Cardiovascular Medications NCLEX
The nurse is reviewing the health care provider's prescription sheet for the preoperative client, which states that the client must be on nothing by mouth status after midnight. The nurse should clarify whether which medication should be given to the client rather than withheld?
atenolol (Tenormin)
A client is being treated with atenolol for hypertension. The client tells the nurse, "I am very tired and weak since I began taking the medication." Based on the client's statement, the nurse determines that the client is experiencing which problem? A) Common Side Effect B) Signs and Symptoms of the flu C) Difficulty with clearing the airway D) Lack of support services for assistance at home
A
A client is receiving heparin sodium by continuous intravenous infusion. The LPN is concerned that the client received a bolus of medication when the tubing was removed from the IV pump during a gown change. The LPN immediately notifies the RN or HCP and then checks to see whether which medication is available in the medication supply area in case it is prescribed? A) Protamine Sulfate B) Enoxaparin (Lovenox) C) Aminocaproic Acid (Amicar) D) Phytonadione (vitamin K)
A
The nurse in the preoperative holding unit administers a dose of scopolamine to a client. The nurse monitors the client for which common side effect of the medication? A) Dry Mouth B) Diaphoresis C) Excessive Urination D) Pupillary Constriction
A
The nurse is preparing to administer furosemide to a client with a diagnosis of heart failure. Which is the most important labratory test result for the nurse to review before administering the medication? A) Potassium Level B) Creatinine Level C) Cholesterol Level D) Blood Urea Nitrogen
A
The nurse is reinforcing dietary instructions to a client who is taking triamterene. The nurse instructs the client that it is acceptable to consume which food item daily? A) Apple B) Banana C) Avocado D) Baked Potato
A
The nurse is asked to assist in preparing a heparin sodium infusion for a client with a diagnosis of thrombophlebitis. Which items should the nurse have available for this procedure? Select all that apply A) Protamine Sulfate B) Intravenous Tubing C) Phytonadione (vitamin K) D) Intravenous Infusion Controller E) Intravenous Insertion Equipment
A, B, D, and E
A client is receiving digoxin daily. The nurse suspects digoxin toxicity after collecting data, noting which signs and symptoms? Select All that Apply A) Visual Disturbances B) Nausea and Vomiting C) Serum digoxin level of 2.3ng/mL D) Serum potassium level of 3.9 E) Apical pulse rate of 63 beats per minute
A, B, and C
A client has taken his first dose of lisinopril about 2 hours ago and begins to develop fullness in his face and hoarseness. Which action should the nurse take first? A) Ask the client when the hoarseness first developed B) Determine the client's ability to breathe effectively C) Determine the client's blood pressure to determine effectiveness D) Instruct the client to stay in the resting position to prevent dizziness
B
A potassium-retaining diuretic is prescribed for a client with heart failure. Which foods should the nurse instruct the client to avoid? A) Plums B) Bananas C) Cranberry Juice D) Cheddar Cheese
B
Clients who are given a prescription for sidenafil (Viagra) should be taught that a potentially fatal medication interaction can occur with which medication? A) Warfarin B) Nitroglycerin C) Acetaminophen D) Acetylsalicylic acid
B
A client with a history of hypertension has been prescribed triamterene. The nurse determines that the client understands the effect of this medication on the diet if the client states to avoid which fruit?
Bananas
A client who has developed atrial fibrillation that is not responding to medication therapy has begun taking warfarin. The nurse is reinforcing dietary discharge teaching with the client. The nurse should plan to teach the client to avoid which food while taking this medication?
Broccoli
The nurse is administering a dose of a prescribed diuretic to an assigned client. The nurse should plan to monitor the client for hypokalemia as a side effect of therapy if the client is receiving which medication?
