The nurse is reviewing the history of a patient who is to receive midodrine. Which would
alert the nurse to a contraindication for the drug?
Give this one a try later!
Glaucoma
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is
most important for the nurse to assess?
a. Consumption of any alcohol or tyramine-rich foods.
b. Reports of nausea or vomiting.
c. Therapeutic serum drug levels.
d. Blood pressure and pulse prior to taking each dose.
,Give this one a try later!
a. consumption of any alcohol or tyramine-rich foods
A client receives a new prescription for an angiotensin-converting enzyme (ACE)
inhibitor. Which client history contraindicates its use?
a. Asthma.
b. Heart failure.
c. Renal artery stenosis.
d. Coronary artery disease.
Give this one a try later!
c. renal artery stenosis
A client prescribed a statin and gemfibrozil (Lopid) for hyperlipidemia reports an onset
of muscle pain and weakness. Which assessment is most important for the nurse to
evaluate?
a. Serum liver enzymes.
b. T3 and T4 blood levels.
c. Bowel function.
d. Peripheral sensation.
Give this one a try later!
, a. serum liver enzymes
Concomminent use of gemfibrozil and statins can cause muscle weakness and
wasting known as myopathy, which is reflected in serum liver function
enzymes, such as elevated serum aspartate aminotransferase (AST or SGOT)
that is also found in skeletal muscle.
A client with heart failure is prescribed spironolactone (Aldactone). Which information is
most important for the nurse to provide to the client about diet modifications?
A) Do not add salt to foods during preparation.
B) Refrain from eating foods high in potassium.
C) Restrict fluid intake to 1000 ml per day.
D) Increase intake of milk and milk products.
Give this one a try later!
b. refrain from eating foods high in potassium
After teaching a group of students about anticoagulants, the instructor determines that
the teaching was successful when the students identify which of the following agents as
interacting with warfarin that increases the risk of bleeding? Select all that apply.
Give this one a try later!
, • Salicylates
• Ranitidine
• Metronidazole
• Cefoxitin
An older client is taking warfarin sodium (Coumadin) PO 2.5 mg twice a day. Which
laboratory value should the nurse identify as a therapeutic response of the medication?
a. INR of 2 to 3.
b. PT of 4 seconds.
c. PTT of 20 seconds.
d. aPTT of 3 times normal.
Give this one a try later!
a. INR of 2 to 3
Recommended INR ranges for clients on warfarin therapy is 2 to 3.
Therapeutic anticoagulation using Coumadin should prolong the prothrombin
time (PT) by 1.5 to 2 times the control value (a normal value is 10-20 seconds),
(or 20% to 30% of the normal value, if percentages are used).
A client who is recently diagnosised with myasthenia gravis receives a prescription for
pyridostigmine (Mestinon), a cholinergic agent. Which information should the nurse
instruct the client to implement when taking this medication?
a. Always take with meals to avoid gastrointestinal distress.
b. Plan the doses close together for maximal therapeutic effect.
alert the nurse to a contraindication for the drug?
Give this one a try later!
Glaucoma
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is
most important for the nurse to assess?
a. Consumption of any alcohol or tyramine-rich foods.
b. Reports of nausea or vomiting.
c. Therapeutic serum drug levels.
d. Blood pressure and pulse prior to taking each dose.
,Give this one a try later!
a. consumption of any alcohol or tyramine-rich foods
A client receives a new prescription for an angiotensin-converting enzyme (ACE)
inhibitor. Which client history contraindicates its use?
a. Asthma.
b. Heart failure.
c. Renal artery stenosis.
d. Coronary artery disease.
Give this one a try later!
c. renal artery stenosis
A client prescribed a statin and gemfibrozil (Lopid) for hyperlipidemia reports an onset
of muscle pain and weakness. Which assessment is most important for the nurse to
evaluate?
a. Serum liver enzymes.
b. T3 and T4 blood levels.
c. Bowel function.
d. Peripheral sensation.
Give this one a try later!
, a. serum liver enzymes
Concomminent use of gemfibrozil and statins can cause muscle weakness and
wasting known as myopathy, which is reflected in serum liver function
enzymes, such as elevated serum aspartate aminotransferase (AST or SGOT)
that is also found in skeletal muscle.
A client with heart failure is prescribed spironolactone (Aldactone). Which information is
most important for the nurse to provide to the client about diet modifications?
A) Do not add salt to foods during preparation.
B) Refrain from eating foods high in potassium.
C) Restrict fluid intake to 1000 ml per day.
D) Increase intake of milk and milk products.
Give this one a try later!
b. refrain from eating foods high in potassium
After teaching a group of students about anticoagulants, the instructor determines that
the teaching was successful when the students identify which of the following agents as
interacting with warfarin that increases the risk of bleeding? Select all that apply.
Give this one a try later!
, • Salicylates
• Ranitidine
• Metronidazole
• Cefoxitin
An older client is taking warfarin sodium (Coumadin) PO 2.5 mg twice a day. Which
laboratory value should the nurse identify as a therapeutic response of the medication?
a. INR of 2 to 3.
b. PT of 4 seconds.
c. PTT of 20 seconds.
d. aPTT of 3 times normal.
Give this one a try later!
a. INR of 2 to 3
Recommended INR ranges for clients on warfarin therapy is 2 to 3.
Therapeutic anticoagulation using Coumadin should prolong the prothrombin
time (PT) by 1.5 to 2 times the control value (a normal value is 10-20 seconds),
(or 20% to 30% of the normal value, if percentages are used).
A client who is recently diagnosised with myasthenia gravis receives a prescription for
pyridostigmine (Mestinon), a cholinergic agent. Which information should the nurse
instruct the client to implement when taking this medication?
a. Always take with meals to avoid gastrointestinal distress.
b. Plan the doses close together for maximal therapeutic effect.
