Pharmacology Exam #2

The client diagnosed with coronary artery disease is prescribed atorvastatin (Lipitor). Which statement by the client warrants the nurse notifying the healthcare provider? "I really haven't changed my diet, but I am taking my medication very day." "I am feeling pretty good except I am having muscle pain all over my body." "I am swimming at the local pool about three times a week for 30 minutes." "I am taking this medication first thing in the morning with a bowl of oatmeal."

"I am feeling pretty good except I am having muscle pain all over my body."

Johnny Jones is getting ready to be discharged from the hospital after having really high blood pressure. He is taking Doxazosin (Cardura). Which of the following patient statements requires the nurse to provide further education? "I will make sure to take this medication daily" "I will get up slowly after sitting down" "I will call the doctor if my blood pressure is getting really high again" "I can still take my Viagra with this medication"

"I can still take my Viagra with this medication"

Your patient on Miller 4 is taking Captopril, an ACE inhibitor. Which of the following statements indicates that more education needs to be provided? "I will always monitor my blood pressure when I take this medication" "I will watch out for a dry non-productive cough" "I do not need to watch my salt intake for this medication" "I will make sure to avoid NSAIDs"

"I do not need to watch my salt intake for this medication"

A nurse is teaching a client with a prescription for quinidine. Which of the following statements should the nurse include? A. monitor your pulse rate and report changes B. remain upright for 30 mins after taking med C. can decrease digoxin levels D. med can cause urinary incont

A. monitor your pulse rate and report changes

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake? A.Raisins B. cabbage C. cheese D. Eggs

A.Raisins

Which of the following are adverse drug reactions for ipratropium (Atrovent)? Select all that apply. Dry mouth Increased secretions Urinary retention Increased urine output Increased intraocular pressure

Dry mouth Urinary retention Increased intraocular pressure

after client is reassessed provider prescribes glucocorticoid - monitor for what? A. hyperglycemia B. thrombophlebitis C. dysrythmias D. Infection E. gastric bleeding

A. hyperglycemia D. Infection E. gastric bleeding

A nurse is caring for a client with a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following adverse effects of the drug? S. A. T. A A. hyperkalemia B. throat swelling C. constipation D. cough E. joint pain

A. hyperkalemia B. throat swelling D. cough

A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effects of the drug? A. hyperuricemia B.hypernatremia C. hyperkalemia D. hypoglycemia

A. hyperuricemia

A nurse is monitoring a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects? A. hypokalemia B. hypoglycemia C. hypouricemia D. hyponatremia

A. hypokalemia

A PCP prescribes captopril to treat client's HTN and also help alleviate heart failure. IT is essential for a healthcare provider to make sure a client understands that he should not take which OTC drugs while taking captopril? A. ibuprofen B. acetaminophen C. calcium carbonate D. diphenhydramine

A. ibuprofen

As the client stabilizes, she is prescribed prednisone PO. Which drugs might interact? A. ibuprofen B. levothyroxine C. atorvostatin D. spironolactone

A. ibuprofen

A nurse is teaching a client who has new prescription verapamil HTN, Which instructions? A. increase fibre B. grapefruit juice C.decrease calc D. withold food 1 hr after med is taken

A. increase fibre

You are caring for a client who is recieving alteplase to dissolve a thrombus. Which of the following should you include in your care plan for this client? A. monitor temperature B. reposition frequently C. limit venipunctures D. assess neurological status E. apply pressure to oozing sites

A. monitor temperature C. limit venipunctures D. assess neurological status E. apply pressure to oozing sites

A client is about to start taking cyanocobalamin, a vitamin B12 preparation. You understand that this drug treats which of the following types of anemia? A. pernicious B. sickle cell C. aplastic D. iron deficiency

A. pernicious

A client is about to start taking clopidrogel to prevent TIAs. You should instruct the client to watch for and report which of the following are adverse effects of this drug? A. petechiae B. tinnitus C. diaphoresis D. weakness E. vision changes

A. petechiae D. weakness E. vision changes

transdermal nitro patch A. remove each evening B. cut in half if angina under control C. take off nitro patch for 30 mins if HA occurs D. apply new patch every 48 hr

A. remove each evening

nitro transdermal ointment teaching A. remove prior dose before next B. rub ointment until no longer visible C. cover applied ointment with clean gauze pad D. apply ointment to same skin area each time

A. remove prior dose before next

A nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following hypertensive drugs are contraindicated for the client? A. reserpine B. captopril C. hydralazine D. eplerenone