Bumetanide
A 1-year-old child has been prescribed digoxin to treat heart failure. When should the nurse plan on withholding the prescribed dose of the medication? A) A dose is missed by more than 1 hour B) The child has a fever greater than 101 F C) the child's pulse is less than 80 beats per minute D) the child's pulse is more than 100 beats per minute
C
A client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, "My chest still hurts." Which appropriate actions should the nurse take? Select all that apply
Contact the RN Collect more data on the client's pain level Check the client's blood pressure Administer a second nitroglycerin, 0.4 mg, sublingually
The nurse is monitoring a client receiving furosemid 40 mg orally daily. Which should indicate to the nurse that a therapeutic effect has occurred? A) A sodium level of 130 mEq/L B) A potassium level of 3.1 mEq/L C) The presence of dependent edema D) A blood pressure of 128/80 mm Hg
D
The nurse is reinforcing dietary instructions to a client who is taking spironolactone. The nurse instructs the client to avoid which food in the daily diet? A) Rice B) Salad C) Oatmeal D) Citrus Fruits
D
The nurse is reviewing laboratory results of a digoxin level for the client taking digoxin. Which laboratory result would warrant HCP notification immediately? A) 0.5 ng/mL B) 0.9 ng/mL C) 1.4 ng/mL D) 2.5 ng/mL
D
The nurse is planning to administer hydrochlorothiazide to a client. Which are concerns related to the administration of the medication?
Hypokalemia Hyperglycemia Sulfa Allergy
Warfarin sodium is prescribed for a client. The nurse expects that the health care provider will prescribe which laboratory test to monitor for a therapeutic effect of the medication?
International Normalized Ratio
A client with diabetes mellitus who has been controlled with daily insulin has been placed on atenolol (Tenormin) for the control of angina pectoris. Because of the effects of atenolol, the nurse determines that which is the most reliable indicator of hypoglycemia?
Low Blood Glucose Level
A health care provider tells the nurse that a potassium-retaining diuretic is being prescribed for the client with heart failure. The nurse reviews the health care provider's prescriptions, expecting that which medication will be prescribed?
Spironolactone
Isosorbide mononitrate (Imdur) is prescribed for a client with angina pectoris. The client tells the nurse that the medication is causing a chronic headache. Which action should the nurse suggest to the client?
Take the medication with food
The nurse is monitoring a client who is taking propranolol. Which data collection finding would indicate a potential serious complication associated with propranolol?
The development of audible expiratory wheezes
A client receiving nifedipine for angina complains of feeling listless, with generalized weakness and no energy. The nurse recognizes that which statement is true in regard to these symptoms?
These symptoms are expected effects of the medication
A client with angina pectoris has just been started on medication therapy with nitroglycerin. In planning care for this client, the nurse should place priority on measuring which data? A) Vital Signs B) Serum Glucose C) Intake and Output D) Therapeutic Serum Drug Levels
A
A client with angina pectoris who was given a first dose of newly prescribed nitroglycerin sublingual tablet complains of slight dizziness and headache. The nurse takes which action first? A) Takes the client's blood pressure B) Tells the client not to worry about it C) Reports the findings to the HCP D) Gives the client a dose of acetaminophen PRN
A
A client recently began medication therapy with propranolol. The nurse should be most concerned after noting the presence of which effect in this client?
Audible expiratory wheezes
The nurse has provided discharge instructions to a client being placed on long-term anticoagulant therapy with warfarin sodium. The nurse reminds the client to do which?
Avoid taking products containing acetylsalicylic acid (aspirin)
A client is being treated for heart failure and is receiving digoxin. The client's vital signs are BP 85/50 mm Hg, pulse 96 beats per minute, respirations 26 breaths per minute. To evaluate therapeutic effectiveness of this medication, the nurse should expect which change in the client's vital signs? A) BP 85/50 mm Hg, pulse 60 beats per minute, respirations 26 breaths per minute B) BP 98/60 mm Hg, pulse 80 beats per minute, respirations24 breaths per minute C) BP 130/70 mm Hg, pulse 104 beats per minute, respirations 20 breaths per minute D) BP 110/40 mm Hg, pulse 110 beats per minute, respirations 20 breaths per minute
B
Atenolol hydrochloride is prescribed for a hospitalized client. The nurse should perform which as a priority action before administering the medication? A) Listen to the client's lung sounds B) Check the client's blood pressure C) Check the recent electrolyte levels D) Assess the client for muscle weakness
B
The nurse has reinforced instructions to a client receiving enalapril maleate. Which statement by the client indicates a need for further teaching? A) I need to rise slowly from lying to sitting position B) I need to notify the HCP if nausea occurs C) I need to notify the HCP provider if a sore throat occurs D) I know that several weeks of therapy may be required for the full therapeutic effect
B
A client with myocardial infarction is a candidate for alteplase therapy. The nurse assisting in the care of this client is aware that it will be necessary to monitor for which adverse effect of this therapy?
