Pharmacology test 3

10. A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. Which of the following instructions by the nurse is appropriate? (1/1 Points) "A.) Remove the prior dose before applying a new dose." "B.) Rub the ointment directly into your skin until it is no longer visible." "C.) Cover the applied ointment with a clean gauze pad." "D.) Apply the ointment to the same skin area each time."

"A.) Remove the prior dose before applying a new dose."

26. A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following replies by the nurse is appropriate? (1/1 Points) "A.) Take two more sublingual tablets at the same time." "B.) Call the emergency response team." "C.) Take a sustained-release nitroglycerin capsule." "D.) Wait another 5 minutes before taking a second sublingual tablet."

"B.) Call the emergency response team."

58. The client is being discharged with nitroglycerin (Nitrostat) for sublingual use. While planning client education, what instruction will the nurse include? (1/1 Points) "A.) Swallow three tablets immediately for pain and call 9/11." "B.) Put one tablet under your tongue for chest pain. If pain does not subside, you may repeat in 5 minutes, taking no more than three tablets." "C.) Call your health care provider when you have chest pain. He will tell you how many tablets to take." "D.) Place three tablets under your tongue and call 911."

"B.) Put one tablet under your tongue for chest pain. If pain does not subside, you may repeat in 5 minutes, taking no more than three tablets."

25. A nurse is collecting data from a client who is taking gemfibrozil (Lopid). Which of the following assessment findings is an adverse reaction to the medication? (1/1 Points) A.) Mental status changes B.) Tremor C.) Jaundice D.) Pneumonia

C.) Jaundice

49. The community health nurse is working with a client taking simvastatin. Which statement may indicate the need for further teaching about this drug? (1/1 Points) "A.) I'm trying to reach my ideal body weight by increasing my exercise" "B.) I didn't have any symptoms even though I had high lipid levels. I hear that's common" "C.) I've been taking my pill before dinner" "D.) I take my pill with grapefruit juice. I've always taken my medications that way"

"D.) I take my pill with grapefruit juice. I've always taken my medications that way"

91. The client is prescribed Digoxin (Lanoxin) for tx of HF. Which of the following statements by the client indicates the need for further teaching? (0/1 Points) "I may notice my heart rate decrease." "I may feel tired during early treatment." "This drug should cure my heart failure." "My energy level should gradually improve

"This drug should cure my heart failure."

39. Based on the condition of the patient, a hypertonic fluid is needed. Which intravenous fluid is most likely to be ordered by the provider? (0/1 Points) A.) 3% sodium chloride B.) 0.9% sodium chloride C.) 0.45% sodium chloride D.) 0.25% sodium chloride

A.) 3% sodium chloride

35. A client is receiving cholestyramine for elevated LDL levels. As the nurse completes the nursing care plan, which of the following adverse effects will be included for continued monitoring? (0/1 Points) A.) Abdominal pain B.) Orange-red urine and saliva C.) Decreased capillary refill time D.) Sore throat and fever

A.) Abdominal pain

77. A nursing is planning care for a client who is receiving furosemide (Lasix) IV for peripheral edema. Which of the following should the nurse include in the plan of care? (Select all that apply.) (0/1 Points) A.) Assess for tinnitus. B.) Report urine output of 50 mL/hr. C.) Monitor serum potassium levels. D.) Elevate the head of bed slowly before ambulation. E.) Recommend eating a banana daily

A.) Assess for tinnitus. C.) Monitor serum potassium levels. D.) Elevate the head of bed slowly before ambulation. E.) Recommend eating a banana daily

33. Which of the following actions by the nurse is most important when caring for a pt with renal disease who has an order for furosemide (Lasix)? (0/1 Points) A.) Assess urine output and renal laboratory values for signs of nephrotoxicity B.) Check the specific gravity of the urine daily. C.) Eliminate potassium-rich foods from the diet. D.) Encourage the client to void every 4 hours

A.) Assess urine output and renal laboratory values for signs of nephrotoxicity

74. Cyclobenzaprine (Amrix, Flexeril) is prescribed for a patient with muscle spasms of the lower back. Appropriate nursing interventions would include which of the following? (Select all that apply) (0/1 Points) A.) Assessing the heart rate for tachycardia B.) Assessing the home environment for patient safety concerns C.) Encouraging frequent ambulaion D.) Providing assistance with activities of daily living such as reading E.) Providing oral suctioning for excessive oral secretions