A. reserpine

A nurse is reviewing new prescriptions for a client with heart failure. The nurse should instruct the client that which of the following drugs is prescribed to treat Hypercholesteremia? A. simvastatin B. furosemide C. losartan D. nitroglycerin

A. simvastatin

A nurse is providing information to a client with a new prezcription for hydrochlorothiazide. which of the following info should the nurse include? A. take med with food B. plan to take HS C.expect increased swelling of ankles D. fluid intake should be limited in morning

A. take med with food

You should monitor a client throughout continuous heparin therapy for which of the following adverse reactions? A. thrombocytopenia B. hypotension C. hypokalemia D. deep vein thrombosis E. fever

A. thrombocytopenia B. hypotension D. deep vein thrombosis E. fever

A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 MG daily, including this morning. The nurse should identify that this places The client that was from which of the following complications? A. uncontrolled bleeding B. myocardial infarction C. respiratory depression D. decreased renal perfusion

A. uncontrolled bleeding

While the client is still recieving continuous IV heparin (enoxaparin), the provider prescribes oral warfarin. This is because ... A. warfarin takes 3-5 days for therapeutic effects B. IV heparin alone becomes ineffective after the first 1-2 days C. abrupt cessation of heparin therapy increases the risk for thrombocytopenia D. warfarin increases the risk of hemorrhage

A. warfarin takes 3-5 days for therapeutic effects

Which of the following adverse drug reactions should you educate your patient taking Albuterol on? Select all that apply. Chest pain Agitation Bradycardia Vomiting Palpitations Restlessness Tremors

Chest pain Agitation Palpitations Restlessness Tremors

As the nurse, you are educating your patient, Mr. Smith, on his new medication for asthma. Which of the following statements indicates Mr. Smith knows how Albuterol works in his body? "I give myself a shot and all of a sudden I will be able to breathe again!" "I take a puff through an inhaler and it opens up my airways by acting on the smooth muscle in my lungs" "I take a puff through an inhaler and it tightens my airways by acting on the smooth muscle in my lungs"

"I take a puff through an inhaler and it opens up my airways by acting on the smooth muscle in my lungs"

Sandy Patterson comes into the doctor's office asking for education on how to use her meter dose inhaler. Which of the following statements will you tell Sandy? Select all that apply. "Never shake the inhaler before using" "Use your lips to form a tight seal on the mouthpiece" "Take a slow deep breath in for 3-5 seconds, hold the breath for 10 seconds, and exhale slowly" "Take a slow deep breath in for 8-10 seconds, hold the breath for 4 seconds, and exhale at a normal pace" "Wait 5 minutes before taking a second inhalation" "There is no need to rinse your mouth out after use"

"Use your lips to form a tight seal on the mouthpiece" "Take a slow deep breath in for 3-5 seconds, hold the breath for 10 seconds, and exhale slowly" "Wait 5 minutes before taking a second inhalation"

Which of the following blood pressure readings would cause you to hold a morning dose of Atenolol? 120/85 136/76 80/67 99/62

80/67

Which patient is Aspirin MOST contraindicated in? A child under the age of 18 A patient who drinks a glass of wine with dinner A patient who gets heartburn after eating large meals A patient with chronic low blood pressure

A child under the age of 18

A female-identifying client has been taking Atorvastatin 20 mg PO daily for several months to treat mild dyslipidemia. At a clinic appointment, she tells the nurse she is 6 weeks pregnant. The nurse counsels the patient that it is likely the midwife will advise which of the following? To increase the dose of prenatal vitamins To reduce the dosage to 20 mg PO daily To increase the dosage to 40 mg PO twice daily About discontinuing the drug during pregnancy

About discontinuing the drug during pregnancy

You have just given your patient his morning dose of Losartan (Cozaar). You know that you will need to monitor his blood pressure before, during, and after administration but what else should you monitor for? Select all that apply. Angioedema Hyperactivity Dizziness Tachycardia Headache

Angioedema Dizziness Headache

Your patient is on a Heparin drip. Their UFH level is too low, meaning their drip must be titrated up in order to bring their UFH to a therapeutic level. When changing the rate on the medication pump, what action must the nurse take? Ask a second nurse to verify the five rights of medication administration and cosign Ask the patient if they are feeling dizzy or light headed Take the patient's vital signs to make sure they are still perfusing well Monitor the patient for signs of bleeding

Ask a second nurse to verify the five rights of medication administration and cosign

Taking simvastatin which is contraindication? A. hx severe constipation B. hx hypertension C. active hep C D. type 2 DM

C. active hep C

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? A. decrease viscosity of nasal secretions B. block H2 receptors C.Prevent histamine from binding to receptors D. reduce nasal congestion

