Pharm final review II
A patient with angina pectoris is prescribed sublingual nitroglycerin. Which statement made by the patient indicates understanding of the medication teaching? A. "I may experience a headache as a side effect." B. "The chest pain should be relieved within 20 minutes." C. "I should swallow the tablet and drink a glass of water." D. "I should take this medication in the morning before breakfast."
A. "I may experience a headache as a side effect."
The nurse teaches a patient about benazepril (Lotensin). Which statement by the patient requires an intervention by the nurse? A. "I use NoSalt for seasoning foods instead of salt." B. "I eat sweet potatoes once or twice a week." C. "I drink 4 ounces of prune juice each morning." D. "I like asparagus because it is high in vitamin K."
A. "I use NoSalt for seasoning foods instead of salt."
A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory value will the nurse monitor to evaluate treatment with this medication? A. Activated partial thromboplastin time (aPTT) B. Prothrombin time (PT) C. Platelet count D. Hemoglobin and hematocrit
A. Activated partial thromboplastin time (aPTT)
A patient who is taking spironolactone (Aldactone) is prescribed losartan (Cozaar). The nurse should take which action? Select all that apply. A. Assess for symptoms of hyperkalemia. B. Observe for a hypernatremia. C. Confirm the use of K+ sparing Diuretic and ARB therapy. D. Evaluate for first-dose hypotension.
A. Assess for symptoms of hyperkalemia. C. Confirm the use of K+ sparing Diuretic and ARB therapy.
A nurse instructs a patient about signs and symptoms of digoxin toxicity. The nurse determines that teaching is successful if the patient makes which statement? A. "If my heart is racing, the dose may be too high." B. "I should report any muscle weakness or nausea." C. "My doctor should be notified if diarrhea occurs." D. "The dose will be reduced if I develop memory loss."
B. "I should report any muscle weakness or nausea."
A patient has indications of an ST-elevation myocardial infarction. Which medications would the nurse consider routine therapy for this patient? A. Beta blocker, angiotensin II receptor blocker, and oxygen B. Aspirin, angiotensin-converting enzyme inhibitor, and diuretics C. Aspirin, beta blocker, oxygen, morphine, and nitroglycerin D. Heparin, nitroprusside, morphine, and calcium channel blocker
C. Aspirin, beta blocker, oxygen, morphine, and nitroglycerin
A patient is prescribed verapamil (Calan) . The nurse should assess the patient for which common adverse effects? A. Atrial fibrillation, photosensitivity, and blurred vision B. Tachycardia, stomatitis, and inflammation of the joints C. Constipation, headache, and edema of the ankles and feet D. Dry mouth, lymphadenopathy, and decreased appetite
C. Constipation, headache, and edema of the ankles and feet
A patient is to receive a scheduled dose of diltiazem (Cardizem). The nurse should hold the medication and contact the prescriber if what occurs? A. The patient's blood pressure is 112/64 mm Hg. B. The patient's cardiac rhythm is atrial fibrillation. C. The patient is reporting ankle edema. D. The patient is in second-degree heart block.
C. The patient is reporting ankle edema.
A patient is prescribed insulin glargine (Lantus). Which statement should the nurse include in the discharge instructions? A. The insulin will have a cloudy appearance in the vial. B. The insulin should be injected twice daily (before breakfast and dinner). C. The patient should mix Lantus with the intermediate-acting insulin. D. The patient will have less risk of hypoglycemic reactions with this insulin.
D. The patient will have less risk of hypoglycemic reactions with this insulin.
