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1. A client has a new prescription for spironolactone b. Serum potassium 5.2
(Aldactone). Which of the following laboratory values mEq/L
should the nurse recognize as a reason to withhold
the morning dose of the medication and notify the
provider?
a. Serum sodium 138 mEq/L
b. Serum potassium 5.2 mEq/L
c. Serum creatinine 1.2 mEq/L
d. Serum chloride 106 mEq/L
2. A nurse is caring for a client who is prescribed dai- b. Toxic levels of digoxin
ly doses of both digoxin (Lanoxin) and furosemide
(Lasix). The client's potassium level is 3.2 mEq/L. For
which of the following medication interaction is the
client at risk?
a. Toxic levels of furosemide
b. Toxic levels of digoxin
c. Sub-therapeutic levels of furosemide
d. Sub-therapeutic levels of digoxin
3. Propranolol (Inderal) is contraindicated for a client a. Asthma
who has which of the following conditions?
a. Asthma
b. Diabetes
c. Angina
d. Dementia
4. A nurse is reinforcing teaching for a client who has c. "I should decrease the
a prescription for verapamil (Calan). Which of the fol- amount of calcium in my
lowing statements by the clients indicates a need for diet while taking the med-
further teaching? ication."
a. "I should increase the amount of fiber in my diet
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since the medication causes constipation."
b. "I should eliminate grapefruit juice from my diet
while taking verapamil."
c. "I should decrease the amount of calcium in my diet
while taking the medication."
d. I should take the medication with food if it causes an
upset stomach."
5. A nurse is caring for a client with prescription for b. Reflex tachycardia
nifedipine (Procardia) to treat angina pectoris. The
nurse should plan to monitor the client for which of
the following findings?
a. Weight loss
b. Reflex tachycardia
c. Grand mal seizures
d. Urinary Retention
6. A nurse is caring for a client on a medical unit who b. Pulse rate
takes regular doses of propranolol (Inderal) for hy- d. Blood pressure
pertension. Before administering the client's morning
dose of propranolol, which of the following should the
nurse plan to monitor? (SATA)
a. Urinary output
b. Pulse rate
c. Temperature
d. Blood pressure
e. Deep tendon reflexes
7. 7. A nurse is reinforcing teaching for a client who is a. Fatigue
prescribed digoxin (Lanoxin). Which of the following c. Anorexia
should the nurse instruct the client to report to the e. Diplopia
provider? (SATA)
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a. Fatigue
b. Constipation
c. Anorexia
d. Rash
e. Diplopia
8. A nurse is caring for a client who is prescribed isosor- d. Headache
bide mononitrate (Imdur) for chronic stable angina.
The nurse should plan to monitor the client for which
of the following findings?
a. Bradycardia
b. Fever
c. Hypertension
d. Headache
9. A nurse is obtaining a medication history from a d. Aspirin
client who is to start a new prescription for warfarin
(Coumadin). Which of the following over-the-counter
medications should the nurse instruct the client to
avoid?
a. Ranitidine (Zantac)
b. Docusate sodium (Colace)
c. Acetaminophen
d. Aspirin
10. A nurse is caring for a client who has angina pec- a. Apply the patch at the
toris and is prescribed a nitroglycerin patch (Nitro-Dur) same time each morning
once daily. Which of the following are true regard- c. Put patch on a hairless
ing the administration of transdermal nitroglycerin? area of skin.
(SATA) e. Cut patches in half to
a. Apply the patch at the same time each morning allow for smaller doses of
b. Leave the patch in place for 24 hr before replacing. prescribed medication.