Pharmacology test 3
The nurse is teaching a client how to self-administer triptan injections for migraine headaches. Which statement by the client indicates that he needs further teaching? "This medication will not reduce the number of migraines I will have." "I will keep a journal to record the headaches I have and how the injections are working." "I will take this medication when I feel a migraine headache starting." "I will take this medication regularly to prevent a migraine headache from occurring."
"I will take this medication regularly to prevent a migraine headache from occurring."
When applying transdermal nitroglycerin patches, which instruction by the nurse is correct? "Apply the patch to the same site each time." "Rotate application sites with each dose." "Use only the chest area for application sites." "Temporarily remove the patch if you go swimming."
"Rotate application sites with each dose."
The nurse is teaching a client with hypertension about the prescribed antihypertensive medications: hydrochlorothiazide (HCTZ) and enalapril. What is important to include in this teaching? "Stay out of the sunshine and make sure you have adequate sodium intake." "When you begin to feel better, the doctor will decrease your medications." "Stand up slowly to decrease problems with dizziness." "Increase fluid intake because of increased loss of body fluids."
"Stand up slowly to decrease problems with dizziness."
A 46-year-old man started antihypertensive drug therapy 3 months earlier and is in the office for a follow-up visit. While the nurse is taking his blood pressure, he informs the nurse that he has had some problems with sexual intercourse. Which is the most appropriate response by the nurse? "This is an unusual occurrence, but it is important to stay on your medications." "Not to worry. Eventually, tolerance will develop." "Sexual dysfunction happens with this therapy, and you will learn to accept it." "The physician can work with you on changing the dose and/or drugs."
"The physician can work with you on changing the dose and/or drugs."
A client, diagnosed with heart failure, asks the nurse for further details about heart failure. Which statement is most accurate? "The use of digoxin will slow heart rate to make your heart more efficient." "The administration of diuretics increases blood volume, causing symptoms to abate." "Heart failure can be caused by atherosclerotic plaque due to high-fat diets." "Hypothyroidism will result in decreased heart rate and development of heart failure."
"The use of digoxin will slow heart rate to make your heart more efficient."
A 65 year-old-client has been taking clonidine for 8 months. For the past 3 months, the client's blood pressure has been in the range of 104-118/72-78. During this clinic visit, the client states, "I'd like to stop taking this medication because my blood pressure is fine now." What is the nurse's best response? Your provider will probably have you stop taking the medication for a month, and then we we'll see how you do this." "It's likely that you can stop the medication if you exercise daily and avoid salty foods." "I'm sure the provider will stop it; your blood pressure is normal now. "This drug should not be stopped suddenly; let's talk to your provider."
"This drug should not be stopped suddenly; let's talk to your provider."
SW, has been admitted to the hospital for a heart failure exacerbation and is receiving a continuous furosemide drip at 10 mg/hr. The furosemide is rapidly depleting SW's potassium and so the attending orders a BMP every 8 hours to assess SW's potassium levels. The most recent BMP result shows that SW's potassium is 2.9 mEq/L. The provider orders 80 mEq IV KCl x 1 NOW (note: the patient only has a peripheral line). Which of the following are true about administration of KCl( potassium chloride) intravenously? -The potassium order should be split into two separate doses (40 mEq) for a each IV piggyback -If a patient experiences a burning sensation, notify them that this is normal and expected and that you need to continue giving the medication as is -The potassium should be pushed as fast as possible to correct the hypokalemia -The potassium should be given no faster than 10 mEq per hour -If the patient experiences hyperkalemia, dextrose should be given to lower the potassium levels
-The potassium order should be split into two separate doses (40 mEq) for a each IV piggyback -The potassium should be given no faster than 10 mEq per hour If the patient experiences hyperkalemia, dextrose should be given to lower the potassium levels
The nurse is assessing a client for contraindications to drug therapy with acetaminophen. Which client should not receive acetaminophen? A client with a history of liver disease A client with a fever of 101° F (38.3° C) A client who is complaining of a mild headache A client with a history of peptic ulcer disease
A client with a history of liver disease
A patient is currently taking a statin. The nurse considers that the patient may have a higher risk for developing rhab-domyolysis when also taking which product? Fat-soluble vitamins NSAIDs A fibric acid derivative Orange juice
A fibric acid derivative
A client is admitted to the hospital for a diagnostic workup for hypertension. What assessment data gathered by the nurse would confirm this diagnosis? A sustained increase in systolic pressure above 140 mm Hg and diastolic above 90 mm Hg A pulse pressure greater than 60 beats/min with a 20-point pulse deficit A diastolic pressure fluctuating between 138 mm Hg and 170 mm Hg Decreasing urinary output with a serum potassium level of 5.5 mEq/L
A sustained increase in systolic pressure above 140 mm Hg and diastolic above 90 mm Hg
A nurse administering niacin would implement which action to help to reduce adverse effects? Administer a small dose of aspirin or an NSAID 30 minutes before the niacin dose. Administer the medication on an empty stomach. Give the medication with grapefruit juice. Have the patient increase dietary fiber intake.
