorothiazide (HCTZ) has been prescribed for a client with hypertension. The client reports hearing that furosemide is more effective and requests a prescription change. How will the nurse respond?
'HCTZ has fewer side effects.'
A 65-year-old client is receiving amitriptyline. Which recommendation will the nurse make to the client concerning this medication?
'Have an eye examination to check for glaucoma.'
) Immediately after a bilateral adrenalectomy, a client is receiving corticosteroids that are to be continued after discharge from the hospital. Which statement by the client indicates to the nurse that additional education is needed?
'I am glad that I only have to take the medication once a day.'
Which client statement indicates understanding of the side effects of nitroglycerin ointment?
'I may experience a headache.'
The nurse provides instruction when the beta-blocker (BB) atenolol is prescribed for a client with moderate hypertension. Which client statement indicates to the nurse that further teaching is needed?
'I must take the medication before going to bed.'
Which client statements indicate that the teaching about furosemide is understood? Select all that apply. One, some, or all responses may be correct.
'I need to change my position slowly.' 'I should eat more food that is high in potassium.'
Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The nurse evaluates that the medication regimen is understood when the client makes which statement?
'I need to set an alarm so I take the medication on time.'
A 6-year-old child with asthma is prescribed an inhaled corticosteroid. The nurse would conclude the mother understands teaching about the medication side effects when the mother makes which statement?
'I'll check for white patches in the mouth.'
A client diagnosed with a transient ischemic attack (TIA) related to hypertension is discharged with a prescription of hydrochlorothiazide. Which instruction would the nurse include when teaching about this medication?
'Increase the intake of potassium-rich foods.'
The health care provider prescribes isosorbide dinitrate 10 mg for a client with chronic angina pectoris. The client asks the nurse why the isosorbide dinitrate is prescribed. How will the nurse respond?
'It decreases cardiac oxygen demand.'
The nurse is caring for a child undergoing chemotherapy for acute lymphoid leukemia. The parents ask why the child needs prednisone. Which response by the nurse would be correct?
'It decreases inflammation.'
The spouse of a client with an intracranial hemorrhage asks the nurse, 'Why aren't they administering an anticoagulant?' How will the nurse respond?
'It is not advisable because bleeding will increase.'
The nurse provides medication discharge instructions to a client who received a prescription for digoxin. Which statement by the client leads the nurse to conclude that the teaching was effective?
'It will be important to check my pulse rate daily.'
The nurse is preparing a teaching plan for a client prescribed nitroglycerin sublingual. Which would the nurse include in the teaching?
'Place the tablet under the tongue or between the cheek and gums.'
Upon admission to the emergency center, an adult client with acute status asthmaticus is prescribed this series of medications. In which order should the nurse administer the prescribed medications? (Arrange from first to last.)
1.Albuterol (Proventil) puffs. 2.Salmeterol (Serevent Diskus). 3. Prednisone (Deltasone) orally. 4. Gentamicin (Garamycin) IM.
List in order the steps the nurse teaches the client to follow when using a metered-dose inhaler (MDI).
1.Shake the inhaler for 30 seconds. 2.Exhale slowly and deeply to empty the air from the lungs. 3.Hold the inhaler upright in the mouth. 4.Start breathing in and press down on the inhaler once.
According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an apical heart rate falls below which number?
70 beats/min
The home care nurse is reviewing the medical record of a new client with a history of chronic obstructive pulmonary disease, atrial fibrillation and gout. After reviewing the client's medication list, for which medications should the nurse arrange to monitor blood levels? Select all that apply.
A. Beclomethasone *B. Digoxin *C. Theophylline D. Allopurinol E. Montelukast B & C
Which medications may be used to correct severe hyperkalemia resulting from intravenous (IV) administration? Select all that apply. One, some, or all responses may be correct.
Calcium chloride Calcium gluconate Sodium bicarbonate Dextrose solution with insulin
A nurse is assessing a client with heart failure who is taking prescribed torsemide. Which clinical finding indicates effectiveness of the medication?
Absence of peripheral edema
Which medication is often contraindicated when taking warfarin?
Acetylsalicylic acid
A client is prescribed heparin therapy for a deep vein thrombosis (DVT). Which laboratory value should the nurse monitor closely?
Activated partial thromboplastin time
Which food would the nurse encourage a client to eat while receiving treatment to prevent hypokalemia?
Broccoli
The international normalized ratio (INR) results of a client receiving warfarin have been variable. Which factor can help the nurse identify the cause of the INR fluctuations?
Adherence to the prescribed medication regimen
The health care provider prescribes enoxaparin to be administered subcutaneously. To ensure client safety, which measure would the nurse take when administering this medication?
Administer in the abdomen area only.
A health care provider prescribes enoxaparin 30 mg subcutaneously daily. Which measure would the nurse take when administering this medication?
Administer in the abdomen.
A client is scheduled for an adrenalectomy. Which action would the nurse expect in the plan of care?
Administer parenteral corticosteroids.
Which action is likely to reduce the pancreatic and gastric secretions of a client with pancreatitis?
Administer prescribed anticholinergic medication.
The nurse is caring for a client who is experiencing excessive bleeding after receiving unfractionated heparin sodium. Which orders should the nurse anticipate from the health care provider? Select all that apply.
Administer protamine sulfate., Obtain activated partial thromboplastin time (aPTT).
A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose. Which action should the nurse perform to alleviate this side effect?
Administer the dose with a snack.
The nurse in a urology office is developing a plan of care for a client newly diagnosed with urge urinary incontinence due to an overactive bladder. Which interventions should the nurse include?
Administration of anticholinergic drugs
Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis?
Although the medication decreases intestinal inflammation, it will not cure the colitis.
When a client exhibits severe bradycardia, which type of medication will the nurse be prepared to administer?
Anticholinergic
The nurse is caring for an 83-year-old client who is experiencing a sudden onset of confusion. Which medication most likely contributed to this change?
Antihistamine
Which assessment will the nurse conduct before administering digoxin to a client?
Apical heart rate
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client?
Apply the patch at least 4 hours prior to departure.
The home health nurse is completing a medication reconciliation of a client who has a new prescription for warfarin. Which medication should the nurse question the healthcare provider about?
Aspirin
Which is an appropriate nursing action when caring for a client taking benazepril for hypertension?
Assess for dizziness.
A client with an intravenous (IV) infusion containing 40 mEq of potassium reports a stinging pain at the IV site. Which actions will the nurse take? Select all that apply. One, some, or all responses may be correct.
Assess the IV site. Verify that the potassium is adequately diluted and not infusing too rapidly.
The nurse is preparing to administer digoxin to a client admitted for acute decompensated heart failure. Which action is the priority before giving this drug?
Assess the apical pulse for a full minute
The nurse is preparing to administer diltiazem to a client with heart disease. Which action should the nurse take first?
Assess the client's blood pressure and apical pulse
The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with heart failure. Which intervention should the nurse implement prior to administering the digoxin?
Assess the serum potassium level.
Propranolol is prescribed for a client with coronary artery disease (CAD). The nurse should consult with the health care provider (HCP) before giving this medication when the client reports a history of which condition?
Asthma
A client has been prescribed cholestyramine (Questran) in addition to other medications for coronary artery disease and hyperlipidemia. When should the nurse instruct the client to take the cholestyramine?
At least 1 to 2 hours after other medications
The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the health care provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule?
At the specific time prescribed
The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a client for an endoscopic procedure. The nurse is monitoring the client and notes that the heart rate has increased from the pre-procedure baseline. The nurse knows that which of the following medications is most likely responsible for the client's increased heart rate?
Atropine
Which ophthalmic solution is contraindicated for clients with glaucoma?
Atropine
During a procedure, the client's heart rate drops to 38 beats/min. Which medication is indicated to treat bradycardia?
Atropine sulfate
The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication?
Auscultate breath sounds.
