Nursing 503 Exam 3 Flashcards from ATI

A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings an adverse effect of the drug (Select all that apply.) A. Hyperkalemia B. Throat swelling C. Constipation D. Cough E. Joint pain

A, B, D

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions? A.Acute myocardial infarction B. Peripheral vascular disease C. Ulcerative colitis D. Ventricular tachycardia

Acute myocardial infarction

A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs? (Select all that apply.) A. ACE inhibitor B. MAOI C. General anesthetic D. Tricyclic antidepressant E. Beta blocker

All of the above

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestations that indicate the client has sever digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication? A. Acetylcysteine B. Flumeazenil C. Antigen-binding fragments D. Deferoxamine

Antigen-binding fragments

A nurse is caring for a client who is taking spironolactone to treat hypertension. The nurse should recognize that which of the following client laboratory values require immediate intervention? A. Sodium 140 meq/L B. Potassium 5.2 meq/L C. Chloride 100 meq/L D. Magnesium 1.9 meq/L

B

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include? (Select all that apply.) A. Take the drug with food B. Report any interlace to fried foods C. Report muscle tenderness D. Expect periodic liver function testing. E. Take the drug once each day

B, C, D

What a side effect for potassium supplements if taken with spironolactone?

Can cause hyperkalemia since spironolactone is a potassium sparring diuretic

A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug? A. Grapefruit juice B. Milk C. Food high in vitamin K D. NSAIDs

Grapefruit juice

A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestation is a potential adverse effect of this drug? A. Headache B. Constipation C. Hypertension D. Hyperglycemia

Headache

A nurse is administering hydrochlorothiazide to a client who has gouty arthritis. The nurse should monitor the client for which of the following findings that indicate an adverse effect of this drug? A. Hyperuricemia B. Hyernatremia C. Hyperkalemia D. Hypoglycemia

Hyperuricemia

A nurse is caring for a client who is taking carvedilol and has a prescription for man oral anti diabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurser should identify that the client is at an increased risk for which of the following conditions? A. Hyperglycemia B. Bradycardia C. Hypotension D. Hypoglycemia

Hypoglycemia

A nurse is assessing a client who is taking a loop diuretic and is experiencing a threads, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects? A. Hypokalemia B. Hypoglycemia C. Hypocuricemia D. Hyponatremia

Hypokalemia **Hypokalemia incudes thready, irregular pulse, orthostatic hypotension, anxiety, confusion, skeletal muscle weakness, hypoactive bowel sounds , polyuria, nausea and vomiting

nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions? A. Tachycardia B. Dehydration C. Diarrhea D. Hypotension

Hypotension

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include? A. Monitor your pulse rate and report changes B. Remain upright for 30 minutes after taking the medication C. This medication can decrease digoxin levels D. This medication can cause urinary incontinence

Monitor your pulse rate and report changes

A nurse is caring for a patient taking atorvastatin and has a new prescription for gemifbrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects? A. Myopathy B. Hypoglycemia C. Irregular phase D. Kindly failure

Myopathy

A nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhyrhmia. The nurse should instruct the client to avoid taking which of the following types of over-the counter drugs while taking propranolol? A. Antihistamines B. Potassium supplements C. NSAIDs D. VitaminC

NSAIDs

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following food in their diet to increase potassium intake? A. Raisin B. Cabbage C. Cheese D. Eggs

Raisin

A nurse is caring for a client who has a depressive disorder and require a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client? A. Reserpine B. Captopril C. Hydralazine D. Elerenone

Reserpine

A nurse is caring for a client who has a new prescription for verapamil. The nurse should clarify the prescription with the provider ion the client has a history of which of the following conditions? A. Migraine headaches B. Pancreatitis C. Second-degree AV block D. Angine pectoris

Second-degree AV block

A nurse is chairing for a client who has glomerular filtration rate of 10ml/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the drug? A. The drug can cause hypoglycemia in clients who have a low urine output B. The drug does not reduce blood pressure for clients who have a low urine output C. The drug can increase the risk of pulmonary edema for clients who have renal insufficiency D. The drug does not permit diuretics who have renal insufficiency

The drug does not permit diuretic who have renal insufficiency

A nurse is providing teach to a client is taking simvastatin. The nurse should instruct the client to report which of the following manifestations as an indication of a serious adverse reaction that require discontinuing drug therapy? A. Bronchoconstriction B. Muscle pain C. Lip numbness D. somnolence

muscle pain

A nurse should identify that which of the following drugs is used only for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effect associated with long-term use? A. Quinidine B. Procainamide C. Nitroglycerin D.Verapamil

procainamide

A nurse is reviewing a new prescriptions with a client who has a heart disease. The nurse instruct the client that which of the following drugs is prescribed to treat hyperchloesterolemia? A. Simvastatin B. Furosemide C. Losartan D> Nitroglycerin

simvastatin

A Nurse is caring a client is about to begin captopril therapy. Which of the following adverse effect should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy? Select all that apply. A. Rash B. Distorted taste C. Swelling of the tongue D. Photosensitivity E. Dry cough

A, B, C and E

What are examples of NSAIDs

aspirin, ibuprofen, naproxen, celecoxib

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

C,D,E

A nurse is providing teaching ton a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate adverse reaction to the drugs and needs to be reported? A. Facial edema B. Sleepiness C. Peripheral edema D. Constipation

Facial edema