Administer a small dose of aspirin or an NSAID 30 minutes before the niacin dose.
A client is in the intensive care unit and receiving an infusion of milrinone for severe heart failure. The prescriber has written an order for an intravenous dose of furosemide. How will the nurse give this drug? Administer the furosemide in a separate intravenous line. Infuse the drug into the same intravenous line as the milrinone. Notify the prescriber that the furosemide cannot be given at this time. Stop the milrinone, flush the line, and then administer the furosemide.
Administer the furosemide in a separate intravenous line.
The client with coronary artery disease (CAD) is prescribed cholestryramine. Which intervention should the nurse implement when administering the medication? Monitor the cholesterol level before giving the medication. Assess the client for upper-abdominal discomfort. Administer the medication with fruit juice. Instruct the client to decrease fiber when taking this medication.
Administer the medication with fruit juice.
A 78-year-old client is in the recovery room after having a lengthy surgery on his hip. As the client is gradually awakening, the client requests pain medication. Within 10 minutes after receiving a dose of morphine sulfate, the client is very lethargic and respirations are shallow, with a rate of 7 breaths/minute. The nurse prepares for which priority action at this time? Administration of naloxone Immediate intubation and artificial ventilation Close observation of signs of opioid tolerance Assessment of the patient's pain level
Administration of naloxone
When giving antihypertensive drugs, the nurse will con-sider giving the first dose at bedtime for which class of drugs? ACE inhibitors such as captopril (Capoten) Vasodilators such as hydralazine (Apresoline) Diuretics such as furosemide (Lasix) Alpha blockers such as doxazosin (Cardura)
Alpha blockers such as doxazosin (Cardura)
A client is in the intensive care unit because of an acute myocardial infarction. He is experiencing severe ventricular dysrhythmias. The nurse will prepare to give which drug of choice for this dysrhythmia? Diltiazem Amiodarone Verapamil Adenosine
Amiodarone
Which of the following agents may be used to manage a patient who has developed Atrial Fibrillation? Select All That Apply: Amiodarone Digoxin Nitroglycerin Diltiazem Adenosine
Amiodarone Digoxin Diltiazem
Which drug classes are considered first-line treatment for heart failure? (Select all that apply.) Angiotensin-converting enzyme (ACE) inhibitors Angiotensin II receptor blockers Digoxin Beta blockers Nesiritide
Angiotensin-converting enzyme (ACE) inhibitors Angiotensin II receptor blockers Beta blockers
The nurse is completing morning care with a client diagnosed with angina when the client complains of chest pain. The client has a saline lock in the right forearm (no fluids are infusing). Which intervention should the nurse at the beside implement first? Administer oxygen via nasal cannula. Assess the client's vital signs. Administer the sublingual nitroglycerin (NTG). Administer intravenous morphine sulfate.
Assess the client's vital signs.
While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect? Hypertension Dry cough Bradycardia Nervousness
Bradycardia
Given the nurse's knowledge of the side effects of alpha blockers, which instruction should the nurse provide to the client with a new order for an alpha blocker to treat hypertension? Wear sunscreen outside. Drink plenty of fluid. Increase your intake of potassium-rich foods. Change positions slowly.
Change positions slowly.
