pharm final

A nurse is teaching a client who is diagnosed with angina how to properly administer transdermal nitroglycerin. The nurse instructs the client to apply the path for how long?

10-12 hrs

A client is prescribed clonidine as a transdermal path. After instructing the client about this drug, the nurse determines that the teaching was successful when the client states that the path should remain in place for how long?

7 days

A client with arrhythmias is prescribed an antiarrhythmic. About which finding on the ongoing assessment should the nurse instruct the client to immediately notify the primary health care provider?

A sudden change in mental state

A nurse is studying a journal article about propranolol. Which factors would the nurse expect to find explained?

Acts by blocking B-adrenergic receptors of the heart & kidney, reduces the release of renin, & has membrane-stabilizing effects

A nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize?

Administer early in the day

The nurse is teaching a client with hypertension about losartan which the health care provider has prescribed. The nurse can explain that losartan exerts which action on the body?

Blocks angiotensin II receptors

The nursing mentor is supervising a group of nursing students in the clinic. The mentor determines the student are well prepared when they prioritize which assessment with clients receiving medications such as doxazosin?

Blood pressure monitoring

After teaching a group of nursing students on the mechanism of action of angiotensin converting enzyme inhibitor (ACEI) drugs, the instructor determines the session is successful after the students correctly choose which action as the result of aldosterone?

Causes sodium & water retention

A nurse is preparing to administer ivabradine to a client with heart failure. Which preadministration assessment should the nurse prioritize for this client?

Check for jugular vein distention.

A client is admitted to the emergency department with a severe headache, nausea, shortness of breath, and blood pressure of 200/120 mmHg. Which response should the nurse prioritize?

Continuously monitor the clients status

The nurse instructs a client suffering from frequent anginal attacks to keep a record of each attack. What information would the nurse instruct the client to record?

Date of attack, time of attack, drug used to relieve the acute pain, & dose of the drug used to relieve the acute pain.

A nurse is administering amiloride to several clients. The nurse should prioritize monitoring the serum potassium levels for clients with which noted disorders

Diabetes & renal disease.

The nurse is preparing to teach a client with hyperlipidemia about the prescribed cholestyramine. Which instruction should the nurse prioritize for the client?

Eat food high in dietary fiber.

A client with congestive heart failure & currently administered digoxin is now prescribed indapamide for edema. Which intervention should the nurse prioritize?

Frequently monitor the clients pulse rate and rhythm

The health care provider has prescribed ezetimibe for a client diagnosed with hyperlipidemia. The nurse is prepared to prioritize which assessment to evaluate the drug's effectiveness?

Frequently monitoring blood cholesterol

A nursing instructor is teaching a class on the actions of the different classes of diuretics. Which drug(s) will the instructor point out as exerting action on the loop of Henle & distal & proximal tubules?

Furosemide & bumetanide

A nurse is preparing to administer spironolactone to a client. The nurse would question this order if which disorder is noted in the client's history?

Hyperkalemia

A client is receiving a diuretic for the treatment of hypertension. Which assessment finding on the lab reports should the nurse prioritize?

Hyponatremia

The nurse is preparing to administer a diuretic to a client. The nurse should question this order if which disorder(s) is noted in the client's history?

Hyponatremia, hypokalemia, & anuria

The nurse is administering pravastatin & amiodarone to a client with cardiac issues. Which potential interaction will the nurse carefully monitor the client for

Increased risk of myopathy.

A nurse is preparing to administer colesevelam to a client with hyperlipidemia. The nurse determines cautious administration is warranted after noting which condition in the client's history?

Liver disease

The nurse is finishing a teaching session with a client who is prescribed gemfibrozil. The nurse determines the session is successful when the client correctly chooses which instruction?

Observe caution while driving

A client has been admitted to a health care center with reports of dyspnea. The nurse suspects left-sided heart failure bases on which assessment finding?

Orthopnea

A nurse is assessing a client who is prescribed warfarin and notes a positive occult blood screen, petechiae on both legs, & blood-tinged toothbrush. The nurse anticipated the health care provider will prescribe which antidote to counteract these findings?

Phytonadione

The nursing instructor has completed a teaching session explaining the various antihypertensive drugs. The instructor determines additional training is needed when the students choose which drugs as an angiotensin converting enzyme inhibitor?