A.) Assessing the heart rate for tachycardia B.) Assessing the home environment for patient safety concerns D.) Providing assistance with activities of daily living such as reading

66. A nurse is reviewing the health record of a client who is starting propranolol (Inderal) to treat hypertension. Which of the following conditions is a contraindication for taking propranolol? (0/1 Points) A.) Asthma B.) Glaucoma C.) Hypertension D.) Tachycardia

A.) Asthma

27. A nurse is caring for a client who received IV verapamil to treat supraventricular tachycardia (SVT). The client's pulse rate is now 98/min and his blood pressure is 74/44 mg hg. The nurse should anticipate a prescription for which of the following IV medications? (0/1 Points) A.) Calcium gluconate B.) Sodium bicarbonate C.) Potassium chloride D.) Magnesium sulfate

A.) Calcium gluconate

23. A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching? (1/1 Points) A.) Contact provider if heart rate is less than 60/min B.) Check pulse rate for 30 seconds and multiply result by 2 C.) Increase intake of sodium D.) Take with food if nausea occurs

A.) Contact provider if heart rate is less than 60/min

36. A nurse is taking a medication history from a client who has angina and is to begin taking ranolazine (Ranexa). The nurse should report which of the following medications in the client's history that may interact with ranolazine? (Select all that apply.) (0/1 Points) A.) Digoxin B.) Simvastatin C.) Verapamil D.) Amplodipine E.) Nitroglycerine transderm path

A.) Digoxin B.) Simvastatin C.) Verapamil

43. A patient has been on long-term therapy with colestipol (Colestid). To prevent adverse effects related to the length of therapy and lack f nutrients, which of the following supplements may be required? (select all that apply.) (0/1 Points) A.) Folic acid B.) Vitamins A, D, E, and K C.) Potassium, iodine, and chloride D.) Protein E.) B vitamins

A.) Folic acid B.) Vitamins A, D, E, and K

45. Which of the following assessment findings in a client who is receiving atenolol (Tenormin) for angina would be cause for the nurse to hold the drug and contact the provider? (Select all that apply.) (0/1 Points) A.) Heart rate of 50 beats/minute. B.) Heart rate of 124 beats/minute. C.) Blood pressure 86/56. D.) Blood pressure 156/88. E.) Tinnitus and vertigo

A.) Heart rate of 50 beats/minute. C.) Blood pressure 86/56.

11. Lisinopril (Prinivil) is part of the treatment regimen for a client with HF. The nurse monitors the client for the development of which of the following adverse effects of this drug? (Select all that apply.) (0/1 Points) A.) Hyperkalemia B.) Hypocalcemia C.) Cough D.) Dizziness E.) Heartburn

A.) Hyperkalemia C.) Cough D.) Dizziness

55. Common adverse effects of antidysrhythmic medications include which of the following? (Select all that apply.) (0/1 Points) A.) Hypotension B.) Hypertension C.) Dizziness D.) Weakness E.) Panic attacks

A.) Hypotension C.) Dizziness D.) Weakness

34. The nurse evaluates the effectiveness of dopamine therapy for a client in shock. Which of the following may indicate treatment is successful? (Select all that apply.) (0/1 Points) A.) Improved urine output. B.) Increased blood pressure. C.) Breath sounds are diminished D.) Slight hypotension occurs. E.) Peripheral pulses are intact

A.) Improved urine output. B.) Increased blood pressure.

41. A nurse is teaching a client who is starting verapamil (Calan) to control hypertension. Which of the following should the nurse include in the teaching? (1/1 Points) A.) Increase the amount of dietary fiber in the diet. B.) Drink grapefruit juice daily to increase vitamin C intake. C.) Decrease the amount of calcium in the diet. D.) Withhold food for 1 hr after the medication is taken

A.) Increase the amount of dietary fiber in the diet.

