Exam 3
In addition to assessing BP, what is the priority assessment before administering diltiazem? Ankle edema Apical pulse Peripheral pulses Respiratory rate
Apical pulse
Cardioselective beta blockers, such as metoprolol, which block beta 1 receptors only at usual doses
Second-generation agents
Which patient is the most appropriate candidate for both lifestyle changes and drug therapy with an antihypertensive medication? 47-year-old patient with BP of 110/78 and T2DM 76-year-old patient with BP of 128/88 and a history of dyslipidemia 52-year-old patient with BP of 136/89 who smokes 1 pack of cigarettes per day 32-year-old patient with BP of 142/94 who is sedentary
32 year old patient with BP of 142/94
Which patient would the nurse expect to have the highest risk for postural hypotension? A patient who is prescribed a drug that acts primarily on the arterioles A patient who is prescribed a drug that blocks the RAAS A patient who is prescribed a drug that triggers the baroreceptor reflex A patient who is prescribed a drug that promotes venous dilation
A patient who is prescribed a drug that promotes venous dilation
Which patient would most likely be prescribed nitroprusside sodium (Nitropress)? A patient with a recent diagnosis of essential hypertension A patient with heart failure who receives weekly home visits A patient who is hypotensive after a MI A patient with a hypertensive crisis in the ICU
A patient with a hypertensive crisis in the ICU
When assessing a patient who is scheduled to receive the second dose of newly prescribed sustained-release nitroglycerin, the patient complains of headache. What should the nurse do? Administer PRN analgesic with standing order, such as acetaminophen Crush the medication to speed absorption through the oral mucosa Notify the prescriber of the headache STAT Withhold the drug and contact the prescriber
Administer PRN analgesic with standing order, such as acetaminophen
A patient is scheduled for a below-knee amputation at 1000. Heparin 5000 units is scheduled to be administered subQ at 2100 the evening prior to surgery and 0900 the morning of surgery. Which action by the nurse is most appropriate? Administer both doses of the medication as ordered Administer the 0900 dose and contact the prescriber regarding the 2100 dose Withhold the medication and contact the prescriber Administer the 2100 dose and contact the prescriber regarding the 2100 dose
Administer both doses of the medication as ordered
A patient with stage 2 hypertension has been prescribed a thiazide diuretic and an ACE inhibitor. It is most appropriate for the nurse to do what? Contact the healthcare provider Administer both drugs to the patient Administer the thiazide diuretic at bedtime Hold the medications if the blood pressure is normal
Administer both drugs to the patient
The nurse is administering nitroprusside in a cardiac care unit. The prescriber also orders administration of oral antihypertensives. The patient's BP is still elevated but dropping slowly. The nurse should do what? Administer both medications Hold both the nitroprusside and the oral antihypertensives until the prescriber can be consulted Hold the nitroprusside and administer the oral antihypertensives until the prescriber can be consulted Hold the oral antihypertensives and administer the nitroprusside until the prescriber can be consulted
Administer both medications
A patient who is prescribed an ACE inhibitor complains of tongue swelling and is experiencing obvious dyspnea. What is the priority action by the nurse? Administer standing order for epinephrine PRN Assess BP Assess lung sounds Consult the prescriber
Administer standing order for epinephrine PRN
What is the priority nursing diagnosis for a patient with dysrhythmia? Alteration in cardiac output Imbalance of fluids and electrolytes Inadequate tissue perfusion Ineffective breathing pattern
Alteration in cardiac output
When a patient with HF is prescribed digoxin and furosemide, the nurse should carefully assess the patient for which symptoms of digoxin toxicity? Anorexia and nausea Anxiety and abdominal cramps Bone pain and constipation Muscle spasms and convulsions
