Pharm Final 3

Enalapril

ACE inhibitor that improves patients chances of survival after MI and reduce incidence of heart failure. Available in oral and parental form.

Captopril

ACE inhibitor that prevents left ventricular dilation and dysfunction that arise after an MI.

A patient who has advanced cancer is receiving opioid medications around the clock to keep him comfortable as he nears the end of his life. Which term best describes this type of therapy?

Palliative therapy

Antiplatlet drug

Prevent the platelet adhesion at the site of blood vessel injury.

patient in the neurologic intensive care unit is being treated for cerebral edema and is given which type of drug to reduce intracranial pressure?

Osmotic diuretics

A patient has received an antibiotic to take for a week before planned oral surgery. The nurse knows that this is an example of which type of therapy?

Prophylactic

"A patient is admitted with a fever of 102.8° F (39.3 ° C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain urine and blood cultures and to administer an antibiotic intravenously stat (now). The nurse will complete these orders in which sequence?"

"Blood and urine cultures, ampicillin dose"

When given an intravenous medication, the patient says to the nurse, "I usually take pills. Why does this medication have to be given in the arm?" What is the nurse's best answer?

"The action of the medication will begin sooner when given intravenously."

"The medication order for a 5-year-old child reads: Give digoxin elixir, 15 mcg/kg, PO now. The child weighs 20 kg. How many milligrams (mg) will this child receive for the dose?"

0.3 mg

"An elderly patient has had hip surgery and will be receiving heparin, 4000 units, subcutaneously, every 12 hours. The heparin is available in vials of 5000 units/mL. Calculate how much heparin the nurse will administer for this dose."

0.8 mL

"A patient s blood pressure elevates to 210/150 mm Hg, and a hypertensive emergency is obvious. He is transferred to the intensive care unit and started on a sodium nitroprusside (Nipride) drip to be titrated per his response. With this medication, the nurse knows that the maximum dose of this drug should be infused for how long?"

10 MIN

A patient diagnosed with prehypertension has a blood pressure reading of _____ mm Hg systolic _____ mm Hg diatolic.

120 and 139; or 80 and 89

The nurse is administering lispro insulin and should keep in mind that this insulin will start to have an effect within which time frame?

15 minutes

Atenolol

A cardioselective beta blocker, used to treat hypertension and angina.

A patient has hypertension along with type I diabetes mellitus and proteinuria. The nurse anticipates that a drug from which drug class will be ordered for its renal-protective effects?

ACE Inhibitors

This anticoagulant is monitored with activated partial thromboplastin times (aPTTs).

Heparin

Which drug classes are considered first-line treatment for heart failure? Select all that apply

Angiotensin converting enzyme (ACE) inhibitors Angiotensin II receptor blockers (ARBs) Beta-blockers

Mannitol

Osmotic diuretic that must be administered intravenously with a filter because it crystallizes.

Vasodilators

Act on arteriolar and/or venous smooth muscle to cause relaxation

A patient is receiving an intravenous infusion of heparin. The nurse will monitor which laboratory studies to adjust and monitor the dose of the heparin?

Activated partial thromboplastin time (aPTT)

A patient about to receive his morning dose of digoxin has an apical pulse of 70 beats per minute. What will the nurse do?

Administer the dose.

Doxazosin

Alpha 1 blocker, reduces peripheral vascular resistance and BP by dilating arterial and venous blood vessels. Also treats hypertension.

Phentolamine

Alpha blocker that reduces peripheral vascular resistance and is used to treat hypertension. Used to treat high BP caused by a pheochromocytoma, also used to diagnose the tumor.

Tamulosin

Alpha blocker used to treat BPH and indicated for male use only. Blocks smooth muscle in bladder and prostate resulting in relaxation and improved urinary flow.

"An example of a thrombolytic drug, which has a very short half-life, thus allowing it to be readministered immediately in the event of a reinfarction."

Alteplase

A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?

Angiotensin-converting enzyme (ACE) inhibitors

Heparin

Anticoagulant, Must monitor patients aPTT frequently.

