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Questions and Answers
A client is newly prescribed digoxin. Which laboratory test is most important for the nurse to monitor during digoxin therapy?
A client is newly prescribed digoxin. Which laboratory test is most important for the nurse to monitor during digoxin therapy?
- Serum digoxin level (correct)
- Platelet count
- Hematocrit
- INR/PT
A client is receiving IV heparin after a heart attack. Which assessment finding requires the closest monitoring by the nurse?
A client is receiving IV heparin after a heart attack. Which assessment finding requires the closest monitoring by the nurse?
- Difficulty swallowing pills
- Edema in the lower extremities
- Bruising on the abdomen (correct)
- Crackles auscultated in the lungs
A client taking aspirin reports adverse effects. Which of the following are potential adverse drug reactions associated with aspirin?
A client taking aspirin reports adverse effects. Which of the following are potential adverse drug reactions associated with aspirin?
- Anticoagulation, GI upset, ringing in the ears (correct)
- Renal failure, jaundice, ascites
- Jaundice, ascites, anticoagulation
- Ascites, renal failure, GI upset
A client has angina pectoris and a prescription for propranolol. Which finding in the client's history should the nurse report to the provider before administering the medication?
A client has angina pectoris and a prescription for propranolol. Which finding in the client's history should the nurse report to the provider before administering the medication?
A client reports continued angina after taking three sublingual nitroglycerin tablets. What is the most appropriate nursing action?
A client reports continued angina after taking three sublingual nitroglycerin tablets. What is the most appropriate nursing action?
A client taking furosemide needs dietary teaching. Which foods should the nurse recommend?
A client taking furosemide needs dietary teaching. Which foods should the nurse recommend?
A patient presents with weakness and a heart rate of 42 bpm. Which medication should the nurse anticipate being ordered?
A patient presents with weakness and a heart rate of 42 bpm. Which medication should the nurse anticipate being ordered?
A client with hypertension is newly prescribed captopril. Which instruction is most important for the nurse to provide?
A client with hypertension is newly prescribed captopril. Which instruction is most important for the nurse to provide?
A client is taking spironolactone. Which lab value indicates the nurse should hold the medication?
A client is taking spironolactone. Which lab value indicates the nurse should hold the medication?
A client taking diltiazem receives dietary instructions. Which food should the nurse advise the client to avoid?
A client taking diltiazem receives dietary instructions. Which food should the nurse advise the client to avoid?
A nurse is about to administer atenolol. Which assessment requires the nurse to withhold the medication?
A nurse is about to administer atenolol. Which assessment requires the nurse to withhold the medication?
A client in the ER took three sublingual nitroglycerin tablets for chest pain and now reports a headache. Which statement by the nurse is most appropriate?
A client in the ER took three sublingual nitroglycerin tablets for chest pain and now reports a headache. Which statement by the nurse is most appropriate?
A client is teaching a client who has a new prescription for hydrochlorothiazide for the management of hypertension. Which of the following instructions should the nurse include?
A client is teaching a client who has a new prescription for hydrochlorothiazide for the management of hypertension. Which of the following instructions should the nurse include?
A client with hypertension is newly prescribed atenolol. Which potential adverse effect should the nurse include in the teaching?
A client with hypertension is newly prescribed atenolol. Which potential adverse effect should the nurse include in the teaching?
A client receiving furosemide for heart failure needs lab monitoring. Which lab values are most important for the nurse to monitor?
A client receiving furosemide for heart failure needs lab monitoring. Which lab values are most important for the nurse to monitor?
A client with high cholesterol is receiving atorvastatin. Which finding should the nurse recognize as a potential adverse effect?
A client with high cholesterol is receiving atorvastatin. Which finding should the nurse recognize as a potential adverse effect?
A patient is prescribed albuterol for exercise-induced bronchospasms. Which adverse reactions should the nurse inform the patient about?
A patient is prescribed albuterol for exercise-induced bronchospasms. Which adverse reactions should the nurse inform the patient about?
A client reports a recurring rash on their torso of unknown cause. Which category of medication is the nurse most likely to see prescribed?
A client reports a recurring rash on their torso of unknown cause. Which category of medication is the nurse most likely to see prescribed?
A client with asthma has new prescriptions for inhaled beclomethasone and albuterol. Which statement indicates correct understanding?
A client with asthma has new prescriptions for inhaled beclomethasone and albuterol. Which statement indicates correct understanding?
A nurse is teaching a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
A nurse is teaching a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Flashcards
Digoxin therapy monitoring
Digoxin therapy monitoring
Monitor serum levels to ensure therapeutic range and avoid toxicity.
Heparin IV monitoring
Heparin IV monitoring
Monitor for signs of bleeding, such as bruising.
Aspirin adverse effects
Aspirin adverse effects
Adverse effects include renal failure, anticoagulation/blood thinning, and GI upset.
