Pharm EAQ exam 4

When the nurse is reviewing statin therapy for hyperlipidemia in a female of child-bearing age, which client statement indicates a need for further education?

"I will take my medication with grapefruit juice"

The HCP prescribes isosorbide dinitrate 10 mg for a client with angina pectoris. The client asks the nurse why the isosorbide dinitrate is prescribed. How will the nurse respond?

"It decreases cardiac oxygen demand"

The spouse of a client with an intracranial hemorrhage asks the nurse, "why aren't they administering an anticoagulant?" How will the nurse respond?

"It is not advisable because bleeding will increase"

Which clinical indication would the nurse expect a client with hyperkalemia to exhibit?

- confusion - weakness - dysrhythmias

Which client statements indicate that the teaching about furosemide is understood?

- i need to change my position slowly - i should eat more food that is high in potassium

A pregnant client is prescribed heparin to prevent the risk of thromboembolism. Which adverse effect would the nurse anticipate with this medication?

- osteoporosis - compression fractures of the spine

A client with hypertension is prescribed an angiotensin II receptor blocker. Which instructions will the nurse provide about this medication?

- stop the medication if swelling of the mouth, face, or lips develop - have blood drawn for potassium levels 2 weeks after starting the medication

A client is taking multiple medications for hypertension develops a persistent, hacking cock. Which anti-hypertensive medication class would the nurse identify as the likely cause of the cough?

ACE inhibitors

Which medication is often contraindicated when taking warfarin?

Aspirin

A client is admitted to the hospital with a diagnosis of heart failure and acute pulmonary edema. The healthcare provider prescribes furosemide 40 mg intravenous stat to be repeated in one hour. Which nursing action will best evaluate the effectiveness of the furosemide and managing the clients condition?

Auscultating breath sounds

Which finding would be of most concern when the nurse is assessing a client with pulmonary embolism diagnosis who is receiving intravenous heparin?

Client reports stools are black

Which client response must the nurse monitor to determine the effectiveness of amiodarone?

Decrease in cardiac dysrhythmias

For the client taking clopidogrel, the nurse will monitor for which adverse effect?

Epistaxis

Warfarin is prescribed for a client who has been receiving intravenous heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the clients concern?

Heparin provides anticoagulant effects until warfarin reaches therapeutic levels.

Which nursing action is priority when a client with severe chest pain and diaphoresis is brought to the emergency department?

Initiate ECG monitoring

Which food selection by the client indicates to the nurse that dietary teaching about thiazide diuretics is successful?

Kidney beans

Which dietary choices will the nurse instruct the client taking spironolactone to avoid increasing?

Potatoes and cantaloupe (Avoid high potassium foods)

When a client has a prescription for warfarin, which foods with the nurse teach the client to limit?

Spinach and broccoli

Which medication requires the nurse to monitor the client for signs of hyperkalemia?

Spironolactone

Enoxaparin 40 mg subcutaneously daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for which purpose?

To provide prophylaxis against post operative thrombus formation