Anorexia and nausea
The nurse is caring for a full-term neonate whose mother took the drug betaxolol throughout pregnancy. Which assessment finding would be a priority to report to the pediatrician? Apical pulse 80 beats/min BP 64/45 mm Hg Plasma glucose 48 mg/dL Respirations 35/min Temperature 99F
Apical pulse 80 beats/min
During administration of alteplase (Activase), the patient's IV site starts to ooze blood around the catheter. Which action by the nurse is most appropriate? Discontinue the infusion of alteplase Assess the patient's vital signs Apply direct pressure over the puncture site Administer aminocaproic acid (Amicar)
Apply direct pressure over the puncture site
It is a priority for the nurse to evaluate which lab test result before administering alfuzosin to a patient? Aspartate aminotransferase/alanine aminotransferase (AST/ALT) Blood urine nitrogen (BUN) Fasting blood glucose/Alc Na+/K+
Aspartate aminotransferase/alanine aminotransferase (AST/ALT)
What do multiple P waves before the QRS complex on an ECG indicate? Atria are depolarizing faster than the ventricles Atrial impulses to the ventricles are being slowed Ventricles are depolarizing faster than the atria Ventricular impulses to the atria are being slowed
Atrias are depolarizing faster than the ventricles
Which lab results should be reported to the prescriber if a patient is prescribed a thiazide diuretic? BUN 20 mg/dL Hemoglobin A1c 5.5% Potassium (K+) 3.2 mEq/L Uric acid 20 mg/dL
Potassium (K+) 3.2 mEq/L
A patient is receiving a vasodilator that has a high incidence of orthostatic hypotension. Before administering the medication and after the patient has rested supine for 5 minutes, the nurse assesses the BP and pulse. Results are BP 145/80, P 68. The nurse assists the patient to stand, ensuring safety, and after 1 minute reassesses the BP and pulse. Which reading would be of most concern to the nurse? BP 110/70, pulse 92 BP 126/70, pulse 78 BP 134/70, pulse 72 BP 140/82, pulse 70
BP 110/70, pulse 92
The nurse is researching a drug. The handbook states that it decreases afterload. Before the nurse administers this medication to a patient, which assessment would be most critical? BP for hypotension Pulse for tachycardia Respirations for tachypnea Temperature for fever
BP for hypotension
A patient has hypertension, T2DM, and chronic kidney disease. Which blood pressure goal would be most beneficial for this patient? BP less than 140/90 Diastolic BP less than 100 BP less than 130/80 Systolic BP less than 160
BP less than 130/80
Which assessment is of greatest priority when a patient is prescribed bivalirudin? BP lying and standing Intake and output Pain with movement Sleep
BP lying and standing
It would be of greatest priority to monitor capillary blood sugar rather than rely on symptoms that suggest hypoglycemia if a patient is prescribed which class of hypertensive drugs? ACE inhibitor Beta-blocker Loop diuretic Thiazide diuretic
Beta blocker
A patient diagnosed with heart failure has stage 1 hypertension. Which medication, if ordered by the healthcare provider, should the nurse question? ACE inhibitor Calcium channel blocker Thiazide diuretic Beta blocker
Calcium channel blocker
Cholestyramine has been prescribed for a patient. What instruction should the nurse include in the patient teaching? Cholestyramine can impair absorption of fat-soluble vitamins Stop taking the drug if you develop constipation Take cholestyramine with other drugs you are prescribed to enhance absorption Do not take the medication if the formula is cloudy after mixing with water
Cholestyramine can impair absorption of fat-soluble vitamins
The nurse is caring for a patient who is scheduled to receive verapamil ER 180 mg and atenolol 50 mg at 0900. The patient has had a G-tube inserted, and drugs are to be administered via the tube. Which action should the nurse take before administering these two drugs? Change the time of the drug administration so that they are administered via the G-tube two hours apart. Consult the prescriber. Crush both tablets separately. Flush the G-tube with 5-15mL of water between administering the drugs.