Bleeding
A client reports to the clinic for ollow-up after a 1-month treatment with acebutolol. The nurse determines that a therapeutic effect of the medication has occurred if which response is noted? A) Palpable peripheral pulses B) Maintenance of desired weight C) A BP of 130/84 mm Hg D) An apical rate of 88 beats per minute
C
A client returning to the medical nursing unit following cardiac catheterization has a stat prescription to receive a dose of procainamide. The LPN assisting in caring for the client obtains which piece of equipment to adequately determine the client's response to this medication? A) Glucometer B) Pulse Oximeter C) Cardiac Monitor D) Noninvasive BP cuff
C
A client with heart failure is being discharged to home and will be taking furosemide. The nurse determines that teaching has been effective if the client makes which statement? A) I will take my pulse every day B) I will measure my urine output C) I will weigh myself every day D) I will check my ankles every day for swelling
C
A client with chronic atrial fibrillation is being started on amiodarone as maintenance therapy for dysrhythmia suppression. The nurse reinforces instructions to the client about the medication. Which statement by the client indicates a need for further teaching? A) I will need to have routine follow-up with my ophthalmologist B) I will need to use sunscreen and protective clotting when outside C) I will periodically have blood drawn to monitor my thyroid function D) I will stop taking the prescribed anticoagulant after starting the new medication
D
A client with chronic atrial fibrillation is being started on maintenance therapy with atenolol for dysrhythmia suppression. The nurse determines that the client needs instruction about this medication when making which statement? A) I will take the dose at the same time each day B) I will avoid sudden discontinuation of this medication C) I will take the medication with food if GI upset occurs D) I can stop taking the prescribed digoxin after starting the new medication
D
The nurse is caring for a child with heart failure and provides instructions to the mother regarding the procedure for administration of the prescribed digoxin. Which statement by the mother indicates a need for further teaching?
I can mix the medication with food
The nurse has a prescription to give a client a scheduled dose of digoxin. Before administering the medication, the nurse routinely screens for which signs/symptoms that could indicate early signs of digoxin toxicity?
Loss of appetite, nausea, and vomiting
A client is receiving a continuous heparin infusion for venous thromboembolism treatment. Which laboratory monitoring should the nurse plan to check during a continuous heparin infusion? Select all that apply
Platelets and aPTT
The health care provider has prescribed morphine sulfate intravenous push for a client with pulmonary edema. Which therapeutic effects should the nurse expect in this client? Select all that apply
Relief of anxiety Reduction of oxygen consumption Improvement in efficacy of breathing
The nurse has a prescription to give a first dose of hydrochlorothiazide to an assigned client. The nurse should question the prescription if the client had a history of allergy to which item?
Sulfa Allergy
A client is being discharged from the hospital on warfarin for venous thromboembolism prevention. Which instructions should the nurse reinforce in the client's teaching plan? Select all that apply
Wear a Medic Alert bracelet Check urine and stool for blood Notify your dentist before an appointment
A client has arrived at the emergency department complaining of weakness, an irregular heartbeat, and lethargy. The nurse is attempting to discover what caused these symptoms. The nurse asks the client "Have you been prescribed any new medications?" The client tells the nurse "About 2 weeks ago I was prescribed a drug to make me pee, but I don't know the name." The nurse determines that the client is referring to which medication?
