Pharmacology (Q)uiz 6

Before giving a client digoxin for heart failure, the nurse should first check the client's _________ for at least 1 minute. If it's below 50-60 beats per minute, the nurse should hold the medication.

apical pulse

Before giving digoxin to a client with heart failure, the nurse should check the client's _________ level because low levels of this can increase the risk of digoxin toxicity.

potassium (low potassium = Hypokalemia) it increases the risk of digoxin toxicity and dangerous heart rhythms

When starting atorvastatin, the nurse should tell the client they need a baseline _________ test to check for any potential liver issues before beginning the medication.

liver function

A client taking atorvastatin for high cholesterol understands the teaching if they say, "I will tell my provider if I feel _________ in my arms."

muscle weakness or aches

Transdermal nitroglycerin should be applied to

• a hairless area

• replaced each morning

• removed for 10 to 12 hours daily to maintain effectiveness and avoid tolerance

Heparin does not _________ existing clots but prevents new clots from forming."

dissolve clots it is an anticoagulant so it helps prevent new clots from forming

Warfarin increases bleeding risk, so clients should use what to prevent bleeding risks?

take safety measures like an electric razor to prevent cuts and injury

A nurse caring for a client on warfarin therapy should have _________ on hand in case of an overdose.

Vitamin K

When teaching a client who is starting subcutaneous heparin, the
nurse should advise them to use a _________ toothbrush to reduce the risk of bleeding.

Using a soft-bristle toothbrush can help prevent gum bleeding, a precaution for clients on heparin.

A nurse should withhold senna for a client with a small bowel obstruction because _________ are not safe for use in this condition.

can increase the risk of abdominal pain and bowel perforation.

A nurse can tell that esomeprazole is effective for a client when the client says, "I don't have _________ in my stomach anymore."

pain

When a client with a duodenal ulcer asks how sucralfate works, the nurse should say, "This medication _________ to the ulcer and protects it from stomach acid."

forms a protective layer over the ulcer, helping to shield it from gastric acid for about 6 hours.

Aluminum hydroxide can cause

• constipation

so clients should be advised to drink plenty of fluids, eat fiber-rich foods, and stay active to help prevent it.

A nurse will know that cimetidine is working for a client when they say

• I dont have as mush discomfort after i eat anymore

• i can sleep while laying flat again

When a client with hypertension is prescribed propranolol, the nurse should report a history of _________ to the provider.

• heart failure

Propranolol can depress heart function, so it should be used cautiously in clients with heart failure

A client taking propranolol for hypertension shows understanding when they say, "I will sit on the _________ of the bed before I stand up."

• edge of the bed

Propranolol can cause dizziness or light-headedness. Clients should change positions slowly to prevent fainting

Before giving atenolol, the nurse should check the client's _________. If it
is less than 60 beats per minute, the nurse should hold the medication and notify the provider.

• Heart Rate

Atenolol can slow the heart rate, so if the client's heart rate is below 60 beats per minute, the medication should be withheld to avoid further slowing the heart.

When teaching a client with hypertension who is prescribed verapamil, the nurse should instruct them to avoid _________ juice while taking this medication.

Grapefruit juice can increase verapamil levels in the blood, leading to a risk of severe low blood pressure and heart problems.

Lisinopril can cause

a persistent dry cough, low blood pressure, and is unsafe for pregnant women. pt should monitor for these effects and notify their provider if needed

An older adult client taking captopril should be instructed to notify the provider immediately if they experience a _________, as this may indicate a serious adverse effect.

sore throat can be a sign of neutropenia, a serious side effect

A nurse caring for a client with a new prescription for atenolol should monitor for _________ as a possible adverse effect

bradycardia (slow heart rate).

When teaching a client who is starting captopril for hypertension, the nurse should instruct them to take the medication on an _________ stomach.

Taking on an empty stomach is important because food can reduce its absorption, making the medication less effective.