C.Prevent histamine from binding to receptors

The nurse notes that a patient prescribed flecanide (Tambocor) has a recent history of MI. What should the nurse's next action be? Contact the provider and discuss alternative medications Give the medication because the patient has risk factors for clotting which could cause another MI or stroke Ask the patient if this is a medication they take at home Monitor the patient's blood pressure and heart rate before giving this medication

Contact the provider and discuss alternative medications

A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions? A. hyperuricemia B. hyponatremia C. lymphocytopenia D, thrombocytopenia

D, thrombocytopenia

A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation by which of the following mechanisms? A. activating thromboxane A2 B. blocking adenosine diphosphate receptor agonists C. suppressing specific clotting factors D. inhibiting cyclooxegenase action in platelets

D. inhibiting cyclooxegenase action in platelets

A client starts drug therapy but the following day is having palpitations. His ECG at the ED indicates frequent premature ventricular contractions, so the PCP prescribes a stat dose of lidocaine 50 mg via IV bolus. A health care professional who administers the drug monitors the client for which adverse rxn lidocaine A. metabolic alkalosis B. hypertension C. tachycardia D. paresthesias

D. paresthesias

before administering IV folic acid, you should explain to the client that this drug can cause which of the following adverse effects? A. headache B. nausea C. dizziness D. rash

D. rash

A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? A. increase leukocyte activity B. blocks muscarinic receptors C. causes bronchodilation D. reduces inflammation

D. reduces inflammation

sign of digoxin tox A. bruising B. metallic taste C. muscle pain D. report anorexia

D. report anorexia

A patient with a history of iron deficiency anemia comes into the ED with severe nausea, vomiting, diarrhea, and progresses into shock. When considering the pathophysiology and treatment of iron deficiency anemia, what prescription should the nurse anticipate an order for to treat the client's current condition? Iron Dextran Deferoxamine Antacids Epinephrine

Deferoxamine

What nursing consideration is consistent across most antiarrhythmic medications? Do not give with recent MI Avoid OTC cold meds, asthma remedies, and appetite suppressants that could aggravate irregular heartbeats Consider leaving an AED at the bedside incase the patient goes into a fatal rhythm They interact with sodium and potassium channels

Do not give with recent MI Avoid OTC cold meds, asthma remedies, and appetite suppressants that could aggravate irregular heartbeats

A nurse is teaching a client about taking ferrous sulfate to treat iron deficiency anemia. Which of the following instruction should the nurse include? (select all that apply) A.Eat iron rich foods B.Spread the dose across each day C.Take the drug on an empty stomach D. report dark green or black stools E.Increase dietary fiber intake

Eat iron rich foods Spread the dose across each day Take the drug on an empty stomach Increase dietary fiber intake

You are the nurse at a doctor's office in charge of answering patient calls. Sandy Patterson calls the triage line and says she thinks she is having an acute asthma attack. You will instruct her to use her long-acting bronchodilator in this situation, not her short-acting bronchodilator. True False

False

Which lab value should be monitored in a patient taking epoetin alfa (Epogen)? Hemoglobin UFH INR Ferritin

Hemoglobin

What hypertension medication is given during a hypertensive crisis? Hydralazine Atenolol Losartan Nifedipine

Hydralazine

A client is prescribed fenofibrate. When providing client teaching, which accurately describes the action of fenofibrate? It binds to bile acids in the intestinal lumen. It increases oxidation of fatty acids in the liver. It inhibits an enzyme require for hepatic synthesis. It inhibits mobilization of free fatty acids from peripheral tissues.

It increases oxidation of fatty acids in the liver.

You are a nurse working the night shift at UVMMC Emergency Department. A patient comes in with the following symptoms: pulmonary congestion, cough, fatigue, cyanosis, and restlessness. He also discloses that he has a history of heart failure. As the nurse, what do you suspect is going on? Left-sided heart failure Right-sided heart failure He is just being dramatic He must have just run a marathon

Left-sided heart failure

What is the Black Box Warning for Amiodarone? Long term use can cause prolonged hypotension Long term use can cause fatal pulmonary toxicity Giving this IV can cause extravasation Drinking with grapefruit juice will alter the metabolization of the medication

Long term use can cause fatal pulmonary toxicity

Where does Furosemide (Lasix) work within the nephron? Distal Convoluted Tubule Loop of Henle Proximal Convoluted Tubule Glomerulus