61. A nurse is caring for a client during surgery. What additional actions should the nurse take? (select all that apply) (0/1 Points) A.) Place cooling blanket on client B.) Administer 100% oxygen C.) Administer iced 0.9% sodium chloride D.) Administer potassium chloride IV E.) Monitor core body temperature

A.) Place cooling blanket on client B.) Administer 100% oxygen C.) Administer iced 0.9% sodium chloride E.) Monitor core body temperature

48. A nurse is teaching a client who is prescribed nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse give the client? (1/1 Points) A.) Remove the patch each evening B.) Cut each patch in half if angina attacks are under control. C.) Take off the nitroglycerin patch temporarily for 30 min if a headache occurs. D.) Apply a new patch every 48 hours

A.) Remove the patch each evening

60. A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. Which of the following information should the nurse include? (0/1 Points) A.) Take the medication with food. B.) Plan to take the medication at bedtime. C.) Expect increased swelling of the ankles. D.) Fluid intake should be limited in the morning

A.) Take the medication with food

57. A nurse is providing teaching to a client who is starting simvastatin (Zocor). Which of the following should the nurse include in the teaching? (1/1 Points) A.) Take this medication in the evening. B.) Change position slowly when rising from a chair C.) Maintain a steady intake of green leafy vegetables. D.) Consume no more than 1 L of fluid/day.

A.) Take this medication in the evening

47. A patient is hypokalemic and taking sustained release oral potassium chloride. What should the nurse teach about taking this drug? (0/1 Points) A.) Take with meals B.) Take with calcium. C.) Take with bicarbonate. D.) Take with sips of water

A.) Take with meals

51. The client in hypovolemic shock is prescribed an infusion of LR. What is the purpose for infusing this solution in shock? (Select all that apply.) (0/1 Points) A.) The solution will help to replace fluid and promote urine output. B.) The solution will draw water into cells. C.) The solution will draw water from cells to blood vessels. D.) The solution will help to maintain vascular volume E.) The solution is used to provide adequate calories for metabolic needs

A.) The solution will help to replace fluid and promote urine output D.) The solution will help to maintain vascular volume

67. A patient who has been prescribed baclofen (Lioresal) returns to the health care provider after a week of drug therapy, complaining of continued muscle spasms of the lower back. What further assessment data will the nurse gather? (0/1 Points) A.) Whether the patient has been taking the medication consistently or only when the pain is severe B.) Whether the patient has been consuming alcohol during this time C.) Whether the patient has increased the dosage without consulting the health care provider D.) Whether the patient's log of symptoms indicates that the patient is telling the truth

A.) Whether the patient has been taking the medication consistently or only when the pain is severe

4. Nursing assessment of a client receiving normal serum albumin for treatment of shock should include which of the following assessments? (0/1 Points) A.) Breath sounds. B.)Serum glucose levels. C.)Potassium level. D.)Hemoglobin and hematocrit.

A.) breath sounds

1. A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation digoxin toxicity? (select all that apply) A.) fatigue B.)constipation C.)anorexia D.)rash E.)diplopia

A.) fatigue B.)constipation C.)anorexia E.)diplopia

21. When monitoring for therapeutic effect of any antidysrhythmic drug, the nurse would be sure to assess which essential parameter? (0/1 Points) A.) Pulse B.) Blood pressure C.) Drug level D.) urine output

A.) pulse

79. A client with a history of HF will be stated on spironolactone (Aldactone). Which of the following drug groups should NOT be used, or used with extreme caution in pts taking potassium-sparing diuretics? (0/1 Points) NSAIDS Corticosteroids Loop diuretics ACE inhibitors or ARBs

ACE inhibitors or ARBs

82. A nurse is completing a nursing history for a client who currently takes simvastatin (Zocor). The provider recommends adding ezetimibe to the client's medications. Which of the following disorders is a contraindication to adding ezetimibe (Zetia) to the client's medications? (0/1 Points) History of severe constipation History of hypertension Active hepatitis C Type 2 diabetes mellitus

Active hepatitis C

90. A patient has purchased capsaicin over the counter cream to use for muscle aches and pains. What education is most important to give this patient? (1/1 Points) Apply with a gloved hand only to the site of pain. Apply the medication liberally above or below the site of pain. Apply to areas of redness and irritation only. Apply liberally with a bare hand to the affected limb.

Apply with a gloved hand only to the site of pain.