furosemide
Thrombolytic therapy is being administered to a client following an acute inferior myocardial infarction. Which goal should the nurse plan for the client taking this medication? A) Dissolve the thrombus B) Prevent platelet aggregation C) Inhibit further clot formation D) Reduce myocardial oxygen demand
A
the nurse notes that a client is being treated with nesiritide. The nurse should expect this client to be experiencing which disorder? A) Heart Failure B) Polycythemia C) Hepatic Failure D) Myocardial Infarction
A
A child is being sent home on digoxin after being diagnosed with a congenital heart defect. The medication needs to be given once a day. Which should the nurse reinforce in the teaching plan for the family? A) You may give the medication using a medication dropper B) Give the medication in the morning 20-30 minutes before a feeding C) If your child vomits the dose, repeat the dose and then resume the schedule the next morning D) If your forget to give the medication in the morning, omit the dose and resume it the following morning
B
A client has been give a prescription for gemfibrozil. The nurse plans to instruct the client to limit intake of which food while taking this medication? A) Fish B) Beef C) Spicy Foods D) Citrus Products
B
A client taking an angiotensin-converting enzyme (ACE) inhibitor reviewed the medication information sheet and notes that the medication is used to treat hypertension. He states, "I have heart failure. Why am I taking this medicine?" The nurse responds by making which statement? A) there must be some mistake; I will check the medication prescriptions. B) The medication causes relaxation in your arteries and veins and decreases the heart's work C) The medication makes your heart beat faster, and this improves blood flow to your tissues D) An additional medication will be added to the ACE inhibitor to strengthen your heart muscle
B
The nurse is assisting in monitoring a client who received hydralazine hydrochloride to treat autonomic dysreflexia. Which finding accurately indicates that the medication is effective? A) Muscle spasms subside B) Blood pressure declines C) Intensity of seizure activity declines D) The client states that she feels better
B
A client has a prescription for niacin. the nurse determines that the client understands the importance of this therapy if the client verbalizes the importance of which periodic monitoring? A) The creatinine level B) Renal function Studies C) The serum cholesterol level D) The blood urea nitrogen level
C
A client has received atropine sulfate intravenously during a surgical procedure. The nurse monitors the client for which side effect of the atropine sulfate in the postoperative period? A) Diarrhea B) Bradycardia C) Urinary Retention D) Excessive Salivation
C
A client with angina pectoris is experiencing chest pain that radiates down the left arm. The nurse administers a sublingual nitroglycerin tablet to the client. The client's pain is unrelieved, and the nurse determines that the client needs another nitroglycerin tablet. Which vital sign is most important for the nurse to check before administering a second dose of the medication? A) Temperature B) Respirations C) Blood Pressure D) Radial Pulse Rate
C
Heparin sodium is prescribed for the client. Which labroratory result indicates that the heparin is prescribed at a therapeutic level? A) PT of 21 seconds B) Thrombocyte count of 100,000 cells/mm3 C) INR of 2.3 D) aPTT of 55 seconds
C
Nifedipine has been prescribed for a client with Raynaud's Disease, and the nurse reinforces medication instructions with the client about the medication. Which statement by the client indicates a need for further teaching? A) I will contact my doctor if I get short of breath B) I will call my doctor if I get headaches that worsen C) Nausea and drowsiness are expected, and if they occur, I don't really need to worry about it. D) I need to get up slowly when I change positions because the medicine causes hypotension.