Loop of Henle

A nurse is caring for a client with a new prescription for dobutamine. The nurse should clarify the prescription with the if the client is receiving which of the following types of drugs? S.A.T.A A. MAOI B. general anesthetic C.Tricyclic antidepressant D.Beta blocker E.ACE inhibitor

MAOI general anesthetic Tricyclic antidepressant Beta blocker

What can HMG-CoA reductase inhibitors cause? Tremors Retinopathy Rhabdomyolysis Nerve damage

Rhabdomyolysis

Patty Smith is taking Eperenone for hypertension. What medications should she avoid while taking Eplerenone? Select all that apply. Spironolactone Captopril Furosemide Tylenol

Spironolactone Captopril

You walk into one of your patient's rooms and find that he is having terrible chest pain and is feeling dizzy. You quickly check the MAR and see that he was given an IV dose of Milrinone today. As the nurse, what would you do first in this situation? Walk out of the room, these are normal symptoms Reassure the patient that these effects should wear off in a few minutes Take his blood pressure and call the provider Help the patient get more comfortable

Take his blood pressure and call the provider

A client who takes Ferrous sulfate (Feosol) calls the clinic concerned about having dark, nearly black, stools. As the nurse, how should you advise this patient? Advise them to go to the ED immediately, black stools might indicate an upper GI bleed. Tell them to take antacids with the medication to prevent gastric upset Tell them dark stools are a common side effect of ferrous sulfate Advise the use of a salt water enema

Tell them dark stools are a common side effect of ferrous sulfate

What is the overall goal of heart failure medications? To increase blood pressure To increase stroke volume To decrease cardiac output To increase cardiac output

To increase cardiac output

What medication should not be given with gemfibrozil due to the increased risk for bleeding? Warfarin Atenolol Tylenol Lovenox

Warfarin

Which of the following drug classes are absolutely contraindicated for use in pregnant women? (Select all that apply.) a) ARBs b)calcium channel blockers c)direct renin inhibitors d)ACE inhibitors

a) ARBs d)ACE inhibitors

digibind is also known as ____________

antigen binding fragments

You are providing medication education regarding a new prescription for Nitroglycerin for a patient with stable angina. Which statement reflects the patient needs more teaching? . "I will take up to three pill under my tongue, five minutes apart and if my chest pain is not relieved I will call 911 immediately" "If I feel chest pain I will sit down and rest and then take nitroglycerin if the pain is unresolved" "I should store this medication in a dark place out of direct sunlight" "I will continue taking my sildenafil (Viagra) as needed for erectile dysfunction"

"I will continue taking my sildenafil (Viagra) as needed for erectile dysfunction"

When providing education on warfarin, which statement by the patient indicates the need for further teaching? "I will make sure to eat as many green vegetables as I can to stay healthy and strong" "I will go to the doctor to get my INR checked" "I will be careful to avoid falls" "I am taking this medication because I have a mechanical heart valve"

"I will make sure to eat as many green vegetables as I can to stay healthy and strong"

A nurse asks you why we have to administer IV Lasix slowly. She says "It seems like such a waste of time, I can't stand there for 5 minutes and give a medication!" How would you respond to her? "If we push it too quickly, the patient may start peeing right away" "If we push it too quickly, it could make the patient really tired" "If we push it too quickly, the patient is at risk for ototoxicity" "Don't listen to the rules, do whatever you want!"

"If we push it too quickly, the patient is at risk for ototoxicity"

You are studying with a group of nursing students and are talking about how inhaled anticholinergics (ipratropium) work in the body. Which of the following statements describes the correct EPA? "It blocks calcium channels in the lungs which will cause bronchodilation" "It blocks norepinephrine receptors in the smooth muscle of the bronchi so that bronchoconstriction does not occur" "It blocks acetylcholine receptors in the smooth muscle of the bronchi so that bronchoconstriction and mucus secretion do not occur" "It blocks potassium channels in the lungs which blocks bronchoconstriction effects"

"It blocks acetylcholine receptors in the smooth muscle of the bronchi so that bronchoconstriction and mucus secretion do not occur"

A patient with atrial fibrillation is wondering why they are prescribed an antiarrhythmic and a blood thinner. Which answer best explains the rationale to the patient? "The antiarrhythmic will regulate your heart rate and the blood thinner is given because you are more sedentary in the hospital" "This is not in my scope of practice, I will have the doctor come explain this to you" "The blood thinner helps prevent the clots that can be caused by blood pooling in the atria during atrial fibrillation while the antiarrhythmic helps treat the atrial fibrillation itself and bring your heart rate back to normal" "The blood thinner will break up clots that are being formed by the atrial fibrillation and the antiarrhythmic will work to prevent new clots from forming by making the heart rate more regular"