78. The client's sodium value is 152. Which of the following nursing interventions is most appropriate for this client? (Select all that apply.) (0/1 Points) Assess for inadequate water intake or diarrhea Administer a 0.45% NaCL IV solution. Hold all doses of glucocorticoids. Notify the HCP. Have the client drink as much water as possible

Assess for inadequate water intake or diarrhea

72. The nurse weighs the client who is on an infusion of LR postoperatively and finds that there has been a weight gain of 1.5 kg since the previous day. What would be the nurse's next highest priority? (0/1 Points) A.) Check with the client to determine whether there have been any dietary changes in the last few days. B.) Assess the client for signs of edema and BP for possible hypertension. C. Contact dietary to change the client's diet to reduced sodium. D.)Request a diuretic from the client's provider.

B.) Assess the client for signs of edema and BP for possible hypertension

40. The patient is scheduled to receive rimabotulinum-toxinB (Myobloc) for the treatment of muscle spasticity. Which of the following will the nurse teach the patient to report immediately? (0/1 Points) A.) Fever, aches, or chills B.) Difficulty swallowing, ptosis, blurred vision C.) Continuous spasms and pain on the affected D.)Moderate levels of muscle weakness on the affected side

B.) Difficulty swallowing, ptosis, blurred vision

15. A client is given a prescription for propranolol (Inderal) 40 mg bid. What is the most important instruction the nurse should give to this client? (0/1 Points) A.) Take this medication on an empty stomach, as food interferes with its absorption. B.) Do not stop taking this medication abruptly; the dosage must be decreased gradually if it is discontinued. C.) If the client experiences any disturbances in hearing, the client should notify the health care provider immediately. D.) The patient becomes very sleepy while taking this medication

B.) Do not stop taking this medication abruptly; the dosage must be decreased gradually if it is discontinued.

46. A nurse is caring for a client who is starting niacin (Niaspan) to reduce cholesterol. The nurse should monitor the client for which of the following adverse effects? (Select all that apply.) (0/1 Points) A.) Muscle aches B.) Hyperglycemia C.) Hearing loss D.) Flushing of the skin E.) Jaundice

B.) Hyperglycemia D.) Flushing of the skin E.) Jaundice

73. The nurse is planning care for a client who has a new prescription for torsemide (Demadex). The nurse should plan to monitor for which of the following adverse reactions of the medication? (select all that apply.) (0/1 Points) A.) Respiratory acidosis B.) Hypokalemia C.) Hypotension D.) Ototoxicity E.) Ventricular dysrhythmias

B.) Hypokalemia C.) Hypotension D.) Ototoxicity E.) Ventricular dysrhythmias

42. A nurse is teaching a client who has begun taking oral baclofen (Lioresal). Which for the following statements by the client indicates an understanding of the teaching? (select all that apply) (0/1 Points) A.) I will stop taking this med right away if I develop dizzines. B.) I know the doctor will gradually increase my dose of this med for awhile C.) I should increase my fiber to prevent constipation from this medicaiton D.) I won't be able to drink alcohol while im taking this med. E.) I should take this medication on an empty stomach each morning

B.) I know the doctor will gradually increase my dose of this med for awhile C.) I should increase my fiber to prevent constipation from this medicaiton D.) I won't be able to drink alcohol while im taking this med.

37. A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? (0/1 Points) A.) Lowered heart rate B.) Increased myocardial contractility C.) Decreased conduction through the AV node D.) Vasoconstriction of renal blood vessels

B.) Increased myocardial contractility

5. The client is to begin taking atorvastatin and the nurse is providing education about the drug. Which symptoms related to this drug should be reported to the physician? (0/1 Points) A.) Constipation B.) Increasing muscle or joint pain C.) Hemorrhoids D.) Flushing or hot flashes

B.) Increasing muscle or joint pain

12. The nurse is instructing the client on home use of niacin and will include important instructions on how to take the drug and about its possible adverse effects. Which may be expected adverse effects of this drug? (select all that apply) (0/1 Points) A.) Fever and chills B.) Intense flushing and hot flashes C.) Tingling of the fingers and toes D.) Hypoglycemia E.) Dry mucous membranes

B.) Intense flushing and hot flashes C.) Tingling of the fingers and toes

13. Nifedipine (Procardia) has been ordered for a client with HTN. In the care plan, the nurse includes the need to monitor for which adverse effect? (0/1 Points) A.) Rash and chills. B.) Reflex tachycardia C.) Increased urinary output D.) Weight loss