The nurse is reviewing prescribed medications with a client. Which information should the nurse reinforce about captopril?
Avoid using salt substitutes.
A client who is receiving atenolol for hypertension frequently reports feeling dizzy. Which effect of atenolol is responsible for this response?
Blocking the adrenergic response
A client with myasthenia gravis has been receiving neostigmine and asks about its action. Which information would the nurse consider when formulating a response?
Blocks the action of cholinesterase
A client is receiving hydrochlorothiazide. Which physiological alteration will the nurse monitor to best determine the effectiveness of the client's hydrochlorothiazide therapy?
Blood pressure
The nurse administers a dose of metoprolol for a client. Which assessment is most important for the nurse to obtain?
Blood pressure.
The client has been treated with long-term glucocorticoid therapy. While completing the physical assessment, which finding should the nurse expect?
Buffalo hump
The nurse is administering 40 mg of furosemide intravenously. Which sensation reported by the client would the nurse consider when determining that it is being administered too quickly?
Buzzing ears
Which medication may be useful in managing hypertension in a child with acute glomerulonephritis?
Captopril
Which angiotensin-converting enzyme inhibitors (ACE inhibitors) are appropriate for a client with liver dysfunction? Select all that apply. One, some, or all responses may be correct.
Captopril, Lisinopril
Which body system is affected by excessive use of amphetamine / dextroamphetamine?
Cardiac
The nurse administers a parenteral preparation of potassium slowly to avoid which complication?
Cardiac arrest
A client is prescribed furosemide and digoxin for heart failure. The nurse should monitor the client for which potential adverse drug effect?
Cardiac dysrhythmias
Which clinical finding indicates that a client taking digoxin may have developed digoxin toxicity?
Cardiac dysrhythmias
A client receives a cardiac glycoside, a diuretic, an angiotensin-converting enzyme (ACE) inhibitor, and a vasodilator. The client's apical pulse rate is 44 beats/minute. The nurse concludes that the decreased heart rate is caused by which medication?
Cardiac glycoside/digoxin
The nurse is teaching a client who has a new prescription for sublingual nitroglycerin. Which point should the nurse emphasize?
Carry the nitroglycerine with you at all times
The nurse is caring for a child receiving furosemide for pulmonary edema. Which nursing intervention(s) would the nurse implement? Select all that apply. One, some, or all responses may be correct.
Checking the child's weight every day Calculating the dose of medication as carefully as possible Assessing the child regularly to help prevent electrolyte loss
A nurse is providing care to an older adult client with newly diagnosed heart failure. The nurse receives a prescription for digoxin PO 1.5 mg daily. Which action does the nurse perform next?
Clarify the prescription with the healthcare provider
The nurse is monitoring an older adult client prescribed diphenhydramine for contact dermatitis related to poison ivy exposure. Which finding should be reported to the provider as a potential drug-related side effect?
Confusion
A nurse is educating a client about the use of warfarin at home. The nurse should reinforce the need for the client to monitor which of the following?
Consistent intake of foods high in vitamin K
The nurse is preparing to administer prescribed digoxin to client with atrial fibrillation. The nurse notes the packaging for the medication is provided in a different route than prescribed. Which action should the nurse take?
Consult the pharmacist regarding the error
The nurse is caring for a client who is receiving procainamide intravenously. It is most important that the nurse monitors which parameter?
Continuous ECG readings
Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator?
Demonstrates use of a metered-dose inhaler
The nurse is monitoring the client who is taking newly prescribed antihypertensive medication. Which finding should indicate to the nurse that the client might be experiencing an allergic reaction to the medication?
Development of a rash
The nurse admits a client with tumor-induced spinal cord compression. Which medication should the nurse anticipate to be prescribed to offer the best palliative treatment for this client?
Dexamethasone.
A nurse is preparing to administer morning medications to a client with heart failure. The morning lab values are: sodium 142 mEq/L (142 mmol/L), potassium 2.9 mEq/L (2.9 mmol/L), digoxin level 1.4 ng/mL. Which of the following medications should the nurse not administer until after speaking with the health care provider?
Digoxin (Lanoxin)
A client has been given a prescription for furosemide 40 mg every day in conjunction with digoxin. Which concern would prompt the nurse to ask the health care provider about potassium supplements?
Digoxin toxicity occurs rapidly in the presence of hypokalemia.
A client is undergoing diagnostic testing for myasthenia gravis. Which test would the nurse identify as the most specific for this diagnosis?
Edrophonium chloride test
A school-age child is admitted with hypertensive acute glomerulonephritis. Which medication would the nurse anticipate being prescribed initially in addition to hydralazine?
Furosemide
Hypertension develops in a school-age child with acute glomerulonephritis. Which medication would the nurse anticipate providing teaching for?
Furosemide
Which diuretic would the nurse anticipate administering to a client admitted with acute pulmonary edema?
Furosemide
After the nurse provides education about hydrochlorothiazide, the client will agree to notify the health care provider regarding the development of which symptom?
Generalized weakness
A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the nurse take?
Give the medication as prescribed and continue to monitor the client.
The nurse is caring for a client who was recently prescribed atropine as a treatment for symptomatic bradycardia. Which condition should the nurse question as a contraindication when taking this medication?
Glaucoma
The nurse is reviewing the medical record of a client who received a new prescription for benztropine. For which condition in the client's record should the nurse clarify the prescription with the health care provider?
Glaucoma
A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of medications from which class?
Glucocorticoids
Which food would the nurse instruct a client taking diltiazem to avoid? Select all that apply. One, some, or all responses may be correct.
Grapefruit juice
he nurse is assisting a client who is taking amlodipine with meal planning. Which fluid selected by the client would require follow up by the nurse?
Grapefruit juice
The nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication would the nurse expect to be prescribed for this client?
Hydrocortisone
A client with cirrhosis of the liver develops ascites, and the health care provider prescribes spironolactone. The nurse will monitor the client for which adverse medication effect?
Hyperkalemia
Valsartan, an angiotensin II receptor antagonist, is prescribed for a client. The nurse will monitor the client for which adverse effect?
Hyperkalemia
A client is given a prescription for bumetanide. The nurse will teach the client to watch for symptoms of which condition?
Hypokalemia
Which times for the medication schedule would a nurse teach when corticosteroid therapy is prescribed for a client with an exacerbation of ulcerative colitis?
In the early morning with food
Which increased risk would the nurse consider when assessing a client with diabetes who is receiving long-term corticosteroid therapy and is admitted with leg ulcers?
Inadequate wound healing
The nurse provides instructions about how to use a metered-dose inhaler (MDI) to a client with chronic obstructive pulmonary disease. The nurse concludes that additional teaching is needed when the client demonstrates which technique?
Inhales rapidly with the lips sealed around the nebulizer opening
) A client receiving corticosteroid therapy states, 'I have difficulty controlling my temper, which is so unlike me, and I don't know why this is happening.' How will the nurse respond?
Inquire about mood swings.
A client who is 34 weeks gestation is diagnosed with a pulmonary embolism. Which of these medications should the nurse plan to administer?
Intravenous heparin
The client diagnosed with heart failure is prescribed oral digoxin. What is the priority nursing assessment for this medication?
Measure apical pulse prior to administration
When a client is receiving dexamethasone for adrenocortical insufficiency, which action would the nurse take to monitor for an adverse effect of the medication?
Measure blood glucose levels.
A client develops hemolytic anemia. Which client medication can cause this adverse effect?
Methyldopa
The nurse is planning care for a pediatric client with a new prescription for adenosine to treat symptomatic supraventricular tachycardia (SVT). Which action should the nurse include in the plan of care?
Monitor for shortness of breath
Long-term corticosteroid therapy has been initiated for a client with myasthenia gravis who experiences inadequate symptomatic control with pyridostigmine bromide. Which action is important for the nurse to take?
