pharmacology quiz #5

Which statement made by a client newly prescribed a beta-adrenergic blocker should the nurse be concerned about? "I have always had problems with my asthma." "I don't handle stress well; I have a lot of diarrhea." "When I have a migraine headache, I need to have the room darkened." You Answered "My father died of a heart attack when he was 48 years old."

"I have always had problems with my asthma."

An older adult receiving ethacrynic acid (Edecrin) tells the nurse he or she doesn't hear as well as he or she used to. Which statement should the nurse include in the response? "I will schedule a hearing exam; this could be a side effect of your medication." "How long have you been having difficulty hearing?" "I will let your healthcare provider know about this; it could be a side effect of your medication." "You may be dehydrated; are you drinking enough fluid?"

"I will let your healthcare provider know about this; it could be a side effect of your medication." Loop diuretics are ototoxic. Instruct the patient to report ringing in the ears or becoming "hard of hearing" and notify the healthcare provider.

A nurse is reinforcing teaching with a patient who has hypertension and is taking propranolol. Which of the following statements by the patient indicates an understanding of the teaching? "I should expect to develop a slight cough while taking this medication." "I will sit on the side of the bed before I stand up." "I should weigh myself on the same day once a week." "I will not take my medicine if my heart rate is greater than 70 beats/min."

"I will sit on the side of the bed before I stand up."

Which of the following nursing assessments is important to perform (with the correct rationale) for a patient taking furosemide for heart failure? Blood glucose due to hyperglycemia Blood glucose due to hypoglycemia Serum potassium due to hyperkalemia Sodium due to hypernatremia

Blood glucose due to hyperglycemia

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication? a.Respiratory rate 18/min b. Blood pressure 160/94 mm Hg C. Heart rate 46/min d. Oxygen saturation 95%

C. Heart rate 46/min

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications? Cardiac dysrhythmias Hypoglycemia Seizures Neurogenic shock

Cardiac dysrhythmias

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? Prevention of bipolar manic episodes Decreased blood pressure Improved sexual function Increase of HDL cholesterol

Decreased blood pressure

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? Decreased sodium level Decreased phosphate level Decreased potassium level Decreased chloride level

Decreased sodium level

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of following statements by the nurse indicates an understanding of the teaching? "I should increase my intake of potassium-rich foods." "I should report a cough to my provider." "I should expect to have facial swelling when taking this medication." "I should take this medication with food."

I should report a cough to my provider." The client should report a cough to the provider. The provider should discontinue the medication for a persistent, irritating cough.

Which of the following medications interacts with spironolactone? Furosemide Lisinopril Diazepam Acetaminophen

Lisinopril

The nurse reviewing the records of a client diagnosed with hypertension notes a weight of 200 lbs, height 5' 4", dietary intake includes primarily starches, an alcohol intake of three beers per week, and stressors include 60-hour workweeks. Based on this information, which should the nurse identify as a priority outcome? Patient will eliminate alcohol from the diet. Patient will achieve and maintain optimum weight. Patient will decrease stress by limiting work to 40 hours/week. Patient will balance diet according to the food pyramid.

Patient will achieve and maintain optimum weight.

A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider? Potassium 2.3 mEq/L Sodium 136 mEq/L Chloride 99 mEq/L Calcium 10 mg/dL

Potassium 2.3 mEq/L

The nurse suspects a client receiving chlorothiazide (Diuril) is experiencing side effects from the prescription. Which assessment finding supports the nurse's suspicion? Mental confusion and dependent edema Serum sodium level of 160 mEq/L and headaches Ataxia and frequent diarrhea Serum potassium level of 3.0 mEq/L and low blood pressure

Serum potassium level of 3.0 mEq/L and low blood pressure The normal lab value for potassium is 3.5-5.0 mEq/L. Hypokalemia and hypotension are serious side effects of diuretic therapy.

A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide? Muscle pain is an expected adverse effect. Weigh weekly to monitor therapeutic effect. Take the medication on an empty stomach. Take the medication early in the day.

Take the medication early in the day.

Which of the following is a contraindication of mannitol? Oliguria Elevated intracranial pressure Anuria Nausea

anuria

A nurse is teaching a client who has hypertension and a new prescription for metoprolol. Which of the following findings should the nurse include as adverse effects of this medication? Bradycardia Constipation Tremor Cough

bradycardia

The class of drugs titled "Angiotensin ll Receptor Blockers" end with the suffix "-pril"

false suffix "-pril" ACE inhibitors Angiotensin II receptor blockers : "-rtan"

Which conditions should the nurse anticipate the healthcare provider to possibly prescribe a diuretic? Select all that apply. Ketoacidosis Hypertension Acute kidney injury heart failure cerebrovascular accident

hypertension acute kidney injury heart failure

When teaching a patient about diuretic therapy, which would the nurse indicate as the best time of day to take these medications? Afternoon Morning The time of day does not matter Bedtime

morning

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication? Cortisol Albumin Potassium Bicarbonate

potassium

A nurse is teaching a client who has a new prescription for bumetanide. Which of the following instructions should the nurse include in the teaching? "Take the prescribed second dose at lunchtime." "Avoid foods high in potassium." "Limit your fluid intake to 1.5 L per day." "Report changes in hearing."

report changes in hearing

You're providing discharge teaching to a patient who will be taking Amiloride. Which items below should the patient limit in their diet? Apples Salt substitutes Whole wheat toast Spinach

salt substitutes

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report? Nausea Dry cough Nasal congestion Swelling of the tongue

swelling of the tongue

Which is a priority nursing intervention for a client who is newly prescribed enalapril? Take the client's blood pressure. Monitor the client for headaches. Review the client's lab results for hypokalemia. Order a sodium-restricted diet for the client.

take the client's blood pressure

Which of the following medications are a part of the drug class "calcium channel blockers?" Select all that apply. Olmesartan Verapamil Losartan Diltiazem Nifedipine

verapamil nifedipine diltiazem