Pharmacology Module 9 Quiz

In which of the following situations should the nurse prepare to administer of protamine sulfate?

A patient on a heparin drip with a PTT>120 seconds and active GI bleeding .

A client presents in the clinic with concerns of having taken his dabigitran (Pradaxa) twice this morning. Realizing that this is a new oral anticoagulant (NOAC), what should the nurse do next? (Select all that apply.)

Ask the client how the overdose happened. Calm the client by explaining that the medication has a 12-hour half-life. Seek advice from the physician. Assess for signs of active bleeding

While preparing to administer a scheduled dose of digoxin, the nurse finds a new lab result showing a digoxin level of 0.7 ng/mL. What action should the nurse take?

Check the patients apical pulse, and if it's within a safe range, administer the digoxin. Therapeutic digoxin level: 0.5-2.0mg/mL

A client has been taking digoxin 0.25 mg, and furosemide 40 mg, daily. Upon routine assessment by the nurse, the client states, "I see yellow halos around the lights." Based on this assessment, the nurse should perform which of the following actions?

Consult the provider then request a digoxin and potassium level check.

Potassium chloride 10mEq intravenously has been ordered for a client whose potassium is 2.9 following diuretics. How will the nurse administer the potassium dose?

Dilute the dose in a 50 ml IV rider and infuse over a min of 30 minutes.

If a client is taking carvedilol, a beta blocker, which adverse effect should the nurse watch for?

Dizziness.

A client is being discharged to the emergency department for accidental warfarin (Coumadin) OD. The nurse determines that the client has no apparent signs of bleeding. Which action should the nurse take next?

Draw a stat INR level per protocol

A client with angina is preparing to go home with a prescription for nifedipine, a calcium channel blocker. What should the client be taught?

Elevate your feet when you are sitting to avoid edema side effects.

A client presents to the emergency department with chest pain. On a scale of 1:10 he rates the pain as a 6. His respiratory rate is 22. His blood pressure is 156/92. His heart rate is 110. He is afebrile. What other information should the nurse obtain before administering nitroglycerin?

Has the patient used an alcohol or drugs for ED recently?

The nurse is providing patient education to a patient who has just been given a new prescription for sublingual nitroglycerin tablets. Which statement by the client would indicate a need for additional teaching?

I should take the nitro every 2-3 minutes until my pain goes away.

A client is experiencing edema. Which over-the-counter medication might be reducing the diuretic effects of her lisinopril?

Ibuprofen

A client with stable angina as starting treatment with nifedipine a calcium channel blocker. The client's spouse asks how nifedipine alleviates chest pain. How should the nurse respond?

It relaxes the coronary arteries to increase coronary oxygen supply.

A client has had hypertension for approximately 7 years and now is interested in becoming pregnant. What is the safest anti-hypertensive for a woman in the early stages of pregnancy?

Methyldopa

A client with stable angina asks why the physician told her to put her nitro patch on at 8am and take it off at 8pm. What explanation should he be given?

Patch-free intervals are needed to sustain med effectiveness.

In preparing discharge education for a client who has just begun hydrochlorothiazide therapy, a nurse reviews the client's lab results. Which finding should the nurse be concerned about in relationship to the discharge prescription?

Potassium level of 3.1 mEq/L

A client, who has been seeing multiple doctors, reports that she is taking Lisinopril and another antihypertensive medication, the name of which she can't recall. What type of antihypertensive is contraindicated when people are taking ACE inhibitors due to risk of compound effects?

Potassium sparing diuretics.

Atenolol (Tenormin) has been prescribed for a client who is recovering from a recent heart attack. The nurse would consult the provider before giving the medicine in which of these situations? (Select all that apply.)

Pulse. Respirations 32 w/ wheezes. BG 50.

A client, who has been taking Lisinopril (an ACE inhibitor), complains of a dry cough. How should the nurse respond to this complaint?

The cough is a common side effect of ACE inhibitors (prils). ARBs (sartans) may be prescribed as an alternative, if the cough becomes disruptive.

A client is starting sildenafil (Viagra) for the treatment of pulmonary hypertension. The client should be warned that which med could cause a serious reaction if they are taken with sildenafil?

nitro, an antianginal & doxazosin, an alpha blocker.