Monitor the client for an exacerbation of symptoms.
When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which nursing action is important to include when planning care?
Monitor the client for cardiac dysrhythmias
Which side effect would the nurse assess for in a child receiving prednisone?
Mood changes
A client with acute myocardial infarction is admitted to the coronary care unit. Which medication should the nurse administer to lessen the workload of the heart by decreasing the cardiac preload and afterload?
Nitroglycerin.
An 80-year-old client with depression requires the prescription of antidepressant medication. Which tricyclic antidepressant medication causes fewer complications in older clients?
Nortriptyline
The nurse is teaching a nursing student about tricyclic antidepressant medications. Which statement made by the student indicates the need for further teaching? Select all that apply. One, some, or all responses may be correct.
Nortriptyline is contraindicated in older adult clients, Tricyclic antidepressant medications are prescribed for clients with seizure
A client hospitalized for uncontrolled hypertension and chest pain was started on a daily diuretic 2 days ago upon admission, with prescriptions for a daily basic metabolic panel. The client's potassium level this morning is 2.7 mEq/L (2.7 mmol/L). Which action will the nurse take next?
Notify the health care provider that the potassium level is below normal.
Which reason would an intravenous infusion of 5% dextrose with 0.45% sodium chloride and 20 mEq of potassium be prescribed for a client with a nasogastric (NG) tube set to low intermittent suction?
Prevent electrolyte imbalance
A client has a prescription for a sublingual nitroglycerin tablet. Which technique will the nurse teach the client to use?
Place the pill under the tongue and let it dissolve.
A pediatric client is prescribed an intravenous infusion of methylprednisolone. Which clinical manifestation requires immediate intervention during administration of the initial dose?
Polyuria
The nurse is administering spironolactone for a client diagnosed with cirrhosis of the liver and ascites. Which electrolyte should the nurse anticipate to be spared when giving this medication?
Potassium
Which medication is unsafe to administer as an intravenous (IV) bolus?
Potassium chloride
The nurse administers sodium polystyrene sulfonate to a client with chronic renal failure. Which finding provides evidence that the intervention is effective?
Potassium decreases to 4.2 mEq/L (4.2 mmol/L).
Which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone?
Promotes return of cortisone production by the adrenal glands
The nurse is admitting a client to the hospital with findings of liver failure and ascites. A health care provider (HCP) orders spironolactone. The nurse understands that the pharmacological effects of the medication, are which of the following?
Promotes sodium and chloride excretion
The surgeon prescribes vitamin K before surgery. The nurse recognizes that this is prescribed because vitamin K contributes to the formation of which substance?
Prothrombin
Which substance does vitamin K contributes to the formation of?
Prothrombin
A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month?
Prothrombin Time (PT).
Dexamethasone has been prescribed for a client after a craniotomy for a brain tumor. Which physiological response is responsible for this medication's therapeutic effect?
Reduced cerebral edema
A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question?
Reduces inflammation
A health care provider prescribes dexamethasone for a client with head trauma. The nurse recognizes that it reduces swelling in the brain by which process?
Reduces the inflammatory response of tissues
A health care provider prescribes metaproterenol for a client. For which therapeutic effect would the nurse monitor the client?
Relaxed bronchial spasm
Sodium nitroprusside is prescribed for a client with a blood pressure of 260/120 mm Hg. The nurse recalls that sodium nitroprusside decreases blood pressure by which mechanism?
Relaxing venous and arterial smooth muscles
The nurse has administered sublingual nitroglycerin. Which outcome would the nurse use to determine the effectiveness of sublingual nitroglycerin?
Relief of anginal pain
Which vitamin deficiency may occur if cholestyramine, an anion exchange resin, to treat a client's persistent diarrhea is needed long-term?
Retinol (Vitamin A)
The nurse is collecting the health history for a client who reports a sudden onset of generalized weakness and fatigue. The nurse notes the client has a new prescription for spironolactone. Which action should the nurse take first?
Review the drug formulary for side effects
A client is receiving methylprednisolone 40 mg IV daily. The nurse should monitor which laboratory value closely?
Serum glucose.
The nurse is preparing to administer digoxin to a client with recurring atrial fibrillation. Which laboratory value should be of highest concern for the nurse?
Serum potassium 3.1 mEq/L
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?
Signs and symptoms of digoxin toxicity
Tissue plasminogen activator (t-PA) is to be administered to a client in the emergency department. Before beginning the infusion, which assessment is the nurse's priority?
Signs of bleeding
The nurse is providing discharge education to a client who will be starting daily atenolol for the treatment of hypertension. Which side effect is most important for the client to notify their health care provider about?
Slow, irregular heart rate
A client who is on long-term corticosteroid therapy after an adrenalectomy is admitted to the surgical intensive care unit after being involved in a motor vehicle crash. Which statement is an important concern for client safety?
Steroid therapy will need to be increased to avert a life-threatening crisis.
Which drug category applies to cocaine?
Stimulants
A child who has nephrotic syndrome is prescribed steroid therapy. Which explanation would the nurse give the parents regarding the goal of this treatment?
Stimulates diuresis
A nurse is assessing a client receiving alteplase for a pulmonary embolism. The client suddenly becomes confused and is unable to follow commands. What action does the nurse take first?
Stop the infusion
A client with hypertension is prescribed an angiotensin II receptor blocker (ARB). Which instructions will the nurse provide about this medication? Select all that apply. One, some, or all responses may be correct.
Stop the medication if swelling of the mouth, lips, or face develops.' 'Have blood drawn for potassium levels 2 weeks after starting the medication.'
A client with midsternal pain presents to the emergency department. Vital signs are stable. Which form of nitroglycerin would the nurse anticipate giving initially?
Sublingual spray
Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication?
Supports a better response to stress
Which information will the nurse include when teaching a client about potassium chloride effervescent tablets?
Take the medication with food.
Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the nurse instruct the client to take pyridostigmine about 1 hour before meals?
Taking it before meals improves the ability to chew.
Which nursing assessment is important for a school-age child undergoing long-term steroid therapy?
Testing of stools for occult blood
After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During administration of the medication, the client asks the nurse the reason for the medication. Which is the best response for the nurse to provide the client?
This medication is given to prevent blood clot formation.
A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to manage this condition?
Timolol maleate
Intravenous furosemide has been prescribed for a client with severe edema and hypertension. Which subjective clinical manifestations lead the nurse to suspect that the furosemide is infusing too rapidly? Select all that apply. One, some, or all responses may be correct.
Tinnitus Weakness Leg cramps
A client is scheduled for a bilateral adrenalectomy. Which rationale describes why steroids are administered to the client?
To compensate for sudden lack of these hormones after surgery
Enoxaparin 40 mg subcutaneously daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for which purpose?
To provide prophylaxis against postoperative thrombus formation
A client recently diagnosed with heart failure has been prescribed digoxin and furosemide. Which of the following foods should the nurse teach the client to eat at least one serving a day?
Tomato juice
A client presents with extensive lesions caused by psoriasis. Which intervention would the nurse anticipate providing teaching on?
Topical application of steroids
Which intervention would the nurse anticipate providing teaching on when a client presents with extensive lesions caused by psoriasis?
Topical application of steroids
Which side effect of prolonged cortisone therapy for adrenal insufficiency would the nurse teach the client and family to expect? Select all that apply. One, some, or all responses may be correct.
Weakness, Moon face, Weight gain
A client is receiving furosemide to relieve edema. The nurse will monitor the client for which responses? Select all that apply. One, some, or all responses may be correct.
Weight loss Excessive loss of potassium ions
A child with nephrotic syndrome has been receiving prednisone for 1 week. Which information in the child's record indicates to the nurse that the medication has been effective? Select all that apply. One, some, or all responses may be correct.
