EXAM 2 PRACTICE

blow out-radiohead

a nurse is teaching a client who has hypertension and a new prescription for atenolol. which of the following findings should the nurse include as adverse effects of this medication ?

bradycardia

a nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. which of the following instructions should the nurse provide ?

are the medication with orange juice, a good source of vitamin C, to enhance absorption

a nurse is caring for a client who has atrial fibrillation and receives digoxin daily. before administering this medication, which of the following actions should the nurse take?

measure the client’s apical pulse

a nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. the nurse should instruct the client to report which of the following adverse effects to the provider?

depression

a nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. which of the following medications should the nurse have available to reverse heparin's effects?

protamine sulfate

a nurse is caring for a client who has heart failure and a prescription for digoxin. which of the following statements by the client indicates early signs of digoxin toxicity?

“I feel nauseated and have no appetite”

a nurse is caring for a client who has heart failure and a new prescription for furosemide. for which of the following adverse effects should the nurse monitor?

hypokalemia

a nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

prothrombin time (PT)

a nurse is teaching a client who has asthma about how to use an albuterol inhaler. which of the following actions by the client indicates an understanding of the teaching?

the client holds their breath for 10 seconds after inhaling the medication

a nurse is teaching a client who has angina about nitroglycerin sublingual tablets. which of the following statements should the nurse include in the teaching?

“nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart”

a nurse in a provider's clinic is assessing a client who takes sublingual nitroglycerin for stable angina. the client reports getting a headache each time he takes the medication. which of the following statements should the nurse make?

“try taking a mild analgesic to relieve the headache”

a nurse is providing teaching to a client who has a new prescription for lisinopril. which of following statements by the nurse indicates an understanding of the teaching?

“I should report a cough to my provider”

anurse is caring for a client who is taking lisinopril. which of the following outcomes indicates a therapeutic effect of the medication?

decreased blood pressure

a nurse is teaching a client who has a new prescription for simvastatin. which of the following instructions should the nurse include?

“you should avoid grapefruit juice”

a nurse is providing dietary teaching for a client who takes furosemide. the nurse should recommend which of the following foods as the best source of potassium?

bananas

a nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. the nurse should instruct the client to increase dietary intake of which of the following substances?

iron

a nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

hematocrit (Hct)

a nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. which of the following instructions should the nurse include in the teaching?

take this drug between meals

a nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. the nurse should include which of the following instructions regarding how to take the medication?

“take one tablet at the first indication of chest pain”

a nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. the amount available is digoxin 0.125 mg tab. The client's current vital signs are: blood pressure 144/96, heart rate 54/min, respirations 18/min, and temperature 98.6° F. which of the following actions should the nurse take?

withhold the dose for a decreased pulse rate

a nurse is caring for a client who receives furosemide to treat heart failure. which of the following laboratory values should the nurse monitor for this client due to this medication?

potassium

A nurse is planning a menu for a client who has folic acid deficiency anemia. Which of the following foods should the nurse include as high in folate?

½ cup of asparagus

RAAS suppressants (for HTN)

captopril (ACE inhibitors), losartan (angiotensin 2 receptor blocker), eplerenone (aldosterone antagonist), and aliskiren (direct renin inhibitor)

drug therapy for hypertension

doxazosin (alpha 1 blocker), nifedipine (Ca channel blocker), metoprolol (beta blocker), clonidine (alpha 2 agonist), carvedilol (alpha-beta blocker), hydralazine (direct acting vasodilator)

drug therapy for heart failure

hydrochlorothiazide (diuretic), furosemide (loop diuretic), spironolactone (K+ sparing diuretic), digoxin, dobutamine, and milrinone

drug therapy for CAD

atorvastatin, gemfibrozil, and nitroglycerin