Latest Update 2026/2027 | Graded A+ | Assured Pass.
The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac
dysrhythmia. The patient takes hydrochlorothiazide (HydroDIURIL) and reports regular use of
over-the-counter laxatives. Before administering the first dose of digoxin, the nurse will review the
patient's electrolytes with careful attention to the levels of which electrolytes? ✔✔potassium and
magnesium (potassium is the key)
**(Yes, hydrochlorothiazide does alter sodium and calcium, but it's not the most appropriate
answer for what the question is asking.)
A child who weighs 10 kg will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX). The
liquid preparation contains 40 mg of TMP and 200 mg of SMX per 5 mL. The nurse determines
that the child's dose should be 8 mg of TMP and 40 mg of SMX/kg/day divided into two doses.
Which order for this child is correct? ✔✔5mL BID
The nurse is teaching a patient about taking hydrochlorothiazide. Which statement by the patient
indicates a need for further teaching? ✔✔"I may need extra calcium while taking this drug" because
this medication can cause hypercalcemia.
Sulfa drug allergic reaction ✔✔facial swelling, rash, itchy eyes and breathing problems
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A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is
5.2. What with the nurse do first? ✔✔Assess the patient for any bleeding
**The very first thing a nurse should do when seeing an elevated INR is to assess the patient.
Remember your prioritization frameworks. This one uses the nursing process—assess first.