PHARM 2 FINAL

What does an increase in troponin levels indicate in a client with chest pain?

It suggests an evolving myocardial infarction.

What is the priority nursing action for a patient taking atenolol with a heart rate of 52 bpm?

Withhold the atenolol dose and notify the provider about the bradycardia and symptoms.

What should the nurse administer first to a patient with a heart rate of 45 bpm and dizziness?

Administer atropine as prescribed to increase the heart rate.

Which finding in a client with anemia's past medical history should the nurse anticipate?

Renal dysfunction.

What symptom should a nurse reinforce as important to report after starting statin therapy?

Muscle pain.

What manifestation should the nurse recognize as associated with severe dyslipidemia?

Xanthomas around the eyes.

What should the nurse prioritize for immediate intervention following alteplase administration after an acute MI?

Sudden and severe headache.

What common cause of myocardial infarction should the nurse include in client education?

Atherosclerosis.

How far away from the umbilicus should enoxaparin be injected?

2 inches away from the umbilicus.

Which client condition indicates a contraindication for prescribed anticoagulant therapy?

A client who has peptic ulcer disease and a history of GI bleed.

Which lab finding is prioritized before administering eplerenone?

Lab for creatinine clearance.

What medication should a nurse expect for a newly diagnosed hypertension client?

Hydrochlorothiazide (HTCZ).

What medication should be expected for a client with hypertension and stable angina?

Nifedipine.

What class of medication does hydralazine belong to?

Vasodilator.

What class of medications does metoprolol belong to?

Beta-blocker.

What effect should the nurse identify as a result of heart failure?

Increased peripheral edema.

What finding should the nurse expect in a client with right-sided heart failure?

Jugular venous distention (JVD).

What clinical manifestations should a nurse prioritize for early recognition of digoxin toxicity?

Nausea, blurred vision with green and yellow halo.

What is the priority nursing action for a patient with AFIB prescribed digoxin and a potassium level of 3.2?

Hold the digoxin.

What effect should a nurse educate a client receiving mannitol about?

Expect an increase in urine output.

What laboratory finding can contraindicate continuing hydrochlorothiazide?

Low potassium levels.

In which condition should a nurse withhold Lasix medication?

Hypokalemia.

What class of diuretics should a nurse educate a client prescribed spironolactone about?

Potassium-sparing diuretics.

What is the most commonly prescribed class of diuretics for heart failure?

Loop diuretics.

Which vaccine often requires a three-dose series for full efficiency?

Hepatitis B Vaccine.

What protective measure should a nurse include in education for clients prescribed oral alkylating agents?

You should wear gloves.

What statement about sarcomas should a nurse make in teaching about cancer types?

A sarcoma affects bones and soft tissue, including fats and muscles.

What statement indicates effective teaching about nirmatrelvir/ritonavir?

This medication has a lot of drug interactions.

What should the nurse anticipate for a client with respiratory distress and influenza exposure?

The client will start antivirals immediately regardless of test results.

Why is the subtype of hepatitis C important for treatment?

It helps the provider prescribe the most effective medication.

What symptoms could indicate progression to AIDS in a client with HIV?

Lymph node swelling and poorly healing sores in the mouth.

What technique is safest for mixing NPH and regular insulin?

You must inject air first.

What serious hematological adverse effect should a nurse identify related to methimazole?

Thrombocytopenia.

What instruction should a nurse give about levothyroxine administration?

Take with a full glass of water 30 – 60 minutes before breakfast.

What dietary restriction should a client receiving radioactive iodine therapy follow?

Avoid foods high in iodine.

What's a contraindication for initiating sulfonylureas in a client with type 2 diabetes?

The client is currently experiencing diabetic ketoacidosis (DKA).

What is a recommended immediate response for hypoglycemia?

Consume 15-20 grams of simple carbohydrates.

What life-threatening adverse effect of oral hypoglycemics should the client be aware of?

Lactic acidosis related to metformin use.

What side effect due to antihistamines should a nurse include for a client with Meniere’s disease?

Dry eyes, with blurred vision.

What contraindication for anti-VEGF injection should the nurse recognize?

The client has a history of a heart attack 2 years ago.

What education should a nurse provide for antihistamines to a client with BPH?

Reinforce teaching to consult with a provider before taking antihistamines.

What action of meclizine should a nurse educate a client about?

Meclizine blocks histamine H1 receptors that have an anticholinergic effect, which controls vertigo.

What first-generation antihistamine may provide relief for vertigo?

Meclizine.

Which supplement should a client with dry age-related macular degeneration take daily?

Vitamin C.

Which medication should be prescribed for a client with wet age-related macular degeneration?

VEGF injection.

What is the priority action before administering methohexital?

Ensure you have resuscitation equipment.

What condition is directly associated with polycystic ovarian syndrome (PCOS)?

Elevated blood glucose.

What effect should the nurse monitor for in a client experiencing menopause?

Pain during sexual intercourse.

What understanding of hormone cycle breaks and infertility should the client demonstrate?

A break in your hormone cycle can prevent your ovaries from producing or releasing a mature ovum.

What medication is expected for a client diagnosed with H. Pylori?

Amoxicillin antibiotic.

What is the mechanism of action for medications prescribed for IBS with constipation?

Increasing fluid secretions in the intestines to soften the stool and promote bowel movement.

What condition alerts a nurse that benzodiazepines are contraindicated for a client?

Angle closure glaucoma.

What classification can treat both severe anxiety and muscle spasms?

Benzodiazepine.

What classification does onabotulinum toxin (Botox) belong to?

Neuromuscular blocking agent.

What is classified as a peripheral-acting muscle relaxant?

Dantrolene.

Which client should the nurse observe for spasticity?

A client who had a stroke a month ago.