"The blood thinner helps prevent the clots that can be caused by blood pooling in the atria during atrial fibrillation while the antiarrhythmic helps treat the atrial fibrillation itself and bring your heart rate back to normal"

Which patient would be a candidate for diltiazem (Cardizem) used to treat? A client in sinus tachycardia with occasional premature ventricular contractions A client in rapid Atrial Fibrillation A client in ventricular fibrillation A client with a prolonged QT interval

A client in rapid Atrial Fibrillation

digoxin toxicity signs A. fatigue B. constipation C. anorexia D rash E. blurred vision

A. fatigue C. anorexia E. blurred vision

In which patient is dabigatran (Pradaxa) most indicated? A patient who does not want to get regular lab work done to check their UFH A patient who has developed Heparin Induced Thrombocytopenia A patient who is pregnant and cannot take warfarin A patient who has atrial fibrillation

A patient who has developed Heparin Induced Thrombocytopenia

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include? S.A.T.A A. "Apply the patch to a hairless area and rotate sites. B.""Apply a new patch when you start of your day." C."Remove patches 10 to 12 hours each day." D.Apply a new patch at onset of anginal pain E. applu the patch to dry skin and cover with plastic wrap

A. "Apply the patch to a hairless area and rotate sites. B.""Apply a new patch when you start of your day." C."Remove patches 10 to 12 hours each day."

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler who asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? A. Albuterol will increase the absorption of fluticasone B. albuterol will decrease inflammation C. albuterol will reduce nasal secretions D. fluticasone will reduce adverse effects of albuterol

A. Albuterol will increase the absorption of fluticasone

A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include? A. Avoid taking non steroidal anti-inflammatory drugs B. rinse your mouth after taking to prevent a yeast infection C. stop taking the meds if you become nauseous D. change position slowly when standing up

A. Avoid taking non steroidal anti-inflammatory drugs

A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? A. headache B. sleepiness C. hypotension D. constipation

A. headache

A Nurse is caring for client Who has Renal failure and is receiving epoetin. The notion monitor the client for which of the following adverse effects? A. HTN B. muscle pain C. edema D. dry mouth

A. HTN

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct client to report because it could indicate a need to discontinue therapy? S. A. T. A A. Rash B.Distorted Taste C. Swelling of the tongue D.Dry cough E. photosensitivity

A. Rash B.Distorted Taste C. Swelling of the tongue D.Dry cough

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions? A. acute MI B. peripheral vascular dx C. ulcerative colitis D. ventricular tachycardia

A. acute MI

A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? A. assess for tinnitus B. report UOP of 50 mL/hr C.monitor blood potassium levels D. elevate HOB slowly before ambulation E. recomend eating banana daily

A. assess for tinnitus C.monitor blood potassium levels D. elevate HOB slowly before ambulation E. recomend eating banana daily

The provider discharges the client home with a prescription for warfarin. You should advise the client to do which of the following? A. avoid taking NSAIDs B. use a disposable razor C. brush his teeth with a soft toothbrush D. increase intake of dark-green leafy veggies E. ask the provider before taking OTC drugs

A. avoid taking NSAIDs C. brush his teeth with a soft toothbrush E. ask the provider before taking OTC drugs

how to reverse verapamil A. calcium gluconate B. sodium bicarb C. potassium chloride D. mag sulfate

A. calcium gluconate

A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. Which of the following actions should the nurse take? A. clarify with the provider B. administer the drug with an analgesic C. administer the required dose orally D. assess factor IX levels

A. clarify with provider

You are caring for a client who is taking oral amiodarone to treat afib. Recognizing the adverse affects of amiodarone you advise the client to watch for a report what? A. cough B. blurred vision C. dizziness D. sore throat E. fever

A. cough B. blurred vision C. dizziness E. fever

Digoxin is effective in treating heart failure due to which pharmacological actions? A. exerts a positive inotropic effect B. decreases cardiac output C. increases vascular constriction D. increases myocardial contractility E. decreases sympathetic tone

A. exerts a positive inotropic effect D. increases myocardial contractility E. decreases sympathetic tone

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instruction should the nurse include? S. A. T. A A.Report any new intolerance to fried foods. B. Report muscle tenderness C. Expect periodic liver function testing" D. take the drug with food E. take once each day

A.Report any new intolerance to fried foods. B. Report muscle tenderness C. Expect periodic liver function testing"

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer? A.alteplase B.aspirin C. clopidrogel D. heparin