B.) Reflex tachycardia

30. The nurse is providing teaching to a client who has been prescribed furosemide (Lasix). Which of the following should the nurse teach the client? (1/1 Points) A.) Avoid consuming large amounts of kale, cauliflower, or cabbage B.) Rise slowly from a lying or sitting position to standing. C.) Count the pulse for one full minute before taking this medication. D.) Restrict fluid intake to no more than 1 L per 24-hour period

B.) Rise slowly from a lying or sitting position to standing

17. The nurse reviews lab studies of a client receiving digoxin. Intervention by the nurse is required if the results include which of the following lab values? (0/1 Points) A.) Serum digoxin level of 1.2 ng/dL. B.) Serum potassium level of 3 mEq/L C.) Hemoglobin of 14.4 g/dL D.) Serum sodium level of 140 mEq/L

B.) Serum potassium level of 3 mEq/L

63. A client with significant HTN unresponsive to other meds is given a prescription for hydralazine (Apresoline). An additional prescription of propranolol (Inderal) is also given to the client. The client inquires why two drugs are needed. What is the nurse's best response? (0/1 Points) A.) Giving the two drugs together will lower the BP even more than just one alone. B.) The hydrazine may cause tachycardia and the propranolol will help keep the heart rate within normal limits. C.) The propranolol is to prevent lupus erythematosus from developing. D.) Direct-acting vasodilators such as hydrazine cause fluid retention and the propranolol will prevent excessive fluid buildup

B.) The hydrazine may cause tachycardia and the propranolol will help keep the heart rate within normal limits

56. A client is receiving 5% dextrose in water (D5W). Which of the following statements is correct? (0/1 Points) A.) The solution may cause hypoglycemia in the client who has diabetes. B.) The solution may be used to dilute mixed intravenous drugs. C.) The solution is considered a colloid solution. D.) The solution is used to provide adequate calories for metabolic needs

B.) The solution may be used to dilute mixed intravenous drugs

14. Erectile dysfunction drugs such as sildenafil (Viagra) are contraindicated in clients taking nitrates for angina. What is the primary concern with concurrent administration of these drugs? (0/1 Points) A.) They contain nitrates, resulting in an overdose. B.) They decrease blood pressure and may result in prolonged and severe hypotension when combined with nitrates. C.) They will adequately treat the pt's angina as well as erectile dysfunction. D.) They will increase the possibility of nitrate intolerance developing and should be avoided unless other drugs can be used.

B.) They decrease blood pressure and may result in prolonged and severe hypotension when combined with nitrates.

16. A nurse is caring for an older adult client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client as risk for digoxin toxicity? (0/1 Points) A.) Phenytoin B.) Verapamil C.) Warfarin D.) Aluminum hydroxide

B.) Verapamil

59. A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication? (select all that apply.) (0/1 Points) A.) Hypertension B.) Widened QRS complex C.) Narrowed QT interval D.) Easy bruising E.) Swollen joints

B.) Widened QRS complex D.) Easy bruising E.) Swollen joints

8. The nurse is preparing to administer the first dose of enalpril (Vasotec). Identify the potential adverse effects of this medication. (Select all that apply.) (0/1 Points) A.)Reflex HTN B.)Hyperkalemia C.)Persistent cough D.)Angioedema E.) Hypotension

B.)Hyperkalemia C.)Persistent cough D.)Angioedema E.) Hypotension

7. A female patient is prescribed dantrolene (Dantrium) for painful muscle spasms associated with multiple sclerosis. The nurse is writing the discharge plan for the patient and will include which of the following teaching points? (0/1 Points) A.) If the muscle spasms are severe, supplement the medication with hot baths or showers three times per day B.)Inform the health care provider is she is taking estrogen products C.)Sip water, ice, or hard candy to relieve dry mouth D.)Return periodically for required laboratory work E.) Obtain at least 20 minutes of sun exposure per day to boost vitamin D levels

B.)Inform the health care provider is she is taking estrogen products C.)Sip water, ice, or hard candy to relieve dry mouth D.)Return periodically for required laboratory work

87. A client is receiving PlasmaLyte for treatment of hypovolemic shock. When monitoring for therapeutic effects, which of the following will the nurse expect to occur? (0/1 Points) Breath sounds are clear. Potassium, glucose, and sodium levels remain within normal range. Blood pressure returns to within normal range and urine output increases. The pulse rate and ECG return to normal rate and pattern