Consult the prescriber
A patient prescribed a nitroglycerin patch that is to be applied at 0900 and removed at 2100. When preparing to administer the 0900 patch, the nurse notes that the 2100 patch is still in place. What should the nurse do? Apply the new patch to a different site, but leave the old patch on until the nurse supervisor is contacted Consult with the prescriber regarding application of a new patch Remove the old patch and apply the new patch to a different site Remove the old patch and change the timing of the medication so that the patch is removed at 0900 and applied at 2100
Consult with the prescriber regarding application of a new patch
The nurse is administering medications on a med-surgical unit in a hospital. The MAR states that the patient should receive diltiazem ER 120 mg once a day. The patient's drug supply includes diltiazem SR. What should the nurse do? Administer the medication Administer the medication and notify the prescriber of the change Contact the pharmacy Hold the medication and contact the prescriber
Contact the pharmacy
The nurse is monitoring the ECG of a patient show received the first dose of quinidine 45 minutes ago. The nurse notes that the QRS complex was widened 25% from pre-drug therapy findings. What should the nurse do? Administer a beta-blocker Continue nursing care Discontinue monitoring the ECG Notify the prescriber immediately
Continue nursing care
The nurse is assessing a patient who is receiving medication for acute HF. What assessment would be a priority to report to the prescriber? Cough with frothy sputum Expiratory wheezes of bronchi and bronchioles Pulse 100 BPM Respirations 25/min
Cough with frothy sputum
When the nurse is scheduled to administer lisinopril to a patient, which lab values should be reviewed? (Select all that apply.) Creatinine Fasting blood sugar Sodium Potassium
Creatinine Sodium Potassium
Which dermatologic finding in an older adult would warrant consultation with the prescriber regarding administration of diltiazem? Burrow and erythematous papules between the fingers Erythematous, oozing vesicles on the chin and inside of elbows Silvery, scaling plaques on the elbows
Erythematous, oozing vesicles on the chin and inside of elbows
A patient has been receiving long-term high-dose heparin therapy. What nursing teaching would be best to prevent a common adverse effect of this type of therapy? Avoid crowds Develop a plan for weight-bearing exercise as approved by the health care provider Increase fluid and fiber in the diet Regular use of an OTC antacid
Develop a plan for weight-bearing exercise as approved by the health care provider
What findings in a patient with HF would warrant the nurse not administering digoxin and notify the prescriber? BP 100/76 Digoxin 2.4 ng/mL Heart rate 100 BPM Potassium 5.3 mEq/L
Digoxin 2.4 ng/mL
A patient with severe hypertension is prescribed minoxidil. The nurse should contact the prescriber STAT if assessment findings include what? Distended neck veins, muffled heart sounds, and narrow pulse pressure Exertional dyspnea, 1+ ankle edema, and anxiety Headache, dizziness, and blurred vision Shift of PMI 2 cm to the left and bruits over carotid arteries
Distended neck veins, muffled heart sounds, and narrow pulse pressure
The nurse is preparing to administer hydralazine for HF. Because this drug has been associated with drug-induced lupus0like syndrome, it would be a priority to report what symptom to the prescriber? (Select all that apply.) Facial rash Heartburn Joint pain Fever
Facial rash Joint pain Fever
A patient has been prescribed an antidysrhythmic drug that prolongs the QT interval on an ECG. The nurse should teach the patient the importance of reporting which symptom that suggests that a dangerous adverse effect (torsade's de pointes) may be occurring? Ankle edema Feeling faint Headache Shortness of breath
Feeling faint
Nonselective beta blockers, such as propranolol, which block beta 1 and beta 2 receptors
First-generation agents
A patient with severe hypertension is prescribed minoxidil. Which medications will the nurse expect to be administered to reduce adverse responses to minoxidil? Adenosine and ticlopidine Furosemide and propranolol Digoxin and captopril Donepezil and clonidine
Furosemide and propranolol