A patient wants to take the herb gingko to help his memory. The nurse reviews his current medication list and would be concerned about potential interactions if he is taking a medication from which class of drugs?

Anticoagulants

Loop diuretic

Are very potent diuretics, particularly useful when rapid diureses is needed. Reduces BP.

Ginger root

At high doses, possible interference with cardiac, antidiabetic, or anticoagulant drugs

A common cardiac dysrhythmia involving atrial contractions

Atrial fibrillation

A property of the pacemaker cells of the heart that allows self-activation

Automaticity

"Furosemide (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?"

Be sure to change your position slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.

Losartan

Beneficial to patients with hypertension and HF.

Dobutamine

Beta-1 selective vasoactive adrenergic drug. Through beta 1 (receptor on heart) stimulation it increases cardiac output by increasing contractility (positive inotropic) Given to patients with HF IV only, continuous infusion

The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?

Beta2-adrenergic

Potassium sparing diuretics

Binds to aldosterone receptors therefore blocking the resorption of sodium and water.

Beta blockers

Block SNS stimulation of the beta- adrenergic receptors, can be selective or nonselective. Beta-1 located on the heart, Beta-2 located on the lungs.

Cholinergic- blocking drugs

Block the action of neurotransmitter acetylcholine. Increase heart rate, bronchial dilation, decrease in GI motility and secretion, and salivation, urinary retention, reduce sweating, dilate pupils and increase intraocular pressure,

Angiotensin 2 Receptor blockers

Block the binding of A2 to A1, or allows it to bind but blocks the conversion.

Labetalol

Blocks both alpha and beta receptors, treats severe hypertension and hypertensive emergencies.

The nurse is reviewing discharge teaching for a patient who will be taking digoxin (Lanoxin) therapy. The patient should be taught to avoid which foods when taking the digoxin?

Bran muffins

Doneepezil

Cholinesterase inhibitor that increases levels of acetylcholine by inhibiting acetylcholinesterase. Used to treat mild to moderate Alzheimers,

The nurse is administering a stat dose of epinephrine. Epinephrine is appropriate for which situation?

Cardiac arrest

Metoprolol

Cardioselective beta blocker commonly given after an MI to reduce the risk of sudden cardiac death. Also used for hypertension and angina.

Atenol

Cardioselective beta blocker used to prevent future heart attacks in patients who have already had one.

The nurse is monitoring a patient who is in the 26th week of pregnancy and has developed gestational diabetes and pneumonia. She is given medications that pose a possible fetal risk, but the potential benefits may warrant the use of the medications in her situation. The nurse recognizes that these medications are in which U.S. Food and Drug Administration (FDA) pregnancy safety category?

Catagory D

Alpha 1 stimulated

Causes relaxation of GI smooth muscle, contraction of uterus and bladder, male ejaculation, and contraction of pupils (dilation)

"When reviewing the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics?"

Cephalosporins

Drugs that influence the rate of the heartbeat

Chronotropic drugs

"This drug, a phosphodiesterase III inhibitor, is used to treat intermittent claudication caused by occlusive peripheral arterial disease and is supposed to improve capillary blood flow by decreasing blood viscosity."

Cilostazol

Thrombolytic drugs

Coagulation modifiers that lyse thrombi in the blood vessels that supply the heart with blood.

The medication order reads, "Give ondansetron (Zofran) 4 mg, 30 minutes before beginning chemotherapy to prevent nausea." The nurse notes that the route is missing from the order. What is the nurse's best action?

Contact the prescriber to clarify the route of the medication ordered.

A patient who has type 2 diabetes is scheduled for a colonoscopy and has been NPO (nothing by mouth) since midnight. She is concerned because her medications are being held. What is the best action regarding the administration of her oral antidiabetic drugs?

Contacting the prescriber for further orders

Antidysrhythmic Drugs

Correct abnormal cardiac electrophysiologic function.

The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with an infection. Which laboratory value would indicate therapeutic effectiveness of this therapy?

Decreased white blood cell count

Grapefruit

Decrease metabolism of drugs used for erectile dysfunction, estrogens, and some psycho therapeutic drugs, increased risk of toxicity of immunosupressants, increases duration and effects of caffeine.

