Unit 4 Exam

A patient is receiving cholestyramine(Questran) for elevated low-density lipoprotein (LDL) levels. As the nurse completes the nursing care plan, which adverse effects will be included for continued monitoring? A. Abdominal pain B. Orange-red urine and saliva C. Decreased capillary refill time D. Sore throat and fever

A. Abdominal pain

Which action by the nurse is most important when caring for a patient with chronic kidney disease who has an order for furosemide(Lasix)? A. Assess urine output and renal lab values for signs of nephrotoxicity B. Check the specific gravity of the urine daily. C. Eliminate potassium-rich foods from the diet. D. Encourage the patient to void every 4 hours

A. Assess urine output and renal lab values for signs of nephrotoxicity.

A patient has been on long-term therapy with colestipol (Colestid). To prevent adverse effects related to the length of therapy and lack of nutrients, which supplements may be required? (Select all that apply.) A. Folic acid B. Vitamins A, D, E, K C. Potassium, iodine, and chloride D. Protein E. B Vitamins

A. Folic acid B. Vitamins A, D, E, K

The nurse is caring for a patient with chronic hypertension. The patient is receiving losartan (Cozaar) daily. Which patient manifestations would the nurse conclude is an adverse effect of this medication? A. Tremors B. Dizziness C. Drowsiness D. Hypoglycemia E. Angioedema

B. Dizziness D. Hypoglycemia E. Angioedema

The patient is to begin taking atorvastatin(Lipitor) and the nurse is providing education about the drug. Which symptoms related to this drug should be reported to the healthcare provider? A. Constipation B. Increasing muscle or joint pain C. Hemorrhoids D. Flushing or "hot flash"

B. Increasing muscle or joint pain

The nurse is instructing a patient on home use of niacin and will include important instructions on how to take the drug and about its possible adverse effects. Which of the following may be expected adverse effects of this drug? (Select all that apply.) A. Fever and chills B. Intense flushing and hot flashes C. Tingling of the fingers and toes D. Hypoglycemia E. Dry mucous membranes

B. Intense flushing and hot flashes C. Tingling of the fingers and toes

The patient is taking atenolol (tenor in) and dorados in (Cardura). What is the rationale for combining two anti hypertensive drugs? A. The blood pressure will decrease faster. B. Lower doses of both drugs may be given with fewer adverse effects. C. There is less daily medication dosing. D. Combination therapy will treat the patient's other medical conditions.

B. Lower doses of both drugs may be given with fewer adverse effects.

Nifedipine (Procardia XL) has been ordered for a patient with hypertension. In the care plan, the nurse includes the need to monitor for which adverse effect? A. Rash and chills B. Reflex tachycardia C. Increased urinary output D. Weight loss

B. Reflex tachycardia

The nurse is providing teaching to a patient who has been prescribed furosemide (Lasix). Which of the following should the nurse teach the patient? A. Avoid consuming large amounts of kale, cauliflower, or cabbage. B. Rise slowly from a lying or sitting position to standing. C. Count the pulse for one full minute before taking this medication D. Restrict fluid intake to no more than 1 L per 24-hour-period.

B. Rise slowly from a lying or sitting position to standing.

A patient with significant hypertension unresponsive to other medications is given a prescription for hydralazine. AN additional prescription of propranolol (Inderal) is also given to the patient. The patient inquires why two drugs are needed. What is the nurse's best response? A. Giving the two drugs together will lower the blood pressure even more than just one alone. B. The hydralazine may cause tachycardia and the propranolol will help keep the heart rate within normal limits. C. The propranolol is to prevent lupus erythematosus from developing. D. Direct-acting vasodilators such as hydralazine cause fluid retention, and the propranolol will prevent excessive fluid buildup.

B. The hydralazine may cause tachycardia and the propranolol will help keep the heart rate within normal limits.

The patient has been given a prescription of hydrochlorothiazide (Microzide) as an adjunct to treatment of hypertension and returns for a follow-up check. WHich is the most objective data for determining the therapeutic effectiveness of the furosemide? A. Absence of edema in lower extremities B. Weight loss of 13 kg (6 lbs) C. Blood pressure log notes blood pressure 120/70 mmHg to 134/88 mmHg since discharge D. Frequency of voiding of at least 6 times per day

C. Blood pressure log notes blood pressure 120/70 mmHg to 134/88 mmHg since discharge

Which of the following clinical manifestations may indicate that the patient taking metolazone (Zaroxolyn) is experiencing hypokalemia? A. Hypertension B. Polydipsia C. Cardiac dysrhythmias D. Skin rash

C. Cardiac dysrhythmias

A patient has been ordered gemfibrozil (Lopid) for hyperlipidemia. The nurse will first validate the order with the healthcare provider if the patient reports a history of which disorder? A. Hypertension B. Angina C. Gallbladder disease D. Tuberculosis

C. Gallbladder disease

The patient admitted for heart failure has been receiving hydrochlorothiazide (Microzide). Which lab levels should the nurse carefully monitor? (Select all that apply.) A. Platelet count B. WBC count C. Potassium D. Sodium E. Uric acid

C. Potassium D. Sodium E. Uric acid

While planning for a patient's discharge from the hospital, which teaching points would be included for a patient going home with a prescription for chlorothiazide (Diuril)? A. Increase fluid and salt intake to make up for the losses caused by the drug. B. Increase intake of vitamin-C rich foods, such as grapefruit and oranges. C. Report muscle cramping or weakness to the healthcare provider. D. Take the drug at tonight because it may cause drowsiness.

C. Report muscle cramping or weakness to the healthcare provider.

The community health nurse is working with a patient taking sim a statin (Zocor). Which patient statement may indicate the need for further teaching about this drug? A. "I'm trying to reach my ideal body weight by increasing my exercise." B. "I didn't have any symptoms even though I had high lipid levels. I hear that's common." C. "I've been taking my pill before my dinner." D. "I take my pill with grapefruit juice. I've always taken my medications that way."

D. "I take my pill with grapefruit juice. I've always taken my medications that way."

A patient with a history of heart failure will be started on spironolactone (Aldactone). Which drug group should NOT be used, or used with extreme caution in patients taking potassium-sparing diuretics? A. Nonsteroidal anti-inflammatory drugs B. Corticosteroids C. Loop diuretics D. Angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers

D. Angiotensin-converting enzyme inhibitors or angiotensin-receptor blockers

What health teaching should the nurse provide for the patient receiving nadolol (Corgard)? A. Increase fluids and fiber to prevent constipation. B. Report a weight gain of 1 kg per month or more. C. Immediately stop taking the medication if sexual dysfunction occurs. D. Rise slowly after prolonged periods of sitting or lying down.

D. Rise slowly after prolonged periods of sitting or lying down.