Weight loss, Decreased lethargy, Increased urine output
A client received 40 mg of furosemide by mouth at 10 am. Which information is most important for the nurse to provide to the next nurse in the change-of-shift report?
he client's urine output was 1500 mL over nine hours.
The nurse is providing teaching to the client prescribed albuterol for the management of asthma. The nurse is including reportable side effects in the teaching plan. Which of the following side effects is the priority?
Palpitations
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?
Paroxysmal nocturnal dyspnea
An 80-year-old client who is taking digoxin reports nausea, vomiting, abdominal cramps and halo vision. Which laboratory result should the nurse evaluate first?
Potassium levels
Which dietary choices will the nurse instruct the client taking spironolactone to avoid increasing? Select all that apply. One, some, or all responses may be correct.
Potatoes, Cantaloupe
A client is receiving clonidine 0.1 mg/24 hr via transdermal patch. Which assessment finding indicates the desired effect of the medication has been achieved?
Blood pressure from 180/120 mmHg to 140/70 mmHg.
A nurse is assessing a client who started taking prescribed olmesartan 2 weeks ago. Which finding indicates an expected response to the medication?
Blood pressure of 125/79 mmHg
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved?
Blood pressure reduced from 160/90 mmHg to 130/80 mmHg.
Cholinergic agonists are prescribed for which type of urinary condition?
Urine retention
The nurse is preparing to apply nitroglycerin ointment. Before applying the ointment, which action will the nurse take?
Use the dose measuring application paper and spread the ointment in a thin layer to the prescribed amount.
Which medication is indicated for emergency treatment of bleeding esophageal varices?
Vasopressin
) A client who had a femoropopliteal bypass graft is receiving clopidogrel postoperatively. Which instruction will the nurse teach the client related to the medication?
Report any occurrence of multiple bruises.
A primary health care provider prescribes atenolol 20 mg by mouth four times a day. Which information is important for the nurse to include in the discharge teaching plan for this client?
Avoid abruptly discontinuing the medication.
The nurse is teaching a pediatric client and family about prescribed albuterol sulfate extended-release tablets. Which statement should be included?
"This medication can cause restlessness."
A nurse is providing education on activities of daily living to a client taking warfarin. Which statement made by the client indicates further teaching is required?
"I will be sure to consume plenty of green leafy vegetables."
"I can still take my nonsteroidal anti-inflammatory medications occasionally for my arthritis pain."
"I will continue to use salt substitutes to flavor my food."
Which response would a nurse give to a client who takes furosemide and digoxin and reports that everything looks yellow?
"I will hold the medication until I consult with your health care provider."
The nurse is preparing a client with rheumatoid arthritis (RA) for discharge to an assisted living facility. Which statement about the prescribed oral glucocorticoid is correct?
"The medication will be gradually tapered off over 5 to 7 days."
The nurse is teaching a client with asthma about albuterol. How should the nurse best describe the action of this medication?
"The medication will help to relax smooth muscles in the airways."
Which instructions about the use of nitroglycerin to prevent angina will the nurse provide to a client?
'Before physical activity, place one tablet under the tongue, and repeat the dose in 5 minutes if pain occurs.'
The nurse prepares discharge instructions for a client who will take enalapril for hypertension. Which instruction would the nurse include in the client's teaching?
'Change to a standing position slowly.'
Which instruction would the nurse include when teaching the client about sublingual nitroglycerin?
'Common side effects include headache and low blood pressure.'
The nurse teaches a client about cortisone therapy. Which statements made by the client indicate the need for further teaching? Select all that apply. One, some, or all responses may be correct.
'I should take 3 tablets at a time.' 'I should take the tablet twice a week.' 'I should take the tablet on an empty stomach.'
Sublingual nitroglycerin is prescribed for a client with a history of a myocardial infarction and atrial tachycardia. The nurse instructs the client about the prophylactic use of these tablets. Which statement by the client indicates the teaching was effective?
'I should take one tablet before attempting activity that has caused angina.'
The health care provider prescribes neostigmine for a client with myasthenia gravis. Which client statement indicates understanding regarding medication management plans?
'I should take the medication at the exact time that is listed on the prescription.'
A female client receiving cortisone therapy for adrenal insufficiency expresses concern that she is developing facial hair. How would the nurse respond?
'The medication contains a hormone that causes male characteristics.'
A client has been receiving digoxin. The client calls the clinic and complains of 'yellow vision.' Which response would the nurse provide?
'The medication may need to be discontinued. Come to the clinic this afternoon.'
Furosemide has been prescribed as part of the medical regimen for a client with hypertension. Which client statement indicates a need for medication education?
'This can decrease my vitamin K level.'
A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this medication?
'Watch for white patches in the mouth and report to the health care provider.'
Which instruction would the nurse include when teaching about hydrochlorothiazide given to a client diagnosed with a transient ischemic attack (TIA) related to hypertension?
*"Increase the intake of potassium-rich foods."
Which sign of hypokalemia will the nurse monitor for in a client receiving furosemide?
*Muscle weakness
Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The nurse advises the client to anticipate pain relief will begin within which period of time?
1 to 3 minutes
The nurse is educating a client about how to use a metered-dose inhaler with spacer. Place each step in the correct order by entering the numbers in order.
1. Release the medication into the spacer 2.Breathe in deeply 3.Remove the mouthpiece from the lips 4.Hold breath for 10 seconds 5.Breathe out slowly
Nortriptyline is prescribed for a depressed client. Which time period identifies when the nurse would expect a therapeutic response?
2 to 3 weeks
A depressed client has been prescribed a tricyclic antidepressant. Which time period indicates how long it usually takes before the client notices a significant change in the depression?
2 to 4 weeks
To which nursing home resident could a nurse safely administer tricyclic antidepressants without questioning the health care provider's order?
A client with mild hypertension
A child being treated with cardiac medications developed vomiting, bradycardia, anorexia, and dysrhythmias. The nurse understands which medication toxicity is responsible for these symptoms?
Digoxin
Pilocarpine is used as part of the diagnostic process of a toddler suspected of cystic fibrosis. The nurse knows that the pilocarpine would stimulate which process?
Activity of sweat glands
A nurse is teaching an 80-year-old client how to use a metered dose inhaler. The nurse is concerned that the client is unable to coordinate the release of the medication during the inhalation phase. Which intervention should improve the delivery of the medication?
Add a spacer device to the inhaler canister.
A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When the client reports the onset of a headache prior to the next scheduled dose, which action should the nurse implement?
Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen (Tylenol)
A client with a history of asthma is admitted for a minor surgical procedure. Preoperatively, the peak flow is measured at 480 liters/minute. Postoperatively, the client reports chest tightness and the peak flow is now 200 liters/minute. What should the nurse do first?
Administer the PRN dose of albuterol
A client who had a myocardial infarction has runs of ventricular tachycardia. Which medication will the nurse prepare to administer?
Amiodarone
A client's cardiac monitor indicates multiple multifocal premature ventricular complexes (PVCs). Which medication is indicated for treatment of ventricular dysrhythmias?
Amiodarone
The cardiac monitor reveals several runs of ventricular tachycardia. Which medication is used to treat this dysrhythmia?
Amiodarone
A client who has atrial fibrillation with rapid ventricular response is started on a continuous heparin infusion. Which clinical finding enables the nurse to conclude that the heparin therapy is effective?
An activated partial thromboplastin time (aPTT) is twice the usual value.
A client taking multiple medications for hypertension develops a persistent, hacking cough. Which antihypertensive medication class would the nurse identify as the likely cause of the cough?
Angiotensin-converting enzyme (ACE) inhibitors
Which action is most important for the nurse to implement prior to the administration of the antiarrhythmic drug adenosine (Adenocard)?
Apply continuous cardiac monitoring.
The nurse is teaching a client with stable angina about their new prescription for nitroglycerin transdermal patch. Which instructions should the nurse include? Select all that apply.
