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Nifediphine ( Procardia) has been ordered for a client with hypertension in the care plan, the nurse includes the need to monitor for which adverse effect?

Reflex tachmycardia

A patient is recieving 5% dextrose in water D5W Which of the following statements is correct?

The solution may be used to dilute mixed intravenous drugs

A client is receiving 5% dextrose in water D5W which of the following statement is correct?

The solution may cause hypoglycemia in the client who has diabetes

The clients serum sodium value is 152 mEqL which of the following nursing interventions is most appropriate for this client. ( select all that apply)

1.Assess for inadequate water intake or diarrhea 2.Notify the healthcare provider

The nurse weighs a client who is on an infusion of lactated Ringer's postperatively and finds that there has been a weight gain of 1.5kg since the previous day. What would be the nurse's next highest priority ?

Assess the client for signs of edema and BP for possible hypertension

A nurse is reviewing the health record of a client who is starting propranolol ( Inderal) to treat HT. Which of the following conditions is a contraindication for taking propranolol ?

Asthma

Atenolol ( Tenormin) is prescribed for a client with hypertension. The nurse recognizes that a safe dose for this drug is:

Atenolol ( Tenormin) 50 mg b.i.d

What test is preformed on the kidney to make sure it is function well?

B.U.N blood urea nitrogen Creatine

A client receiving furosemide(lasix) as an adjuct to treatment of hypertension returns for follow-up. which of the following objective data should the nurse consider when determining the effectiveness of the drug therapy?

Blood Pressure log notes blood pressure 120/70-134-88 since discharge

Nifedipine ( Procardia) has been ordered for a client with HT. in the care plan the need to monitor for which adverse effect?

CCB may cause hypotension with reflex Tachycardia

The client will be sent home on a diuretic therapy and has a prescription for liquid potassium chloride(KCI). What teaching will the nurse provide before the client goes home?

Report any weakness, fatigue, or lethargy immediately

The nurse is providing teaching to a client who has been prescribed furosemide ( Lasix) which of the following should the nurse teach the client ?

Rise slowly from a lying or sitting position to standing

The nurse is providing teaching to a client who has been prescribed furosemide (lasix). Which of the following should the nurse teach the client?

Rise slowly from a lying or sitting position to standing

The nurse is providing teaching to a client who has been prescribed furosemide ( Lasix) Which of the following should the nurse teach the client ?

Rise slowly from lying or sitting position to standing

A client is receiving sodium bicarbonate for treatment of metabolic acidosis. During this infusion, how will the nurse monitor for therapeutic effects ?

Serum PH

A nurse who is receiving spironolactone ( Aldactone) which of the following findings should the nurse report report to the provider ?

Serum potassium of 5.2 mEq/L

A nurse is providing information to a client who has a new prescription for HCTZ ( hyrdodiuril) Which of the following information should the nurse include?

Take the medication with food

The nurse reviews the teaching plan with a client receiving nifedipine ( Procardia).l Which of the following client behaviors indicates understanding?

The client avoids taking the drug with grapefruit juice

The nurse prepares which drug for a client who is being given an antidote for Heparin?

Protamine Sulfate

A diuretic is added to the treatment regimen for a client with hypertension. The nurse explains that diuretics help reduce blood pressure by:

Reducing sympathetic outflow

A diuretic is added to the treatment regiment for a client with hypertension. the nurse explains that diuretics help reduce blood pressure by:

Reducing sympathetic outflow

A client with a history of heart faliure will be started on spironolactone (Aldactone). Which of the following drug groups should NOT be used with extreme caution in patients talking potassium sparing diuretic ?

D. ACE inhibitors or ARBs

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 ?

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

The nurse recognized the use of the thrombolytic drug alteplase ( Activase) is contraindicated in which client?

Head injury five days before

The most appropriate choice for long term anticoagulation for a client with a prosthetic heart valve is :

Heparin

The client receiving heparin therapy asks how the blood thinner works. The nurses best response would be :

Heparin does not thin the blood but prevents platelets from clumping

The nurse preparing to administer HCTZ ( hyrdrodiuril) 25 mg to a client with hypertension checks laboratory values and finds the potassium, level is 2.8 mEq. the appropriate is to :

Hold the medication, and notify the health care provider

The nurse preparing to administer HCTZ ( Hydrodiuril) 25mg to a client with hypertension checks laboratory values and finds that potassiu, level is 2.8mEq. The appropriate action is to:

Hold the medication, notify the health care provider

The nurse is preparing to administer the first does of enalapril ( Vasotec). Identify the potential adverse effects of this medication SELECT ALL THAT APPLY

Hyperkalemia persistent cough angioedema hypotension

Nifedipine ( Procardia) 30mg p.o. is prescribed for a client. The nurse teaches the side effects and instructs the client to immediately report:

Increased shortness of breath and orthopnea

The nurse weighs the client who is on an infusion of lactated Ringers postoperatively and finds that there has been a weight gain of 1.5kg since the previous day. What would be the nurses next highest priority

assess the client for signs of edema and Blood pressure for possible hypertension

A client receiving HCTZ 25 mg and digoxin 0.125 mg qd. complains of nausea and vomiting and of seeing halos around lights. the clients serum digoxin level is 2.5ng. the appropriate nursing intervention is to:

hold the digocin and HCTZ

The nurse is preparing to administer the first dose of enalapril ( Vasotec) Identify the potential adverse effects of the this medication

hyperkalemia persistent cough Angioedema hypotension

While planning for a clients discharge from the hospital, which of the following teaching points would be included for a client going home with a prescription for chlorothiazide (diuril) ?

increase the intake of vitamin c rich foods such as grape fruit and oranges

Which of the following nursing interventions is most important when caring for a client receiving dextran 40 ( Gentran 40)

observe for signs of fluid overload

The nurse would question the use of anticoagualant therapy for a client with which of the following

severe hypertension