Propranolol contraindication
Propranolol contraindication
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Continued angina despite nitroglycerin
Continued angina despite nitroglycerin
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Dietary teaching for furosemide
Dietary teaching for furosemide
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Medication for bradycardia
Medication for bradycardia
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Captopril teaching
Captopril teaching
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Spironolactone contraindication
Spironolactone contraindication
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Diltiazem dietary teaching
Diltiazem dietary teaching
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Atenolol assessment
Atenolol assessment
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Nitroglycerin headache
Nitroglycerin headache
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Hydrochlorothiazide instructions
Hydrochlorothiazide instructions
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Atenolol adverse effect
Atenolol adverse effect
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Furosemide lab values
Furosemide lab values
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Atorvastatin adverse effect
Atorvastatin adverse effect
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Albuterol side effects
Albuterol side effects
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Medication for recurring rash
Medication for recurring rash
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Asthma inhaler teaching
Asthma inhaler teaching
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Inhaled beclomethasone
Inhaled beclomethasone
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Montelukast administration
Montelukast administration
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Ipratropium (Atrovent) inhaler requires clarification
Ipratropium (Atrovent) inhaler requires clarification
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Guaifenesin (mucinex) action
Guaifenesin (mucinex) action
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Albuterol cautions
Albuterol cautions
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Hypervolemia cues
Hypervolemia cues
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Isotonic IVF effect on BP
Isotonic IVF effect on BP
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Best indicator of fluid status
Best indicator of fluid status
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Goal of 0.9NS IV fluids
Goal of 0.9NS IV fluids
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Study Notes
- The following are study notes from your questions
Digoxin Therapy
- During digoxin therapy, patients may need to have their serum medication levels checked
Heparin IV After Heart Attack
- Closely monitor patients receiving heparin IV post-heart attack for bruising on the abdomen
Aspirin Adverse Effects
- Adverse drug reactions associated with aspirin include:
- Renal failure
- Anticoagulation or blood thinning
- Gastrointestinal upset
Propranolol Contraindications
- A history of bronchial asthma should be reported to the provider before a patient with angina pectoris starts propranolol
Continued Angina After Nitroglycerin
- If a client experiences continued angina following the administration of 3 sublingual nitroglycerin tablets, instruct them to go to the nearest emergency room
Dietary Teaching for Furosemide
- For a client taking furosemide, recommend incorporating bananas, cooked carrots, skim milk, and cheese into their diet
Weakness and Bradycardia
- For a patient complaining of weakness with a heart rate of 42 bpm, anticipate an order for atropine
Teaching for Captopril
- When teaching a client about captopril for hypertension, advise them to rise slowly from sitting to standing
Spironolactone and Potassium
- Withhold spironolactone if the patient's potassium level is 5.9
Foods to Avoid with Diltiazem
- For a client taking diltiazem, recommend avoiding grapefruits in their diet
Atenolol Administration Considerations
- Withhold atenolol if the patient's heart rate is 46/min
Headache After Nitroglycerin
- A headache is an expected adverse effect of nitroglycerin
Hydrochlorothiazide Instructions
- The nurse should provide the following instructions for a new prescription for hydrochlorothiazide:
- Avoid taking this at bedtime
- Monitor for leg cramps
Atenolol Adverse Effects
- An adverse effect of atenolol is typically bradycardia
Furosemide Lab Values
- Monitor potassium and magnesium lab values for clients receiving furosemide
Atorvastatin Adverse Effects
- Muscle pain is a potential adverse effect for a client receiving atorvastatin
Albuterol Adverse Reactions
- Adverse reactions the nurse should inform the patient when prescribed albuterol are:
- Chest palpitations
- Tremors
- Tachycardia
Treatment of Unidentified Rash
- An antihistamine medication is expected to be prescribed to a client complaining of a recurring rash
Asthma Inhaler Instructions
- The client indicates an understanding of asthma teaching with this statement: "I will be sure to take the albuterol before taking the beclomethasone"
Inhaled Beclomethasone Instructions
- Instruct the client to rinse their mouth after administration of inhaled beclomethasone
Montelukast Teaching
- The client indicates an understanding of montelukast teaching with this statement: "I'll take this medication once a day in the evening"
Ipratropium Inhaler Clarification
- The client requires clarification when they say: "this med will not impact my urinary retention."
Guaifensesin Teaching
- Increase fluid intake to promote guaifenesin's therapeutic effect
###Albuterol Administering with Caution
- Albuterol should be used cautiously in patients with cardiovascular disease
IV Fluid Types
- Isotonic IV fluid: 0.9 NS
- Hypotonic IV fluid: 0.45 NS
- Hypertonic IV fluid: 3 NS
Hypervolemia Cues
- Clinical cues that indicate hypervolemia include:
- Crackles in lungs
- Bilateral leg edema
- Bounding pulse
Isotonic IV Fluid
- Infusion of isotonic IV fluids will increase blood pressure
Fluid Volume Status
- Daily weight is the best indicator of patient's fluid volume status
NS Goals
- The primary goal of 0.9NS is to expand the volume of fluid in the vascular system
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