Verapamil is considered which Vaughan Williams Anti-Dysrhythmic class? Class IV Class I Class II Class III
Class IV
A client has been prescribed codeine. The nurse has given the client instructions for its use. The nurse concludes that the client understands the instructions if the client verbalizes to self-assess for which side effect? Excitability Rapid pulse Excessive urination Constipation
Constipation
The nurse is caring for a client who underwent an open reduction internal fixation to the right hip. When administering opioid analgesics for pain, the nurse would instruct the client that which are side and adverse effects of opioid analgesics? Select all that apply. Constipation Increased pain level Sedation Respiratory depression Diarrhea
Constipation Sedation Respiratory depression
A client has been started on therapy of a continuous infusion of lidocaine after receiving a loading dose of the drug. The nurse will monitor the client for which adverse effect? Convulsions Nystagmus Dry mouth Drowsiness
Convulsions
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? Erythrocyte sedimentation rate Creatinine kinase Potassium International normalized ratio
Creatinine kinase
A client is concerned about the adverse effects of the fibric acid derivative she is taking to lower her cholesterol level. Which is an adverse effect of this class of medication? Constipation Dry mouth Diarrhea Joint pain
Diarrhea
A client is taking procainamide for a cardiac dysrhythmia. The nurse will monitor the patient for which possible adverse effect? Diarrhea Bradycardia Dyspnea Shortened QT interval
Diarrhea
When a patient is being taught about the potential adverse effects of an ACE inhibitor, which of these effects should the nurse mention as possibly occurring when this drug is taken to treat hypertension? (Select all that apply.) Dry, nonproductive cough Dizziness Nausea Fatigue Diarrhea
Dry, nonproductive cough Dizziness Fatigue
Which diuretics can cause HYPERkalemia? Hydrochlorothiazide Ethacrynic Acid Eplerenone Triamterene Spironolactone Torsemide
Eplerenone Triamterene Spironolactone
A client prescribed ramipril earlier in the week states, "Now I have a nagging, dry cough." How should the nurse best follow-up the client's statement? Inform the client that the drug should be immediately discontinued. Explain why it will be necessary to obtain a sputum sample. Explain that drugs like ramipril often cause a cough. Inform the client that this is an adverse effect of the medication that may lead to pneumonitis.
Explain that drugs like ramipril often cause a cough.
Which diuretic is commonly co-administered with a potassium supplement? Furosemide Acetazolamide Hydrochlorothiazide Triamterene Mannitol
Furosemide
Patients on amlodipine therapy should be councelled to avoid taking which of the following? Grapefruit Juice Antacids Garlic Probiotics
Grapefruit Juice
The nurse will monitor for myopathy when a client is taking which class of dislipidemic/antilipemic drugs? Bile acid sequestrants Niacin HMG-CoA reductase inhibitors Fibric acid derivatives
HMG-CoA reductase inhibitors
A client has been prescribed lisinopril for treatment of hypertension. Several days later, the client calls the nurse complaining of a nagging, dry cough and some swelling around the lips and tongue. What would be the best response by the nurse? Have the client withhold the next dose of medication. Have the client see the health care provider immediately. Ask the client if he has any allergies. Tell the client to try a throat lozenge.
Have the client see the health care provider immediately.
A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very independent and wants to continue to live at home. The nurse will know that which teaching point is important for this patient? He should take the diuretic with his evening meal. He should skip the diuretic dose if he plans to leave the house. If he feels dizzy while on this medication, he needs to stop taking it and take potassium supplements instead. He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.
He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.
A patient taking valsartan would be at risk for which of the following electrolyte disorders? Hypokalemia Hyperkalemia Hypermagnesemia Hypomagnesemia
Hyperkalemia
he nurse is administering antihypertensive drugs to older adult patients. The nurse knows that which adverse effect is of most concern for these patients? Dry mouth Hypotension Constipation Restlessness
Hypotension
Patients receiving Amiodarone are required to receive a medication guide due to the large adverse effect profile. What are some potential adverse effects of this medication? Select all that apply: Tinnitus or ringing of the ears Hypothyroidism Pulmonary toxicity including interstitial lung disease Corneal Deposits causing visual disturbances Hypotension or Bradycardia Hyperkalemia
Hypothyroidism Pulmonary toxicity including interstitial lung disease Corneal Deposits causing visual disturbances Hypotension or Bradycardia
The nurse is preparing discharge teaching for a client with hypertension who is being treated with furosemide. The nurse would caution the client about which over-the-counter medication? Antihistamines Topical corticosteroid cream Acetaminophen Ibuprofen
Ibuprofen
A client has been diagnosed with angina and will be given a prescription for sublingual nitroglycerin tablets. When teaching the client how to use sublingual nitroglycerin, the nurse will include which instruction? Wait 1 minute between doses of sublingual tablets, up to 3 doses. If the chest pain is not relieved after one tablet, call 911 immediately. If the tablet does not dissolve quickly, chew the tablet for maximal Take up to 5 doses at 15-minute intervals for an angina attack.
