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DOCUMENT
A nurse is caring for a client who received IV Verapamil to treat
supraventricular tachycardia (SVT). The client's pulse rate is now
98/min and his blood pressure is 74/44 mg hg. The nurse should
anticipate a prescription for which of the following IV medications?
A. Calcium gluconate
B. Sodium bicarbonate
C. Potassium chloride
D. Magnesium sulfate
A (Reverse severe hypotension caused by Verapamil with Calcium
gluconate, given slowly IV. The calcium counteracts vasodilation caused
by verapamil. Other measures to increase blood pressure can include IV
fluid therapy and placing the client in a modified Trendelenburg
position.)
A nurse is assessing a client who is taking Digoxin to treat heart failure.
Which of the following findings is a manifestation of digoxin toxicity?
A. Bruising
B. Report of metallic taste
C. Muscle pain
D. Report of anorexia
,D (Anorexia, blurred vision, stomach pain, and diarrhea are
manifestations of digoxin toxicity)
A provider prescribes phenobarbital for a client who has a seizure
disorder. The medication has a long half-life of 4 days. How many times
per day should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four
A. One
(Medications with long half-lives remain at their therapeutic levels
between doses for long periods. The nurse should expect to administer
this medication once a day.)
A nurse in a clinic is caring for a group of clients. The nurse should
contact the provider about a potential contraindication to medication
for which of the following clients? (Select all that apply.)
A. A client at 8 weeks of gestation who asks for an Influenza
immunization
B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the
nurse she has started taking OTC Aluminum Hydroxide
E. A client who has a prosthetic heart valve, takes Warfarin, and reports
a suspected pregnancy
,B. A client who takes Prednisone and has a possible Fungal infection
C. A client who has chronic liver disease and is taking Hydrocodone
E. A client who has a prosthetic heart valve, takes Warfarin, and reports
a suspected pregnancy
(B. Glucocorticoids should not be taken by a client who has a possible
systemic fungal infection. The nurse should recognize a
contraindication and notify the provider.
C. Acetaminophen is contraindicated due to toxicity for a client who has
a liver disorder. The nurse should notify the provider, who can
prescribe a medication that does not contain acetaminophen.
E. Warfarin is a Pregnancy Category X medication, which can cause
severe birth defects to the fetus. The nurse should notify the provider
about the suspected pregnancy)
A nurse is preparing to administer an IM dose of penicillin to a client
who has a new prescription. The client states she took penicillin 3 years
ago and developed a rash. Which of the following actions should the
nurse take?
A. Administer the prescribed dose.
B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form.
D.Administer an oral antihistamine at the same time
B. Withhold the medication.
(The nurse should withhold the medication and notify the provider of
the client's previous reaction to penicillin so that an alternative
antibiotic can be prescribed. Allergic reactions to penicillin can range
, from mild to severe anaphylaxis, and prior sensitization should be
reported to the provider.)
A nurse is providing discharge instructions for a client who has a new
prescription for an antihypertensive medication. Which of the following
statements should the nurse give?
A. "Be sure to limit your potassium intake while taking the medication."
B. "You should check your blood pressure every 8 hours while taking
this medication."
C. "Your medication dosage will be increased if you develop
tachycardia."
D. "Change positions slowly when you move from sitting to standing."
D. "Change positions slowly when you move from sitting to standing."
(Orthostatic hypotension is a common adverse effect of
antihypertensive medications. The client should move slowly to a sitting
or standing position and should be taught to sit or lie down if
lightheadedness or dizziness occurs)
A nurse reviews a client's health record and notes that the client
experiences permanent extrapyramidal effects caused by a previous
medication. The nurse should recognize that the medication affected
which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal
C. Central nervous