A.alteplase

For which of the following reasons should a nurse instruct a client to avoid taking guaifenisin with combination over-the-counter cold products? A.over-the-counter cold products can also contain guaifenisin B. blood glucose levels are increased C. rebound congestion is likely D. drug tolerance is likely

A.over-the-counter cold products can also contain guaifenisin

§What is a very concerning side affect of someone in atrial-fibrillation? A)Pulmonary edema B)Blood clots C)Change in mental status D)Loss of hearing

B)Blood clots

▪Which medication would you think the patient would be started on with afib? A)Lidocaine B)Flecainide C) Amiodarone D)Diltiazem

B)Flecainide

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects? A. bronchodilation B. HA C. edema D. HTN

B. HA

A nurse should identify that clopidogrel is Contra indicated for clients who have which of the following conditions? A. MI B. PUD C. pancreatitis D. myasthenia gravis

B. PUD

A nurse is administering epoetin intravenously to a client who has Renal failure. Which of the following actions should the nurse take? A. shake the vial before using B. administer via IV bolus over 1-3 mins C. dilute the drug first with D5W D. save the used vial for the next dose

B. administer via IV bolus over 1-3 mins

A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the event of a severe adverse reaction? A. vitamin K B. aminocaproic acid C. protamine D. deferoaxamine

B. aminocaproic acid

The following day the client is stable fo discharge. Continuing prednisone, what should she watch for? A. persistant cough B. black, tarry stools C. sore throat D. muscle weakness E. urinary retention

B. black, tarry stools C. sore throat D. muscle weakness

A nurse is teaching a client who has angina pectoris and learning how to tx acute anginal attacks. The clients asks" what is my next step if i take one tablet, wait 5 mins, but still have angina pain? A. take 2 more sublingual tablets B. call emergency response team C. take sustained release nitro D. wait another 5 mins then take 2nd

B. call emergency response team no response from first tab = may be MI

Takes aspirin daily. Which are signs of AE? A. HTN B. coffee ground emesis C.tinnitus D. parasthesias E. nausea

B. coffee ground emesis C.tinnitus E. nausea

A client is about to start taking liquid ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should you include with the client about taking this drug? A. swish it in your mouth before swallowing it B. drink it through a straw C. do not rinse your mouth after taking it D. Dilute it first with water E.take it with food if necessary

B. drink it through a straw D. Dilute it first with water E.take it with food if necessary

The nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions? A. weight loss B. edema C. polyuria D. bradycardia

B. edema

Losartan for HTN. pt asks about starting a family- losartan is not safe due to A. macrosomia B. fetal injury C. gestational diabetes D. thromboembolic dx

B. fetal injury

A nurse is planning to administer a first dose of captopril to client who has HTN. Which of the following meds intensity HTN? A. simvastatin B. hydrochlorothiazide C. phenytoin D. clonidine E. aliskiren

B. hydrochlorothiazide D. clonidine E. aliskiren

Epoetin alpha which AE? A. leukocytosis B. hypertension C.edema D. blurred vision E. HA

B. hypertension E. HA

A nurse is planning care for a client who has a new prescription for torsemide. The nurse should plan to monitor for which of the following conditions as potential Aes for this med? A. respiratory acidosis B. hypokalemia C. hypotension D. ototoxicity E. ventricular dysrythmias

B. hypokalemia C. hypotension D. ototoxicity E. ventricular dysrythmias

A client is about to start taking hydrochlorothiazide for HTN. To assess for ADRs of this drug you monitor for which during drug therapy? A. ototoxicity B. hyponatremia C. hypokalemia D. dehydration E. hypoglycemia

B. hyponatremia C. hypokalemia D. dehydration

enoxaparin, nurse action A. expel air bubble B. insert needle completely into client tissue C.administer injection into client thigh D. aspirate carefully after inserting

B. insert needle completely into client tissue

alteplase which interventions? A. IM enoxaparin along with it B. obtain clients weight C. aminocaprioc acid D. prepare alteplace within 8hr manifestation onset

B. obtain clients weight

A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? A. reduced antitussive effect of dextromethorphan B. potentiation of depression of CNS actions C. increased renal absorption of the dextromethorphan D. delayed analgesic effect of the opiod

B. potentiation of depression of CNS actions

A nurse should identify that which of the following drugs is used only for short term treatment cardiac dysrhythmia because of serious adverse affects associated with long term use? A.quinidine B. procainamide C. nitroglycerin D. verapamil

B. procainamide

A nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic anemia. The nurse should monitor which of the following laboratory values to determine therapeutic effectiveness? A. amylase B. reticulocyte count C. C-reactive protein D. creatinine clearance