Apply the patch to a hairless area of the body Notify your provider for persistent dizziness or any fainting episode Plan for patch-free time, usually overnight Rotate the application area
The inpatient hospital nurse is caring for a client with hypokalemia. The health care provider prescribed a potassium intravenous (IV) infusion of 40 mEq potassium chloride in 250 mL normal saline to be infused over 4 hours. The nurse receives the infusion from the pharmacy. Which action should the nurse take next?
Ask another nurse to verify the prescription, IV solution and serum potassium level
A client suspected of having myasthenia gravis is scheduled for an edrophonium chloride test. To treat a common complication associated with the test, the nurse will have which medication available?
Atropine
A health care provider prescribes tolterodine for a client with an overactive bladder. Which action is important to include in client teaching?
Avoid activities requiring alertness until the response to medication is known.
A nurse is providing dietary instructions to a client who is taking prescribed amiloride. Which information will the nurse include in the teaching?
Avoid eating foods that are rich in potassium such as bananas
To prevent excessive bruising when administering subcutaneous heparin, which technique will the nurse employ?
Avoid massaging the injection site after the injection.
A client who takes multiple medications complains of severe nausea, and the client's heartbeat is irregular and slow. The nurse determines that these signs and symptoms are toxic effects of which medication?
Digoxin
A client was prescribed furosemide. The nurse would instruct the client to include which food in the diet?
Bananas
Which complication is an adverse effect of cortisone therapy?
Behavioral changes
A client receiving fluphenazine decanoate develops dystonia/extrapyramidal side effect early in therapy. Which medication would the nurse anticipate administering to reverse this side effect?
Benztropine
A client develops extrapyramidal effects after taking a neuroleptic medication, and the nurse notes extrapyramidal effects. Which medication can limit these side effects?
Benztropine mesylate
The nurse is providing discharge education to a client with moderate persistent asthma. The nurse should instruct the client to administer which medication first?
Bronchodilator
A client is prescribed cholestyramine for the treatment of type II hyperlipoproteinemia. Which vitamin would the nurse anticipate may become deficient because of this therapy?
Calciferol (vitamin D)
Atenolol is prescribed for a client with moderate hypertension. Which information would the nurse include when teaching the client about this medication? Select all that apply. One, some, or all responses may be correct.
Change to standing positions slowly. Count the pulse before taking the medication. Mild weakness and fatigue are common side effects.
How would the nurse determine if a client is experiencing the therapeutic effect of valsartan?
Check the blood pressure.
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved?
Client states chest pain is relieved.
A client has refused prescribed cortisone. The nurse continues to administer the cortisone while evading the client's questions. When the client later discovers that cortisone continued to be administered, the client decides to sue the nurse. Which elements must be considered in a legal action? Select all that apply. One, some, or all responses may be correct.
Clients have a right to refuse treatment, Nurses are required to answer clients truthfully, The health care provider should have been notified.
A client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. Which nursing action is effective in preventing aspiration of food?
Coordinate mealtimes with the peak effect of the medication.
Which drink would a nurse teach a client on warfarin to avoid?
Cranberry juice
The client with congestive heart failure is receiving furosemide 80 mg once daily. Which data collection assessment would be performed to evaluate medication effectiveness? Select all that apply. One, some, or all responses may be correct.
Daily weight Intake and output Monitor for edema Daily pulse oximetry Auscultate breath sounds
Which client response must the nurse monitor to determine the effectiveness of amiodarone?
Decrease in cardiac dysrhythmias
The nurse is caring for a client who has been prescribed atropine preoperatively. The nurse understands the intended purpose for administering this preoperatively is to induce which effect?
Decrease secretions
A beta blocker is prescribed for the client with persistent ventricular tachycardia. Which response indicates that the beta blocker is working effectively?
Decreased heart rate
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent?
Decreased muscle weakness.
The client with hypokalemia reports nausea, vomiting, and seeing a yellow light around objects. Which of the client's medications is the likely cause of the client's symptoms?
Digoxin
A client is admitted to the acute medical unit for severe amphetamine intoxication. Which medications are indicated to counteract the effects of stimulant intoxication? Select all that apply. One, some, or all responses may be correct.
Diazepam, Propranolol
Amlodipine is prescribed for a client with hypertension. Which response to the medication will the nurse instruct the client to report to the health care provider?
Difficulty breathing
An infant with congenital heart disease is prescribed digoxin and furosemide upon discharge. Which sign would the nurse instruct the parents to be alert for?
Difficulty feeding with vomiting
A nurse notes an abrupt onset of confusion in an 85-year-old client. Which newly prescribed medication most likely caused this change in the client's mental status?
Diphenhydramine
The nurse is administering hydroxyzine to a client. The nurse would monitor the client for which side effect of this medication?
Drowsiness
A client is prescribed oral disopyramide to manage a ventricular dysrhythmia. Which side effects will the nurse include when teaching the client about this medication? Select all that apply. One, some, or all responses may be correct.
Dry Mouth, Constipation
The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include? Select all that apply. One, some, or all responses may be correct?
Dry mouth Drowsiness Constipation Orthostatic hypotension
Which test would the nurse identify as specific for the diagnosis of myasthenia gravis?
Edrophonium chloride test
Which response to fludrocortisone will the nurse teach a client with adrenal insufficiency to report? Select all that apply. One, some, or all responses may be correct.
Edema, Rapid weight gain
Which instructions will the nurse give a client for whom nitroglycerin tablets are prescribed?
Ensure that the medication is stored in its original dark container.
A client is experiencing anaphylaxis from an insect sting. Which medication should the nurse administer?
Epinephrine
For the client taking clopidogrel, the nurse will monitor for which adverse effect?
Epistaxis
A nurse is preparing to administer prescribed maintenance dose of digoxin to a client who has heart failure. Which action should the nurse to take?
Evaluate the client for nausea, vomiting, and anorexia
A client with hyperlipidemia receives a prescription for niacin (Niaspan). Which client teaching is most important for the nurse to provide?
Expected duration of flushing.
An adolescent prescribed loratadine 10 mg daily for hay fever is concerned the medication will cause drowsiness during the school day. Which action would the school nurse take?
Explain this medication rarely causes drowsiness.
*A client who has been diagnosed with Raynaud's disease and hypertension is prescribed nifedipine. For which side effect should the nurse monitor the client?
Facial flushing
Which intervention would the nurse implement for a client admitted for an exacerbation of asthma?
Give prescribed medications to promote bronchiolar dilation.
Warfarin is prescribed for a client who has been receiving intravenous (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?
Heparin provides anticoagulant effects until warfarin reaches therapeutic levels.
A client is admitted to the hospital for an adrenalectomy. Before the client's replacement steroid therapy is regulated fully, the nurse will monitor the client for which complication?
Hypotension
A client presents to the emergency department with chest pain. A myocardial infarction is suspected, and 500 mL of 5% dextrose in water (D 5W) with 50 mg of nitroglycerin intravenously (IV) has been prescribed. The nurse will monitor the client for which common side effect of nitroglycerin?
Hypotension
A client with a myocardial infarction receives intravenous nitroglycerin to relieve pain. The nurse will assess for which medication side effect?
Hypotension
The nurse is collecting the health history of a client who reports taking over-the-counter pseudoephedrine for nasal congestion. Which statement by the client would require follow-up by the nurse?
I take this medication at night before I go to bed
The nurse is educating a client on self-administration of a fluticasone inhaler. What statement indicates an understanding of the teaching?
I will rinse my mouth with water after using the inhaler
The nurse is providing education to the client prescribed montelukast for the treatment of asthma. What medication should the nurse instruct the client to avoid?
Ibuprofen
An 11-year-old client reports having bedwetting issues (enuresis). Which medication would the nurse anticipate when developing a teaching plan ?
Imipramine
The nurse is caring for a client diagnosed with heart failure who will begin treatment with digoxin. Which therapeutic effect would the nurse expect to find after administering this medication?
