NSG318 EXAM 3 |LATEST VERSION |NEW
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QUESTIONS
The nurse is teaching a patient about sublingual nitroglycerin administration. What
information will the nurse include when teaching this patient?
A. Call 911 if pain does not improve after three doses
B. A second dose of nitroglycerin should be given regardless of symptom resolution
C. Swallow the tablet with small sips of water
D. Take the first tablet while sitting or lying down
D. Take the first tablet while sitting or lying down
A patient asks the nurse why nitroglycerin is given sublingually. The nurse will explain that
nitroglycerin is administered by this route for which reason?
A. To avoid hypotension
B. To increase the rate of absorption
C. To minimize gastrointestinal upset
D. To prevent hepatotoxicity
B. To increase the rate of absorption
A patient has heart failure and has been taking digoxin for 9 years. The patient is admitted
with signs and symptoms of digoxin toxicity. Which signs and symptoms are associated with
digoxin toxicity? (Select all that apply.)
A. Dysuria
B. Vomiting
C. Tachycardia
D. Yellow haloes in the visual field
E. Diarrhea
B. Vomiting
D. Yellow haloes in the visual field
E. Diarrhea
,The nurse reviews the history for a patient taking atorvastatin. What will the nurse act
on immediately?
A. The patient takes medications with grape juice
B. The patient takes herbal therapy including kava
C. The patient is on oral contraceptives
D. The patient was started on penicillin for a respiratory infection
C. The patient is on oral contraceptives
Which assessment finding in a patient taking an HMG-CoA reductase inhibitor will the nurse
act on immediately?
A. Decreased hemoglobin
B. Elevated liver function tests
C. Elevated HDL
D. Elevated LDL
B. Elevated liver function tests
A patient is taking atorvastatin. Which assessment finding requires immediate action by the
nurse?
A. Headache
B. Slight nausea
C. Muscle pain
D. Fatigue
C. Muscle pain
A patient diagnosed with hypercholesterolemia is prescribed atorvastatin. Based on this
medication order, the nurse should contact the health care provider about which reported
condition in the patient's history?
A. Leukemia
B. Hepatic disease
C. Chronic pulmonary disease
D. Renal disease
B. Hepatic disease
Which nursing intervention is essential for the patient receiving alteplase?
, A. Assess for dysrhythmias
B. Monitor liver enzymes
C. Administer prescribed vitamin K if bruising is observed
D. Monitor blood pressure and stop the medication if blood pressure drops below 110 systolic
A. Assess for dysrhythmias
A patient taking warfarin asks for an aspirin for a headache. What is the nurse’s best action?
A. Administer 650 mg of acetylsalicylic acid (ASA) and reassess pain in 30 minutes
B. Teach the patient of potential drug interactions with anticoagulants
C. Explain to the patient that ASA is contraindicated and administer ibuprofen as ordered
D. Explain that the headache is an expected side effect and will subside shortly
B. Teach the patient of potential drug interactions with anticoagulants
A patient is started on warfarin therapy while also receiving intravenous heparin. The patient
is concerned about the risk for bleeding. What should the nurse tell the patient?
A. "Your concern is valid. I will call the doctor immediately to discontinue the heparin"
B. "Because of your valve replacement, it is especially important for you to be anticoagulated.
The heparin and warfarin together are more effective than one alone"
C. "Because you are now up and walking, you have a higher risk of blood clots and therefore
need to be on both medications"
D. "It usually takes about 3 days to achieve a therapeutic effect for warfarin, so the heparin is
continued until the warfarin is therapeutic"
D. "It usually takes about 3 days to achieve a therapeutic effect for warfarin, so the heparin is
continued until the warfarin is therapeutic"
The nurse evaluates that the patient has understood discharge teaching regarding warfarin
based on which statement?
A. "I will double my dose if I forget to take it the day before"
B. "I should keep taking ibuprofen for my arthritis"
C. "I should decrease the dose if I start bruising easily"
D. "I should use a soft toothbrush for dental hygiene"
D. "I should use a soft toothbrush for dental hygiene"
A patient has been taking spironolactone to treat heart failure. The nurse will monitor for
which of the following electrolyte abnormalities?
A. Hypoglycemia
B. Hypermagnesemia
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