B. reticulocyte count

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

B. tremors are an adverse effect of this medication. inhaled albuterol is used for acute attacks not PO

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? A.muscle tremors B. urinary retention C. dry mouth D. insomnia E. tachycardia

B. urinary retention C. dry mouth

you are obtaining a health history from a client who is to start using a new ipatromium inhaler. Which of the followingg info alerts you to take further action? A. seizure disorder B. urinary retention C. depression treated with MAOI D. hypothyroidism treated with synthetic thyroid hormone E. glaucoma

B. urinary retention E. glaucoma

Which inc digoxin tox A. phenytoin B. verapamil C.warfarin D. aluminum hydroide

B. verapamil

Next the provider tells client she will also take albuterol via MDI which following info? A. take a short quick breath before using B. wait at least 1 minute before inhaling second puff C. hold down on the canister while inhaling rapidly D.block one nasal passage while inhaling

B. wait at least 1 minute before inhaling second puff

In administering a newly initiated order for captopril, an ACE inhibitor, discharge instructions should indicate that which of the following adverse effects is most common? A.Tinnitus B.Dry, nonproductive, persistent cough C.Muscle weakness D.constipation

B.Dry, nonproductive, persistent cough

A nurse is caring for a client who is taking spironolactone (Aldactone) to treat hypertension. The nurse should recognize that which of the following client lab values requires immediate intervention? A.Sodium 140 mEq/L B.Potassium 5.2 mEq/L C.Chloride 100 mEqq/L D.Magnesium 1.9 mEq/L

B.Potassium 5.2 mEq/L

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? A. do not drink anything for 30 mins after using drug B.Wait 5 min between using the drug and another inhaled drug C. this drug is used to thin respiratory secretions D. check pulse rate after inhaling drug

B.Wait 5 min between using the drug and another inhaled drug

A client is about to start taking oprelvekin for thrombocytopenia. To assess for adverse effects of this drug, you should monitor which of the following carefully during drug therapy? A. liver function B. hearing C. ECG D. LOC

C. ECG

A nurse is caring for a client with a new prescription for propranolol to treat tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of overover-the-counter drugs while taking propranolol? A. antihistamines B. potassium supplements C. NSAIDs D. vitamin C

C. NSAIDs

While instructing a client about using isosorbide to treat angina, you advise the patient to avoid which? A. milk B. caffeine C. alcohol D. grapefruit juice

C. alcohol

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? A. start low dose and gradually increase B. take drug as needed for nasal congestion C. allow at least 2 weeks for full therapeutic effect D. drug prior to exercise

C. allow at least 2 weeks for full therapeutic effect

A nurse i preparing to administer propanolol to client with dysrythmia. which plan? A. hold apical pulse > 100/min B. administer to inc client BP C. assist when sitting up or standing after taking this med D.check for hypokalemia due to risk propanolol toxicity

C. assist when sitting up or standing after taking this med

A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? A. blood sodium 144 mEq/L B. UOP 120 mL in 4 hr C. blood potassium 5.2 MeQ/L D. BP 140/90 mmHG

C. blood potassium 5.2 MeQ/L

A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophilia B. The client asked the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma derived factor IX. The nurse should explain that recombinant factor IX Practically illuminates the risk for which of the following? A. HIV B.cytomegalovirus C. crreutzfeldt-jakob disease D. anaphylaxis

C. crreutzfeldt-jakob disease

A PCP prescribes quinidine gluconate as oral antidysrythmic agent. Which should questions use of quinidine for client with digoxin due to possible drug rxn can cause what effect? A. liver toxicity B. quinidine toxicity C. digoxin toxicity D. cardiotoxicity

C. digoxin toxicity

Recognizing the potential for a drug interaction between the diuretic, furosemide and the cardiac glycoside, digoxin, the PCP plans to monitor the client for which adverse effect? A. hyperkalemia B. ototoxicity C. digoxin toxicity D. hypoglycemia

C. digoxin toxicity

A nurse is caring for a client who is filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects? A. dusky nail beds B. petechiae C. enlarged spleen D. swollen calf

C. enlarged spleen

A client is about to start taking aliskiren to treat HTN. Which of the following should you tell the client to avoid to ensure optimal absorption of this drug? A. soy sauce B. green leafy veggies C. fatty foods D. foods high in carbs

C. fatty foods

You are caring for a client whose atrial dysrythmia fails to respond to other antidysrythmia therapies. You anticipate that the PCP might try which drugs whose off-label use includes refractory atrial dysrythmias? A. propanolol B. lidocaine C. flecainide D. amiodarone

