A client has a new prescription for spironolactone (Aldactone). Which of the following laboratory values should the nurse recognize as a reason to
... [Show More] withhold the morning dose of the medication and notify the provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
b. Serum potassium 5.2 mEq/L
A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and furosemide (Lasix). The client’s potassium level is 3.2 mEq/L. For which of the following medication interaction is the client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
b. Toxic levels of digoxin
Propranolol (Inderal) is contraindicated for a client who has which of the following conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
a. Asthma
A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan). Which of the following statements by the clients indicates a need for further teaching?
a. “I should increase the amount of fiber in my diet since the medication causes constipation.”
b. “I should eliminate grapefruit juice from my diet while taking verapamil.”
c. “I should decrease the amount of calcium in my diet while taking the medication.”
d. I should take the medication with food if it causes an upset stomach.”
c. “I should decrease the amount of calcium in my diet while taking the medication.”
A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina pectoris. The nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
b. Reflex tachycardia
A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for hypertension. Before administering the client’s morning dose of propranolol, which of the following should the nurse plan to monitor? (SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
b. Pulse rate
d. Blood pressure
7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following should the nurse instruct the client to report to the provider? (SATA)
a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
a. Fatigue
c. Anorexia
e. Diplopia
A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina. The nurse should plan to monitor the client for which of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache
d. Headache
A nurse is obtaining a medication history from a client who is to start a new prescription for warfarin (Coumadin). Which of the following over-the-counter medications should the nurse instruct the client to avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
d. Aspirin
A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch (Nitro-Dur) once daily. Which of the following are true regarding the administration of transdermal nitroglycerin? (SATA)
a. Apply the patch at the same time each morning
b. Leave the patch in place for 24 hr before replacing.
c. Put patch on a hairless area of skin.
d. Rotate the sites of administration with each application.
e. Cut patches in half to allow for smaller doses of prescribed medication.
a. Apply the patch at the same time each morning
c. Put patch on a hairless area of skin.
e. Cut patches in half to allow for smaller doses of prescribed medication.
After instilling an eye drop that has a systematic effect, the nurse should press on which of the following to prevent absorption into the circulation?
a. The bony orbit
b. The nasolacrimal duct
c. The conjunctival sac
d. The outer cantus of the eye
b. The nasolacrimal duct
A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma (POAG) during a screening examination. Which of the following data collection finding should the nurse expect?
a. Sudden loss of central vision
b. Intraocular pressure 19 mm Hg
c. No reports of pain
d. Intact peripheral vision
c. No reports of pain
A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who has glaucoma. For which of the following adverse effects should this client be monitored?
a. Hypertension
b. Bradycardia
c. Seizures
d. Jaundice
b. Bradycardia
A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication?
a. Serum creatinine
b. Liver enzymes
c. WBC count
d. RBC count
b. Liver enzymes
A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching? (Select all that apply)
a. Take the medication 15 min before exercising.
b. Follow a fixed-dosage schedule for long-term control of asthma.
c. Expect to lose weight while taking the medication.
d. Observe for adverse effects such as tremors, restlessness, and palpitations.
e. Do not crush or chew tablets.
a. Take the medication 15 min before exercising.
b. Follow a fixed-dosage schedule for long-term control of asthma.
A nurse is reinforcing teaching for a client with a prescription for a beclomethasone (QVAR) inhaler to be used for the long-term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler? a. Iron and Protein
b. Calcium and Vitamin D
c. Vitamin B¹² and folic acid
d. Vitamin E and K
b. Calcium and Vitamin D
A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following findings?
a. Weight loss
b. Infection
c. Hypoglycemia
d. Angina Pain
b. Infection
A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The nurse should plan to monitor the client for which of the following findings?
a. Sedation
b. Nasal congestion
c. Productive cough
d. Constipation
b. Nasal congestion
A nurse is caring for a preschool-age child who may have taken an overdose of diphenhydramine (Benadryl). To identify antihistamine toxicity, the nurse should plan to monitor the child for which of the following?
a. Hallucinations
b. Bradycardia
c. Pinpoint pupils
d. Pallor
a. Hallucinations
A nurse is reinforcing teaching for a client who has hypertension and is prescribed hydrochlorothiazide (HydroDIURIL) twice daily. Which of the following instructions should the nurse include in the client’s teaching?
a. “You should avoid foods high in potassium.”
b. “Take the second dose of the day by early afternoon.”
c. “Watch for ankle swelling that may appear late in the evening.” d. “Limit your daily fluid intake to 1½ L.”
b. “Take the second dose of the day by early afternoon.”
A nurse is reinforcing teaching to a client who is prescribed lovastatin (Mevacor). Which of the following should be included in the teaching?
a. Take the medication with the evening meal.
b. Change position slowly when rising from a chair.
c. Maintain a steady intake of green leafy vegetables.
d. Consume no more than 1L of fluid/day.
a. Take the medication with the evening meal.
A nurse is reinforcing teaching for a client who is to begin taking a new prescription for niacin (Niacor). The nurse should instruct the client to expect which of the following?
a. Facial flushing
b. Frontal headache
c. Blurred vision
d. Dry mouth
a. Facial flushing
A nurse is caring for a client who takes a daily dose of warfarin (Coumadin). The client begins vomiting blood. Which of the following medications should the nurse prepare to give to reverse the effects of warfarin?
a. Vitamin K
b. Atropine sulfate
c. Protamine sulfate
d. Calcium gluconate
a. Vitamin K
A nurse is caring for a client who has been taking a daily dose of warfarin for the past two weeks following an acute myocardial infarction. The client’s most recent INR is 1 to 2. If the client has been taking the warfarin as prescribed, the nurse should expect which of the following changes to the client’s prescription?
a. The warfarin will be continued at the same dose.
b. The warfarin will be discontinued.
c. The warfarin dosage will be increased.
d. The warfarin dosage will be decreased.
c. The warfarin dosage will be increased.
When caring for a client taking aspirin to reduce the risk for a myocardial infarction, the nurse should monitor for which of the following adverse effects? (Select all that apply)
a. Petechiae
b. Hypertension
c. Tinnitus
d. Bruising
e. Black stools
a. Petechiae
d. Bruising
e. Black stools
Which of the following interventions should the nurse implement when preparing to administer filgrastim (Neupogen) for the first time to a client who has undergone a bone marrow transplant? a. Administer intramuscularly in a large muscle mass to prevent injury.
b. Give orally with a meal or snack to prevent severe gastrointestinal upset.
c. Shake vial gently to mix well before withdrawing dose.
d. Discard vial after removing one dose of the medication.
d. Discard vial after removing one dose of the medication.
A nurse is caring for a client who has been receiving epoetin alfa (Epogen) three times a week for several weeks. At a visit to the clinic, the client’s Hgb has increased from 7 g/dL to 8.5 g/dL in the past week. Which of the following actions should the nurse expect to take regarding today’s dose of epoetin alfa?
a. To increase today’s dose.
b. To administer the ordered dose.
c. To withhold today’s dose.
d. To discontinue the medication.
c. To withhold today’s dose.
A nurse is monitoring a client who is receiving sargramostim (Leukine) following a bone marrow transplant. For which of the following adverse reactions should the nurse monitor the client?
a. Constipation
b. Bone pain
c. Insomnia
d. Hair loss
b. Bone pain [Show Less]