Blood pressure returns to within normal range and urine output increases

31. The client admitted for heart failure has been receiving hydrochlorothiazide (Microzide). Which of the following lab levels should the nurse carefully monitor? (Select all that apply). (0/1 Points) A.) Platelet count B.) WBC count C.) Potassium D.) Sodium E.) Uric Acid

C.) Potassium D.) Sodium E.) Uric Acid

71. A client with heart failure has an order for lisinopril (Prinivil, Zestril). Which of the following conditions in the client's history would lead the nurse to confirm the order with the provider? (0/1 Points) A.) A history of hypertension previously treated with diuretic therapy. B.) A history of seasonal allergies currently treated with antihistamines. C.) A history of angioedema after taking enalapril (Vasotec) D.) A history of alcoholism, currently abstaining

C.) A history of angioedema after taking enalapril (Vasotec

69. While planning care for a client receiving plasma protein fraction (Plasmanate), the nurse will include frequent assessments for which of the following possible adverse reactions? (0/1 Points) A.) Electrolyte imbalance B.) Hyperglycemia C.) Anaphylactic reaction D.) Hypotension

C.) Anaphylactic reaction

65. A patient has been prescribed clonazepam (Klonopin) for muscle spasms and stiffness secondary to an automobile accident. While the patient is taking this drug what is the nurse's primary concern? (0/1 Points) A.) Monitoring hepatic laboratory work B.) Encouraging fluid intake to prevent dehydration C.) Assessing for drowsiness and implementing safety measures D.) Providing social services referral for patient concerns about the cost of the drug

C.) Assessing for drowsiness and implementing safety measures

64. A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take? (1/1 Points) A.) Hold propranolol for an apical pulse greater than 100/min B.) Administer propranolol to increase the client's blood pressure. C.) Assist the client when she sits up or stands after taking this medication. D.) Check for hypokalemia frequently due to the risk for propranolol toxicity

C.) Assist the client when she sits up or stands after taking this medication

54. The client has been given a prescription of furosemide (Lasix) as an adjunct to tx of HTN and returns for a follow-up check. Which of the following is the most objective data for determining the therapeutic effectiveness of the furosemide? (1/1 Points) A.) Absence of edema in lower extremities B.) Weight loss of 6 lbs. C.) Blood pressure log notes BP 120/70 to 134/88 since discharge. D.) Frequency of voiding at least six times per day.

C.) Blood pressure log notes BP 120/70 to 134/88 since discharge.

32. A nurse is caring for a client who received a bolus dose of succinylcholine (Anectine) IV before an endoscopy procedure. During the procedure, the client suddenly develops rigidity, and his body temp begins to rise. The nurse should anticipate a prescription for which of the following meds? (0/1 Points) A.) A second dose of succinylcholine B.) Naloxone at receptor sites C.) Dantrolene to slow metabolic activity of muscles D.) Vecuronium as an adjunct to muscle relaxation

C.) Dantrolene to slow metabolic activity of muscles

50. A nurse in an acute care facility is infusing IV nitroprusside for a client who is in hypertensive crisis. For which of the following adverse reactions should the nurse monitor this client? (0/1 Points) A.) Intestinal ileus B.) Neutropenia C.) Delirium D.) Hyperthermia

C.) Delirium

20. The client who has not responded well to other therapies has been prescribed milrinone (Primacor) for treatment of his heart failure. What essential assessment must the nurse make before starting this drug? (1/1 Points) A.) Weight and presence of edema. B.) Dietary intake of sodium. C.) Electrolytes, especially potassium D.) History of sleep patterns and presence of sleep apnea.

C.) Electrolytes, especially potassium

70. A nurse is caring for a client who has a prescription for bethanechol (Urecholine) to treat urinary retention. The nurse should recognize that which of the following finding is a manifestation of muscarinic stimulation? (0/1 Points) A.) Dry mouth B.) Hypertension C.) Excessive perspiration D.) Fecal impaction

C.) Excessive perspiration

18. A client has been ordered gemfibrozil for hyperlipidemia. The nurse will first validate the order with the health care provider if the client reports a history of what? (0/1 Points) A.) Hypertension B.) Angina C.) Gallbladder disease D.) Tuberculosis

C.) Gallbladder disease

76. A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the following findings is a manifestation of amiodarone toxicity? (0/1 Points) A.) Light yellow urine B.) Report of tinnitus C.) Productive cough D.) Blue‑gray skin discoloration

C.) Productive cough

6. Nitroglycerin patches have been ordered for a client with a history of angina. What teaching will the nurse give to this client? (1/1 Points) A.) Keep the patches in the refrigerator. B.) Use the patches only if the chest pain is severe. C.) Remove the old patch before applying a new one. D.) Apply the patch only to the upper arm or thigh areas.