Improved respiratory status with increased urinary output
A nurse is providing care to a client in cardiogenic shock. The client is on a prescribed dopamine infusion at 10 mcg/kg/min with orders to titrate as needed. The latest blood pressure is 75/40 mmHg. Which action does the nurse perform next?
Increase the infusion rate to 12 mcg/kg/min
Which instructions will the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine?
Increase your intake of fiber and fluid.'
A client is receiving dexamethasone to treat acute exacerbation of asthma. For which side effect would the nurse monitor the client?
Increased blood glucose
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect?
Increased contractile force of the myocardium
A client presents to the clinic for a follow-up appointment after starting pyridostigmine for management of myasthenia gravis. Which new client problems are adverse effects of pyridostigmine? Select all that apply. One, some, or all responses may be correct.
Increased urinary frequency, Diarrhea
Which mechanism of action explains how hydrochlorothiazide increases urine output?
Increases the excretion of sodium
A health care provider prescribes simvastatin 20 mg daily for elevated cholesterol and triglyceride levels for a female client. Which advice is important for the nurse to teach when the client initially takes the medication?
Inform the health care provider if you wish to become pregnant.
The nurse is providing discharge instructions to an older adult client with heart failure. The client asks, "What is the purpose for taking the furosemide?" How should the nurse respond?
It will help with decreasing fluid buildup in your lungs.
Which vitamin is essential for the synthesis of prothrombin by the liver?
K
A health care provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in which part of the renal system?
Loop of Henle
The nurse is caring for a client prescribed furosemide and digoxin for the treatment of heart failure. The client reports seeing halos and bright lights. Which laboratory result would be anticipated?
Low potassium level
The nurse is preparing to administer metoprolol to a client with a history of hypertension. Which of the following data is the priority for the nurse to review prior to administration?
Most recent heart rate
The client is discharged from the hospital with a new prescription for furosemide. During a follow-up visit one week later, the nurse notes the following findings. Which finding is most important to report to the health care provider?
Muscle cramps
The nurse is reinforcing medication interactions with a client who is taking warfarin. Which over-the-counter (OTC) medication should the nurse remind the client to avoid?
Naproxen
A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 mL/hour. The nurse notes that the client's urinary output has been 20 mL/hour for the last 2 hours. Which intervention should the nurse initiate?
Notify the healthcare provider of the urinary output.
A nurse is providing discharge education on the use of sustained-release procainamide to a client with newly diagnosed atrial flutter. What will the nurse include in the teaching?
Notify your healthcare provider if you begin experiencing joint pain
Which instruction would the nurse give an unlicensed assistive personnel (UAP) to perform while caring for a client prescribed captopril? Select all that apply. One, some, or all responses may be correct.
Obtain blood pressure. Weigh the client every morning. Assist the client to change positions slowly.
Intravenous (IV) potassium is prescribed for a client with a diagnosis of hypokalemia. Which statement about administration of IV potassium is accurate?
Oliguria is an indication for withholding IV potassium.
A nurse has administered sublingual nitroglycerin to a client in the emergency department. Which clinical finding indicates an adverse response to the medication?
Orthostatic hypotension
Which principle explains how loop diuretics promote diuresis?
Osmosis
Which statement accurately describes nortriptyline? Select all that apply. One, some, or all responses may be correct.
Overdosage is often lethal, Constipation and urinary retention may occur, Weight gain is a common side effect.
The nurse is evaluating the effectiveness of therapy for a client who received albuterol via nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the best indicator that the therapy was effective?
Oxygen saturation is greater than 90%.
Sublingual nitroglycerin has been prescribed for a client with unstable angina. Which client response indicates that nitroglycerin is effective?
Pain subsides as a result of arteriole and venous dilation.
A male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently. Which is the nurse's initial action?
Perform a finger stick to test the client's blood glucose level.
Which information would the nurse include when teaching a client about warfarin?
Periodic blood testing is necessary.
A client is admitted to the hospital for a new onset of supraventricular tachycardia (SVT) and is prescribed digoxin. For which laboratory finding should the nurse notify the healthcare provider immediately?
Potassium level of 3.1 mEq/L.
The nurse is caring for a client who is receiving a continuous intravenous heparin infusion. The client's most recent activated partial thromboplastin time (aPTT) is 120 seconds. Which medication should the nurse plan to administer?
Protamine
A nurse is administering lidocaine to a client with a myocardial infarction. Which assessment finding requires the nurse's immediate action?
Pulse rate of 48 beats per minute
When the nurse is administering intravenous potassium to a client with hypokalemia, which finding is most important to communicate to the health care provider?
QRS duration of 0.28 seconds
The nurse provides client teaching on the administration of a topical steroid application to a basal cell carcinoma surgical site. The nurse evaluates the teaching as effective when the client identifies which action as the primary purpose of the medication?
Reducing inflammation at the surgical site
Which action is the primary purpose of a topical steroid application to a basal cell carcinoma surgical site?
Reducing inflammation at the surgical site
The nurse is monitoring a client who is receiving the thrombolytic agent alteplase for treatment of an acute myocardial infarction (AMI). What outcome indicates the client is receiving adequate therapy within the first few hours of treatment?
Reduction of ST-segment elevation on a 12-lead ECG
A client with heart failure is prescribed spironolactone (Aldactone). Which information is most important for the nurse to provide to the client about diet modifications?
Refrain for eating foods high in potassium.
Which advice will the nurse include when teaching a client about digoxin for left ventricular failure?
Report increasing fatigue.
A client is being discharged with a prescription for warfarin. Which information is most important to be included in the nurse's discharge teaching?
Report nose or gum bleeding
Which instruction will the nurse include in a teaching plan for a client taking a calcium channel blocker such as nifedipine? Select all that apply. One, some, or all responses may be correct.
Report peripheral edema. Avoid drinking grapefruit juice. Change to a standing position slowly.
Which action would the nurse perform when administering fluticasone propionate to a client with asthma? Select all that apply. One, some, or all responses may be correct.
Rinsing the oral cavity with water after use
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication?
Rise slowly when getting out of bed or chair.
The nurse is teaching the client how to properly use a dry powder capsule inhaler. How should the nurse instruct the client to use this type of inhaler?
Seal lips tightly around mouthpiece and inhale rapidly and deeply
) A client who recently started receiving oral corticosteroids for a severe allergic reaction is instructed that the dosage will be reduced gradually until all medication is stopped at the end of 2 weeks. Which reason would the nurse provide for this gradual reduction in dosage?
Slow reduction of the medication will prevent a physiological crisis because the adrenal glands are suppressed.
Which outcome would the nurse expect when caring for a child receiving adrenocorticosteroid therapy?
Suppressed inflammatory process
The nurse is caring for a client after cardiac surgery who has been prescribed protamine sulfate. Which finding indicates that the treatment is having the intended effect?
The bleeding from the surgical site has slowed.
The nurse is preparing to administer prescribed warfarin to a client with a mechanical heart valve. Which finding should the nurse report to the healthcare provider?
The client has cola-colored urine.
The nurse is monitoring a client who is taking prescribed nitroglycerin for angina. Which finding indicates the medication has a therapeutic effect?
The client reports a decrease in chest pressure.
The nurse is observing a new graduate nurse preparing to administer bumetanide 4 mg orally to a client with heart failure. Which client finding requires the nurse to intervene immediately?
The client's most recent serum potassium level is 2.9 mEq or mmol/L.
A client with myasthenia gravis begins taking pyridostigmine. Two days later, the client develops loose stools and increased salivation. Which conclusion would the nurse make about these new developments?
The medication is causing cholinergic side effects.
Which conclusion would the nurse make about the development of loose stools and increased salivation two days after a client with myasthenia gravis begins taking pyridostigmine?
The medication is causing cholinergic side effects.