C
A HCP writes a prescription for digoxin, 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is important to do which? A) Count the radial and carotid pulses every morning B) Check the BP every morning and evening C) Stop taking the medication if the pulse is higher than 100 beats per minute D) Withhold the medication and call the HCP if the pulse is less than 60 beats per minute
D
A client is being discharged with a prescription for propranolol. When reinforcing instructions to the client about the medication, the nurse should include which information? A) Gentle exercising will prevent orthostatic hypotension B) Hot baths and showers are advised to increase vasodilation C) Medication should be taken on an empty stomach to enhance absorption D) Medication should be withheld if the pulse rate drops below 60 beats per minute
D
A client who is taking hydrochlorothiazide has been started on triamterene as well. The client asks the nurse why both medications are required. Which response by the nurse is the most accurate to give to the client? A) Both are weak potassium excreting diuretics B) The combination of these medications prevents renal toxicity C) Hydrochlorothiazide is an expensive medication, so using combination of diuretics is cost-effective D) Triamterene is a potassium-retaining diuretic, whereas hydrochlorothiazide is a potassium excreting diuretic
D
Vasopressin is prescribed for the client with diabetes insipidus. During data collection, the nurse is particularly cautious in checking the client for which preexisting condition? A) Depression B) Endometriosis C) Pheochromocytoma D) Coronary Artery Disease
D
The nurse reinforces instructions to a client who is prescribed warfarin. What statement made by the client indicates a need for further teaching? A) I will take my pills everyday at the same time B) I will be certain to avoid alcohol consumption C) My family has already been notified to pick up a medic-alert bracelet D) I will take ecotrin (enteric-coated) aspirin since it is coated
D.
A client is experiencing impotence after taking an antihypertensive medication. The client states, I would sooner have a stroke than keep living with the side effects of this medication. The nurse should make which appropriate response to the client? A) I can understand completely B) You wouldn't really want to have a stroke C) That health care provider should change your prescription D) You are concerned about the side effects of your medication?
You are concerned about the side effects of your medication?
The nurse is caring for a client who has been prescribed furosemide and is monitoring for adverse effects associated with this medication. Which should the nurse recognize as potential adverse effects? Select All That Apply A) Nausea B) Tinnitus C) Hypotension D) Hypokalemia E) Photosensitivity F) Increased Urinary Frequency
B, C, D
The nurse is scheduled to administer a dose of digoxin to a client with atrial fibrillation. The client has a potassium level of 4.6 mEq/L. Which would be the nurse's next action? A) The dose should be omitted for that day B) The dose should be administered as prescribed C) The client needs a dose of potassium before receiving the digoxin D) The dose should be withheld and the HCP notified
B
The nurse prepares to administer digoxin to a 3-year-old with a diagnosis of heart failure and notes that the apical heart rate is 120 beats per minute. Which nursing action is appropriate? A) Hold the medication B) Administer the digoxin C) Notify the RN D) Recheck the apical heart rate in 15 minutes
B
The nurse provides medication instructions to an older hypertension client who is taking 20 mg of lisinopril orally daily. The nurse evaluates the need for further teaching when the client makes which statement? A) I can skip a dose once a week B) I need to change my position slowly C) I take the pill after breakfast each day D) If I get a bad headache, I should call my HCP immediately
A
The nurse reinforces dietary instructions to a client who will be taking warfarin sodium. The nurse tells the client to avoid which food item? A) Grapes B) Spinach C) Watermelon D) Cottage Cheese
B
The hospitalized client with angina continues to have chest pain after the initial administration of a sublingual nitrolycerin tablet. The nurse should take which action? A) Provide a second sublingual dose in 5 minutes B) Continue dosing at 10-minute intervals for 1 hour C) Instruct the client to swallow the next tablet whole D) Use distraction techniques such as deep breathing and imagery
A
The nurse is assisting in developing a plan of care for a client receiving warfarin sodium. The nurse selects which problem as the priority in caring for this client? A) Potential for injury B) Potential for infection C) Fluid volume overload D) Potential for inability to tolerate activity
A
The nurse is caring for a client receiving digoxin. The nurse monitors the client for which early manifestation of digoxin toxicity? A) Anorexia B) Photophobia C) Facial Pain D) Yellow Color Perception