Pindolol.

The nursing instructor is teaching a class about the actions of anticoagulants. The instructor determines the class is successful when the students correctly choose which actions of anticoagulants?

Prevent extension of a thrombus, prevent formation of a thrombus.

The health care provider has prescribed fenofibrate for a client discovered to have a very high serum triglyceride level. The nurse should question this order if the client has a history of which additional disorder?

Primary biliary cirrhosis

A client on antiarrhythmic drug therapy reports nausea, vomiting, abdominal pain, diarrhea, and a ringing sensation in the ears. Which drug should the nurse investigate to determine possible cause?

Quinidine.

A client presents to the urgent care clinic reporting severe dizziness. On assessment, the nurse learns the client was recently prescribed losartan & quit taking it thinking it was responsible for the dizziness. Which assessment should the nurse prioritize?

Rebound hypertension

The nurse is assessing a client with renal disease & discovers the clients blood pressure has increased since the last visit. The nurse suspects the client had developed which concern?

Secondary hypertension

A client, aged 60 years, is receiving nitroprusside for hypertensive emergency. The nurse would be alert for the development of which reaction?

Significant hypotension

A client has been receiving acetazolamide as prescribed. Which substance(s) will the nurse prioritize for monitoring on routine lab work?

Sodium, potassium, & bicarbonate

The nurse is teaching a young female about the prescribed anticoagulant. The nurse determines the session is successful when the client correctly indicated they will apply which recommendation

Use a reliable contraceptive

A nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting the BUN level is rising?

Withhold the next dose of the drug

A client prescribed niacin reports significant skin flushing & itching, stating, "I almost stopped taking the drug" the nurse anticipates the health care provider will prescribe which drug to address this issue?

aspirin

The nurse is preparing to administer amiloride to a client. The nurse will exercise caution if the client is diagnosed with which disorder(s)?

gout, diabetes, & hepatic disease

A client is admitted in acute renal failure and prescribed mannitol. The nurse prepares to administer this drug via which route?

intravenously

The health care provider prescribed spironolactone for a client. The nurse is prepared to carefully monitor the client's potassium level if the client is also administered which drug?

lisinopril

A client with cerebral edema is prescribed mannitol. Which assessment should the nurse prioritize during the ongoing assessment?

response of pupils to light

A health care provider prescribes diuretic therapy to a client which nephrotic syndrome. The nurse suspects that the client is hyponatremic based on which assessment finding?

tachycardia

The nurse is preparing to administer niacin to a client with hyperlipidemia. Which adverse reaction should the nurse prioritize on the ongoing assessment?

tingling

A client admitted to a health care facility with cardiac arrhythmia is prescribed propranolol. Which signs should the nurse prioritize on the ongoing assessment?

1. pulse rate.

The nurse is preparing to teach a client with renal insufficiency about the recently prescribed bumetanide for hypertension. Which instruction should the nurse prioritize for this client?

Avoid OTC drugs for cold symptoms

After teaching a group of nursing students about antianginal drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as a calcium channel blocker?

Nifedipine.

A client with intermittent claudication is prescribed cilostazol by the primary health care provider. The nurse will administer the drug cautiously if the client's history reveals which disorder?

Pancytopenia.

The nurse is monitoring a client who is receiving heparin by continuous IV infusion. Which action should the nurse prioritize?

Perform test blood coagulation q4h

The nurse is teaching a client with arrhythmia about the prescribed verapamil. Which potential adverse reaction should the nurse point out to the client?

Peripheral edema

After teaching a group of nursing students about heparins, the instructor determines that the teaching was successful when the students correctly chose which drugs as an example of a low-molecular-weight heparin?

Dalteparin & enoxaparin

A client with a history of seizures is admitted to the unit with pulmonary edema. After administering furosemide, which assessment should the nurse prioritize after discovering the client is also prescribed phenytoin?

Decreased diuretic effectiveness

A nursing instructor is teaching a group of students about cardiotonics. The instructor determines the session is successful when the students correctly identify which actions of the cardiotonics?

Improves myocardial contractility, increases myocardial efficiency, & improves perfusion to all body tissues

A nurse notes a client has a new prescription for fluconazole who has also been administered losartan for several months. The nurse determines the client should be monitored for which result of this combination?

Increased risk of adverse effects of losartan.