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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
ANSWER:
b. Pulse rate
d. Blood pressure
A client has a new prescription for spironolactone (Aldactone).
Which of the following laboratory values should the nurse recognize
as a reason to 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
,ANSWER: b. Serum potassium 5.2 mEq/L
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
ANSWER: d. Headache
Propranolol (Inderal) is contraindicated for a client who has which of
the following conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
ANSWER: 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."
ANSWER: 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
ANSWER: b. Reflex tachycardia
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
ANSWER:
a. Fatigue
c. Anorexia
e. Diplopia
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
ANSWER: 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.
ANSWER:
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
ANSWER: b. The nasolacrimal duct
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
ANSWER: b. Toxic levels of digoxin
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