Cranberry

Decreased elimination of many drugs that are renally excreted

"While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that the drug has a negative chronotropic effect. How would this drug effect be evident in the patient?"

Decreased heart rate

"When teaching about hydrochlorothiazide, the nurse should be sure the patient knows to be cautious in taking which medications with hydrochlorothiazide?"

Digitalis

The nurse is transcribing a verbal medication order. Which is the proper notation of the dose of the drug ordered?

Digoxin 0.125 mg

Bethanechol

Direct acting cholinergic agonist used in the treatment of acute postoperative and postpartum non-obstructive urinary retention.

A patient is receiving a moderate-level dose of dobutamine for shock and is complaining of feeling more skipping beats than yesterday. What is the nurse s next action?

Discontinue the dobutamine immediately.

The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?

Disinfectants are used only on nonliving objects to destroy organisms.

A beta blocker is prescribed for a patient with angina. The nurse reviews the orders for other drugs that may interact with the beta blocker. Which drugs or drug classes are known to have an interaction with a beta blocker? (Select all that apply.)

Diuretics Anticholinergics Oral hypoglycemics Alcohol

Drugs that influence the conduction of electrical impulses

Dromotropic drugs

Anticoagulants

Drugs that prevent the formation of a clot by inhibiting certain clotting factors. These drugs have no effect on an already formed clot.

"When monitoring a patient who has diabetes and is receiving a carbonic anhydrase inhibitor for edema, the nurse monitors for which possible adverse effect?"

Elevated blood glucose

A hospitalized patient is experiencing a severe anaphylactic reaction to a dose of intravenous penicillin. Which drug will the nurse expect to use to treat this condition?

Epinephrine

The nurse has been monitoring the patient's progress on a new drug regimen since the first dose and documenting the patient's therapeutic response to the medication. Which phase of the nursing process do these actions illustrate?

Evaluation

The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram-positive infection. Which type of cephalosporin is most appropriate for this infection?

First Generation

Angiotensin-Converting enzyme (ACE) inhibitors

First line drugs used to treat HF and hypertension. Adverse effects: dry cough.

A patient is being discharged on anticoagulant therapy. The nurse will include in the patient-education conversation that it is important to avoid herbal products that contain which substance?

Ginkgo

Quinidine

Has a direct action on the electrical activity of the heart and an indirect (anticholinergic) effect. Adverse effect: cinchonism (tinnitus, loss of hearing)

A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The nurse recognizes that the reason for the two anticoagulants is which of the following?

Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels

"When administering morning medications for a newly admitted patient, the nurse notes that the patient has an allergy to sulfa drugs. There is an order for the sulfonylurea glipizide (Glucotrol). What is the nurse s best action?"

Hold the drug and check the order with the prescriber.

A condition that may indicate the need for treatment with digoxin-immune Fab

Hyperkalemia

A condition that leads to an increased potential for digoxin toxicity

Hypokalemia

In assessing a patient before administration of a cardiac glycoside, the nurse knows that what condition can predispose a patient to digitalis toxicity?

Hypokalemia

"The nurse is reviewing instructions for a patient with type 2 diabetes who also gives herself insulin injections as part of the therapy. The nurse asks the patient, What should you do if your fasting blood glucose is 47 mg/dL? Which response by the patient is correct?"

I will take an oral form of glucose.

Adenosine

Ia a unclassified antidysrhythmic drug. It slows the electrical conduction time through the AV node.

"A 49-year-old patient is in the clinic for a follow-up visit 6 months after starting a beta blocker for treatment of hypertension. During this visit, his blood pressure is 169/98 mm Hg, and he eventually confesses that he stopped taking this medicine 2 months ago because of an embarrassing problem. What problem did the patient most likely experience with this medication that caused him to stop taking it?"

Impotence

A patient is being discharged to home on a single daily dose of a diuretic. The health care provider instructs the patient to take the dose at which time so it will be least disruptive to the patient s daily routine?