C. flecainide

dabigatran for afib. Which med prescirbed to prevent AE A. vit K B. protamine C. omeprazole D. probenacid

C. omeprazole

A nurse is assessing client taking amiodarone afib which is finding toxicity? A. light yellow urine B. report of tinnitis C. productive cough D.blue gray skin discoloration

C. productive cough

A nurse is caring for a client who has a prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions? A. migraine B. pancreatitis C. second-degree AV block D. angina pectoris

C. second-degree AV block

A client is about to start taking aliskiren (Tekturna) to treat hypertension. Which of the following should you tell the client to avoid to ensure optimal absorption of the drug? A.Soy Sauce B.Green, leafy Vegetables C.Fatty foods D.Foods high in carbohydrates

C.Fatty foods

Your patient is on a Dobutamine drip. Which of the following nursing considerations would you follow while the drip is running? Select all that apply. Cardiac monitoring VS q2h Continuous VS Monitor UOP

Cardiac monitoring Continuous VS Monitor UOP

What are important nursing considerations for patients taking diuretics? Select all that apply. Daily weights Strict I&Os Take blood pressure after administration only Monitor electrolytes, specifically magnesium Monitor electrolytes, specifically potassium Take blood pressure before, during, and after administration

Daily weights Strict I&Os Monitor electrolytes, specifically potassium Take blood pressure before, during, and after administration

A nurse is caring for a client with a glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug? A. the drug can cause hypoglycemia in clients with low UOP B. drug does not reduce BP for clients with low UOP C. the drug can increase risk of pulmonary edema for clients who have renal insufficiency D. The drug does not promote diuresis for clients who have renal insufficiency.

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

You are reviewing the history of a client who is about to start theraoy with factor VIII to treat hemophilia A. Which of the following drugs the client takes should alert you to take further action? A. albuterol B. phenytoin C. phenelzine D. aspirin

D. aspirin

A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions? A. peptic ulcer disease B. a seizure disorder C. anemia D. coronary artery disease

D. coronary artery disease

A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug? A. sleep modifications B. fluid modifications C. driving modifications D. dietary modificiations

D. dietary modificiations

You should monitor a client taking dextromethorphan due to risk for what? A. tachycardia B. fluid retention C. blurred vision D. drug abuse

D. drug abuse

A nurse is caring for a client who is about to begin factor VIII therapy to treat hemophilia a. When administering factor VIII, which of the following actions should the nurse take? A. administer the powdered form orally B. premedicate with aspirirn C. administer it via rapid IV bolus D. have emergency equiptment ready

D. have emergency equiptment ready

A nurse is caring for a client who is taking carvedilol in a prescription for oral antidiabetic to manage their new diagnosis of type 2 DM. By taking both drugs concurrently, The nurse should identify that the client is at an increased risk which of the following conditions? A. hyperglycemia B. bradycardia C. hypotension D. hypoglycemia

D. hypoglycemia

A nurse is caring for a client with a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following? A. tachycardia B. dehydration C. diarrhea D. hypotension

D. hypotension

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? A. take the drug as needed for acute asthma B. follow a low sodium diet C. use an alternate-day dosing schedule D. increase weight bearing activity

D. increase weight bearing activity

A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? A. use spacer to improve inhalation B. take drug at onset of bronchospasm C. rinse mouth to prevent oral fungal infection D. take the drug once a day in the evening

D. take the drug once a day in the evening

A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? A. check apical pulse before taking the drug B. take the drug only as needed before exercising C. rinse mouth after using drug D.Have laboratory tests performed at regular intervals

D.Have laboratory tests performed at regular intervals

A woman comes into the Emergency Department at UVMMC with the following symptoms: palpitations, muscle twitching, and diarrhea. She tells the triage nurse that the only medication she took today was Aliksiren for her hypertension. As the nurse, what do you suspect is going on? She is experiencing hyponatremia She is experiencing hypokalemia She is experiencing toxicity of the medication She is experiencing hyperkalemia

She is experiencing hyperkalemia

Which statement is true regarding the administration of a Lovenox injection? (Select all that apply) The bubble should NOT be pushed out of the syringe prior to injection The injection should be administered at a 90º angle. The injection should be administered in the subcutaneous tissue about 2 inches from the belly button It can be taken at home because it does not require close monitoring like Heparin does

The bubble should NOT be pushed out of the syringe prior to injection The injection should be administered at a 90º angle. The injection should be administered in the subcutaneous tissue about 2 inches from the belly button It can be taken at home because it does not require close monitoring like Heparin does