C.) Remove the old patch before applying a new one.

22. A client will be sent home on diuretic therapy and has a prescription for liquid potassium chloride (KCl). what teaching will the nurse provide before the client goes home? (1/1 Points) A.) Do not dilute the solution with water or juice; drink the solution straight. B.) Increase the use of salt substitutes; they also contain potassium. C.) Report any weakness, fatigue, or lethargy immediately. D.) Take the medication immediately before bed to prevent heartburn.

C.) Report any weakness, fatigue, or lethargy immediately.

24. While planning for a client's discharge from the hospital, which of the following teaching points would be included for a client going home with a prescription for cholorothiazide (Diuril)? (0/1 Points) A.) Increase fluid and salt intake to make up for the losses caused by the drug. B.) Increase intake of Vitamin C rich foods such as grapefruits and oranges. C.) Report muscle cramping or weakness to the health care provider D.) Take the drug at night because it may cause drowsiness.

C.) Report muscle cramping or weakness to the health care provider

68. A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider? (0/1 Points) A.) Serum sodium 144 mEq/L B.) Urine output 120 mL in 4 hr C.) Serum potassium 5.2 mEq/L D.) Blood pressure 140/90 mm Hg

C.) Serum potassium 5.2 mEq/L

2. Verapamil (Calan, Covera-HS, Verelan) should be used with extra caution or is contraindicated in clients with which cardiovascular condition? A.) Hypertension B.)Tachycardia C.)heart failure D.)Angina

C.) heart failure

52. A nurse is caring for a client who is starting captopril (Capoten) for hypertension. For which of the following adverse effects should the nurse monitor the client? (0/1 Points) A.) Hypokalemia B.) Hypernatremia C.) Neutropenia D.) Bradycardia

C.)neutropenia

89. The nurse is caring for a patient with hyperkalemia. Which assessment is priority? (0/1 Points) Lung Kidney Cardiac Abdomen

Cardiac

94. Which of the following clinical manifestations may indicate that the client taking metolazone (Zaroxolyn) is experiencing hypokalemia? (0/1 Points) Hypertension Polydipsia Cardiac dysrhythmias Skin rash

Cardiac dysrhythmias

3. A nurse is planning to administer a first dose of captopril (Capoten) to a hospitalized client who has hypertension. Which of the following medications can intensify early adverse effects of captopril? (Select all that apply.) A.) Simvastatin (Zocor) B.) Hydrochlorothiazide (HydroDIURIL) C.)phenytoin (Dilantin) D.) Clonidine (catapres) E.) Aliskiren (Tekturna)

D.) Clonidine (catapres) E.) Aliskiren (Tekturna)

44. A nurse in a provider's office is reviewing the health care record of a client who reported urinary incontinence and asked about a prescription for oxybutynin (Ditropan). The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following conditions? (0/1 Points) A.) Bursitis B.) Sinusitis C.) Depression D.) Glaucoma

D.) Glaucoma

38. A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity? (0/1 Points) A.) Bruising B.) Metallic taste C.) Muscle pain D.) Report of anorexia

D.) Report of anorexia

62. The teaching plan for a client receiving hydralazine (Apresoline) should include which of the following points? (0/1 Points) A.) Returning for monthly urinalysis testing. B.) Including citrus fruits, melons, and vegetables in the diet. C.) Decreasing potassium-rich food in the diet. D.) Rising slowly to standing from a lying or sitting position.