In the morning

An adrenergic agonist is ordered for a patient in shock. The nurse will note that this drug has had its primary intended effect if which expected outcome occurs?

Increased blood pressure

"When a patient is taking an adrenergic drug, the nurse expects to observe which effect?"

Increased heart rate

Chamomile

Increased risk for bleeding with anticoagulants

Valarian

Increases CNS depression is used with sedatives.

Atropine

Increases heart rate, used to treat bradycardia and ventricular asystole. Used preoperatively to reduce salivation and GI secretions. Used as antidote for anticholinesterase inhibitor toxicity.

Osmotic diuretic

Increases osmotic pressure in the glomerular filtrate which pulls fluid into the renal tubes. This inhibits tubular reabsorption of water which produces rapid diuresis reducing cellular edema and increases urine output.

Thiazides and thiazide like diuretics

Inhibit the re-absorption of sodium, potassium, and chloride, resulting in osmotic water loss. Also causes relaxation of arterioles decreasing vascular resistance.

Drugs that influence the force of cardiac muscle contractions

Inotropic drugs

"During an assessment, the patient tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?"

Insulin

Alpha blockers

Interrupt stimulation of the SNS at the alpha-1 receptor. Effects: vasodilation, reduced BP, miosis (pupil constriction), and reduced smooth muscle tone. Adverse effects: first dose phenomenon, orthostatic hypotension

"During initial rounds, the nurse notes that a dobutamine infusion has extravasated into the forearm of a patient. After stopping the infusion, the nurse follows standing orders and immediately injects phentolamine (Regitine) subcutaneously in a circular fashion around the extravasation site. What is the mechanism of action of the phentolamine in this situation?

It increases blood flow to the ischemic site by vasodilation to prevent tissue damage

The nurse is preparing to administer dipyridamole (Persantine). Which statement about this drug is true?

It is used with warfarin to prevent postoperative thromboembolic complications

Kava

May increase the effect of barbiurates and alcohol

St Johns wort

May lead to serotonin syndrome if used with other serotonergic drugs

Warfarin

Most common oral anticoagulant drug prescribed. Patients INR levels must be monitored. Therapeutic levels range from 2 - 3.5

Furosemide

Most commonly used loop diuretic, used to manage pulmonary edema and edema associated with HF, liver disease, and hypertension.

The term for urinary sodium loss

Natriuresis

Dopamine

Naturally occurring catecholamine neurotransmitter. At low doses can dilate blood vessels increasing blood flow. At high doses causes vasoconstriction. Not suggested for patients with a pheochromocytoma. Intravenous injection, continuous infusion.

A patient is going home with a new prescription for the beta blocker atenolol (Tenormin). The nurse will include which content when teaching the patient about this drug?

Never Stop taking this medication abruptly

The nurse is reviewing the mechanism of action of cholinergic drugs. The undesired effects of cholinergic drugs come from the stimulation of which receptors?

Nicotinic

Carvedilol

Nonselective beta blocker, alpha-1 blocker, calcium channel blocker, and antioxidant. Used primarily for heart failure but also hypertension and angina. Often used to treat HF along with digoxin, furosemide, and ACE inhibitors.

"The nurse is reviewing the orders for a patient and notes a new order for an ACE inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class?"

Nonsteroidal antiinflammatory drugs (NSAIDs)

Sodium nitroprusside

Normally used in intensive care settings for severe hypertensive emergencies.

Lidocaine

One of the most effective drugs for the treatment of ventricular dysrhythmias but can only be administered intravenously because it has an extensive first pass effect.

Cholinergic drugs

Parasympathomimetics that mimic acetylcholine. Stimulate the intestine and bladder, increasing secretions, constrict pupils (miosis), decrease intraocular pressure, increased salivationa and sweating, reduced heart rate and vasodilation, constrict lungs and narrow airway

The nurse is administering parenteral drugs. Which statement is true regarding parenteral drugs?

Parenteral drugs bypass the first-pass effect.

Beta 1 stimulated

Positive inotropic effect (increased forced of contraction), positive chronotropic effect (increased heart rate), positive dromotropic effect ( increased heart conduction)

Evening Primrose

Possible interaction with antipsychotic drugs

Garlic

Possible interference with hypoglycemic therapy & the anticoagulant warfarin.