An accident victim is prescribed heparin after ORIF of multiple fractures. Which symptoms would be of greatest concern to the nurse after beginning subQ heparin therapy to prevent DVT? Bruising at the injection site Headache and faintness Pain and temperature 100F Pink saliva after brushing teeth
Headache and faintness
The nurse has reviewed the lab results for a patient who is scheduled to receive lovastatin 40 mg. Results include AST 122 units/L, ALT 155 units/L, creatine kinase 250 units/L. HDL 45 mg/dL, and LDL 245 mg/dL. What should the nurse do? Administer the drug and continue nursing care Hold the drug and assess for chest pain Hold the drug and assess for abdominal pain Hold the drug and notify the prescriber of the lab results
Hold the drug and notify the prescriber of the lab results
The nurse has administered epinephrine IM to a patient with a history of asthma and T1DM. It is a priority to assess for which possible effect of this drug? Hot, dry, flushing skin Dizziness with position changes Sensitivity to light Tremor
Hot, dry, flushing skin
A 38-year-old female patient has been diagnosed with hypercholesterolemia. The prescriber has ordered simvastatin 20 mg, once a day at hour of sleep, to be started after lab results are obtained. Which lab result would be of greatest priority to report to the prescriber? ALT 57 IU/L Creatinine 1.4 mg/IU/dL C-reactive protein 2 mg/dL Human chorionic gonadotropin 287 IU/L
Human chorionic gonadotropin 287/ IU/L
A nurse instructs a patient about the signs and symptoms of digoxin toxicity. The nurse determines that teaching is successful if the patient makes which statement? "If my heart is racing, the dose may be too high." "I should report any muscle weakness or nausea." "My doctor should be notified if diarrhea occurs." "The dose will be reduced if I develop memory loss."
I should report any muscle weakness or nausea
A patient who is receiving phenoxybenzamine to treat pheochromocytoma faints. BP is 75/40, pulse is 135 beats/min. The nurse contacts the prescriber and prepares to administer what? Epinephrine Norepinephrine IV Fluids Metoprolol
IV FLuids
A patient who has been prescribed quinapril for hypertension has not had the expected reduction in BP. Regular use of which OTC medications may be contributing to lack of therapeutic effect of the ACE inhibitor? Acetaminophen Calcium carbonate Ibuprofen Milk of magnesia
Ibuprofen
Which action is of the greatest priority when caring for a patient who has just been prescribed a drug for hypertension? Identifying obstacles to adherence to therapy Teaching how the prescribed drug works Teaching the patient how to assess his BP sitting and standing Telling the patient his target BP
Identifying obstacles to adherence to therapy
The nurse cares for a patient receiving digoxin. What indicates to the nurse that treatment with this medication is effective? Improved cardiac output Reduced exercise tolerance Increased body weight Decreased cardiac contractility
Improved cardiac output
A patient with coronary artery disease is receiving terazosin for hypertension. It would be a priority for the nurse to report to the prescriber which effect of the drug? Drop of 15mm Hg in systolic BP with position changes Headache Increase in pulse of 20 beats/min Nasal congestion
Increase in pulse of 20 beats/min
A patient's cardiac output is 8 L/min. Which hemodynamic effect would the nurse expect? Decreased contractility Increased stroke volume Decreased preload Increased arterial pressure
Increased stroke volume
What is the priority nursing concern for a patient with angina pectoris? Decreased cardiac output Impaired gas exchange Ineffective tissue perfusion: cardiopulmonary Ineffective breathing pattern
Ineffective tissue perfusion: cardiopulmonary
What should the nurse teach a patient about precautions before dental surgery when the patient is prescribed long-term warfarin therapy? No action is needed Inform the dentist of the most recent INR results Stop warfarin three days before dental surgery Take half of the normal dose of warfarin three days before dental surgery
Inform the dentist of the most recent INR results
A patient with early HF has an average HR of 90 BPM and a stroke volume of 55 mL. What is true about this person's cardiac output? It is extremely low It is low It is high It is extremely high