A
The nurse is caring for a client who has been taking diuretics on a long-term basis. The nurse reviews the medication record, knowing that which medications, if prescribed for this client, would place the client at risk for hypokalemia? A) Bumetanide B) Triamterene C) Spironolactone D) Amiloride hydrochloride
A
The nurse is caring for a client who is taking metoprolol. The nurse measures the client's BP and apical pulse immediately before administration. The client's BP is 122/78 mm/Hg and the apical pulse is 58 beats per minute. Based on this data, which is the appropriate action? A) Withhold the medication B) Notify the RN immediately C) Administer the medication as prescribed D) Administer half of the prescribed medication
A
The nurse is collecting data from a client with hypertension being treated with diuretic therapy. The nurse should monitor the client for hypokalemia if the client is receiving which diuretic? A) Bumetanide B) Triamterene C) Amiloride HCI D) Spironolactone
A
The nurse is preparing to administer digoxin 0.125 mg orally, to a client with heart failure. Which vital sign is most important for the nurse to check before administering the medication? A) Heart Rate B) Temperature C) Respirations D) Blood Pressure
A
The nurse is reinforcing medication instructions to a client who has been prescribed simvastatin. Which is the action of simvastatin? A) It inhibits hepatic synthesis of cholesterol B) It increases lipid metabolism of cholesterol C) It sequesters fat in the colon promoting fecal excretion of cholesterol D) It increases glomerular filtration promoting renal excretion of cholesterol
A
The nurse notes that a client in a long-term care facility is receiving a daily dose of furosemide. The nurse writes in the care plan to monitor which parameter on a daily basis? A) Weight B) Radial Pulse C) Hemoglobin D) Serum Creatinine Clearance
A
The nurse is planning to administer amlodipine to a client. The nurse should plan to check which before giving the medication? A) Respiratory Rate B) Blood Pressure and Heart Rate C) Heart Rate and Respiratory Rate D) Level of Consciousness and Blood Pressure
B
The nurse is preparing to administer digoxin to an adult client. The nurse checks which important item before administering the medication? A) Blood pressure B) Apical Pulse Rate C) Neurological Signs D) Level of Consciousness
B
A client is being treated for acute heart failure with intravenously administered bumetanide. The vital signs are as follows: Blood Pressure, 100/60 mm Hg; pulse, 96 beats per minute; and respirations, 24 breaths per minute. After the initial dose, which is the priority assessment? A) Monitoring Weight Loss B) Monitoring Temperature C) Monitoring Blood Pressure D) Monitoring Potassium Level
C
A client is being treated for moderate hypertension and has been taking diltiazem for several months. The client is seen by the HCP and Prinzmetal's angina is diagnosed. The nurse planning care for the client understands that which action of the medication will provide a therapeutic effect for this new diagnosis? A) Increases oxygen demands within the myocardium B) Increases the force of contraction of ventricular tissues C) Prevents influx of calcium ions in vascular smooth muscle D) Leads to an increase in calcium absorption in the vascular smooth muscle
C
A client is diagnosed with pulmonary embolism and is to be treated with thrombolytic therapy. The nurse should report which priority data collection finding to the registered nurse before initiating this therapy? A) Adventitious Breath Sounds B) Temperature of 99.4 F orally C) Blood Pressure of 198/110 D) Respiratory Rate of 28 breaths per minute
C
A client receiving total parenteral nutrition has a history of heart failure. The HCP has prescribed furosemide 40 mg orally daily to prevent fluid overload. The nurse should monitor which laboratory value to identify an adverse effect from this medication? A) Sodium B) Glucose C) Potassium D) Magnesium
C
A client who has begun taking fosinopril is very distressed, telling the nurse that he cannot taste food normally since beginning the medication 2 weeks ago. Which suggestion would provide the best support for the client? A) Tell the client not to take the medication with food B) Suggest that the client taper the dose until taste returns to normal C) Inform the client that impaired taste is expected and generally goes away in 2-3 months D) Tell the client that a request will be made to the HCP to change the prescription
C
A client is being discharged home, and the HCP has prescribed spironolactone for the client. the nurse reinforces instructions to the client about the medication. Which statement by the client indicates a need for further teaching by the nurse? A) I know I should contact my doctor if I develop a rash while taking this medication B) My doctor told me that I should sit on the side of the bed in the morning before standing up C) I know I need to weigh myself every day when I get home because of the medication D) I know I need to eat foods that are high in potassium because of the diuretic effect of the medication
