HESI RN EVOLVE Pharmacology Practice Exam

S - The Marketplace to Buy and Sell your Study Material HESI RN EVOLVE Pharmacology Practice Exam The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. Correct The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side effect oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying down position is important to teach the client to avoid dizziness and potentially falling. A female client calls the clinic and talks with the nurse to inquire about a possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white discharge. The nurse should discuss which action with the client? Discontinue the antibiotic because original symptoms have subsided. Continue taking medication until finished until the symptoms subside. Consult with healthcare provider about another treatment for this effect. Correct Use an over-the-counter (OTC) vaginal wash to flush out the secretions. A superinfection with normal flora yeast may occur during antibiotic therapy. If suspected, the new onset of findings should be reported to the healthcare provider for another prescribed treatment to treat the superinfection. The nurse is making early morning rounds on a group of clients when a client begins exhibiting symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2 receptor agonist agent. Which client response should the nurse expect? Downloaded by Distribution of this document is illegal Want to earn $103 per month? S - The Marketplace to Buy and Sell your Study Material Tachycardia. Increased blood pressure. Rapid resolution of wheezing. Correct Improved pulse oximetry values. Correct Reduce fever airway inflammation. Beta 2 receptor agonist agents should provide immediate return of airflow and resolve wheezing and improve oxygenation. A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the nurse take? Lower the head of the bed and assess the client for orthostatic vital sign changes. Give the medication as prescribed and continue to monitor the client. Correct Prepare to administer atropine sulfate IV push. Hold the prescribed dose and contact the healthcare provider. Since the client's blood pressure is within normal limits, and the pulse is above 50 beats/min with a first degree block, the medication can be administered. Atenolol is a beta-blocker that slows the heart rate and lowers the blood pressure; this drug is generally held if the heart rate is less than 50 beats/min or the client exhibits dizziness related to hypotension. The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. Which action should the nurse take first? Downloaded by: Distribution of this document is illegal Want to earn $103 per month?