It is extremely high
A patient who is receiving lovastatin experiences chest pain. CK level is 580 units/mL and troponin T 0.02 g/mL. It is of greatest priority for the nurse to monitor the functioning of which organ? Brain Heart Kidneys Lungs
Kidneys
It is a nursing priority to report which of these laboratory test results, if identified in a patient who is prescribed metoprolol, to the prescriber? Creatinine 1.2 mg/dL Left ventricular ejection fraction on ECG of 20% Glycosylated hemoglobin 5.5% Sinus rhythm on ECG
Left ventricular ejection fraction on ECG of 20%
A focused nursing assessment of a patient with atrial fibrillation should always include assessment of changes in what? Appetite Bowel pattern Deep tendon reflexes Mental status
Mental status
When a patient is prescribed an ACE inhibitor, it is a priority to teach the patient not to take which OTC drug without consulting a prescriber? Antacids Cough suppressant Laxative NSAID drugs
NSAID drugs
Which drug prescribed for acute STEMI should be withheld and the prescriber consulted immediately if the patient's pulse is 118BPM? Aspirin Atenolol Morphine Nitroglycerine
Nitroglycerine
Which anticholinergic effect of disopyramide would be of greatest priority to report to the prescriber? Blurred vision Dry mouth and thirst No bowel movement x 2 days Postvoid residual of 350 mL
Postvoid residual of 350 ml
A patient who weighs 165lbs is receiving IV nitroprusside sodium 300 mcg/min. An important nursing assessment at this dose is for what? Adequate fluid intake and urinary output Anorexia, nausea, and vomiting Fever, flushing, and chills Palpitations, disorientation, and respiratory depression
Palpitations, disorientation, and respiratory depression
Which patient does the nurse identify as most likely needing an increased dose of warfarin (Coumadin) to have the same anticoagulant effect? Patient taking acetaminophen for back pain Patient taking cimetidine to prevent gastric ulcers Patient taking oral contraceptives to prevent pregnancy Patient taking prednisone for rheumatoid arthritis
Patient taking oral contraceptives to prevent pregnancy
The nurse would be most concerned if a patient with HF exhibits which symptom? (Select all that apply.) Peripheral edema Urine output of 825 mL in 24 hours Distension of the jugular veins Weight gain
Peripheral edema Distention of the jugular veins Weight gain
Which of these lab results (which are flagged on the lab sheet as abnormal) would be priority to report to the prescriber if a patient is prescribed heparin? Activated partial thromboplastin time (aPTT) 75 seconds BUN 22 mg/dL Platelet count 40,000/mm3 WBC 11,000/mm3
Platelet count 40,000/mm3
It is a priority to assess for digitalis toxicity if a patient is receiving digoxin, the digoxin level is 1.3 ng/mL, and the patient has which other lab result? BNP 1813 picograms/mL INR 1.5 Potassium 3.0 mEq/L Sodium 150 mEq/L
Potassium 3.0 mEq/L
The nurse is reviewing the lab results of a patient who has been prescribed ticlopidine for the past week. The WBC count is 3000/mm3 and the neutrophil count is 30%. What is a nursing priority for this patient? Assessing adequate cardiac output Evaluating effective airway clearance Maintaining skin integrity Preventing infection
Preventing infection
A patient is prescribed hydralazine. What is most important for the nurse to teach the patient? Precautions for postural hypotension Prevention of reflex tachycardia High initial dose for slow acetylators Recognition of hypertrichosis
Prevention of reflex tachycardia
How does cigarette smoking cause coronary artery disease? Damaging the heart valve Increasing the heart rate Promotes atherosclerosis Stretching the ventricles
Promotes atherosclerosis
What is the antidote for heparin? Ferrous sulfate Atropine sulfate Protamine sulfate Magnesium sulfate
Protamine sulfate
Which would be a priority to report to the prescriber of hydralazine? Ankle edema BP 150/80 mm Hg Pulse 120 BPM 10 mm Hg drop in BP when sitting up from a reclined position
Pulse 120 BPM
A patient is prescribed diltiazem. It would be a priority to withhold the drug and contact the prescriber if which assessment finding is present? BP 150/85 Constipation Dizziness Pulse 50 BPM
Pulse 50 BPM