Gingko

Possible interference with hypoglycemic therapy and the anticoagulants warfarin & heparin and antiplatlets aspirin & clopidogre

Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with hypertension?

Providing education on keeping a journal of blood pressure readings

The period during which the myocardium is unable to respond to electrical stimulation

Refractory period

Beta 2 stimulated

Relaxation of the bronchi and uterus.

Alpha 2 stimulated

Reverses sympathetic activity

Which of the following nursing diagnoses is appropriate for a patient who has started aminoglycoside therapy?

Risk for injury (hearing loss)

When reviewing the medication orders for a patient who will be receiving linezolid (Zyvox) therapy, the nurse is aware that this drug may interact with which medications?"

Selective serotonin-reuptake inhibitor antidepressants

The nurse will be injecting a drug into the fatty tissue of the patient's abdomen. Which route does this describe?

Subcutaneous

The nurse is aware that adrenergic drugs produce effects similar to which of these nervous systems?

Sympathetic nervous system

"The nurse notes in a patient s medical record that nesiritide has been ordered. Based on this order, the nurse interprets that the patient has which disorder?"

Systolic heart failure

"A 75-year-old woman with type 2 diabetes has recently been placed on glyburide, 10 mg daily. She asks the nurse when the best time would be to take this medication. What is the nurse s best response?"

Take this medication in the morning, 30 minutes before breakfast.

A 75-year-old woman with type 2 diabetes has recently been placed on glyburide, 10 mg daily. She asks the nurse when the best time would be to take this medication. What is the nurse s best response?"

Take this medication in the morning, 30 minutes before breakfast.

A 79-year-old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?

Tendinitis and tendon rupture

The nurse is administering drugs to neonates and will consider which factor that may contribute the most to drug toxicity?

The liver is not fully developed.

Which statements are true regarding the elderly and pharmacokinetics? (Select all that apply.)

The number of intact nephrons is decreased. Fat content is increased because of decreased lean body mass The levels of microsomal enzymes are decreased. Gastric pH is less acidic

A 45-year-old woman is taking a loop diuretic. She is used to being physically active and complains that she gets very dizzy when she stands up suddenly.

The patient is experiencing orthostatic (or postural) hypotension and should be taught to change positions slowly to prevent this effect and to prevent injury from falling.

"During therapy with a beta blocker, the patient notices that she has swollen feet, has gained 3 pounds within 2 days, feels short of breath even when walking around the house, and has been dizzy. The nurse suspects that which of the following is occurring?"

The patient may be developing heart failure.

During discharge patient teaching, the nurse reviews prescriptions with a patient. Which statement is correct about refills for an analgesic that is classified as Schedule C-III?

The patient may have no more than 5 refills in a 6-month period.

"A patient on diuretic therapy calls the office because he has had a terrible gastrointestinal flu for 2 days. He has not been able to eat or drink, has had vomiting and diarrhea, and feels very weak and lethargic. "

The patient needs to be evaluated for possible hypovolemia and may need to receive intravenous fluid replacement if he is unable to take fluids by mouth. He should not take his diuretic at this time.

"The physician has ordered the adrenergic drug doxazosin (Cardura) for a patient. When providing education about this drug, the nurse should include which instructions?"

The patient should take her first dose while lying down because there is a first-dose effect with prazosin.

"During a follow-up visit, the physician examines the fundus of the patient s eye. Afterward, the patient asks the nurse, Why is he looking at my eyes when I have high blood pressure? It does not make sense to me! What is the best response by the nurse?"

The physician is making sure the treatment is effective over the long-term.

A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks how long drug therapy will be needed. Which answer by the nurse is the correct response?

Therapy for high blood pressure is usually lifelong

"When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about the loop diuretics?"

They are particularly useful when rapid diuresis is desired because their onset of action is rapid.

When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about the loop diuretics?"

They are particularly useful when rapid diuresis is desired because their onset of action is rapid.