D
A client is receiving a continuous intravenous infusion of heparin in the treatment of deep vein thrombosis. The nurse is told that the client's activated partial thromboplastin time (aPTT) level is 65 seconds and that the client's baseline before the initiation of therapy was 30 seconds. The nurse identifies these results as characteristic of which description? A) Low B) Elevated C) Abnormal D) within the therapeutic range
D
A client is taking ticlopidine hydrochloride. The nurse tells the client to avoid which substance while taking this medication? A) Vitamin C B) Vitamin D C) Acetaminophen (Tylenol) D) Acetylsalicylic acid (aspirin)
D
A client taking an aldosterone antagonist known as eplerenone for hypertension asks about the side effects of this medication. The nurse tells the client that which sign/symptom is a side effect? A) Coughing B) Rash and Urticaria C) Headache and Dizziness D) Elevated Potassium Level
D
The nurse is caring for a client who is receiving hydralazine. The nurse evaluates the effectiveness of the medication by monitoring which client parameters? A) Cardiac Rate B) Urine Output C) Blood Pressure D) Blood Glucose Level
C
The nurse is caring for a client with chronic heart failure who is taking digoxin 0.125 mg daily. Before administering the medication, the nurse reviews the serum digoxin level that was drawn earlier in the day. The result is 1 ng/mL. Which action should the nurse take based on this laboratory result? A) Notify the HCP B) Check the client's last pulse rate C) Administer the dose of the medication as scheduled D) Obtain another serum digoxin level to verify the results
C
The nurse is monitoring a client receiving spironolactone by mouth daily. Which data would indicate to the nurse that the client is experiencing a side effect related to the medication? A) Client complaints of dry skin B) A sodium level of 140 mEq/L C) A potassium level of 5.2 mEq/L D) Client complaints of constipation
C
The nurse is discharging a client from the hospital who was given a prescription for atorvastatin. The nurse should tell the client to report which adverse effect to the HCP immediately? A) Tiredness and Fatigue B) Flushing and Redness C) Flatulence and Constipation D) Muscle Pain and Weakness
D
A child with a right-to-left cardiac shunt is receiving propranolol. The health care provider visits the child and writes prescriptions in the child's record. The LPN reviews the prescriptions and notes that the child is placed on a nothing-by-mouth status. The LPN consults with the RN and prepares to monitor which parameter closely?
Glucose level
The nurse is attending an in-service education session on the therapeutic use of calcium-channel blockers. The instructor of the session determines that teaching has been effective when the nurse correctly identifies that these medications are used for which disorders? Select all that apply A) Angina B) Glaucoma C) Hypertension D) Dysrhythmias E) Acute Kidney Injury F) Glomerulonephritis
A C D
A client arrives at the health care clinic for follow-up care and evaluation of the effectiveness of prazosin. Which finding indicates a therapeutic effect related to the use of this medication? A) Increased Platelet Count B) Decrease in Blood Pressure C) Increased Red Blood Cell Count D) Decrease in Blood Glucose Level
B
A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a beta blocker, digoxin, and a diuretic. A tentative diagnosis of digoxin toxicity is made. Which assessment data supports this diagnosis? A) Dyspnea, Edema, and Palpitations B) Chest Pain, Hypotension, and Paresthesia C) Double Vision, Loss of Appetite, and Nausea D) Constipation, Dry Mouth, and Sleep Disorder
C
A client who takes a diuretic every evening expresses frustration with the medication and wants to stop therapy. When the nurse explores the reasoning, the client says, "It keeps me up all night. I feel as though I should bring my pillow into the bathroom!" Which action can the nurse suggest to assist the client in successfully adapting to this therapy? A) Limiting oral fluids before bedtime B) Taking a sleep aid with the medication C) Switching to a morning administration of the medication D) Asking the HCP for a new brand of medication
C
A nurse is reinforcing discharge teaching to the client who was given a prescription for nifedipine for blood pressure management. Which instructions should the nurse reinforce? Select All that Apply A) Increase Water Intake B) Increase Calcium Intake C) Take pulse rate each day D) Weigh at the same time each day E) Palpitations may occur early in therapy F) Be careful when rising from sitting to standing
C D E F