A patient is prescribed a medication that lowers the arterial blood pressure. The nurse should assess for which response by the body to restore blood pressure? Orthostatic hypotension Fluid retention Reflex tachycardia Increased natriuresis
Reflex tachycardia
Which nursing concern is of the greatest priority when a patient starts therapy with an alpha1 blocker? Adequate exercise Hydration Safety Urinary output
Safety
A patient is prescribed digoxin and furosemide. It is most important for the nurse to assess which value before administering these medications? Serum sodium Blood urea nitrogen Serum potassium Plasma B-natriuretic peptide
Serum potassium
A patient who is prescribed an aphla 1 adrenergic antagonist for high BP is brought into the ED after taking sildenafil suppllied by a friend. The priority for the nurse to assess for and follow orders to prevent what effects? Atrial fibrillation and palpitations Migraine headache and photophobia Prolonged erection and discomfort Severe hypotension and vascular collapse
Severe hypotension and vascular collapse
When caring for a patient who is prescribed minoxidil, it is most important for the nurse to assess for what? Abnormal hair growth Bradycardia Fluid volume deficit Shortness of breath
Shortness of breath
It would be a priority to teach orthostatic BP precautions to a patient before the first dose of an ACE inhibitor if lab tests include which result? ALT 35 IU/L BUN 24 mg/dL Potassium 4.1 mEq/L Sodium 132 mg/dL
Sodium 132 mg/dl
A 79 year old, 143 lb. patient was admitted with a hip fracture and is scheduled for an ORIF of the hip tomorrow. What would be a priority to report to the prescriber if the patient is prescribed enoxaparin (Lovenox)? A medical resident has ordered warfarin to be added in 2 days eGFR 84 mL/min INR 1.2 Spinal anesthesia has been recommended for the surgery scheduled tomorrow
Spinal anesthesia has been recommended for the surgery scheduled tomorrow
The nurse is preparing to administer IV nitroprusside sodium. The patient has an IV of 5% dextrose with 20 mEq of potassium running at 75 mL/hr. What would be the best action by the nurse? Connect the nitroprusside sodium to the Y-port of the primary line above the IV pump and run both fluids simultaneously Disconnect the primary IV line and administer the nitroprusside sodium, then reconnect the primary line Start a second IV site and administer the nitroprusside sodium using a separate IV pump Stop the primary fluid infusion and connect the nitroprusside sodium to a port below the intravenous pump
Start a second IV site and administer the nitroprusside sodium using a separate IV pump
The nurse cares for a patient with a digoxin level of 1.9 ng/mL. Which action would be most appropriate for the nurse to take initially? Start continuous heart monitoring Check the patient's serum creatinine Administer digoxin as prescribed Give Fab antibody fragments
Start continuous heart monitoring
The nurse is caring for a patient who is receiving a dopamine IV drip. The nurse has been assessing her patient's vital signs every 15 minutes. The nurse notes that since the last assessment, the IV dopamine solution has turned pink. What should the nurse do? Stop the IV infusion, assess the patient for adverse effects, and notify the prescriber Stop the infusion, notify the pharmacy for an immediate replacement, and assess the patient Continue to assess the patient and infuse the solution as prescribed Continue to assess the patient and infuse the solution as prescribed up to 24 hours
Stop the infusion, notify the pharmacy for an immediate replacement, and assess the patient
Because verapamil can cause blockade of calcium channels in vascular smooth muscle, a priority is for the nurse to teach a patient who is prescribed the drug to do what? Drink 2500 mL of fluid each day, especially water Increase fiber in the diet Take orthostatic BP precautions Report bruising
Take orthostatic BP precautions
The nurse will teach a patient who is prescribed niacin (Niacor) to prevent flushing of the face by doing what? Drinking a full glass of water before taking the medication Taking 325 mg of aspirin 30 minutes before each dose Ingesting a meal before taking the medication Increasing dietary fiber before and after each dose
Taking 325 mg of aspirin 30 minutes before each dose