D.) Rising slowly to standing from a lying or sitting positions

29. A client with type I diabetes on insulin therapy reports that he takes propranolol (Inderal) for his hypertension. The nurse will teach the client to check glucose levels more frequently because of what concern? (0/1 Points) A.) The propranolol can produce insulin resistance. B.) The two drugs used together will increase the risk of ketoacidosis. C.) Propranolol will increase insulin requirements by antagonizing the effects at the receptors. D.) The propranolol may mask symptoms of hypoglycemia

D.) The propranolol may mask symptoms of hypoglycemia

19. A client was admitted from the emergency department after receiving treatment for dysrhythmias and will be started on amiodarone (Cordarone, Pacerone) because of lack of therapeutic effects from his other antidysrhythmic therapy. When the nurse checks with him in the afternoon, he complains of feeling light-headed and dizzy. What will the nurse assess first? (0/1 Points) A.) Whether there is the possibility of sleep deprivation from the stress of admission to the hospital. B.) Whether an allergic reaction is occurring with anticholinergic-like symptoms. C.) Whether the amiodarone level is not yet therapeutic enough to treat the dysrhythmias. D.) Whether the client's pulse and blood pressure are within normal limits.

D.) Whether the client's pulse and blood pressure are within normal limits.

53. The nurse is caring for a client with chronic stable angina who is receiving isosorbide denitrate (Isordil). Which of the following are common adverse effects of isosorbide? (0/1 Points) A.) Flushing and headache. B.) Tremors and anxiety. C.) Sleepiness and lethagy. D.) Light-headedness and dizziness

D.) light headed ness and dizziness

9. A patient has hypermagnesemia from overuse of antacids. Which assessment is priority? (0/1 Points) A.)Pulse B.)Temperature C.)Blood pressure D.)Respiratory rate

D.)Respiratory rate

75. What health teaching should the nurse provide for the client receiving nadolol (Corgard)? (0/1 Points) A.) Increase fluids and fiber to prevent constipation. B.) Report a weight gain of 1 kg per month or more. C.) Immediately stop taking the medication if sexual dysfunction occurs. D.)Rise slowly after prolonged periods of sitting or lying down.

D.)Rise slowly after prolonged periods of sitting or lying down

93. Which sign should the nurse monitor for after administering a hypertonic saline solution to a patient who has severe hypotonic contraction? (1/1 Points) Tetany Weakness Hypotension Distension of neck veins

Distension of neck veins

88. A client who has increased intracranial pressure is receiving mannitol (Osmitrol). Which of the following findings should the nurse report to the provider? (0/1 Points) Blood glucose 150 mg/dL Urine output 40 mL/hr Dyspnea Headache

Dyapnea

84. A client who is experiencing shock is started on norepinephrine (Levophed) by IV drip. Why must the nurse conduct frequent inspections of the IV insertion site while the client remains on this drug? (0/1 Points) The client's blood pressure may rise if the site is occluded. Extravasation and leakage at the IV site may cause local tissue damage. Bleeding may occur from the site due to localized drug effects. The client's blood pressure may drop precipitously if the IV runs too quickly

Extravasation and leakage at the IV site may cause local tissue damage.

81. The client is taking atenolol (Tenormin) and doxazosin (Cardura). What is the rationale for combining two anti-HTN drugs? (0/1 Points) The BP will decrease fast. Lower doses of both drugs may be given with fewer adverse effects. There is less daily medication dosing Combination therapy will treat the patient's other medical conditions

Lower doses of both drugs may be given with fewer adverse effects

85. A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? (0/1 Points) Furosemide Captopril Ranolazine Metoprolol

Metoprolol

80. Which of the following nursing interventions is most important when caring for a client receiving dextran 40 (Gentran 40)? (0/1 Points) Assess the pt for DVT. Observe for signs of fluid overload. Encourage fluid intake. Monitor ABGs

Observe for signs of fluid overload

92. A nurse in a provider's office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? (0/1 Points) Calcium 9.2mg/dL Calcium 10.3mg/dL Potassium 3.4mEq/L Potassium 4.8mEq/L

Potassium 3.4mEq/L

86. A client is receiving IV sodium bicarbonate for tx of metabolic acidosis. During this infusion, how will the nurse monitor for therapeutic effect? (0/1 Points) Blood urea nitrogen (BUN). WBC counts Serum pH Renal Labs

Serum pH

83. A nurse is teaching a client who is taking digoxin (Lanoxin) and has a new prescription for colesevelam (Welchol). Which of the following should the nurse include in the teaching? (0/1 Points) Take digoxin with your morning dose of colesevelam. Your sodium and potassium levels will be monitored periodically while taking colesevelam. Watch for bleeding or bruising while taking colesevelam. Take colesevelam with food and at least one glass of water.

Take colesevelam with food and at least one glass of water