If the chest pain is not relieved after one tablet, call 911 immediately.
A nurse is caring for a client with intracranial edema. After the administration of mannitol, what outcome should the nurse expect to occur? Decreased filtration of nitrogenous wastes Decreased extracellular fluid volume Increased tubular excretion of water Increased tubular reabsorption of water
Increased tubular excretion of water
An older adult client has been taking chlorothiazide for several months for treatment of blood pressure. What nursing assessment findings would correlate with the client having hypokalemia? Elevated blood pressure Increased weakness and fatigue Numbness and tingling of extremities Hyperactive bowel sounds
Increased weakness and fatigue
Which point will the nurse emphasize to a patient who is taking an antilipemic medication in the statin class? Improved cholesterol levels will be evident within 2 weeks. A low-fat diet is not necessary while taking these medications. The drug must be taken on an empty stomach before meals. It is important to report muscle pain immediately.
It is important to report muscle pain immediately.
A client has a digoxin level of 1.1 ng/mL. Which interpretation by the nurse is correct? It is below the therapeutic level. It is above the therapeutic level. A double dose needs to be administered for it to reach a therapeutic level. It is within the therapeutic range.
It is within the therapeutic range.
Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder? Hypothyroidism Kidney disease Myxedema Diabetes mellitus
Kidney disease
A patient is being assessed before a newly ordered antilipemic medication is started. Which condition would be a potential contraindication? Liver cirrhosis Myocardial infarction Pulmonary fibrosis Diabetes insipidus
Liver cirrhosis
While a client is receiving dyslipidemic/antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem? Neutropenia Pulmonary problems Vitamin C deficiency Liver dysfunction
Liver dysfunction
A client reports frequent use of acetaminophen for relief of headaches and other discomforts. The nurse would evaluate which diagnostic data to determine whether the client is at risk for toxicity? Liver function studies Electrocardiogram Chest x-ray Upper gastrointestinal x-ray results
Liver function studies
What would be important to teach a client who is being prescribed furosemide for control of hypertension? Select all that apply. Nausea can be a side effect. Eat foods low in potassium. Report changes in hearing. Report any persistent coughing. Be sure to rise slowly from chairs.
Nausea can be a side effect. Report changes in hearing. Be sure to rise slowly from chairs.