Which of these ECG findings would suggest hyperkalemia in a patient who is prescribed an ACE inhibitor and who was using a salt substitute? Flat T waves Prolonged QT interval Shortened QT interval Tall, peaked T waves
Tall, peaked T waves
Lab test results on a patient receiving hydralazine include elevated antinuclear antibodies (ANA). When notifying the prescriber of these lab results, it is a priority to include which assessment finding? Fatigue Headache Respirations 22/min Temperature 101F
Temperature 101F
It is important for the nurse to discuss adverse effects of the antihypertensive drugs that are prescribed because the nurse knows what about the drugs' adverse effects? They affect adherence They are life-threatening They are necessary if the antihypertensive is at a dose that is effective The reflect the cause of hypertension
They affect adherence
Vasodilating beta blockers, which may be cardioselective or nonselective
Third-generation agents
Which of these assessment findings, if identified in a patient who is receiving quinidine, is of greatest priority to report to the prescriber? BP 150/88 Tinnitus Sudden dyspnea Three soft stools in 8 hours
Tinnitus
What would warrant notification of a prescriber when the nurse is caring for a patient who is receiving ranolazine ? eGFR 95 ml/min Penicillin prescribed for upper respiratory infection Systolic BP decreases 8 mm Hg with position changes Unexplained fainting
Unexplained fainting
Recent laboratory results for a patient include HDL 85 mg/dL, LDL 145 mg/dL, and triglycerides 630 mg/dL. The nurse should assess the patient for what? Upper abdominal pain and nausea Chest pain and shortness of breath Rash and pruritis Tachycardia and diaphoresis
Upper abdominal pain and nausea
What is a priority assessment when administering dopamine? Bowel sounds Capillary refill Temperature Urine output
Urine output
It is priority for the nurse to monitor for excessive cardio-suppression when a patient is prescribed metoprolol and what other drug? Atorvastatin Hydrochlorothiazide Terazosin Verapamil
Verapamil
Which adverse effect of propafenone, if occurring for 3-4 days, would be of most concern to the nurse? Abdominal pain Anorexia Dizziness Vomiting
Vomiting
A patient with HF is prescribed spironolactone and enalapril. It would be a priority to consult the prescriber regarding evaluation of the patient's potassium level if the patient exhibited Confusion Constipation Weakness Shallow respirations
Weakness
When taking a history from a patient who is prescribed an ACE inhibitor, ARB, or eplerenone, which question would be most important for the nurse to ask? "Are you bothered by frequent unproductive cough? "Do you eat 4-5 servings of fruits and vegetables each day?" "Have you ever been diagnosed with iron-deficiency anemia?" "What do you use to season your food?"
What do you use to season your food?
A patient who is undergoing an acute STEMI is prescribed metoprolol 50 mg by mouth every 6 hours. It would be a priority to immediately consult the prescriber if which assessment finding was present? Altered taste Insomnia Rhinorrhea Wheezing
Wheezing
Which of these findings would be of most concern to the nurse if the patient is prescribed propranolol? Apical pulse 94 BPM BP 157/88 mg Hg Urinary urgency Wheezing
Wheezing
A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What lab value will the nurse monitor to evaluate treatment with this medication? aPTT Prothrombin time (PT) Platelet count Hemoglobin and hematocrit
aPTT
It would be of greatest priority to consult the prescriber if the nurse notes which lab test result for a patient who is prescribed dabigatran? ALT 65 IU/L eGFR 14 ml/min hCG 2 mIU/mL Na+ 140 mEq/L
eGFR 14 ml/min
What assessment finding would warrant withholding a beta blocker and consulting the prescriber Apical pulse 48 beats/min BP 110/70 mm Hg 2+ ankle edema Capillary blood sugar 90 mg/dL
apical pulse 48 beats/min
It would be a priority to assess for cardiac effects and toxicity in a patient who is receiving nifedipine if lab test results include ALT 30 IU/L Brain natriuretic peptide (BNP) 100 picograms/mL BUN 22 mg/dL eGFR 32 mL/min
eGFR 32 mL/min
A patient is prescribed lovastatin (Mevacor). The nurse will teach the patient to take the medication at which time? With any meal With the evening meal 1 hour before breakfast 2 hours after a meal
with the evening meal