The nurse is providing discharge education to a client newly diagnosed with chronic obstructive pulmonary disease. The client is prescribed the diskus inhaler fluticasone propionate and salmeterol. The client asks, "How will I know when the inhaler is empty?" How should the nurse respond?
The number of doses that remain will be on the inhaler
The nurse is discharging a client with a new prescription for tiotropium to help manage the symptoms of chronic obstructive pulmonary disease. What information should the nurse include in the discharge teaching?
This medication cannot be used to relieve sudden breathing problems.
Which criterion is an indicator that the nitroglycerin sublingual tablets have lost their potency?
The tablets are more than 3 months old.
The nurse is teaching a client diagnosed with depression about a new prescription of nortriptyline. What information would be essential for the nurse to emphasize about this medication?
The use of alcohol should be avoided
A health care provider prescribes a diuretic for a client with hypertension. Which mechanism of action explains how diuretics reduce blood pressure?
They reduce the circulating blood volume.
Which teaching would a nurse give to a client with a prescription for potassium supplements?
To report any abdominal distress
A child undergoing prolonged steroid therapy takes on a cushingoid appearance. The nurse would expect to find which of these manifestations during further assessment? Select all that apply. One, some, or all responses may be correct.
Truncal obesity, Thin extremities
Which assessment would be brought to the health care provider's attention before administration of intravenous potassium chloride?
Urinary output of 200 mL during the previous 8 hours
The health care provider prescribes a cholinergic medication to treat a client's urinary problem. Which effect would the nurse anticipate?
Urinary retention is prevented.
A health care provider prescribes digoxin for a client. The nurse teaches the client to be alert for which common early indication of acute digoxin toxicity?
Vomiting
The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign of digoxin toxicity would the nurse monitor for?
Vomiting
While receiving an adrenergic beta 2 agonist medication for asthma, the client complains of palpitations, chest pain, and a throbbing headache. Which nursing action is the most appropriate?
Withhold the medication and notify the health care provider.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. Which action should the nurse take first?
Withhold the scheduled dose.
A nurse is teaching a client with asthma about the correct use of the fluticasone inhaler. Which statement, if made by the client, would indicate that the teaching was effective?
"I should rinse my mouth after using the inhaler."
The nurse provides discharge medication education to a client who has a prescription for warfarin. Which client statement indicates to the nurse that teaching was effective?
'I will avoid taking aspirin and nonsteroidal anti-inflammatory drugs [NSAIDs].'
A client who takes furosemide and digoxin reports to the nurse that everything looks yellow. Which response by the nurse is most appropriate?
'I will hold the medication until I consult with your health care provider.'
Potassium supplements are prescribed for a client receiving diuretic therapy. Which client statement indicates that the teaching about potassium supplements is understood?
'I will report any abdominal distress.'
Which instruction would the nurse include in a teaching plan for nitroglycerin patches?
'Remove a previous patch before applying the next one.'
A client with chronic obstructive pulmonary disease prepares to take a medication that is delivered via a nebulizer. Which instruction would the nurse provide when teaching about use of the nebulizer?
'Seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths.'
The clinic nurse receives a call from the mother of an infant prescribed digoxin. The mother reports she forgot whether she gave the morning dose of digoxin. Which response by the nurse is most appropriate?
'Skip this dose and give it at the next prescribed time.'
Which instruction would the nurse give to clients prescribed psychotropic medications who are experiencing anticholinergic-like side effects?
'Suck on sugar-free hard candies.'
An adolescent with hay fever has been taking a prescribed first-generation antihistamine every 8 hours for the past 2 days. The adolescent tells the nurse, 'This medicine is making me sleepy.' Which response by the nurse would be most appropriate?
'The drowsiness usually decreases after several days.'
Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated? Select all that apply. One, some, or all responses may be correct.
*A. Bran can decrease digoxin absorption. *B. Digoxin should not be taken with hawthorn supplements. C. *Ginseng may cause a dangerous increase in digoxin levels in the blood. *E. Medications that lower serum potassium or magnesium can cause digoxin toxicity. A, B, C, E
A client with left ventricular heart failure and supraventricular tachycardia is prescribed digoxin 0.25 mg daily. Which changes would the nurse expect to find if this medication is therapeutically effective? Select all that apply. One, some, or all responses may be correct.
*A. Diuresis B. Tachycardia *C. Decreased edema *D. Decreased pulse rate E. Reduced heart murmur F. Jugular vein distention A, C, D
1) Which nursing intervention is important when caring for clients receiving intravenous (IV) digoxin? Select all that apply
*A. Monitor the heart rate closely. *B. Check the blood levels of digoxin. *D. Monitor the serum potassium level. A, B, D
A client with the diagnosis of primary hypertension is started on a regimen of hydrochlorothiazide. Which information will the nurse include when providing instructions regarding this medication?
An antihypertensive medication will likely be required for the remainder of life.
A client is admitted to the hospital with a diagnosis of heart failure and acute pulmonary edema. The health care provider prescribes furosemide 40 mg intravenous (IV) stat to be repeated in 1 hour. Which nursing action will best evaluate the effectiveness of the furosemide in managing the client's condition?
Auscultating breath sounds
Which instructions will the nurse include in the teaching plan for a client who will be taking simvastatin? Select all that apply. One, some, or all responses may be correct.
Avoid prolonged exposure to the sun. Schedule regular ophthalmic examinations. Contact your health care provider if skin becomes gray-bronze.
The nurse on a cardiac unit is caring for a client who is receiving nitroglycerin intravenously for unstable angina. During administration of the medication, which assessment is the priority?
Blood pressure
The nurse working in an intensive care unit is caring for a client diagnosed with acute angina. The client is receiving an intravenous infusion of nitroglycerin. What is the priority assessment for this client?
Blood pressure
Which client response indicates to the nurse that a vasodilator medication is effective?
Blood pressure changes from 154/90 to 126/72 mm Hg
A client is prescribed digoxin 0.25 mg by mouth daily. The health care provider has written a new order to give metoprolol tartrate 25 mg twice a day by mouth. In assessing the client prior to administering the medications, which finding should the nurse report to the health care provider?
Blood pressure of 94/60
A client with hypertensive heart disease 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 with digoxin?
Bradycardia
The nurse is monitoring a 4-month-old infant who is prescribed digoxin. The infant's blood pressure is 92/78 mm Hg; resting pulse is 78 beats per minute; respirations are 28 breaths per minute; and serum potassium level is 4.8 mEq/L. The infant is irritable and has vomited twice since receiving the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?
Bradycardia
A client with systemic lupus erythematosus is taking prednisone. Which foods would the nurse encourage the client to eat while receiving treatment to prevent hypokalemia?
Broccoli
Which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem?
Change slowly from sitting to standing.
During morning rounds, a healthcare provider informs a client with hypertension that a calcium channel blocker will be added to their treatment regimen. The nurse notes a new prescription for amiloride 10 mg PO daily. Which action does the nurse perform next?
Clarify the prescription with the healthcare provider
A client with rheumatoid arthritis has been taking a corticosteroid medication for the past year. Prolonged use of corticosteroids puts this client at increased risk for which complication?
Decreased white blood cells
The nurse is caring for a client who has been taking furosemide for the past week. Which manifestation would indicate that the client may be experiencing a negative side effect?
Decreased appetite
Captopril is prescribed for a client. Which effect would the nurse anticipate?
Decreased blood pressure
A client who had a myocardial infarction receives a prescription for a nitroglycerin patch. Which statement would the nurse identify as the purpose of the nitroglycerin patch?
Decreased cardiac preload reduces cardiac workload.
A beclomethasone inhaler would be prescribed for which purpose?
Decreases inflammation
A client with myasthenia gravis is to receive immunosuppressive therapy with corticosteroids. Which mechanism of action assures the nurse that this therapy will be effective?