Digoxin works on sodium-potassium ATPase pump in cardiac myocytes. What are the following expected outcomes on cardiac myocytes with digoxin use? (Select all that apply) Negative Inotropic Positive Dromotropic Negative Dromotropic Negative Chronotropic Positive Chronotropic Positive Inotropic
Negative Dromotropic Negative Chronotropic Positive Inotropic
Clonidine, an alpha 2 agonist, has many clinical uses. What are some common uses of this medicaton? Select all that apply: Dyslipidemia Asthma Sjorgens Syndrome Opioid Withdrawal Hypertension
Opioid Withdrawal Hypertension
Entresto(R) is a brand new drug called an ARNI. What are some potential concerns when using an ARNI? (select all that apply) elevated AST (Aspartate Aminotransferase) Correct! Orthostatic Hypotension Correct! Hyperkalemia Hypermagnesemia Correct! Anigoedema Lithium depletion
Orthostatic Hypotension Hyperkalemia Anigoedema
What should be assessed prior to administration of a diuretic? Heart Rate Patients weight Patients liver function Blood pressure Electrolytes
Patients weight Blood pressure Electrolytes
Jerry is at home cutting his grass when he develops sudden chest pain. What are the appropriate steps Jerry should follow when treating his chest pain? (Select all that apply) If pain is unrelieved after the second dose, call 911 Place 1 tablet of nitroglycerin between the cheek and gum Take 1 tablet of nitroglycerin with a full glass of water Place 1 tablet of nitroglycerin under the tongue There is maximum of 5 doses you can take Stop activity and sit/lie down Wait 3 minutes between each dose
Place 1 tablet of nitroglycerin under the tongue Stop activity and sit/lie down
In assessing a client before administration of a cardiac glycoside, the nurse knows that which lab result can increase the toxicity of the drug? Sodium level 140 mEq/L Potassium level 4.9 mEq/L Potassium level 2.8 mEq/L Calcium level 10 mg/dL
Potassium level 2.8 mEq/L
The nurse is preparing to administer spironolactone to a client. After assessing the client, what data indicate the need to withhold the medication and notify the health care provider? Blood pressure (BP) of 130/90 mm Hg Urine output: 30 mL/hr Potassium level: 5.8 mEq/L Apical pulse rate: 58 beats/min
Potassium level: 5.8 mEq/L
The nurse is reviewing the classes of antidysrhythmic drugs. Amiodarone is classified on the Vaughan Williams classification as a class III drug, which means it works by which mechanism of action? Blocking slow calcium channels Blocking sodium channels and affecting phase 0 Prolonging action potential duration Decreasing spontaneous depolarization and affecting phase 4
Prolonging action potential duration
A client with elevated lipid levels has a new prescription for nicotinic acid. The nurse informs the patient that which adverse effects may occur with this medication? Blurred vision, headaches Pruritus, cutaneous flushing Tinnitus, urine with a burnt odor Myalgia, fatigue
Pruritus, cutaneous flushing
The nurse is caring for a client who has been taking hydrocodone for the last 3 months. For which side and adverse effects of this medication would the nurse assess the client? Psychological and physical dependence Diarrhea and abdominal cramping Tachycardia and hypertension Increased respiratory rate and bronchospasm
Psychological and physical dependence
A patient on your cardiac unit has a systolic blood pressure of 165 mmHg. The new resident orders Hydralazine 10 mg IV x 1 STAT. The nurse pushes the dose and the patients blood pressure drops rapidly. This puts the patient at risk for developing what condition? Reflex Tachycardia Lupus Like Syndrome Rebound Cough Pseudoparkinsons
Reflex Tachycardia
When the nurse is administering topical nitroglycerin ointment, which technique is correct? Apply the ointment on the skin on the forearm. Massage the ointment gently into the skin, and then cover the area with plastic wrap. Remove the old ointment before new ointment is applied. Apply the ointment only in the case of a mild angina episode.
Remove the old ointment before new ointment is applied.
What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy? Cut the patch in half for 1 week until the tolerance subsides. Leave the patch on for 2 days at a time. Omit a dose once a week. Remove the patch at bedtime, and then apply a new one in the morning.
Remove the patch at bedtime, and then apply a new one in the morning.
The nurse is assessing a patient who will be starting antihypertensive therapy with an ACE inhibitor. Which condition, if present in the patient, would be a reason for cautious use? Asthma Hyperthyroidism Rheumatoid arthritis Renal insufficiency
Renal insufficiency
A client with cancer is receiving a continuous intravenous infusion of morphine sulfate. The nurse monitoring the client for adverse effects would become most concerned about which vital sign? Blood pressure of 110/70 mm Hg Respirations of 10 breaths/minute Temperature of 99.1° F (37.3° C) Apical heart rate of 90 beats/minute
Respirations of 10 breaths/minute
A client is receiving both captopril and spironolactone for treatment of hypertension. The nurse should carefully monitor which laboratory test? Serum magnesium Serum potassium Serum creatinine Serum sodium
Serum potassium
Although mannitol is a diuretic, it is not prescribed for heart failure or hypertension. Which indications would be appropriate uses for mannitol? Select all that apply: Dyrshythmias Lithium toxicity Severe Intracranial Pressure Glaucoma
Severe Intracranial Pressure Glaucoma
A client will be discharged on quinidine sulfate extended-release tablets for the treatment of ventricular ectopy. The nurse will include which information in the teaching plan? Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision, may occur. It is important to use sunscreen products when outside because of increased photosensitivity. If any tablet or capsule is visible in the stool, contact the prescriber immediately. The medication should be stopped once the cardiac symptoms subside.
Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision, may occur.
Propofol is being administered to induce sedation in a client who is intubated and is being mechanically ventilated. The nurse would monitor for which adverse effect during infusion of the medication? Signs of respiratory depression Elevated triglyceride levels Itching Skin redness
Signs of respiratory depression
A patient presents with a blood pressure of 201/112 and the resident is trying to determine an appropriate anti-hypertensive for a Hypertensive Emergency. Which pharmacological agent would most likely be prescribed? Hydrochlorothiazide Lisinopril Sodium Nitroprusside Metoprolol
Sodium Nitroprusside
Accumulation of which of the following drugs can result in "Cyanide toxicity"? Sodium Nitroprusside Hydralazine Niacin Aliskiren
Sodium Nitroprusside
A client is being treated for a blood pressure of 200/130. Which medication does the nurse anticipate to administer? Losartan Prazosin Sodium nitroprusside Oral (PO) hydralazine
Sodium nitroprusside
A client is seen in the hospital emergency department after injury to the right ankle. The client tells the nurse that the ankle was twisted while playing volleyball. The primary health care provider (PHCP) has prescribed a topical analgesic cream for the injury. The nurse providing instruction about the medication would provide the client with which information? To apply the medication 3 times a day and place a heating pad on top of the area That the medication contains a combination of medications, one of which is an analgesic To avoid hazardous activities while using the cream because it causes drowsiness That the onset of headache indicates a systemic reaction and the PHCP must be notified
That the medication contains a combination of medications, one of which is an analgesic
The nurse is administering propranolol to a client who is being treated for hypertension. What is the desired response to this medication? Cardiac output is decreased and the arterial blood pressure (BP) rises. Pericardial fluid is decreased, thus decreasing the cardiac workload. The cardiac rate is decreased with a resulting decrease in the cardiac output. Vasodilation occurs, resulting in a decrease in the cardiac afterload.
The cardiac rate is decreased with a resulting decrease in the cardiac output.
The nurse is the health care provider's (HCP's) office is completing an assessment on a client who has been prescribed digoxin for congestive heart failure (CHF). Which data indicates the medication has been effective? The client's sputum is pink and frothy. The client's heart rate is 80 beats per minute. The client has 2+ pitting edema of the sacrum. The client has clear breath sounds bilaterally.
The client has clear breath sounds bilaterally
The nurse is administering 1300 medications to the following clients. Which client should the nurse question administering the medication? The client receiving enalapril with a serum potassium of 4.3 meq/L The client receiving carvedilol with a dorsalis pedis pulse of 45 beats per minute The client receiving a nitroglycerin patch who has a blood pressure of 160/94. The client who is receiving amlodipine who drank a glass of apple juice
The client receiving carvedilol with a dorsalis pedis pulse of 45 beats per minute
Which assessment data should the nurse obtain prior to administering a calcium channel blocker? The client's radial pulse. The client's blood pressure. The serum calcium level. The current telemetry reading.
The client's blood pressure.
Which data indicates to the nurse that gemfibrozil is effective? The client's low-density lipoprotein (LDL) is 140 mg/dL The client's total cholesterol is 210 mg/dL. The client's high-density lipoprotein (HDL) is 70 mg/dL The client's triglyceride level is 175 mg/dL.
The client's high-density lipoprotein (HDL) is 70 mg/dL
The client with chronic low back pain has been taking baclofen. Which instruction should the nurse review with the client? The client should not take the medication before bedtime. The client may consume no more than one glass of wine per day. The medication must be tapered off when discontinued. The medication will cause gastric ulcer formation.
The medication must be tapered off when discontinued.
The primary health care provider has prescribed a lidocaine 5% patch for a client with a diagnosis of neck pain due to osteoarthritis. What would the nurse tell the client regarding this medication? The medication is prescribed to cause the skin to peel below the patch. The medication patch will act as a local anesthetic. Apply a heating pad to the area after applying the medication patch to increase the effectiveness. The medication patch acts by decreasing muscle spasms.
