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A nurse is reinforcing teaching with a client who has new
prescription for propranolol. The
nurse should include which of the followings a potential adverse
effect of this medication?
a. Decreased heart rate
b. Increased urinary output
c. White patches on the tongue
d. Sudden weight loss
a. Decreased heart rate
A nurse is caring for a client who is taking warfarin and has
an INR of 5.5 The nurse should
expect which of the following instruction from the provider?
a. Change medication to heparin IV
b. Obtain an aPTT level
c. Reduce the dosage of the medication
d. Administer protamine sulfate
c. Reduce the dosage of the medication
A nurse is reinforcing discharge teaching with a client who
has angina and a new
prescription for sublingual nitroglycerin. Which of the following
information should the
,nurse include in the teaching?
- You should carry one nitroglycerin tablet in a small plastic bag
at all times."
- "You will feel a tingling sensation in your mouth when taking
a nitroglycerin tablet."
- "Take nitroglycerin immediately following heavy physical
activity."
- 'Contact your provider if you get a headache after taking
nitroglycerin."
"You will feel a tingling sensation in your mouth when taking
a nitroglycerin tablet."
A nurse is reinforcing discharge teaching with a client who
has angina and a
prescription for sublingual nitroglycerin tablets. Which of the
following statements by the
client indicates an understanding of the teaching?
- "I will swallow the tablet for faster absorption."
- "I should expect pain relief in 1 to 3 minutes."
- "I should stop taking the medication if I get a headache."
- "I will wait 15 minutes before taking a second tablet."
- "I should expect pain relief in 1 to 3 minutes."
A nurse is caring for a client who has chlamydial infection
and a new prescription for
doxycycline. The client reports nausea and vomiting after
starting the medication. Which
of the following recommendations should the nurse make?
- Take the medication with an antacid.
- Take the medication with crackers.
- Take the medication with calcium fortified orange juice.
- Take the medication and then lay down for 30 min.
,Take the medication with crackers.
A nurse is caring for a client who is 1 day postoperative
following a total hip
arthroplasty and is receiving heparin subcutaneously. Which of
the following adverse
effects of the medication should the nurse report to the provider?
- weight gain'
- Anorexia
- Epistaxis
- Bradycardia
- Epistaxis
A nurse is reinforcing teaching with a client who has new
prescription for ciprofloxacin.
Which of the following information should the nurse include in
the teaching?
a. "Take an antacid if the medication causes gastrointestinal
upset."
b. "This medication can increase your risk for sunburn."
c. "Restrict your daily fluid intake while taking this medication."
d. "Expect to experience diarrhea while taking this medication."
d. "Expect to experience diarrhea while taking this medication."
A nurse is reviewing the home medications of a client who
recently had transient ischemic
attacks and is to begin taking clopidogrel. Thu nurse should
instruct the client that which of the
following over the counter medications interacts adversely with
clopidogrel?
a. Naproxen
b. Docusate sodium
, c. Vitamin d3
d. Ranitidine
a. Naproxen
A nurse is preparing a vitamin K injection to give to a
newborn. The newborns mother
questions the purpose of the medication. Which of the following
responses should the nurse
make?
a. This medication will decrease the risk of hemorrhage in your
newborn
b. This medication will increase the absorption of nutrients in
the intestines
c. This medication will decrease the possibility of your newborn
device jaundice
d. This medication will increase the immunity of your newborn
a. This medication will decrease the risk of hemorrhage in your
newborn
A nurse is caring for a client who has been given
methylergonovine intramuscularly for a
postpartum hemorrhage. The nurse should monitor for which of
the following adverse effect?
a. Diarrhea
b. Uterine relaxation
c. Hematuria
d. Elevated blood pressure
d. Elevated blood pressure
A nurse is administering hydromorphone to a client who is
experiencing pain. Which of the
following findings is an adverse effect of this medication?
a. Tachypnea