Decreases the production of autoantibodies that attack acetylcholine receptors
One week after being hospitalized for an acute myocardial infarction, a client reports nausea and loss of appetite. Which of the client's prescribed medications would be withheld and the health care provider notified?
Digoxin
The nurse is evaluating the plan of care for a client with benign prostatic hyperplasia (BPH). For which prescribed medication should the nurse notify the health care provider (HCP)?
Diphenhydramine
A nurse is assessing a client receiving intravenous potassium chloride. The client verbalizes pain to the IV site. The site appears swollen and is warm to touch. Which action does the nurse perform?
Discontinue the IV catheter
A client is receiving metoprolol. Which potential effect will the nurse teach the client to expect?
Dizziness with strenuous activity
A client with heart failure is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instructions should include reporting which problem to the healthcare provider?
Dizziness.
A client with hypertension has received a prescription for metoprolol. Which information will the nurse include when teaching this client about metoprolol?
Do not abruptly discontinue the medication.
The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan?
Do not get up quickly. Always rise slowly.
A client begins treatment with pyridostigmine bromide therapy for myasthenia gravis. Which action would the nurse perform in administration of the medication?
Evaluate the client's muscle strength every hour after the medication is given.
Which action would the nurse perform when beginning pyridostigmine bromide therapy for a client with myasthenia gravis?
Evaluate the client's muscle strength every hour after the medication is given.
) The nurse is caring for a client prescribed warfarin therapy for treatment of persistent atrial fibrillation. Which of the following may potentiate the effect of this medication?
Green tea
A nurse is reviewing the INR results for caring for a client who had a cerebral vascular accident and is receiving prescribed warfarin. The nurse notes the INR is 5.2. Which finding requires priority follow-up?
Gum bleeding
Which action would be the most appropriate way for the nurse to evaluate a child's understanding of how to use an inhaler?
Having the child demonstrate inhaler use
Which nursing action is appropriate when administering imipramine?
Having the client checked for increased intraocular pressure
The nurse is providing discharge instructions to a client with a prescription for sublingual nitroglycerin. The nurse should inform the client to prepare for this most common side effect?
Headache
The healthcare provider prescribes a beta-1 agonist medication to be administered. The nurse should anticipate the medication to be prescribed for a client diagnosed with which condition?
Heart failure.
A 12-year-old child has just received a dose of epinephrine. Which assessment is the priority after this medication is administered?
Heart rate
Which action describes a therapeutic effect of atenolol?
Heart rate decreases
The nurse is preparing to administer an albuterol nebulizer treatment to a patient with asthma. Which assessment finding should be brought to the health care provider's attention prior to administering the medication?
Heart rate of 116 bpm
A nurse is providing education to a client about newly prescribed diltiazem. Which statement will the nurse include in the teaching?
Hold the dose if your heart rate is less than 50 beats/min
A hospitalized 8-month-old infant is receiving digoxin to treat Tetralogy of Fallot. Prior to administering the next dose of the medication, the parent reports that the baby vomited one time, just after breakfast. The infant's heart rate is 92 bpm. What action should the nurse take?
Hold the medication and notify the primary health care provider.
A client with cirrhosis of the liver has been taking chlorothiazide. The provider adds spironolactone to the client's medication regimen to prevent which condition?
Hypokalemia
A client with a history of methamphetamine use is admitted to the medical unit. Which clinical manifestation would the nurse expect when assessing the client who is under the influence on admission?
Increased heart rate
The nurse is caring for a client who received digoxin-specific immune fab. Which finding indicates the treatment is having the intended effect?
Increased heart rate
An adolescent is prescribed phenylephrine nasal spray. The nurse would determine teaching has been effective when the adolescent identifies which complication that may occur if the spray is used more frequently or longer than recommended?
Increased nasal congestion
Which effect would the nurse assess a teenager for if more than the recommended dose of oxymetazoline nasal spray is taken?
Increased nasal congestion
The nurse is teaching a client about newly prescribed inhaled budesonide. The nurse should teach the client to report which finding to the healthcare provider?
Increased thirst
The nurse is teaching the parents of a child prescribed a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication?
It should be stopped gradually.
The health care provider prescribes lidocaine to treat a ventricular dysrhythmia in a client with cirrhosis of the liver. Which alterations in the usual lidocaine dosage would the nurse anticipate for this client?
Lower than usual dosage because the medication is metabolized at a diminished rate
The nurse incorrectly administers carvedilol (Coreg) to a client with an order for benztropine (Cogentin). What is the priority nursing intervention after making this medication error?
Monitor the client's blood pressure
A health care provider prescribes enalapril for a client. Which nursing action is important?
Monitor the client's blood pressure during therapy.
The nurse is providing care for a client admitted to the hospital with a diagnosis of digoxin toxicity. The client reports more than usual urine output over the previous 48 hours, because of the prescribed diuretic. Which assessment finding does the nurse anticipate?
Muscle weakness or cramping
The nurse is caring for a client who is being treated for heart failure. After completing the medication reconciliation process, the nurse notes that the prescriber has added lisinopril 5mg orally bid. Which medication from the list below should the nurse question due to possible drug-to-drug interaction with lisinopril?
Naproxen
The nurse is reviewing medication instructions with a client who is taking digoxin. The nurse should reinforce to the client to report which of the following side effects?
Nausea, vomiting, fatigue
The client who was admitted with exacerbation of ulcerative colitis has developed hyperglycemia. Which medication that the client was prescribed most likely caused this adverse drug effect?
Prednisone
A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would be a priority for the nurse?
Preventing exposure of the child to infection
The nurse is reviewing the prothrombin time results for a client who is taking warfarin. The nurse notes the value is 20 seconds. What is an appropriate nursing action?
Recognize that this is a therapeutic level.
Which pain characteristic would the nurse expect to observe when a client is experiencing anginal pain?
Relieved by sublingual nitroglycerin
A nurse is reviewing a client's medical history. The client has been newly diagnosed with hypertension and has been prescribed oral losartan as treatment. The nurse will clarify the use of losartan if which comorbidity is noted in the client's medical record?
Renal stenosis
A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25 mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved?
Resolution of heart failure
A client with chronic obstructive pulmonary disease (COPD) is receiving aminophylline 25 mg/hour intravenously (IV). Which finding would be associated with side effects of this medication?
Restlessness and palpitations
Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan (Avapro)?
Risk for injury.
A client with heart failure is to receive digoxin. Which therapeutic effect is associated with this medication?
Slows and strengthens cardiac contractions
Which medication requires the nurse to monitor the client for signs of hyperkalemia?
Spironolactone
Which side effect would the nurse assess for after epinephrine is administered to an infant with severe bronchospasms?
Tachycardia
A charge nurse is observing a staff nurse prepare 1 ml of intravenous digoxin for a client with heart failure. After the staff nurse prepares the medication, the nurse notices precipitate in the syringe. Which action by the staff nurse likely caused this reaction?
The medication was added to 1 mL of diluent. **Needs to be added to at least 4 mL of diluent
Which method would the nurse recommend when teaching the client with asthma how to determine if an inhaler is empty?
Track the number of doses taken.
Which clinical indicator would the nurse monitor to determine if the client's simvastatin is effective?
Triglycerides
The nurse is providing education to the client with sinusitis who has asked about taking over-the-counter pseudoephedrine. Which of the following statements is appropriate?
Using these kinds of medications may make you jittery and restless
The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client who receives an angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse implement?
Verify both prescriptions with the healthcare provider.
Which symptom would the nurse expect to decrease in response to corticosteroid therapy prescribed for a client with multiple sclerosis?
Visual impairment
A client is taking warfarin. If an antidote is needed, which agent will be used?
Vitamin K
The nurse is providing care for a client prescribed propranolol. Which symptoms should the nurse report to the healthcare provider immediately?
Wheezing, hypotension, and AV block.