"A patient taking hydrochlorothiazide asks the nurse if the medication could possibly be affecting his blood glucose levels. He states, My blood sugars are running higher than normal. "

Thiazide diuretics may cause hyperglycemia. Therefore the patient should monitor his blood glucose levels carefully and consult his physician to see if an adjustment in his diabetes medications is needed.

A patient taking spironolactone tells the nurse that she eats three bananas a day and drinks plenty of orange juice because she knows that she needs to take potassium while on this medication.

This patient does NOT need to increase her potassium intake she is on a potassium sparing diuretic! She may have some servings of potassium-rich foods each day, but does not need to eat extra servings. Her serum potassium level should be monitored carefully while on this drug.

A serious adverse effect of inamrinone that is more frequent when high doses are given over long periods of time

Thrombocytopenia

Alteplase

Thrombolytic drug that can be administered immediately in the event of a reinfarction.

Spironolactone

Treats ascites.

Oxybutynin

Treats overactive bladder.

Clonidine

Used to decrease BP and for opioid withdraw.

When administering heparin subcutaneously, the nurse should follow which procedure?

Using a 1/2 to 5/8 inch 25- to 28-gauge needle

"The nurse knows to administer acarbose (Precose), an alpha-glucosidase inhibitor, at which time?"

With the first bite of each meal

Epinephrine

Works on both alpha and beta receptors (non-selective).Used for cardiac arrest and anaphylactic shock. Low dose effects beta 1, increasing force of contraction and heart rate. High dose causes vasoconstriction and higher BP. Available in 2 doses 1:1000 and 1:10000

"When teaching a patient about antihypertensive drug therapy, which statement by the nurse is correct? Select all that apply."

You should try to have your blood pressure checked once a week and keep track of the readings. " An exercise program may be helpful in treating hypertension, but let s check with your doctor first. " Please continue the medication, even if you are feeling better."

Andrenergic drugs

are drugs with effects that mimic the effects of the SNS neurotransmitters norepinephrine, epinephrine, and dopamine (these are called catecholamines)

"The effects of this antiplatelet drug last for the entire lifespan of a platelet, 5-7 days."

aspirin

A patient has had an overdose of an intravenous cholinergic drug. The nurse expects to administer which drug as an antidote?

atropine sulfate

The patient is receiving two different drugs. At current dosages and dosage forms, both drugs are absorbed into the circulation in identical amounts. Thus, because they have the same absorption rates, they are

bioequivalent

The nurse administering the phosphodiesterase inhibitor inamrinone recognizes that this drug should have a positive inotropic effect. This effect will result in increased

force of cardiac contraction.

A patient has been selected as a potential recipient of an experimental drug for heart failure. The nurse knows that when informed consent has been obtained, it indicates that the patient

has had the study's purpose, procedures, and the risks involved explained to him

The nurse is reviewing a patient s medication list and notes that sitagliptin (Januvia) is ordered. The nurse should question an additional order for which drug or drug class?

insulin

"When teaching about hypoglycemia, the nurse should make sure that the patient is aware of the early signs of hypoglycemia, including"

irritability and confusion

Which drug is commonly used for a pregnant patient who is experiencing hypertension?

methyldopa (Aldomet)

During a busy night shift, a new nurse administered an unfamiliar medication without checking it in a drug handbook. Later that day, the patient had a severe reaction because he has renal problems, which was a contraindication to that drug. The nurse may be liable for

nursing negligence

"A patient has had recent prosthetic heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient s laboratory work, the nurse understands that the patient s international normalized ratio (INR) level of 2.5 indicates that the"

patient s warfarin dose is at therapeutic levels.

"A patient with a long-term intravenous catheter is going home. The nurse knows that if he is allergic to seafood, which antiseptic agent is contraindicated?"

povidone-iodine (Betadine)

"The nurse notes in the patient s medication history that the patient will be starting anticoagulant therapy. Based on this finding, the nurse recognizes that the primary goal of anticoagulant therapy is to"

prevent thrombus formation.

The nurse should monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of the following diuretics?

spironolactone (Aldactone)

A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for his therapy?

vancomycin (Vancocin)