The medication patch will act as a local anesthetic.
A client is taking large doses of acetylsalicylic acid for rheumatoid arthritis. Which assessment findings indicate that the client is experiencing ototoxicity as a result of the medication? Tinnitus, hearing loss, dizziness, and ataxia Gastrointestinal bleeding, ecchymosis, and dizziness Dizziness, sore throat, and purpura Gastrointestinal upset and dizziness
Tinnitus, hearing loss, dizziness, and ataxia
Which of the following diuretics are classified as "potassium sparing"? Select all that apply: Triamterene Bumetanide Ethacrynic Acid Spironolactone Eplerenone Hydrochlorothiazide Acetazolamide
Triamterene Spironolactone Eplerenone
The nurse is assessing a patient who is receiving a milrinone infusion and checks the patient's cardiac rhythm on the heart monitor. What adverse cardiac effect is most likely to occur in a patient who is receiving intravenous milrinone? Ventricular dysrhythmia Atrial fibrillation Bradycardia Tachycardia
Ventricular dysrhythmia
Cholestyramine is effective in binding up excessive bile acid to reduce LDL levels. What else might cholestyramine decrease the efficacy and/or absorption of ? (Select all that apply) Vitamin D Vitamin B6 Digoxin Vitamin C Vitamin K
Vitamin D Digoxin Vitamin K
A client about to receive a morning dose of digoxin has an apical pulse of 50 beats/min. What will the nurse do next? Administer the dose, and notify the prescriber. Withhold the dose, and notify the prescriber. Check the radial pulse for 1 full minute. Administer the dose.
Withhold the dose, and notify the prescriber.
A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/min. What will the nurse do next? Administer the dose and document the administration on the MAR Withhold the dose, and notify the prescriber. Check the radial pulse for 1 full minute. Administer the dose, and notify the prescriber.
Withhold the dose, and notify the prescriber.
Following the administration of a scheduled dose of 50-mg atenolol PO, the nurse should prioritize what assessment? oral temperature blood pressure (BP) level of consciousness (LOC) oxygen saturation levels (SaO2)
blood pressure (BP)
Which antihypertensive medications can be administered by transdermal patch? clonidine enalapril amlodipine candesartan
clonidine
A client is diagnosed with hypertension and is being treated with captopril. A client with which diagnosis should be prescribed with captopril as the first-line treatment? glaucoma diabetes mellitus asthma angina pectoris
diabetes mellitus
An older adult client, who leads a sedentary lifestyle, has recently been diagnosed with dyslipidemia. The client is disappointed to learn about this condition, stating, "First it was the diabetes and then the arthritis, now this." The nurse has performed health education with the client and has described metabolic syndrome. In addition to the elevated cholesterol levels, what aspect of the client's health is congruent with a diagnosis of metabolic syndrome? age over 65 sedentary lifestyle arthritis diabetes mellitus
diabetes mellitus
Which medication will be administered to a client experiencing severe digitalis poisoning? milrinone digoxin immune Fab acetylcysteine phentolamine
digoxin immune Fab
The client has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. What condition is the client most likely experiencing? myocardial infarction pneumonia liver disease heart failure
heart failure
In a patient with fluid overload and shortness of breath at rest, which of the following medications would likely be administered? phenylephrine diltiazem milrinone metoprolol
milrinone
A client is prescribed lisinopril. What adverse effect should the client be instructed on that can occur with angiotensin-converting enzyme (ACE) inhibitors? sedation constipation persistent cough tachycardia
persistent cough
A patient is taking a beta blocker as part of the treatment plan for heart failure. The nurse knows that the purpose of the beta blocker for this patient is to: cause peripheral vasodilation. prevent stimulation of the heart by catecholamines. increase urine output. increase the contractility of the heart muscle.
prevent stimulation of the heart by catecholamines.
During assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as: digoxin level of 1.5 ng/mL. serum potassium level of 2.0 mEq/L. serum calcium level of 9.9 mEq/L. apical pulse rate of 62 beats/min.
serum potassium level of 2.0 mEq/L.
Which single drug class is known to be most effective in reducing the major types of dyslipidemia? bile acid sequestrants fibrates niacin statins
statins