A client is being discharged to home following recovery from an anterior myocardial infarction with recurrent angina. The client will be taking diltiazem, isosorbide dinitrate, and nitroglycerin sublingually as needed, and the nurse reinforces information to the client about the medications. Which statement by the client indicates a need for further teaching about the medications? A) I will store these medications in a cool place, away from light B) All three of these medications will increase blood flow to my heart C) All three of these medications will help decrease the intensity of my chest pain D) I should notify my doctor immediately if I experience headaches with any of these medications
D
A client takes digoxin 0.25 mg by prescription every day. When the nurse enters the client's room, with the medication, the client's meal tray is untouched and the client says he has no appetite. Which auction is the most appropriate? A) Check the client's temperature, radial pulse rate, and respiratory rate B) Administer one half of the prescribed amount to avoid digoxin toxicity C) Offer to bring back the digoxin to the client when his appetite improves D) Listen to the client's surgical pulse. If it is less than 60 beats per minute, withhold the medication
D
A client with aldosteronism has been instructed on spironolactone treatment. Which client statement indicates that the client needs further teaching about the medication? A) My potassium level will increase B) This medication will make me void frequently C) My blood pressure should get back to normal D) This medication will decrease my blood glucose
D
The nursing student demonstrates understanding of the pathophysiology of reflex tachycardia in the client taking an antihypertensive medication by making which statement? A) Tachycardia results from the suppression of the influx of ionized calcium into the vessel wall B) Fluid is retained by the kidneys in an attempt to increase blood volume, resulting in tachycardia C) Renin, secreted by the kidney in response to lowered blood pressure, increases epinephrine secretion and stimulation of the sinoatrial node D) When blood pressure begins to decrease, the heart responds with tachycardia as a compensatory mechanism to raise the blood pressure
D
A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase. Which action is a priority nursing intervention?
Monitor for signs of bleeding
The nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan. Which client statement would indicate a need for further teaching? A) I will take the medication each morning B) I should stop smoking and drinking caffeine C) I will monitor my blood pressure frequently D) The medication reduces my need for exercise
D
A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin sodium. The nurse is told that the client's prothrombin time is 18 seconds with a control of 11 seconds. Which action should the nurse plan? A) Double the next dose of warfarin sodium B) Withhold the next dose of warfarin sodium C) Administer the next dose of warfarin D) Cut the next dose of warfarin sodium in half
C
The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL. the client is taking cholestyramine (Questran). Which statement made by the client indicates the need for further teaching?
I will continue my nicotinic acid from the health food store
A client is on nicotinic acid for hyperlipidemia, and the nurse reinforces instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?
Ibuprofen taken 30 minutes before the nicotinic acid should decrease the flushing
A client is being discharged following treatment for left-sided heart failure. The nurse is reinforcing teaching the client the purpose, actions, adverse effects, and use of digoxin and hydrochlorothiazide prescribed for daily use. Which statement by the client indicates that a need for further teaching is needed? A) These medications will cause an increase in urine output B) I should take my radial pulse before taking these medications C) I should decrease my intake of foods high in potassium, such as bananas D) These medications should be taken in the morning rather than in the evening
C
The nurse should anticipate the use of which medications in the treatment of the client with heart failure? Select all that apply A) Diuretics B) Anticoagulants C) Anticholinergics D) Cardiac Glycosides E) Phosphodiesterase (PDE) Inhibitors F) Angiotensin-Converting Enzyme (ACE) inhibitors
A, D, E, F
A client with heart failure who is taking furosemide and digoxin calls the nurse and complains of anorexia and nausea. The nurse should take which action? A) Administer an antiemetic B) Hold the morning dose of furosemide C) Administer the daily dose of digoxin D) Check the result of the potassium level drawn 3 hours ago
D
The nurse has completed client teaching about heart failure and prescribed medications that include digoxin and furosemide. The nurse documents that the teaching goals have been met if the client states knowing to report which symptom? A) Sudden increase in appetite B) Cough that accompanies a cold C) High urine output during the day D) Weight Gain of 2-3 pounds in a few days
D
