saunders exam 2
The home care nurse instructs a client on how to administer enoxaparin subcutaneously. Which statement, if made by the client, indicates an understanding of how to administer this medication?
"A syringe that has a small 5/8 in (1.5 cm) needle is used to administer the injection."
The nurse is providing education to a client who is being started on atenolol. Which statement by the client indicates that teaching has been effective?
"I am taking this medication for hypertension."
The clinic nurse is providing instructions to a client with hypertension who will be taking captopril. Which statement by the client indicates a need for further instruction?
"I need to drink at least 4 quarts (4 liters) of water daily."
The nurse has provided instructions to a client receiving enalapril maleate for hypertension. Which statement by the client indicates a need for further instruction?
"I need to notify the primary health care provider if fatigue occurs."
Atenolol has been prescribed for a client, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further teaching?
"If I feel that my heart rate is too low, I need to stop the medication." -Abrupt withdrawal can also cause rebound hypertension
A client is being treated for moderate hypertension and has been taking diltiazem for several months. The client schedules an appointment with the primary health care provider because of episodes of chest pain, and Prinzmetal's angina is diagnosed. The client asks the nurse which therapeutic effects the medication will provide, and the nurse provides education. Which statement by the client indicates that the teaching has been effective?
"It prevents an influx of calcium ions in the smooth muscle."
The nurse is caring for a client who has been taking a sulfonamide and would monitor for signs and symptoms of which adverse effects of the medication? Select all that apply.
-Nephrotoxicity -Bone marrow suppression -Gastrointestinal (GI) effects
A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results?
Activated partial thromboplastin time of 60 seconds
Atenolol has been prescribed for a hospitalized client. The nurse would check which item before administering this medication?
Apical heart rate
A client is scheduled for a dose of ramipril. The nurse would check which measurement before administering the medication?
Blood pressure
The nurse has given a client the prescribed dose of intravenous hydralazine. The nurse evaluates the effectiveness of the medication by monitoring which client parameter?
Blood pressure
The nurse is administering a dose of clonidine to a client. The nurse would ensure that which item is in place before administering the medication?
Blood pressure cuff -blood pressure and pulse would be monitored frequently after administration, so a blood pressure cuff is one item to have in place
The nurse prepares to teach a client with subarachnoid hemorrhage about the effects of nimodipine. The nurse plans to explain which information about the type and action of this medication?
Calcium channel blocker that will decrease spasm in cerebral blood vessels
A client with a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hour and warfarin sodium 7.5 mg at 5:00 p.m. daily. The morning laboratory results are as follows: activated partial thromboplastin time (aPTT), 32 seconds; international normalized ratio (INR), 1.3. The nurse would take which action based on the client's laboratory results?
Collaborate with the PHCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed.
A client taking verapamil has been given information about side effects of this medication. The nurse determines that the client understands the information if the client states to watch for which most common side effect of this medication?
Constipation
The primary health care provider has prescribed clonidine for a client with hypertension. The nurse would inform the client that which is a side effect of this medication?
Constipation -Side effects of clonidine include dry mouth, drowsiness, constipation, and hypotension
Intravenous heparin therapy is prescribed for a client. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit?
Protamine sulfate
A client who began medication therapy with prazosin hydrochloride 1 week earlier arrives at the health care clinic for follow-up evaluation and care. The nurse interprets that the client is experiencing the expected benefit of therapy if which is noted?
Decreased blood pressure
The nurse is monitoring a client with hypertension who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?
Development of expiratory wheezes
The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction would be included in the list?
Drink 8 to 10 glasses of water per day.
The nurse is reviewing the record of a client who arrives at the health care clinic. The nurse notes that irbesartan has been prescribed for the client. The nurse would suspect that the client has which condition?
Hypertension
The primary health care provider (PHCP) writes a prescription for lisinopril for a hospitalized client with hypertension. The nurse caring for the client determines that the medication has been prescribed to treat which disorder?
Hypertension
A client who is taking chlorothiazide comes to the clinic for periodic evaluation. In monitoring the client's laboratory test results for medication side effects, what is the clinic nurse most likely to note if a side or adverse effect is present?
Hypokalemia -potassium-losing diuretic such as chlorothiazide needs to be monitored for decreased potassium levels. Other possible fluid and electrolyte imbalances that occur with use of this medication include hypercalcemia, hyponatremia, hypophosphatemia, and hypomagnesemia.
Nitrofurantoin is prescribed for the client. The nurse checks the client's record, knowing that this medication is contraindicated in which disorder?
Renal disease
A client with a urinary tract infection is receiving ciprofloxacin by the intravenous (IV) route. The nurse appropriately administers the medication by performing which action?
Infusing slowly over 60 minutes
A client with cardiac disease has begun taking propranolol, and the nurse provides information to the client about the medication. The nurse would tell the client to contact the primary health care provider (PHCP) if which symptoms develop?
Night cough and dyspnea
A client has been given a prescription for sulfasalazine. Which allergy would the nurse assess for in the client prior to administration?
Sulfonamides or salicylates
A client is prescribed trimethoprim-sulfamethoxazole for a recurrent urinary tract infection (UTI). The nurse would give the client which instruction regarding this medication?
Take each dose with 8 oz of water, and drink extra water each day.
Nitrofurantoin is prescribed for a client with a urinary tract infection. The client contacts the nurse and reports a cough, chills, fever, and difficulty breathing. The nurse would make which interpretation about the client's complaints?
The client is experiencing a pulmonary reaction requiring cessation of the medication.
The nurse is monitoring a client who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?
The development of audible expiratory wheezes
The nurse is reviewing the use of diltiazem for clients with Prinzmetal's variant angina. The nurse would provide information based on which action of the medication?
The medication works by inhibiting calcium movement across cell membranes of cardiac and smooth muscle.
Nitrofurantoin is prescribed for a client with urinary tract infection. The nurse is instructing the client regarding the administration of the medication. Which information about the best time to take this medication would be included in the client's education?
With meals
