NUR 356 Exam 3 With Correct Answers

NUR 356 Exam 3 Wit h Correct Ans wers A nurse is teaching a client who has a new prescription for simvastatin. Which o f the following instructions should the nurse include? A. You should expect brown-colored urine. B. You should avoid grapefruit. C. You should monitor for ringing in the ears. D. You should take the medication in the morning. - ANSWER You should avoid grapefruit juice. Rationale: can inhibit the drug metabolizing enzyme CYP3A4 which slows the metabolism of simvastatin. This can cause an increase in serum simvastatin. Potential adverse effects include elevated liver enzymes, and rhabdomyolysis. A nurse is preparing to administer digoxin 0.25mg PO daily. The amount available is digoxin 0.125mg tablets. How many tablets should the nurse administer? - ANSWER 2 A nurse in a clinic is caring for a client who has recently begun taking warf arin. The nurse is reviewing potential drug and food interactions risks and should instruct the client to avoid which of the following? A. Cabbage B. Cantaloupe C. Green Beans D. White Beans - ANSWER A. Cabbage Rationale: Cabbage should be limited because it is rich in Vitamin K. A nurse is providing teaching to a client who has a new prescription for li sinopril. Which of following statements by the nurse indicates an understanding of the teaching? A. I should increase my intake of potassium rich foods B. I should expect to have facial swelling when taking this medication. C. I should take this medication with food. D. I should report a cough to my provider. - ANSWER D. I should report a cough to my provider . Rationale: The provider should discontinue the medication for a persiste nt, irritating cough. A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is digoxin 0.125mg tab. The client's current vitals are: blood pressure 144/96, heart rate 54/min, respirations 18/min, and temperature 98.6F. Which of the following actions should the nurse take? A. Administer digoxin 0.125mg B. Administer digoxin 0.25mg C. Withhold the digoxin dose for elevated blood pressure. D. Withhold the digoxin dose for decreased pulse rate. - ANSWER D. Withhold the digoxin for decreased pulse rate. Rationale: The nurse should withhold the prescribed dose of digoxin as the HR is less than 60/min and notify the provider. A client is teaching a client who has a new prescription for hydrochlorothia zide for management of hypertension. Which of the following instructions should the nurse include? A. "Take this medication before bedtime." B. "Monitor for leg cramps." C. "Avoid grapefruit juice.' D. "Reduce intake of potassium-rich foods." - ANSWER Hydrochlorothiazide can cause hypokalemia. The client should monitor for manifestations of hypokalemia, such as fatigue, tachycardia, leg cramps, and muscle weakness. A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? A. Decreased BP B. Increase of HDL cholesterol C. Prevention of bipolar maniac episodes. D. Improved sexual function - ANSWER A. Decreased BP Rationale: ACE inhibitor; may be used alone or in combination with other antihypertensives in the management of hypertension and congestive HF. A therapeutic effect is decreased BP. A nurse is preparing to administer atenolol 25mg PO q 12 hr. The amount available is atenolol 50mg/tab. How many tablets should the nurse administer per dose? - ANSWER 0.5 tab A nurse is caring for a client who has hypertension and is afraid to take his bl ood pressure medication. Which of the following nursing statements is an example of therapeutic communication response of reflection? A. You seem upset about taking your BP medication B. Why do you feel afraid to take your medication C. You won't get better until you take your medication.