RN Medical Surgical Drugs EAQ 2022

A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent urinary tract infections. What instructions should the nurse give to the client? Increase the intake of fluids. Strain the urine for crystals and stones. Stop the drug if urinary output increases. Maintain the exact time schedule for taking the drug. A client who had a myocardial infarction receives a prescription for a nitroglycerin patch. What does the nurse identify as the purpose of the nitroglycerin patch? Decreased heart rate lowers cardiac output. Increased cardiac output increases oxygen demand. Decreased cardiac preload reduces cardiac workload. Peripheral venous and arterial constriction increases peripheral resistance. A healthcare provider prescribes enalapril for a client. Which is the most important nursing action? Assess the client for hypokalemia. Ensure that the medication is ingested with food. Monitor the client's blood pressure during therapy. Teach that a missed dose can be doubled at the next scheduled time. An older adult client who has type 1 diabetes and chronic bronchitis is prescribed atenolol for the management of angina pectoris. Which clinical manifestation should alert the nurse to the fact that the client may be developing a life-threatening response to the drug? Difficulty breathing Increased pulse rate Orthostatic hypotension Increased blood glucose A nurse administers two units of packed red blood cells ([RBCs] 250 mL each), followed by 500 mL of 0.9% sodium chloride. How much total solution (blood and sodium chloride) has infused? Record your answer as a whole number. 1000mL A nurse identifies signs of electrolyte depletion in a client with heart failure who is receiving bumetanide and digoxin. What does the nurse determine is the cause of the depletion? Diuretic therapy Sodium restriction Continuous dyspnea Inadequate oral intake A healthcare provider orders heparin 6000 units subcutaneously daily. The pharmacy dispenses a vial containing 10,000 units per milliliter. How many milliliters of heparin should the nurse administer? Include a leading zero if applicable. Record your answer using one decimal place. 0.6mL A client diagnosed with gastroesophageal reflux disease (GERD) is being treated with antacid therapy. When teaching the client about the therapy, what does the nurse reinforce? Antacids should be taken 1 hour before meals. These should be scheduled at 4-hour intervals. Antacid tablets are just as fast and effective as the liquid form. Antacids commonly interfere with the absorption of other drugs. A client asks a nurse why captopril was prescribed. What specific drug classification should the nurse include in the explanation to the client? Diuretic Sedative Hypnotic Antihypertensive During the administration of total parenteral nutrition (TPN), an assessment of the client reveals a bounding pulse, distended jugular veins, dyspnea, and cough. What is the priority nursing intervention? Restart the client's infusion at another site. Slow the rate of the client's infusion of the TPN. Interrupt the client's infusion and notify the healthcare provider. Obtain the vital signs and continue monitoring the client's status.